4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
2022rRNrHESIrEXITrEXAMr-rVersionr1r(V1)rAllr160rQs
&rAsrIncludedr-
rGuaranteedrPassrA+!!!r(AllrBrandrNewrQ&ArPicsrIncluded)
1. Thernurserisrreviewingrmedicalrprescriptionsrforrnewlyradmittedrclients.r Itr
wouldrberarpriorityrforrthernursertorfollowruprwithrtherphysicianrifrarclientrwith
(a) arpotassiumr levelrofr 4.5mEq/Lrhasr Kayexalater(sodiumr polystyrene)rprescribed
(b) arDilantinr(phenytoin)rlevelrofr8rmcg/mlrisrplacedronrseizurerprecautions(c)r
sensitivityrtorAspirinr(acetylsalicylicracid)risrprescribedrTylenolr (acetamino
phen)
(d)rsensitivityr tor Penicillinr isrprescribedr Zithromaxr (azithromycin)
2. Thernursershouldrintervenerifrthernursernotesrarstaffrmember
(a) obtainingrarclientsrconsentrpriorrtortheirroperativerprocedurerafterrreceivingr
Ativanr(lorazepam)
(b) placingrarclientronrtheraffectedrsiderfollowingrsurgicalrrepairrofrar
retinalrdetachment
(c) handlingrarwetrcastrwithrtherpalmsrofrther hands
(d) usingrarbroadrbaserofrsupportrwhilertransferringrar client
3. Thercommunityrhealthrnurserisrcaringr forr therfollowingrclients.rItrwouldrbera
priorityr forr thernursertorinitiater armultidisciplinaryrconferencerforrtherclientr whoris
(a) 12ryearsroldrwithrAutismrwhorisrstartingrarnewrschoolrandrrecentlyrhadr
arURIr(upperrrespiratoryrtractrinfection)
(b) 16ryearsrold,rhasrtyper1rDiabetesrMellitus,risrunemployedrandrhadrar
recentrHemoglobinrA1crofr13%
(c) 52ryearsrold,rwithrMyastheniarGravis,rrecentlyrprescribedr
Mestinonr(pyridostigmine)r andr employedrasr ar mailr carrier
(d) 70ryearsrold,rhasrschizophrenia,rlivesralonerandrreportsrhearingrnonr
threateningrvoices.
4. Thernurserfromrtherpostpartumrunitrhasrbeenrtemporarilyrassignedrtorther me
dicalrsurgicalrunit.r Itrwouldrbermostrappropriatertorassignrthisrnursertorther cli
entrwho*
3
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,4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
(a) hasrreturnedr fromrrightr totalr hipr replacementrsurgeryr fourrhoursrago
(b) isrbeingr observedr forr increasedr intracranialr pressure
(c) hadrsurgeryrtworhoursragortorremovertherappendix
(d) isrtworweeksrpostrpartumrbeingrmaintainedronrarmechanicalrventilatorr
forrrespiratoryrfailure
5. Thernurserinrarwellrbabyrclinicrhasrassessedrseveralrchildrenrtoday.rItrwouldrberar
priorityrforrthernursertorsuggestrfollowruprforrtherchildrwhorisr(a)r2rmonthsroldrwithr
arpositiverbabinskirreflrex
(b) 5rmonthsroldrandrdoesrnotrholdrtheirr ownrbottle
(c) 10rmonthsroldrwhorcriesraroundrstrangers
(d) 18rmonthsroldrwhorneedsrsupportrwhilerambulating
6. Thernurserisrcaringrforrarmechanicallyrventilatedrclientrwhorwasrdeclaredrbrainr
dead.rAnrAdvancerDirectiverisrnotrdocumentedronrthermedicalrrecord.rItrwouldrber
mostrappropriatertorobtainrconsentrforrorganrdonationrfromrthe
(a) client‘srprimaryr carerprovider
(b) client‘srnurser manager
(c) closestrlivingr familyr member
(d) hospital‘sr ethicsr committee
7. Thernurserhasrreceivedrreportronrfourrclients.r Thernursershouldrfirrstrassess
r therclientrwhorhas*
(a) ChronicrObstructiverPulmonaryrDiseaser(COPD)rwithrarpulseroximetryrreadingr
ofr90%
(b) Parkinson‘srDiseaserandrisrdemandingrtorleavertherhospitalragainstrmedicalr
advicer(AMA)
(c) beenradmittedrwithrsuspectedrGuillian-
Barre´rSyndromerandrhasr begunrplasmapheresisrtherapy
(d) CongestiverHeartr Failurer (CHF)r whoser pittingredemar hasrincreasedr tor 2(+)
