HESI PN Comprehensive Exam 1
Questions With Correct Answers
A client with deep partial-thickness and full-thickness burns of the face
| | | | | | | | | | |
and chest is receiving wound care using the open method. The plan of
| | | | | | | | | | | | |
care includes the Nsg Dx, "Risk for infection R/T impaired tissue
| | | | | | | | | | |
integrity." Based on the expected outcome, "Client remains free of
| | | | | | | | | |
infections," which nursing interventions should the PN implement?
| | | | | | |
A. Wear gown, cap, mask, and gloves during direct client care.
| | | | | | | | | |
B. Restrict visitors in order to prevent wound contamination.
| | | | | | | |
C. Use sterile water for debridement in the hydrotherapy tank.
| | | | | | | | |
D. Apply sterile dressings after debridement of burn wounds. - CORRECT
| | | | | | | | | |
ANSWER✔✔-A. Wear gown, cap, mask, and gloves during direct client
| | | | | | | | | | |
care. |
No dressing is used for burn wound care using the open method. The
| | | | | | | | | | | | |
burn area is exposed and an aseptic environment is needed to prevent
| | | | | | | | | | | |
contamination and infection. Protective isolation precautions should be | | | | | | | |
implemented during direct client care and wound care, which should
| | | | | | | | | |
include wearing gown, cap, mask, and gloves.
| | | | | |
,What action should the PN implement to facilitate speech for a client
| | | | | | | | | | | |
who has a fenestrated tracheostomy tube?
| | | | | |
A. Show the client how to use a tracheostomy plug.
| | | | | | | | | |
B. Determine the client's ability to swallow.
| | | | | |
C. Remove the inner cannula.
| | | |
D. Give oxygen at 6 L/minute via tracheostomy collar. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-B. Determine the client's ability to swallow. | | | | | |
A fenestrated tracheostomy has an opening or hole on the posterior
| | | | | | | | | | |
aspect of the outer cannula that allows airflow over the vocal cords and
| | | | | | | | | | | | |
speech in a client who is spontaneously breathing. It does not have a
| | | | | | | | | | | | |
cuff, so the client's risk for aspiration should be determined.
| | | | | | | | |
A male client scheduled for a total laryngectomy and radical neck
| | | | | | | | | | |
dissection for cancer of the larynx asks the PN if he will ever be able to
| | | | | | | | | | | | | | | |
speak. Which response is bets for the PN to provide?
| | | | | | | | |
A. Breathing occurs through a permanent neck opening which prevents
| | | | | | | | | |
normal speech. |
B. Permanent removal of the voice box requires rehabilitation for
| | | | | | | | | |
esophageal speech. | |
C. Due to removal of the vocal cords, communication requires the use of
| | | | | | | | | | | |
sign language.
| |
,D. Once the breathing hole in the neck heals, the ability to speak
| | | | | | | | | | | | |
requires a device. - CORRECT ANSWER✔✔-B. Permanent removal of the
| | | | | | | | |
voice box requires rehabilitation for esophageal speech.
| | | | | | | |
A total laryngectomy includes removal of the larynx and pre-epiglottis
| | | | | | | | | |
region resulting in a permanent tracheostomy and loss of normal
| | | | | | | | | |
speech abilities. Rehab is required to learn to speak using a prosthesis,
| | | | | | | | | | | |
esophageal speech, or an electrolarynx. | | | |
A client is wearing a continuous 24-hour Holter monitor for elevation of
| | | | | | | | | | | |
heart rhythm disturbances. What info should the PN reinforce with this
| | | | | | | | | | |
client?
