{"id":112809,"date":"2023-08-15T20:40:18","date_gmt":"2023-08-15T20:40:18","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=112809"},"modified":"2023-08-15T20:40:22","modified_gmt":"2023-08-15T20:40:22","slug":"2023-hesi-pn-exit-exam-pn-hesi-exit-hesi-exit-pn-newest-exam-questions-and-correct-answersalready-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/2023-hesi-pn-exit-exam-pn-hesi-exit-hesi-exit-pn-newest-exam-questions-and-correct-answersalready-graded-a\/","title":{"rendered":"2023 HESI PN EXIT EXAM\/PN HESI EXIT \/HESI EXIT PN NEWEST EXAM QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+"},"content":{"rendered":"\n

lOMoAR cPSD|19500986
Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in health care ethics, ethical practice involves not only the will to do good but also the equal commitment to do no harm. Health care
professionals try to balance the risks and benefits of a plan of care while striving to do the least possible harm. Justice refers to fairness and equity and ensuring fair allocation of resources, such as nursing care for
all clients. Fidelity is the keeping of promises made to clients, families, and other health care professionals. Autonomy refers to a person\u2019s independence and represents an agreement to respect another\u2019s right to
determine his or her course of action.
Test-Taking Strategy: Use knowledge of the subject to help you with the process of elimination. Think about the definition of each item in the options. Note the relationship of the words <least possible harm= in the
question and the definition of nonmaleficence. Review the principles of health care ethics if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process\/Implementation
Content Area: Ethical\/Legal
Telling the client that he or she may not leave the hospital Correct
Rationale: Telling a client that he or she may not leave the hospital constitutes false imprisonment. Performing a procedure without consent is an example of battery. Threatening to give a client a medication against
his or her will is assault. Invasion of privacy takes place with unreasonable intrusion into an individual\u2019s private affairs. Observing the provision of care to a client without the client\u2019s permission is an example of
invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false imprisonment. Note the relationship of the subject and the words in the correct option. If you had difficulty with this question, review the concept of
false imprisonment.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Ethical\/Legal
Awarded 1.0 points out of 1.0 possible points.
Awarded 0.0 points out of 1.0 possible points.
2023 HESI PN EXIT EXAM\/PN HESI EXIT \/HESI EXIT PN
NEWEST EXAM QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+<\/p>\n\n\n\n

    \n
  1. A client with leukemia is being considered for a bone marrow transplant. The health care team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least
    possible harm on the client. Which principle of health care ethics is the team practicing?
    A. Fidelity
    B.
    ID: 18630150568
    C. Autonomy
    D. Justice<\/li>\n\n\n\n
  2. Which action by the nurse represents the ethical principle of beneficence?
    A.
    ID: 18630149735
    B. The nurse follows a plan of care designed to relieve pain in a client with cancer. Incorrect
    C. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
    D. The nurse upholds a client\u2019s decision to refuse chemotherapy for lung cancer.<\/li>\n\n\n\n
  3. The nursing instructor asks a student to name an example of false imprisonment. Which situation reflects a violation of this client right?
    A. Performing a procedure without consent
    B. Threatening to give a client a medication against his or her will
    C. Observing the provision of care to the client without the client\u2019s permission
    D.
    ID: 18630149791
    Awarded 1.0 points out of 1.0 possible points.
    The nurse administers an immunization to a child even though it may cause discomfort. Correct
    Rationale: Beneficence is taking action to help others. Although administration of a child\u2019s immunization might cause discomfort, the benefits of protection from disease outweigh the temporary discomfort. Fidelity is
    keeping promises made to clients, families, and other health care professionals. Autonomy is a person\u2019s independence. Respecting another\u2019s autonomy means that you are agreeing to respect that person\u2019s right to
    determine his or her course of action. Justice refers to fairness and equity, including fair allocation of resources, such as nursing care for all clients.
    Test-Taking Strategy: Focus on the subject, beneficence. Recalling that beneficence refers to taking action to help others will direct you to the correct option. Review the principles of health care ethics if you had
    difficulty with this question.
    Cognitive Ability: Applying
    Client Needs: Safe and Effective Care Environment
    Integrated Process: Nursing Process\/Implementation
    Content Area: Ethical\/Legal<\/li>\n<\/ol>\n\n\n\n

