Exit HESI PN
Study online at https://quizlet.com/_fejdv6
1. 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
2. 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
3. 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 palpita-
tion which actin should the PN take?: Send the client home
4. 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
5. 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 fields
6. While 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
7. 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
, Exit HESI PN
Study online at https://quizlet.com/_fejdv6
8. 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
9. 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
10. 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)
11. 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?: Evisceration
12. A 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 imple-
ment?: Ensure the client has minimum clutter in the room
13. Which location should the practical nurse palpate to determine if a client
submandibular lymph node are enlarged?: Beneath the lower jaw
14. 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
15. 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
16. 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
17. 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
, Exit HESI PN
Study online at https://quizlet.com/_fejdv6
18. The practical nurse is caring for a client with coronary artery disease who
is admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase
myoglobulin isoenzymes levels what should the PN
consider the most significant risk is for this client on the second day of
admissions?: The labs results indicate myocadiac damage and the client is at risk
for cardiac dysrhythmias
19. Which interventions should thr practical nurse (PN) reinforce for a client
with pruritis?: Keep finger nails trimmed short
20. When gathering data about a client with dark skin tones which site should
the practical nurse (PN) observe: Finger and toe nails
21. A 2 day old infant with hydrocephalus returns from surgery following
placement of a ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative
care: • Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
22. The birth weight of an infant delivered by a woman with gestational dia-
betes is 10.1 pounds the infant is jittery and has a heel
stick glucose level of 40 30 minuets after birth based on this information
which interventions should the PN implement first: Offer nipple feedings of 10%
dextrose
23. The practical nurse (PN) and unlicensed assistive personal (UAP) enters a
clients room and finds the client lying on the bed the
PN determines that the client is unresponsive which action should the PN give
the UAP first: obtain emergency help
24. the practice nurse (PN ) is caring for a client with fractured metatarsals
after slamming a hand in the car door after
administering the prescribed hydrocodone/acetaminophen for pain which
intervention should the PN include in the client care?: Implement ongoing
assessments for signs of shortness or slowed breathing
25. The practical nurse (PN) overhears the female client with crushing syn-
drome tell her family in a very loud and anger voice to
leave her room and not come back the response by the PN is based on
recognizing which common manifestations of the
syndrome: Mood adherence
26. The parents with a one year old child with the diagnosis of hypospadias
informed the practical nurse (PN) that they plan to
delay corrective surgery to see if the child will outgrow the problem which
Study online at https://quizlet.com/_fejdv6
1. 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
2. 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
3. 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 palpita-
tion which actin should the PN take?: Send the client home
4. 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
5. 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 fields
6. While 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
7. 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
, Exit HESI PN
Study online at https://quizlet.com/_fejdv6
8. 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
9. 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
10. 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)
11. 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?: Evisceration
12. A 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 imple-
ment?: Ensure the client has minimum clutter in the room
13. Which location should the practical nurse palpate to determine if a client
submandibular lymph node are enlarged?: Beneath the lower jaw
14. 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
15. 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
16. 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
17. 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
, Exit HESI PN
Study online at https://quizlet.com/_fejdv6
18. The practical nurse is caring for a client with coronary artery disease who
is admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase
myoglobulin isoenzymes levels what should the PN
consider the most significant risk is for this client on the second day of
admissions?: The labs results indicate myocadiac damage and the client is at risk
for cardiac dysrhythmias
19. Which interventions should thr practical nurse (PN) reinforce for a client
with pruritis?: Keep finger nails trimmed short
20. When gathering data about a client with dark skin tones which site should
the practical nurse (PN) observe: Finger and toe nails
21. A 2 day old infant with hydrocephalus returns from surgery following
placement of a ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative
care: • Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
22. The birth weight of an infant delivered by a woman with gestational dia-
betes is 10.1 pounds the infant is jittery and has a heel
stick glucose level of 40 30 minuets after birth based on this information
which interventions should the PN implement first: Offer nipple feedings of 10%
dextrose
23. The practical nurse (PN) and unlicensed assistive personal (UAP) enters a
clients room and finds the client lying on the bed the
PN determines that the client is unresponsive which action should the PN give
the UAP first: obtain emergency help
24. the practice nurse (PN ) is caring for a client with fractured metatarsals
after slamming a hand in the car door after
administering the prescribed hydrocodone/acetaminophen for pain which
intervention should the PN include in the client care?: Implement ongoing
assessments for signs of shortness or slowed breathing
25. The practical nurse (PN) overhears the female client with crushing syn-
drome tell her family in a very loud and anger voice to
leave her room and not come back the response by the PN is based on
recognizing which common manifestations of the
syndrome: Mood adherence
26. The parents with a one year old child with the diagnosis of hypospadias
informed the practical nurse (PN) that they plan to
delay corrective surgery to see if the child will outgrow the problem which
