PN HESI EXAM WITH COMPLETE
SOLUTION RATED A+
Thyroidectomy patient with hoarse voiceANSWERS-Tell the charge nurse
What would you expect with a patient with hip replacement cast?ANSWERS-Decreased
HGB
If you are taking out the NG tube and your patient starts gagging, what would you do?
ANSWERS-Continue removing the NG tube
Something with a chamber of 15mLANSWERS-Choose the option to add 5mL to make
it 20mL
Nurse that has four patientsANSWERS-Pick the patient trying to get up (NOT liver
biopsy patient)
Know where the injection site is on the assANSWERS-Side top, where the dimple is
Patient wants to be DNRANSWERS-Tell the physician of the clients wishes
ParkinsonsANSWERS-Give levodopa
Patient comes in with TB, UTI, nurse looks at prescription and patient complains of
tinnitus, which drugs are you going to question?ANSWERS-Gentamicin
Foods that contain Vitamin K SATAANSWERS-Spinach & broccoli
Listening to the sounds of the lungsANSWERS-Give albuterol
Cleaning wound that has a drain, how does the PN cleanse that woundANSWERS-
Cleaning from the most drainage to the least
Husband of a patient is screaming, what stage is he experiencing?ANSWERS-Anger
Coumadin question that is increasingANSWERS-Just administer the next dose- 5mg.
Rationale: It says in the doctors order to give 2mg on the first day on 5 on the rest. Don't
get confused with Heparin's INR which will show that it's increasing because thats
normal
Incentive spirometer that shows they need more teachingANSWERS-Patient who is
blowing INTO it
,Catheter question about vulture sensitivityANSWERS-Use sterile syringe and get urine
from the port near the catheter
Thrombocytopenic patientANSWERS-Move all clutter out of the environment
Correct way to inject insulin (in order)ANSWERS-Sit the client up right, clean with swab,
pinch, release, and then inject
Newborn baby, why is there yellow drainage?ANSWERS-they get antibiotic eye drops
when they are first born
Thyroid patient receiving synthroid (Levothyroxine)ANSWERS-Monitor for palpitations
How do you know if your patient has jaundice?ANSWERS-Observe
Teenager being admitted to psycho unit, prior to leaving the room, what do you do?
ANSWERS-Ask her if she has suicidal tendencies
Malpractice question - which of these protect you?ANSWERS-Code of ethics
Within your scope of practiceANSWERS-Nurse Practice Acts
PCP tells UAP to cut diabetic toenailANSWERS-Inform the HCP of the diabetic foot
care policy
3 month old immunizationsANSWERS-Hep B
Ear question for toddlerANSWERS-Pull up and back for 4+
Cradle cap questionANSWERS-Use a soft bristle brush
Picture with nurse touching the outside of the sterile box, what would you tell her to do?
ANSWERS-Apply new sterile gloves
Schizophrenic patient is depressed sitting in their room. The next day they're diaphoretic
and pacing down the hallANSWERS-Put him near nursing station
Continuous feeding G tube and the bed is high and UAP is giving bed bathANSWERS-
Stay and watch
Lady with hella symptoms that isn't your patient and their IV comes out and she's
bleeding. What do you do after?ANSWERS-Document it yourself
Patient has a leg cast. What lab would be of most concern?ANSWERS-HBG 9
What is the most significant to report?ANSWERS-Coffee ground emesis
, Who among the clients should the nurse assess first?ANSWERS-Gravida 3 Para 3 who
delivered vaginally 2 hours ago
If you see your loch getting redder at home, what would you tell the patient to do ?
ANSWERS-Notify yourPCP and come back
Pillow question with abductionANSWERS-Pick picture with legs away from each other
not fully bent at knees
Where do you go to get bone marrowANSWERS-Iliac crest
What patient would you take action for first?ANSWERS-When nasal cannula is pressed
against her cheek
Pregnancy questionANSWERS-Termed 3
Abortion 3
Preterm 0
Living 2
Patient has 3 large, semi formed bowel movements while taking bisacodyl dulcolax.
What do you do?ANSWERS-Tell patient to with a glass of water
Kussumail respirations, what's another s/sANSWERS-Fruity breath
Client is receiving IV, what s/s would be most significant for the nurse to report?
ANSWERS-Pruritus and hives
Enema put three inches into rectum unclaimed and nothing happensANSWERS-Put the
bag of 6 inches higher
Mannitol- what would you monitorANSWERS-Input and output
Shingles/herpes- What is most concerning?ANSWERS-Weeping/crusting of blisters
Palliative care for dying man mottled legsANSWERS-Cover him with a blanket
Kidney question- What would be most concerning?ANSWERS-Decreased creatinine
In caring for a client with transient ischemic attacks, a priority nursing diagnosis would
beANSWERS-High risk for injury
After a cardiac catheterization, the nurse feels for the presence of pedal pulses. The
nurse needs to assess which arterial pulse site? SATAANSWERS-Posterior tibial artery
Dorsalis pedis artery
SOLUTION RATED A+
Thyroidectomy patient with hoarse voiceANSWERS-Tell the charge nurse
What would you expect with a patient with hip replacement cast?ANSWERS-Decreased
HGB
If you are taking out the NG tube and your patient starts gagging, what would you do?