A. Remove the electrodes to shower or bathe
| | | | | | |
B. Keep a diary of activities as long as the monitor is worn.
| | | | | | | | | | | | |
C. Exercise as much as possible while the monitor is in place.
| | | | | | | | | | |
D. Call the assigned number if an episode of irregular heartbeats occurs.
| | | | | | | | | | |
- CORRECT ANSWER✔✔-B. Keep a diary of activities as long as the
| | | | | | | | | | | | |
monitor is worn. | | |
Nursing care for a client with a Holter monitor includes preparation of
| | | | | | | | | | | |
the skin, placement of the electrodes and leads, and activities of daily
| | | | | | | | | | | |
living, so the client should be informed of the importance of keeping an
| | | | | | | | | | | | |
accurate record of activities and symptoms
| | | | |
, The PN is caring for a client who is receiving a therapeutic dose of
| | | | | | | | | | | | | |
warfarin (Coumadin). The client asks the PN to explain the effect of
| | | | | | | | | | | |
eating green leafy vegetables. What info should the PN provide?
| | | | | | | | |
A. The high content of vitamin K in green leafy vegetables decreases
| | | | | | | | | | | |
Coumadin's action. | |
B. Green vegetables are high in fiber and cellulose that decrease the
| | | | | | | | | | | |
absorption of Coumadin. | |
C. These foods have a natural anticoagulant effect that potentiates the
| | | | | | | | | | |
effect of Coumadin.
| |
D. Dietary intake of green leafy vegetables alters the bowel bacteria's
| | | | | | | | | | |
production of vitamin K. - CORRECT ANSWER✔✔-A. The high content of
| | | | | | | | | | |
vitamin K in green leafy vegetables decreases Coumadin's action.
| | | | | | | | |
Coumadin works as an anticoagulant by blocking hepatic utilization of
| | | | | | | | | |
vitamin K in the production of prothrombin, which is a component of
| | | | | | | | | | | |
the blood clotting cascade. Green leafy vegetables are high in vitamin K,
| | | | | | | | | | | |
which counteracts the anticoagulant effect of Coumadin.
| | | | | |
The PN is reviewing the effects of NSAIDs (nonsteroidal anti-
| | | | | | | | |
inflammatory drugs) with a client who has acute gastritis. What info is
| | | | | | | | | | | |
correct about the action of NSAIDs?
| | | | |
Questions With Correct Answers
A client with deep partial-thickness and full-thickness burns of the face
| | | | | | | | | | |
and chest is receiving wound care using the open method. The plan of
| | | | | | | | | | | | |
care includes the Nsg Dx, "Risk for infection R/T impaired tissue
| | | | | | | | | | |
integrity." Based on the expected outcome, "Client remains free of
| | | | | | | | | |
infections," which nursing interventions should the PN implement?
| | | | | | |
A. Wear gown, cap, mask, and gloves during direct client care.
| | | | | | | | | |
B. Restrict visitors in order to prevent wound contamination.
| | | | | | | |
C. Use sterile water for debridement in the hydrotherapy tank.
| | | | | | | | |
D. Apply sterile dressings after debridement of burn wounds. - CORRECT
| | | | | | | | | |
ANSWER✔✔-A. Wear gown, cap, mask, and gloves during direct client
| | | | | | | | | | |
care. |
No dressing is used for burn wound care using the open method. The
| | | | | | | | | | | | |
burn area is exposed and an aseptic environment is needed to prevent
| | | | | | | | | | | |
contamination and infection. Protective isolation precautions should be | | | | | | | |
implemented during direct client care and wound care, which should
| | | | | | | | | |
include wearing gown, cap, mask, and gloves.
| | | | | |
,What action should the PN implement to facilitate speech for a client
| | | | | | | | | | | |
who has a fenestrated tracheostomy tube?
| | | | | |
A. Show the client how to use a tracheostomy plug.
| | | | | | | | | |
B. Determine the client's ability to swallow.
| | | | | |
C. Remove the inner cannula.
| | | |
D. Give oxygen at 6 L/minute via tracheostomy collar. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-B. Determine the client's ability to swallow. | | | | | |
A fenestrated tracheostomy has an opening or hole on the posterior
| | | | | | | | | | |
aspect of the outer cannula that allows airflow over the vocal cords and
| | | | | | | | | | | | |
speech in a client who is spontaneously breathing. It does not have a
| | | | | | | | | | | | |
cuff, so the client's risk for aspiration should be determined.
