D&D HESI PN Exam Review (100% verified with correct answers)

A client returns to the postoperative unit following an open reduction and internal fixation of a hip fx. the PN applies the prescribed sequential compression device (SCD) to both lower extremities. WHAT ACTION IS IMPORTANT WHEN TURNING THE CLIENT TO A LATERAL POSITION? correct answers Observe the SCDs continue to inflate and deflate when the client is turned. While the PN assists a postoperative client with an incentive spirometer, the client experiences wound evisceration. WHAT ACTION SHOULD THE PN TAKE? correct answers Call for immediate assistance. The PN finds a postoperative client lying in bed with a unsecured surgical dressing. After reinforcing the dressing, WHAT FOLLOW UP ASSESSMENT IS MOST IMPORTANT FOR THE PN TO IMPLEMENT? correct answers Vital signs measurement. The scope of practice for the PN includes which CLIENT ASSESSMENT? correct answers An agitated client with b/l wrist restraints. Which intervention is within the scope of practice for a PN? correct answers Demonstrating deep breathing and coughing to a postoperative client. Which nursing activity is within the scope of practice for a PN? correct answers Observe client rotate the SQ site for an insulin pump. The nurse is assessing care for residents on 12-bed unit in an extended care facility. The staff consists of 1 unlicensed UAP and 1 certified medication aide. WHICH TASK SHOULD THE NURSE PERFORM? correct answers Change a hydrocolloid dressing for a client with a stage II pressure ulcer. A PN who works on a 16-bed of an extended care facility with an additional P and a UAP is told that the other PN will not be in because of illness. The facility manager agrees to obtain another UAP for the day. WHICH ACTION SHOULD THE PN TAKE? correct answers Prioritize assessment of safety issues in addition to administration of daily medication. In working with UAP to provide care for an immobile client, WHICH TASK SHOULD THE NURSE PERFORM, RATHER THAN THE UAP? correct answers Cover a skin tear with a transparent dressing. A nurse sees a college taking drugs from the hospital unit. WHAT ACTION SHOULD THE NURSE TAKE? correct answers Report the incident to the person in charge of the unit or nursing supervisor.