ANSWERS-Continue removing the NG tube
Something with a chamber of 15mLANSWERS-Choose the option to add 5mL to make
it 20mL
Nurse that has four patientsANSWERS-Pick the patient trying to get up (NOT liver
biopsy patient)
Know where the injection site is on the assANSWERS-Side top, where the dimple is
Patient wants to be DNRANSWERS-Tell the physician of the clients wishes
ParkinsonsANSWERS-Give levodopa
Patient comes in with TB, UTI, nurse looks at prescription and patient complains of
tinnitus, which drugs are you going to question?ANSWERS-Gentamicin
Foods that contain Vitamin K SATAANSWERS-Spinach & broccoli
Listening to the sounds of the lungsANSWERS-Give albuterol
Cleaning wound that has a drain, how does the PN cleanse that woundANSWERS-
Cleaning from the most drainage to the least
Husband of a patient is screaming, what stage is he experiencing?ANSWERS-Anger
Coumadin question that is increasingANSWERS-Just administer the next dose- 5mg.
Rationale: It says in the doctors order to give 2mg on the first day on 5 on the rest. Don't
get confused with Heparin's INR which will show that it's increasing because thats
normal
Incentive spirometer that shows they need more teachingANSWERS-Patient who is
blowing INTO it
,Catheter question about vulture sensitivityANSWERS-Use sterile syringe and get urine
from the port near the catheter
Thrombocytopenic patientANSWERS-Move all clutter out of the environment
Correct way to inject insulin (in order)ANSWERS-Sit the client up right, clean with swab,
pinch, release, and then inject
Newborn baby, why is there yellow drainage?ANSWERS-they get antibiotic eye drops
when they are first born
Thyroid patient receiving synthroid (Levothyroxine)ANSWERS-Monitor for palpitations
How do you know if your patient has jaundice?ANSWERS-Observe
Teenager being admitted to psycho unit, prior to leaving the room, what do you do?
ANSWERS-Ask her if she has suicidal tendencies
Malpractice question - which of these protect you?ANSWERS-Code of ethics
Within your scope of practiceANSWERS-Nurse Practice Acts
PCP tells UAP to cut diabetic toenailANSWERS-Inform the HCP of the diabetic foot
care policy
3 month old immunizationsANSWERS-Hep B
Ear question for toddlerANSWERS-Pull up and back for 4+
Cradle cap questionANSWERS-Use a soft bristle brush
Picture with nurse touching the outside of the sterile box, what would you tell her to do?
ANSWERS-Apply new sterile gloves
Schizophrenic patient is depressed sitting in their room. The next day they're diaphoretic
and pacing down the hallANSWERS-Put him near nursing station
Continuous feeding G tube and the bed is high and UAP is giving bed bathANSWERS-
Stay and watch
Lady with hella symptoms that isn't your patient and their IV comes out and she's
bleeding. What do you do after?ANSWERS-Document it yourself
Patient has a leg cast. What lab would be of most concern?ANSWERS-HBG 9
What is the most significant to report?ANSWERS-Coffee ground emesis
, Who among the clients should the nurse assess first?ANSWERS-Gravida 3 Para 3 who
delivered vaginally 2 hours ago
If you see your loch getting redder at home, what would you tell the patient to do ?
ANSWERS-Notify yourPCP and come back
Pillow question with abductionANSWERS-Pick picture with legs away from each other
not fully bent at knees
Where do you go to get bone marrowANSWERS-Iliac crest
What patient would you take action for first?ANSWERS-When nasal cannula is pressed
against her cheek
Pregnancy questionANSWERS-Termed 3
Abortion 3
Preterm 0
Living 2
Patient has 3 large, semi formed bowel movements while taking bisacodyl dulcolax.
What do you do?ANSWERS-Tell patient to with a glass of water
Kussumail respirations, what's another s/sANSWERS-Fruity breath
Client is receiving IV, what s/s would be most significant for the nurse to report?
ANSWERS-Pruritus and hives
Enema put three inches into rectum unclaimed and nothing happensANSWERS-Put the
bag of 6 inches higher
Mannitol- what would you monitorANSWERS-Input and output
Shingles/herpes- What is most concerning?ANSWERS-Weeping/crusting of blisters
Palliative care for dying man mottled legsANSWERS-Cover him with a blanket
Kidney question- What would be most concerning?ANSWERS-Decreased creatinine
In caring for a client with transient ischemic attacks, a priority nursing diagnosis would
beANSWERS-High risk for injury
After a cardiac catheterization, the nurse feels for the presence of pedal pulses. The
nurse needs to assess which arterial pulse site? SATAANSWERS-Posterior tibial artery
Dorsalis pedis artery