    lOMoAR cPSD|19500986
    1\/30<\/p>\n\n\n\n

    lOMoAR cPSD|19500986
    Check the client s level of consciousness and vital signs Correct
    Rationale: When a client sustains a fall, the nurse must first assess the client. The nurse should check the client\u2019s level of consciousness and vital signs and look for any bruises or injuries sustained in the fall. If the
    nurse determines that the client has not sustained any injuries and that it is safe to move the client, the nurse should ask the nursing assistant to assist in getting the client into bed. The nurse should then contact the
    health care provider and file an incident report.
    Test-Taking Strategy: Note the strategic word <first.= Use the steps of the nursing process to answer the question. The correct option is the only one that addresses assessment. Remember to always assess the
    client first if a client sustains a fall. Review client injuries and procedures for filing incident reports if you had difficulty with this question.
    Cognitive Ability: Applying
    Client Needs: Safe and Effective Care Environment
    Integrated Process: Nursing Process\/Implementation
    Content Area: Delegating\/Prioritizing
    Donning sterile gloves to change an abdominal wound dressing Correct
    Rationale: Evidence-based practice is an approach to client care in which the nurse integrates the client\u2019s preferences, clinical expertise, and the best research evidence to deliver quality care. Donning sterile gloves
    to change an abdominal wound dressing reflects evidence-based practice because it prevents the entrance of harmful bacteria into the wound. The remaining options do not reflect evidence-based practice. Taking
    an herbal substance could be harmful to some clients. It is nontherapeutic for a nurse to advise a client to agree to a treatment. Because of the risk of injury to the rectal mucosa, rectal temperature-taking is avoided
    in the client for whom bleeding precautions have been instituted.
    Test-Taking Strategy: Read each option carefully, focusing on the subject, evidence-based practice. Recall the definition of evidence-based practice and note the words <sterile gloves= in the correct option. Review
    the situations that reflect evidence-based practice if you had difficulty with this question.
    Cognitive Ability: Understanding
    Client Needs: Safe and Effective Care Environment
    Integrated Process: Nursing Process\/Implementation
    Content Area: Leadership\/Management
    Obtaining the assigned medical record from the hospital\u2019s medical record room to review documentation made during a client\u2019s hospital stay Correct
    Rationale: Quality improvement, also known as performance improvement, is focused on processes or systems that significantly contribute to client safety and effective client care outcomes. Criteria are used to
    assess outcomes of care and determine the need for changes improve the quality of care. In a retrospective, or <looking-back,= audit, the medical record is inspected after the client\u2019s discharge for documentation of
    Awarded 1.0 points out of 1.0 possible points.
    Awarded 1.0 points out of 1.0 possible points.<\/p>\n\n\n\n

      \n
    1. A nurse and a nursing assistant enter a client\u2019s room to provide care and find the client lying on the floor. Which action should the nurse take first?
      A. Ask the nursing assistant to complete an incident report
      B.
      ID: 18630149739
      C. Contact the unit secretary on the intercom and ask that the client\u2019s health care provider be called
      D. Ask the nursing assistant to assist in getting the client back to bed<\/li>\n\n\n\n
    2. Which action exemplifies the use of evidence-based practice in the delivery of client care?
      A. Advising a client to agree to the treatment recommended by her health care provider
      B. Taking a rectal temperature from a client for whom bleeding precautions have been instituted
      C.
      ID: 18630150587
      D. Encouraging a client to take an herbal substance to treat his insomnia<\/li>\n\n\n\n
    3. The nurse is working with the registered nurse who has accepted a new position as case manager in a hospital. The nurse realizes which responsibilities are part of the registered nurse\u2019s new role? Select all that
      apply.
      A. Prescribing treatments specific to the client s needs
      B. Establishing a safe and cost-effective plan of care with the client Correct
      C. Evaluating and updating the plan of care as needed Correct
      D. Coordinating consultations and referrals to facilitate discharge Correct
      E. Assessing the client s needs for home supplies and equipment Correct
      ID: 18630149783<\/li>\n\n\n\n
    4. The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of audit?
      A. Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise
      B. Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift
      C. Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed
      D.
      ID: 18630149723
      2\/30
      Rationale: A case manager is a nurse who assumes responsibility for coordinating the client\u2019s care from the point of admission through, and after, discharge. Specific responsibilities of the case manager include establishing
      a safe and cost-effective plan of care with the client, coordinating consultations and referrals, and facilitating discharge; initiating a plan of nursing care, care map, or clinical pathway as appropriate to guide care and
      evaluating and updating the plan of care as needed; ensuring that the plan of care is tailored to the client\u2019s needs, taking into account the client\u2019s diagnosis, self-care ability, and prescribed treatments; assessing the client\u2019s
      need for equipment such as oxygen or wound care supplies and exploring available resources to provide the client with these supplies; providing resources that will assist the client in maintaining independence as much as
      possible; and providing the client with information on discharge procedures and the plan of care. The nurse does not prescribe treatments.
      Test-Taking Strategy: Focus on the subject, the responsibilities of the case manager. Note the word <prescribing= in the incorrect option. It is not within the role of the nurse to prescribe. Review the responsibilities of the
      case manager if you have difficulty with this question.
      Cognitive Ability: Understanding
      Client Needs: Safe and Effective Care Environment
      Integrated Process: Nursing Process\/Implementation
      Content Area: Leadership\/Management
      Awarded 4.0 points out of 4.0 possible points.<\/li>\n<\/ol>\n\n\n\n

