HESI PN ANSWERS AND QUESTIONS SET A+
✔✔The PN assesses a moon-shaped face and muscle wasting in a client receiving
dexamethasone (Decadron). What will these manifestations suggest to the PN? -
✔✔Cushings syndrome
✔✔A client prescribed to receive terbutaline sulfate (Brethren) 0.25 mg subcutaneous
injection three times a dat at 6 hour intervals. The medication is available as 1 mg/mL.
How many mL of the medication will the PN provide to the client for one day? - ✔✔0.75
✔✔The PN provides a prescribed analgesic perianal spray to a postpartum client. For
which problem will this nursing action address? - ✔✔vaginal lacerations
✔✔the PN is reviewing new orders for a client and notes that medication doses have
been adjusted to lower levels than what is routinely prescribed. Why would this action
be taken for the client? - ✔✔the client has renal failure
✔✔The PN is positioning a client recovering from a radical mastectomy. Why will the
PN place the client in the semi-fowlers position with the arm of the operative side
elevated? - ✔✔to prevent edema in the arm
✔✔The charge nurse is making assignments for client care. Which client would be
assigned to the PN for the assessment? - ✔✔client with confusion and sundowner
syndrome
✔✔While administering morning care to a client, the UAP informs the PN that the clients
lower extremity wounds are leaking bloody drainage. What action would the PN take? -
✔✔direct the UAP to accumulate wound dressing supplies
✔✔A client with a chest tube attached to a water sealed drainage system has had 400
mL of drainage over the last 8 hours. After morning care the client was repositioned and
the chest tube drainage has been 0 ml for the last 2 hours. What action would the PN
take at this time? - ✔✔increase the suction on the drainage system
, ✔✔The PN is caring for a client recovering from a transurethral resection of the bladder
for prostate hypertrophy. The client has an indwelling urinary catheter and is receiving
continuous bladder irigation of sterile normal saline at 100 mL per hour. the health care
provider has prescribed to reduce the irrigation to 50 ml/hr if the clients output
measurement is equal to 550 mL for 4 hours at which point would the PN reduce the
clients bladder irrigation - ✔✔1000 output measurement 550 mL
✔✔The PN contacts a clients health care provider to report that a client is refusing
medication and other treatments prescribed for a health problem. Which moral principle
is the PN supporting at this time? - ✔✔clients right to autonomy
✔✔What equipment will the PN ensure is present before delegating the task of feeding
a client on aspiration precautions to UAP? - ✔✔Suction
✔✔A client is at a high risk for injury. Which action would the PN take to ensure for the
clients safety? - ✔✔raise the side rails and provide the client with the call light for
assistance
✔✔The PN is caring for a client with an enlarged liver. When assessing this client on
which part of the abdomen will the nurse focus? - ✔✔right upper quadrant
✔✔While inserting an indwelling urinary catheter into a female client the catheter slips
into the clients vagina. What would the PN do? - ✔✔keep the catheter in the vagina and
insert a new catheter through the urethral meatus
✔✔A client is having a lumber puncture. in which position would the PN assist the client
into assuming? - ✔✔fetal position
✔✔Why would the PN wash the skin of a client receiving external radiation with water? -
✔✔to prevent skin irritation and damage
✔✔the PN is planning to assess a clients kidneys. What is the orientation of these
organs within the abdominal cavity? - ✔✔retroperitoneal to the perineum
✔✔A client is admitted to a private room tells the PN that the insurance carrier will not
pay for the private accommodations. What would the PN resound to the client ? - ✔✔the
insurance carrier will cover the cost of the room if there are no semi private rooms
available
✔✔Six hours after removing a clients indwelling urinary catheter the client has not
voided ad is expressing discomfort from a distended bladder. What action would the PN
take? - ✔✔obtain an order for intermittent urinary catheterization
✔✔The PN assesses a moon-shaped face and muscle wasting in a client receiving
dexamethasone (Decadron). What will these manifestations suggest to the PN? -
✔✔Cushings syndrome
✔✔A client prescribed to receive terbutaline sulfate (Brethren) 0.25 mg subcutaneous
injection three times a dat at 6 hour intervals. The medication is available as 1 mg/mL.
How many mL of the medication will the PN provide to the client for one day? - ✔✔0.75
✔✔The PN provides a prescribed analgesic perianal spray to a postpartum client. For
which problem will this nursing action address? - ✔✔vaginal lacerations
✔✔the PN is reviewing new orders for a client and notes that medication doses have
been adjusted to lower levels than what is routinely prescribed. Why would this action
be taken for the client? - ✔✔the client has renal failure
✔✔The PN is positioning a client recovering from a radical mastectomy. Why will the
PN place the client in the semi-fowlers position with the arm of the operative side
elevated? - ✔✔to prevent edema in the arm
✔✔The charge nurse is making assignments for client care. Which client would be
assigned to the PN for the assessment? - ✔✔client with confusion and sundowner
syndrome
✔✔While administering morning care to a client, the UAP informs the PN that the clients
lower extremity wounds are leaking bloody drainage. What action would the PN take? -
✔✔direct the UAP to accumulate wound dressing supplies
✔✔A client with a chest tube attached to a water sealed drainage system has had 400
mL of drainage over the last 8 hours. After morning care the client was repositioned and
the chest tube drainage has been 0 ml for the last 2 hours. What action would the PN
take at this time? - ✔✔increase the suction on the drainage system
, ✔✔The PN is caring for a client recovering from a transurethral resection of the bladder
for prostate hypertrophy. The client has an indwelling urinary catheter and is receiving
continuous bladder irigation of sterile normal saline at 100 mL per hour. the health care
provider has prescribed to reduce the irrigation to 50 ml/hr if the clients output
measurement is equal to 550 mL for 4 hours at which point would the PN reduce the
clients bladder irrigation - ✔✔1000 output measurement 550 mL
✔✔The PN contacts a clients health care provider to report that a client is refusing
medication and other treatments prescribed for a health problem. Which moral principle
is the PN supporting at this time? - ✔✔clients right to autonomy
✔✔What equipment will the PN ensure is present before delegating the task of feeding
a client on aspiration precautions to UAP? - ✔✔Suction
✔✔A client is at a high risk for injury. Which action would the PN take to ensure for the
clients safety? - ✔✔raise the side rails and provide the client with the call light for
assistance
✔✔The PN is caring for a client with an enlarged liver. When assessing this client on
which part of the abdomen will the nurse focus? - ✔✔right upper quadrant
✔✔While inserting an indwelling urinary catheter into a female client the catheter slips
into the clients vagina. What would the PN do? - ✔✔keep the catheter in the vagina and
insert a new catheter through the urethral meatus
✔✔A client is having a lumber puncture. in which position would the PN assist the client
into assuming? - ✔✔fetal position
✔✔Why would the PN wash the skin of a client receiving external radiation with water? -
✔✔to prevent skin irritation and damage
✔✔the PN is planning to assess a clients kidneys. What is the orientation of these
organs within the abdominal cavity? - ✔✔retroperitoneal to the perineum
✔✔A client is admitted to a private room tells the PN that the insurance carrier will not
pay for the private accommodations. What would the PN resound to the client ? - ✔✔the
insurance carrier will cover the cost of the room if there are no semi private rooms
available
✔✔Six hours after removing a clients indwelling urinary catheter the client has not
voided ad is expressing discomfort from a distended bladder. What action would the PN
take? - ✔✔obtain an order for intermittent urinary catheterization
