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HESI PN EXIT EXAM 2024 ACTUAL EXAM
PRACTICE QUESTIONS AND ANSWER S AGRADE
Your patient has been prescribed morphine for pain relief. You know that you must monitor him for respiratory depression. If your patient experiences narcotic-induced respiratory depression, which of the following drugs is the most likely to be prescribed to address this?
A.) Codeine B.) Naloxone C.) Butorphanol D.) Dilaudid - ANSWER✅✅B.) Naloxone
RATIONALE-Narcotic analgesics are preferred for pain relief because they bind to various receptor sites in the CNS. However, they may cause respiratory depression. For narcotic induced respiratory depression, naloxone (narcan) may be administered as prescribed by the pt's physician.A nurse is caring for a child with meningitis. His observations today lead him to suspect that the child is suffering increased intracranial pressure (ICP). Which of the following signs would NOT point to ICP?
A.) Decreased pulse B.) Motor dysfunction 1 / 4
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2 C.) A change in LOC D.) Decreased blood pressure - ANSWER✅✅D.) Decreased blood pressure
RATIONALE-The signs of ICP include increased blood pressure, decreased pulse, motor dysfunction, a change in LOC and personality, unequal pupil response and irritability.A healthy first time pregnant client asks the nurse, "How long will I stay in the hospital after my baby is born." The client is scheduled for a Caesarean section. The nurse understands the average timeframe for the hospital stay for a Caesarean section is what?
A.) 12-24 hours B.) 30-36 hours C.) 37-48 hours D.) 72 hours - ANSWER✅✅D.) 72 hours
RATIONALE-The hospital stay for a healthy mother who has delivered an infant varies depending on the type of delivery. The length of stay in the hospital for a vaginal birth is typically 24 to 48 hours. The length of stay in the hospital for a Caesarean section that does not have any complications is 72 hours.Your patient has come to see the gynecologist with symptoms including a pulling and dragging sensation in the pelvic region and the back. She also states that she has very painful cramps during menstruation but normal bleeding and she feels a protrusion in the vaginal canal. Which of the following conditions would you suspect? 2 / 4
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A.) Fibroid tumor B.) Uterine prolapse C.) Cystocele D.) Rectocele - ANSWER✅✅B.) Uterine prolapse
RATIONALE-There are a number of symptoms associated with uterine prolapse among which are those stated in the question. Other symptoms include: dyspareunia, pressure, fatigue and a low backache.A patient is brought into the emergency room after being found wandering around on a back road that is infrequently used. She appears to be bruised and she is completely disheveled. She cannot recall any personal information. What type of dissociative disorder would you suspect?
A.) Depersonalization B.) Dissociative identity disorder C.) Psychogenic amnesia D.) Psychogenic fugue - ANSWER✅✅C.) Psychogenic amnesia
RATIONALE-The patient's appearance and the fact that she was found wandering on an infrequently used road would indicate that this woman has most likely experienced a traumatic event such as a beating or rape. Her inability to recall personal information may be the result of 3 / 4
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4 the trauma and as such would be classified as psychogenic amnesia. This is the most common dissociative disorder.Which of the following is a defense mechanism that is described as withdrawing into passivity and becoming inaccessible so as to avoid further threatening situations?
A.) Identification B.) Suppression C.) Projection D.) Insulation - ANSWER✅✅D.) Insulation
RATIONALE-Withdrawing into passivity and becoming inaccessible so as to avoid threats is insulation. Identification is the unconscious attempt to change oneself to resemble an admired person. Suppression is the conscious, deliberate forgetting of unacceptable or painful thoughts, ideas, and feelings. Projection is transferring one's internal feelings, thoughts, and unacceptable ideas and traits to someone else Which of the following clients would have a higher risk of delivering a newborn with Down Syndrome?
A.) A 16-year old female B.) A 25-year old female C.) A 30-year old female D.) A 45-year old female - ANSWER✅✅D.) A 45-year old female
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