      lOMoAR cPSD|19500986
      Explain to the client why the wedding band must be removed. Correct
      Rationale: In most situations a wedding band may be taped in place and worn during a surgical procedure. However, if the possibility exists that the client will experience swelling of the hand or fingers, the wedding
      band should be removed. On admission to a health care facility, the client is asked to sign a form that frees the agency from responsibility if a client\u2019s valuable is lost. After mastectomy with axillary lymph node
      dissection, the client is at risk for lymphedema, which results in swelling of the arm and hand on the affected side. Therefo re the appropriate nursing action is to ask the client to remove the wedding band and
      explain why.
      Test-Taking Strategy: Use the process of elimination and focus on the data in the question. Eliminate the comparable or alike options that indicate that the client may wear the wedding band during the surgical
      procedure. Next, recall the complications associated with mastectomy, which will direct you to the correct option. Review preoperative procedures for a client\u2019s valuables if you had difficulty with this question.
      Cognitive Ability: Applying
      Client Needs: Safe and Effective Care Environment
      Integrated Process: Nursing Process\/Implementation
      Content Area: Perioperative Care
      Awarded 1.0 points out of 1.0 possible points.
      Awarded 1.0 points out of 1.0 possible points.<\/p>\n\n\n\n

        \n
      1. A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace. What should the nurse do to safeguard the client\u2019s necklace?
        A.
        ID: 18630150515
        B. Ask the client to remove the necklace and place it in the top drawer of the bedside table.
        C. Ask the client whether the necklace is gold.
        D. Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or lost during the procedure.<\/li>\n\n\n\n
      2. A nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes that the client is wearing a wedding band on her left ring finger. The nurse should
        take which action?
        A. Tape the wedding band in place.
        B. Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery.
        C.
        ID: 18630149769
        D. Ask the client whether she would like to remove the wedding band or wear it to surgery.<\/li>\n\n\n\n
      3. A nurse preparing a client to go to the radiology department for a neck x-ray notes that the client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a concern about removing ID: 18630149775
        the medal. What is the most appropriate action for the nurse to take?
        A. Telling the client that the medal and chain will be kept at the nurses\u2019 station for safekeeping while the client is undergoing the x-ray
        B. Asking the client to remove the medal until the x-ray has been completed
        C. Assisting the client in pinning the medal and chain to the waistband of the client\u2019s pajama bottoms Correct
        Rationale: A client undergoing a neck x-ray must remove all metal objects to help prevent artifacts on the x-ray. If the client expresses concern about removing the medal, the nurse should help the client pin the
        medal and chain to the hospital gown or in another area where it will not appear on the x-ray image. The nurse should also alert staff in the radiology department that this has been done. If the client is expressing
        concern about removing the medal, asking the client to remove it or leave it with the nurse or in the bedside stand is inappropriate. Each of these actions also increases the likelihood that the medal and chain will be
        lost.
        Test-Taking Strategy: Use the process of elimination and note that the client is expressing concern about removing the religious medal. Eliminate the comparable or alike options that indicate that the client should
        remove the medal. Also note that the correct option is the only option that addresses the client\u2019s concern. Review care of clients\u2019 valuables if you had difficulty with this question.
        Cognitive Ability: Applying
        Client Needs: Safe and Effective Care Environment
        3\/30
        Awarded 1.0 points out of 1.0 possible points.
        compliance with standards. In a concurrent, or <at the same time,= audit, the nursing staff\u2019s compliance with predetermined standards and criteria is assessed as the nurses are providing care during the client\u2019s stay.
        In this type of audit, a peer review approach in which members of the nursing staff are involved in data collection may be implemented. Obtaining the a client\u2019s medical record from the medical record room for the
        purpose of reviewing documentation made during the client\u2019s hospital stay is an example of a retrospective audit. The incorrect options are examples of concurrent audits.
        Test-Taking Strategy: Focus on the subject, a retrospective audit. Note the relationship of the word <retrospective= in the question and the description in the correct option. Review the procedures for quality
        improvement and retrospective and concurrent audits if you have difficulty with this question.
        Cognitive Ability: Applying
        Client Needs: Safe and Effective Care Environment
        Integrated Process: Nursing Process\/Planning
        Content Area: Leadership\/Management
        Ask the client for permission to lock the necklace in the hospital safe. Correct
        Rationale: When a client has valuables, the nurse should give them to a family member or secure them for safekeeping. Most health care institutions require that a client sign a release form that frees the institution of
        responsibility if a valuable item (e.g., jewelry, money) is lost, but this does not safeguard the client\u2019s necklace. Valuables may be locked in a designated location such as the hospital\u2019s safe. Removing the necklace
        and putting it in a drawer does not safeguard it. Asking the client whether the necklace is gold is inappropriate and unrelated to the subject.
        Test-Taking Strategy: Use the process of elimination and focus on the subject, safeguarding the client\u2019s necklace. Focusing on the subject and noting the word <lock= in the correct option will help you answer
        correctly. Review the procedures for safeguarding a client\u2019s valuables if you had difficulty with this question.
        Cognitive Ability: Applying
        Client Needs: Safe and Effective Care Environment
        Integrated Process: Nursing Process\/Implementation
        Content Area: Ethical\/Legal
        <\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        lOMoAR cPSD|19500986Nonmaleficence CorrectRationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in health care ethics, ethical practice involves not only the will to do good but also the equal commitment to do no harm. Health careprofessionals try to balance the risks and benefits of a plan of care while striving to do the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112809","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112809"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112809\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}