| | | | | | | | |
A male client scheduled for a total laryngectomy and radical neck
| | | | | | | | | | |
dissection for cancer of the larynx asks the PN if he will ever be able to
| | | | | | | | | | | | | | | |
speak. Which response is bets for the PN to provide?
| | | | | | | | |
A. Breathing occurs through a permanent neck opening which prevents
| | | | | | | | | |
normal speech. |
B. Permanent removal of the voice box requires rehabilitation for
| | | | | | | | | |
esophageal speech. | |
C. Due to removal of the vocal cords, communication requires the use of
| | | | | | | | | | | |
sign language.
| |
,D. Once the breathing hole in the neck heals, the ability to speak
| | | | | | | | | | | | |
requires a device. - CORRECT ANSWER✔✔-B. Permanent removal of the
| | | | | | | | |
voice box requires rehabilitation for esophageal speech.
| | | | | | | |
A total laryngectomy includes removal of the larynx and pre-epiglottis
| | | | | | | | | |
region resulting in a permanent tracheostomy and loss of normal
| | | | | | | | | |
speech abilities. Rehab is required to learn to speak using a prosthesis,
| | | | | | | | | | | |
esophageal speech, or an electrolarynx. | | | |
A client is wearing a continuous 24-hour Holter monitor for elevation of
| | | | | | | | | | | |
heart rhythm disturbances. What info should the PN reinforce with this
| | | | | | | | | | |
client?
A. Remove the electrodes to shower or bathe
| | | | | | |
B. Keep a diary of activities as long as the monitor is worn.
| | | | | | | | | | | | |
C. Exercise as much as possible while the monitor is in place.
| | | | | | | | | | |
D. Call the assigned number if an episode of irregular heartbeats occurs.
| | | | | | | | | | |
- CORRECT ANSWER✔✔-B. Keep a diary of activities as long as the
| | | | | | | | | | | | |
monitor is worn. | | |
Nursing care for a client with a Holter monitor includes preparation of
| | | | | | | | | | | |
the skin, placement of the electrodes and leads, and activities of daily
| | | | | | | | | | | |
living, so the client should be informed of the importance of keeping an
| | | | | | | | | | | | |
accurate record of activities and symptoms
| | | | |
, The PN is caring for a client who is receiving a therapeutic dose of
| | | | | | | | | | | | | |
warfarin (Coumadin). The client asks the PN to explain the effect of
| | | | | | | | | | | |
eating green leafy vegetables. What info should the PN provide?
| | | | | | | | |
A. The high content of vitamin K in green leafy vegetables decreases
| | | | | | | | | | | |
Coumadin's action. | |
B. Green vegetables are high in fiber and cellulose that decrease the
| | | | | | | | | | | |
absorption of Coumadin. | |
C. These foods have a natural anticoagulant effect that potentiates the
| | | | | | | | | | |
effect of Coumadin.
| |
D. Dietary intake of green leafy vegetables alters the bowel bacteria's
| | | | | | | | | | |
production of vitamin K. - CORRECT ANSWER✔✔-A. The high content of
| | | | | | | | | | |
vitamin K in green leafy vegetables decreases Coumadin's action.
| | | | | | | | |
Coumadin works as an anticoagulant by blocking hepatic utilization of
| | | | | | | | | |
vitamin K in the production of prothrombin, which is a component of
| | | | | | | | | | | |
the blood clotting cascade. Green leafy vegetables are high in vitamin K,
| | | | | | | | | | | |
which counteracts the anticoagulant effect of Coumadin.
| | | | | |
The PN is reviewing the effects of NSAIDs (nonsteroidal anti-
| | | | | | | | |
inflammatory drugs) with a client who has acute gastritis. What info is
| | | | | | | | | | | |
correct about the action of NSAIDs?
| | | | |
