HESI PN Med Surge Exam | Questions and
Answers |Latest 2020 / 2021
1. After a permanent pacemaker is
inserted, a client's discharge teaching plan includes the client goal of
"The client will verbalize symptoms of pacemaker failure." Which
symptoms are most important for the practical nurse (PN) to reinforce with the
client?
ANS:
Feelings of dizziness
2. The health care provider prescribes
codeine USP 60 mg every 4 hours for a client who is 3 days postoperative. The
pharmacy has available codeine USP 30 mg/tablet. How many tablets should the
practical nurse administer? Fill in the blank. (Type numbers only as your
answer.)
ANS:
2 tabs
3. The practical nurse is caring for a
client who is 3 days postoperative. Which intervention should the nurse
implement to decrease the possibility of the client developing hypercalcemia?
(Select all that apply.)
ANS: Remind the client to ambulate
around the room at least three times daily.
Increase
fluid intake.
4. Which technique should the practical
nurse (PN) include when reinforcing instruction with a client about
self-examination for melanoma?
ANS:
Observe skin moles for changes
5. Twelve hours after chest tube
insertion for hemothorax, the practical nurse (PN) observes that the client's
drainage has decreased from 50 to 5 mL/hour. What is the best initial action
for the PN to take?
ANS:
Assess for kinks or dependent loops in the tubing.
6. A client's infusion of normal saline
infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous
tissue. The client is now complaining of excruciating arm pain and demanding
"stronger pain medications." What initial action is most important
for the practical nurse (PN) to take?
ANS:
Measure the pulse volume and capillary refill distal to the infiltration.
7. The practical nurse is caring for a
client with a serum potassium level of 3 mEq/L. Which findings should the nurse
report to the charge nurse? (Select all that apply.)
ANS: Abnormal heart rhythms
Muscle
cramps
8. A practical nurse (PN) prepares to
administer 5 units of Regular insulin and 15 units of NPH insulin to a diabetic
client. In which order should the actions be implemented when preparing the
injection? (Arrange from first on top to last on bottom).
ANS: 1. Perform hand hygiene according
to facility policy.
2. Inspect
insulin vials for type and expiration dates.
3. Inject 15
units of air into NPH insulin vial.
4.Inject 5
units of air into Regular insulin vial.
5.Withdraw 5
units of Regular insulin from vial.
6.Withdraw
15 units of NPH insulin from vial.
9. Which action by the nurse is
consistent with culturally competent care?
ANS:
Understanding one's own world views in addition to the client's
10. The practical nurse receives a shift
report that the client is experiencing fluid volume deficit. Which findings
that are consistent with fluid volume deficit should the nurse document?
(Select all that apply.)
ANS: Tachycardia
Cool skin
Decreased
urine output
Increased
thirst\
11. A client is returning to the
oncology unit after receiving radiation to the brain. The practical nurse (PN)
should observe this client for which problem during the early posttherapy days?
ANS:
Headache
12. After attending a class on reducing
cancer risk factors, a client selects bran flakes, 2% milk, and orange slices
from a breakfast menu. In evaluating the client's learning, the practical nurse
(PN) affirms that the client has made good choices and makes what additional
recommendation?
ANS:
Switch to skim milk.
13. A male client asks the practical nurse
to help choose dinner from the menu so that he eats a diet that is rich in
potassium. Which food should the nurse encourage the client to choose? (Select
all that apply.)
ANS: Green beans
Milk
Flounder
Sweet
potatoes
Cantaloupe
14. Three days after surgery, a male
client suddenly grabs his right chest and becomes short of breath, pale, and
diaphoretic. The practical nurse (PN) immediately assesses his vital signs and
obtains 100/80 mm Hg blood pressure, 110 beats/min heart rate, and 36 breaths/min
respiratory rate. What action is most important for the PN to take next?
ANS:
Apply oxygen at 2 liters per nasal cannula.
Version | 2022 |
Category | HESI |
Included files | |
Authors | qwivy.com |
Pages | 17 |
Language | English |
Tags | HESI PN Med Surge Exam | Questions and Answers |Latest 2020 / 2021 |
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