HESI EXIT EXAM PN TEST BANK

1. a male client admitted the morning of his scheduled surgery tells the PN that he drank water last

night. What intervention will the PN implement first? Determine the amount of water and

exact time it was taken

2. A client receives ondansetron prior to chemotherapy treatment.How should the PN evaluate

this medication? Monitor the client for nausea or vomiting following the treatment

3. The PN is caring for an older adult client who is confused and spends...factor contributes to an

increased risk for impaired skin integrity for this client? Has increasing episodes of urinary

incontinence

4. The pn determines that a client with cirrhosis is experiencing peripheral....take? Protect the

clients feet from injury

5. A client is admitted to the postoperative surgical unit after a left lobectomy with two chest

tubes......observes the water-sealed chambers, set and prescribed suction of 20cm water...what

action should the PN implement? Maintain system integrity and to promote lung

reexpansion

6. photo of chest and locating apical HR just below the left nipple

7. At the end of a 12-hour shift the PN observes the urine in a clients drainage..what action should

the PN take next? note the most recent white blood count

8. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate his

pain...what action should the PN implement first? implement complementary pain relief

methods

9. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with one

or two word responses. the morning the PN observes that he...Which intervention is most

important for the PN to implement? Measure appropriate vital signs

10. The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which

intervention is performed next? initiate the urine stream?

11. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further action

by the PN? weights are touching the foot of the bed

12. The PN is reviewing diet instructions with a female client who has hyper...she has increased her

intakes of protein and calories. What action should the PN take?Encourage the client to

continue the dietary changes she has made

13. The PN reviews the procedure for measuring fluid intake and output ...glomerulonephritis and is

preparing for discharge from the hospital. What... -why the fluid measurements need to

be recoded

14. -which food types are included when measuring fluid take

15. -what container to use for the most accurate measurement

16. ... request return visit for examination after her period when hormones are lowest

17. A mother brings her 5-year old child to the clinic for school physical examinations. Which

assessment... PN that intergenerational violence may be occurring in the home? -The 6-year old

son hits his younger sister during the interview

18. -the 10-year old daughter has circular burns on her trunk and legs

19. -the 3-year old has multiple bruises on the chest and both legs

20. A client has a prescription to discontinue intravenous therapy when the liter that is infusing at

150 mL per hour is...1200 the PN notes that there are 750 ml of solution remaining.At what time

should the nurse expect to discontinue the intravenous therapy?