8. ItrwouldrberappropriatertorassignrwhichrofrthesertasksrtortherCNA?
4
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,4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
2022rRNrHESIrEXITrEXAMr-rVersionr1r(V1)rAllr160rQs
&rAsrIncludedr-
rGuaranteedrPassrA+!!!r(AllrBrandrNewrQ&ArPicsrIncluded)
(a) Feedingrarclientrwhor isrexperiencingrdysphagia
(b) One-on-oner clientr observationr forr safety
(c) Removalrofranr indwellingrcatheter
(d) Performingrar simpler dressingr change
9. Thernursershouldrintervenerifrarstaffrmemberrisrobserved
(a) discussingrar client‘sr diagnosisrwithr visitingr familyr members
(b) collaboratingrwithranotherr nursertor reviewr arprescriptionr forr bloodr transfusion
(c) interruptingrotherrstaffrmembersrdiscussingrarclientrinrthercafeteria
(d) reviewingrarclientsr labrvaluesrwithrthernutritionist
10. Thernurserisrpreparingrarstaffrpresentationronrlegalrandrethicalrissuesrinr nursin
g.rThernurserwouldrbercorrectrtorincluderwhichrofrtherfollowingrexamples?
(a) Puttingrarclientrinrargeriatricrchairrwithrtherlaprtrayrinrfrontrofrtherclientrinrtherdayr
roomrtorwatchrtelevisionrisrfalserimprisonment
(b) Tellingrarclientrthatryourwillrputrinrarfeedingrtuberifrtherclientrdoesrnotreatrisr
anrexamplerofrbattery
(c) Tellingrarclientrwithrbipolarrdisorderrwhorisrsuicidalrthatrtheyrhaverarrightrtor
refusertortakertheirrmedicationsrisranrexamplerofrmalpractice
(d) Placingrhandsronrarclientrwhorsaysr―dornotrtouchrme‖risranrexamplerofrassault
11. Thernurserfromrtherpediatricrunitrhasrbeenrtemporarilyrassignedrtorther Emerge
ncyrDepartment.rItrwouldrbermostrappropriatertorassignrthatrnursertorther clientr
who*
(a) reportsrepigastricrpainrthatr―feelsrlikerindigestion‖
(b) hasrbackrpainrandrarpulsatingrabdominalr mass
(c) isrHIV+rreportingrvomitingr andr diarrhea
(d) presentsrwithrlowerrabdominalrpainrandrisr sixrweeksrpregnant
5
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, 4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
12. Fourrclientsr recentlyr returnedr tor therunitr followingr invasiver diagnosticr testing.
Thernursershouldrimmediatelyrintervenerifronerofrtherclients
(a) reportsrbloodrtingedr sputumr followingr arbronchoscopy
(b) hasr decreasedr abdominalr girthr followingr paracentesis
(c) reportsrarheadacher followingr arlumbarrpuncture
(d) isrobservedrflexingrandrextendingrtherlegsrtworhoursrafterrcardiacrcatheterization
13. Thernurserisrmaderawarerofrtherfollowingrsituations.r Thernursershouldrfirrst
checkrtherclientrwho
(a) hadrartransurethralrprostatectomyr(TURP)randrisrreportingrurinaryrdribblingr
tworhoursrafterrtherindwellingrcatheterrisrremoved
(b) hasrcervicalrtractionrandr isrmovingrtherlegsrbyrflrexingrandrextendingrther feet
(c) hasrAlzheimer‘srdiseaser(stager1)randrwasrreturnedrtortherroomrafterrbeingr
foundrwanderingrinrtherhallway
(d) hasrarhistoryrofrpartialrseizuresrandrisrsittingrinrtherbedrpickingratrtherclothingr
andrsmackingrtherlips
14. Thernurserinrarcommunityrhealthrclinicrisrtalkingrwithrtherparentrofrarchildr wit
hrCeliacrDisease.r Whichrofrtherfollowingrstatementsrwouldrrequirerfollow-
upr byrthe
6
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2022rRNrHESIrEXITrEXAMr-rVersionr1r(V1)rAllr160rQs
&rAsrIncludedr-
