HESI EXIT EXAM PN 2019 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 A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with one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
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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? 1700
21. the PN is caring for a client who had a total laryngectomy, left radical neck dissection... client is
receiving nasogastric tube feedings via an internal pump. today the rate of the feeding was
increased...ml/hr. What parameter should the PN use to evaluate the clients tolerate to the rate
of the feeding? gastric residual volumes
22. A new mother is breastfeeding her newborn for the first time after delivery and complains of
nipple pain...Based on the client complaint, what action should the PN take? Ensure that all
the areolar tissue of the nipple is in the infants mouth.
23. Which site should the PN use when administering an injection of Rho (D) Immune negative
postpartum client? deltoid
24. Before inserting medication into a clients vagina, what instructions should the pn... urinate
until bladder is empty
25. An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which
information is best for the PN to provide? A history of untreated gonnorhea can lead to
PID
26. A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most effectively
deal with breast engorgement and discomfort? Wear a supportive bra at all times
27. A young adult male tells the PN he has declared to change his hours at work so that he can...his
community. Which stage of Maslow's development is this young adult attempting to achieve?
Self-actualiztion
28. A female client arrives to the clinic for an annal physical examination. when reviewing...the PN
that she takes herbs for high blood pressure instead of the prescribed..important for the PN to
reinforce with the client? Explain risks associated with using herbs instead of the
prescribed antihypertensives.
29. A female Native American client who is receiving chemotherapy places a native artifact...the
health care provider removes the medicine wheel and tells the client "this type..hospital" what
intervention should the PN implement ?Act as the clients advocate when discussing the issue
with the HCP
30. The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important to
include in the nursing care plan? watch the client for abnormal bleeding
31. ... "it is better to obtain children acetaminophen to prevent possible side effects from the
aspirin "
32. A client is transferred to the surgical unit from the intensive care unit after evacuation of
bilateral..primary observation should the PN monitor? neuro-vital signs related to bleeding
and intracranial pressure
33. The PN is working the day shift in a long term facility and is preparing..delegate to the UAP to
perform during the change of.. total the clients PO intake, fill the water pitchers, empty urinals
and catheter bags.
34. While taking the vital signs of a older male client who takes psychotropic
medication...uncontrollable hand movements ad is excessively blinking his eyes, which
information.... screening for tardive dyskinesia
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Version | 2021 |
Category | HESI |
Included files | |
Authors | qwivy.com |
Pages | 10 |
Language | English |
Tags | NURSING 207 - V1 2019 HESI PN EXIT EXAM TEST BANK. |
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