Exit HESI PN Exam Questions Graded A+ 2023

An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral pneumonia the client has a living will and the family is requesting hospice care which information should the practical nurse (PN) reinforce with the client and family regarding hospice? • Instructions for care should be included in the clients living will • Care can be provided in home where client resides • Care focuses on comfort dignity and emotion support An older female client adult who has been admitted to long term facility yesterday is confused about what day of the week it is her history does not include that she was confused prior to admission what action should the practical nurse (PN) take? Remind the client what day of the week it is A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is having contractions every 5 minutes the PN monitors the clint for an hour using external fetal monitor and determines that the clients contractions are 7 to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by palpitation which actin should the PN take? Send the client home A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of a healthy newborn the practical nurse (PN) observes that the client is shaking uncontrollably and states she's cold Apply light warm blanket and assure her that this is normal following delivery The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most important for the PN to implement Auscultate all the lung fieldsWhile administering prescription medication to an older adult resident in a extended care facility the practical nurse notice that the client is having difficulty hearing what action is most important for the PN to take? Determine if client has had difficulty hearing in the past The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her that she needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when a list of iron list foods is given to the client the client tells the practical nurse she's a vegetarian and does not eat bleeds what instructions should the PN give? • Add lenhl and black beans • Increase green leafy vegetables in the diet • Oatmeal is a good choice for breakfast A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate interventions should the practical nurse (PN) take? Turn the infant to the right side The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar action should the action should the PN take first? Observe suture line for separation and hematoma formation The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of pregnancy what fetal heart rate should be reported to the registered nurse? 180 (NORMAL 110-160) An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes from the client klound followed by appearance of bowel on the skin which complication has occurred? EviscerationA female client with immune thrombocytopenic purpura is transported to a long term facility for physical therapy rehabilitation to prevent injury the most important for the practical nurse (PN) to implement? Ensure the client has minimum clutter in the room Which location should the practical nurse palpate to determine if a client submandibular lymph node are enlarged? Beneath the lower jaw A client is receiving an epidural anesthesia during labor which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the epidural Maternal hypotension The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening with a complaint of hoarseness a danger sign for cancer of the larynx which client has the highest risk of development of cancer of the larynx that the PN should refer to healthcare provider A older male who drinks a 6 pack of beer nightly and smokes heavily A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt and has lost a lot of weight which action should the PN take Report suspected abuse to supervisor and protective services The practical nurse determines that a client who is one day postpartum has a moderate amount of lochia and rubra and the uterus is firm diverted and three finger breaths above umbilicus what should be the first initial action Massage the uterus to decrease atony