rGuaranteedrPassrA+!!!r(AllrBrandrNewrQ&ArPicsrIncluded)
1. Thernurserisrreviewingrmedicalrprescriptionsrforrnewlyradmittedrclients.r Itr
wouldrberarpriorityrforrthernursertorfollowruprwithrtherphysicianrifrarclientrwith
(a) arpotassiumr levelrofr 4.5mEq/Lrhasr Kayexalater(sodiumr polystyrene)rprescribed
(b) arDilantinr(phenytoin)rlevelrofr8rmcg/mlrisrplacedronrseizurerprecautions(c)r
sensitivityrtorAspirinr(acetylsalicylicracid)risrprescribedrTylenolr (acetamino
phen)
(d)rsensitivityr tor Penicillinr isrprescribedr Zithromaxr (azithromycin)
2. Thernursershouldrintervenerifrthernursernotesrarstaffrmember
(a) obtainingrarclientsrconsentrpriorrtortheirroperativerprocedurerafterrreceivingr
Ativanr(lorazepam)
(b) placingrarclientronrtheraffectedrsiderfollowingrsurgicalrrepairrofrar
retinalrdetachment
(c) handlingrarwetrcastrwithrtherpalmsrofrther hands
(d) usingrarbroadrbaserofrsupportrwhilertransferringrar client
3. Thercommunityrhealthrnurserisrcaringr forr therfollowingrclients.rItrwouldrbera
priorityr forr thernursertorinitiater armultidisciplinaryrconferencerforrtherclientr whoris
(a) 12ryearsroldrwithrAutismrwhorisrstartingrarnewrschoolrandrrecentlyrhadr
arURIr(upperrrespiratoryrtractrinfection)
(b) 16ryearsrold,rhasrtyper1rDiabetesrMellitus,risrunemployedrandrhadrar
recentrHemoglobinrA1crofr13%
(c) 52ryearsrold,rwithrMyastheniarGravis,rrecentlyrprescribedr
Mestinonr(pyridostigmine)r andr employedrasr ar mailr carrier
(d) 70ryearsrold,rhasrschizophrenia,rlivesralonerandrreportsrhearingrnonr
threateningrvoices.
4. Thernurserfromrtherpostpartumrunitrhasrbeenrtemporarilyrassignedrtorther me
dicalrsurgicalrunit.r Itrwouldrbermostrappropriatertorassignrthisrnursertorther cli
entrwho*
3
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,4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
(a) hasrreturnedr fromrrightr totalr hipr replacementrsurgeryr fourrhoursrago
(b) isrbeingr observedr forr increasedr intracranialr pressure
(c) hadrsurgeryrtworhoursragortorremovertherappendix
(d) isrtworweeksrpostrpartumrbeingrmaintainedronrarmechanicalrventilatorr
forrrespiratoryrfailure
5. Thernurserinrarwellrbabyrclinicrhasrassessedrseveralrchildrenrtoday.rItrwouldrberar
priorityrforrthernursertorsuggestrfollowruprforrtherchildrwhorisr(a)r2rmonthsroldrwithr
arpositiverbabinskirreflrex
(b) 5rmonthsroldrandrdoesrnotrholdrtheirr ownrbottle
(c) 10rmonthsroldrwhorcriesraroundrstrangers
(d) 18rmonthsroldrwhorneedsrsupportrwhilerambulating
6. Thernurserisrcaringrforrarmechanicallyrventilatedrclientrwhorwasrdeclaredrbrainr
dead.rAnrAdvancerDirectiverisrnotrdocumentedronrthermedicalrrecord.rItrwouldrber
mostrappropriatertorobtainrconsentrforrorganrdonationrfromrthe
(a) client‘srprimaryr carerprovider
(b) client‘srnurser manager
(c) closestrlivingr familyr member
(d) hospital‘sr ethicsr committee
7. Thernurserhasrreceivedrreportronrfourrclients.r Thernursershouldrfirrstrassess
r therclientrwhorhas*
(a) ChronicrObstructiverPulmonaryrDiseaser(COPD)rwithrarpulseroximetryrreadingr
ofr90%
(b) Parkinson‘srDiseaserandrisrdemandingrtorleavertherhospitalragainstrmedicalr
advicer(AMA)
(c) beenradmittedrwithrsuspectedrGuillian-
Barre´rSyndromerandrhasr begunrplasmapheresisrtherapy
(d) CongestiverHeartr Failurer (CHF)r whoser pittingredemar hasrincreasedr tor 2(+)
