PN HESI Exit Review Questions and
Answers
Use glove finger to rub the suspension over the infected area - Answer-in administer nystatin
suspension to the gums infant with candida infection. which approach should the PN use
Assess the skin daily for area of ecchymosis or other signs of bleeding - Answer-the practical nurse (PN)
is assessing with the pain of care for a client pain of care receiving the nonsteriod antiinflammatory drug
for painful muscle spine of the back. which interveantion should the PN include in the client plan of
care?
give the medication and document the heart rate. - Answer-prior to giving the digoxin the PN assess
that a two month old infant heart rate is 120bpm based on this finding what action should the PN take?
preventing heart loss and neinatal cold stress - Answer-immediately after birth which nursing
intervention has the highest priorityfor the newborn infant?
send the client home and instruct to call the clinic when her contraction occured 5 mins apart for one
hour - Answer-A client who is primigravida at term comes to the prenatal clinic and tells the PN that she
having contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor
and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with mild
intensitiy by palpation. which action should the nurse take.
, obtain a full minute apical pulse assessment - Answer-the online UAP report to the PN that an older
client haas a radius pulse of 55 bpm. which intervention should the PN implement first
Dehiscence - Answer-an older client who has a cologne resection 8 days ago is straining at stool the PN
nurse observed sudden spillage of serosanguinous drainage from the client's wound followed by
appearance bowel on the skin. which implication has occurred?
determine the level of consciousness - Answer-at 0800, a client apical pulse rate is 98 bpm 4 hours later
the apical pulse is 54 bpm which action should the PN take next.
consult with the charge nurse about the catheter - Answer-a charge nurse brings a #18 urinal catheter
with 30 mL balloon to the PN who is preparing to insert a catheter in female client who weighs
50kg .which action do the PN takes first?
provide the client a glass of milk - Answer-the PN obtain a fingerstick glucoss for a client with a type one
mellitus who is conscious and demonstrating hand tremors and shaking .the PN reports the client result
of 55mg/dL to the nurse. which action should the PN prepare to implement next?
measure and document urinary output - Answer-the client with acute kidney injury is admitted with
elevated pulse rate and blood pressure. which intervention should the PN implement?
Culture for sensitive organism - Answer-while changing the dressing of client who is immobile. the PN
observes a red and swollen wound with moderate amount of yellow and green drainage and foul odor.
before reporting this finding to the HCP the PN should evaluate which client lab value ?
Quinipril - Answer-a client with hypertension complains of persistence dry cough the PN should tell the
client that this a common side effect of which daily medication?
Sclera and muccus membrane - Answer-when gathering data about a client with dark skin tone which
site should the PN observed?
Answers
Use glove finger to rub the suspension over the infected area - Answer-in administer nystatin
suspension to the gums infant with candida infection. which approach should the PN use
Assess the skin daily for area of ecchymosis or other signs of bleeding - Answer-the practical nurse (PN)
is assessing with the pain of care for a client pain of care receiving the nonsteriod antiinflammatory drug
for painful muscle spine of the back. which interveantion should the PN include in the client plan of
care?
give the medication and document the heart rate. - Answer-prior to giving the digoxin the PN assess
that a two month old infant heart rate is 120bpm based on this finding what action should the PN take?
preventing heart loss and neinatal cold stress - Answer-immediately after birth which nursing
intervention has the highest priorityfor the newborn infant?
send the client home and instruct to call the clinic when her contraction occured 5 mins apart for one
hour - Answer-A client who is primigravida at term comes to the prenatal clinic and tells the PN that she
having contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor
and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with mild
intensitiy by palpation. which action should the nurse take.
, obtain a full minute apical pulse assessment - Answer-the online UAP report to the PN that an older
client haas a radius pulse of 55 bpm. which intervention should the PN implement first
Dehiscence - Answer-an older client who has a cologne resection 8 days ago is straining at stool the PN
nurse observed sudden spillage of serosanguinous drainage from the client's wound followed by
appearance bowel on the skin. which implication has occurred?
determine the level of consciousness - Answer-at 0800, a client apical pulse rate is 98 bpm 4 hours later
the apical pulse is 54 bpm which action should the PN take next.
consult with the charge nurse about the catheter - Answer-a charge nurse brings a #18 urinal catheter
with 30 mL balloon to the PN who is preparing to insert a catheter in female client who weighs
50kg .which action do the PN takes first?
provide the client a glass of milk - Answer-the PN obtain a fingerstick glucoss for a client with a type one
mellitus who is conscious and demonstrating hand tremors and shaking .the PN reports the client result
of 55mg/dL to the nurse. which action should the PN prepare to implement next?
measure and document urinary output - Answer-the client with acute kidney injury is admitted with
elevated pulse rate and blood pressure. which intervention should the PN implement?
Culture for sensitive organism - Answer-while changing the dressing of client who is immobile. the PN
observes a red and swollen wound with moderate amount of yellow and green drainage and foul odor.
before reporting this finding to the HCP the PN should evaluate which client lab value ?
Quinipril - Answer-a client with hypertension complains of persistence dry cough the PN should tell the
client that this a common side effect of which daily medication?
Sclera and muccus membrane - Answer-when gathering data about a client with dark skin tone which
site should the PN observed?