8. ItrwouldrberappropriatertorassignrwhichrofrthesertasksrtortherCNA?
4
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,4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
2022rRNrHESIrEXITrEXAMr-rVersionr1r(V1)rAllr160rQs
&rAsrIncludedr-
rGuaranteedrPassrA+!!!r(AllrBrandrNewrQ&ArPicsrIncluded)
(a) Feedingrarclientrwhor isrexperiencingrdysphagia
(b) One-on-oner clientr observationr forr safety
(c) Removalrofranr indwellingrcatheter
(d) Performingrar simpler dressingr change
9. Thernursershouldrintervenerifrarstaffrmemberrisrobserved
(a) discussingrar client‘sr diagnosisrwithr visitingr familyr members
(b) collaboratingrwithranotherr nursertor reviewr arprescriptionr forr bloodr transfusion
(c) interruptingrotherrstaffrmembersrdiscussingrarclientrinrthercafeteria
(d) reviewingrarclientsr labrvaluesrwithrthernutritionist
10. Thernurserisrpreparingrarstaffrpresentationronrlegalrandrethicalrissuesrinr nursin
g.rThernurserwouldrbercorrectrtorincluderwhichrofrtherfollowingrexamples?
(a) Puttingrarclientrinrargeriatricrchairrwithrtherlaprtrayrinrfrontrofrtherclientrinrtherdayr
roomrtorwatchrtelevisionrisrfalserimprisonment
(b) Tellingrarclientrthatryourwillrputrinrarfeedingrtuberifrtherclientrdoesrnotreatrisr
anrexamplerofrbattery
(c) Tellingrarclientrwithrbipolarrdisorderrwhorisrsuicidalrthatrtheyrhaverarrightrtor
refusertortakertheirrmedicationsrisranrexamplerofrmalpractice
(d) Placingrhandsronrarclientrwhorsaysr―dornotrtouchrme‖risranrexamplerofrassault
11. Thernurserfromrtherpediatricrunitrhasrbeenrtemporarilyrassignedrtorther Emerge
ncyrDepartment.rItrwouldrbermostrappropriatertorassignrthatrnursertorther clientr
who*
(a) reportsrepigastricrpainrthatr―feelsrlikerindigestion‖
(b) hasrbackrpainrandrarpulsatingrabdominalr mass
(c) isrHIV+rreportingrvomitingr andr diarrhea
(d) presentsrwithrlowerrabdominalrpainrandrisr sixrweeksrpregnant
5
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, 4/20/23,r8:06rPM 2022rRNrHESIrEXITrEXAMrVersionr1rV1rAllr160rQsrAsrIncludedrGuarantee…
12. Fourrclientsr recentlyr returnedr tor therunitr followingr invasiver diagnosticr testing.
Thernursershouldrimmediatelyrintervenerifronerofrtherclients
(a) reportsrbloodrtingedr sputumr followingr arbronchoscopy
(b) hasr decreasedr abdominalr girthr followingr paracentesis
(c) reportsrarheadacher followingr arlumbarrpuncture
(d) isrobservedrflexingrandrextendingrtherlegsrtworhoursrafterrcardiacrcatheterization
13. Thernurserisrmaderawarerofrtherfollowingrsituations.r Thernursershouldrfirrst
checkrtherclientrwho
(a) hadrartransurethralrprostatectomyr(TURP)randrisrreportingrurinaryrdribblingr
tworhoursrafterrtherindwellingrcatheterrisrremoved
(b) hasrcervicalrtractionrandr isrmovingrtherlegsrbyrflrexingrandrextendingrther feet
(c) hasrAlzheimer‘srdiseaser(stager1)randrwasrreturnedrtortherroomrafterrbeingr
foundrwanderingrinrtherhallway
(d) hasrarhistoryrofrpartialrseizuresrandrisrsittingrinrtherbedrpickingratrtherclothingr
andrsmackingrtherlips
14. Thernurserinrarcommunityrhealthrclinicrisrtalkingrwithrtherparentrofrarchildr wit
hrCeliacrDisease.r Whichrofrtherfollowingrstatementsrwouldrrequirerfollow-
upr byrthe
6
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