Hesi exit pn 2022 v3
1. While providing oral care for a client who is unconscious, the nurse posi-
tions the client laterally and uses a basin to collect secretions.Which interven-
tion is best for the nurse to implement? Ans: Provide a Yankauer tip for oral
suction (oral suction being placed on the buccal area).
2. At the patient's room the doctor tells the nurse to trim the toenails of the DM
patient's toes. What will you do? Ans: Advise the doctor about the facility's
policy.
3. Mastectomy incision is healing well but patient refuses to look at the inci-
sion site. What will be your intervention? Ans: It is ok not to look at it, I am
available for you when you are ready for it.
4. A college student states that his roommate is hearing voices that says "Kill,
kill, kill", what should be the intervention? Ans: Ask the client "are you
planning to obey the voices?"
5. Which task could the nurse safely delegate to a UAP? Ans: Oral
feeding of a two-year-old child after the application of a hip spica cast.
6. In monitoring a child with Type 1 diabetes mellitus, the nurse observes
that the child is exhibiting Kussmaul respiration. What additional finding is
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, suspected Ans: fruity odor breath.
7. The nurse concludes that the client is developing pulmonary edema after
observing Ans: cough with pink frothy sputum.
8. a client with hypertension complains of a persistent, dry cough. the PN
should tell the client that this is a common side effect of which daily medica-
tion? Ans: Quinapril
9. The HCP gives a pregnant women a prescription for one prenatal vitamin
with iron daily, and tells her that she needs to increase foods in her diet
because her hemoglobin is 8.2 grams/dL.When a list of iron rich foods is given
to the client, She tells the PN that she is vegetarian and does not eat anything
that "bleeds." Which instruction should the PN provide? Select All That Apply
A. Take two prenatal vitamins with iron daily
B. Increase green leafy vegetables in the diet
C. Oatmeal is a good choice for breakfast
D. Add lentils and black beans to soup
E. Eat red meat just until the anemia is resolved Ans: -B. Increase green
leafy vegetables in the diet
-C. Oatmeal is a good choice for breakfast
-D. Add lentils and black beans to soup
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12
1. While providing oral care for a client who is unconscious, the nurse posi-
tions the client laterally and uses a basin to collect secretions.Which interven-
tion is best for the nurse to implement? Ans: Provide a Yankauer tip for oral
suction (oral suction being placed on the buccal area).
2. At the patient's room the doctor tells the nurse to trim the toenails of the DM
patient's toes. What will you do? Ans: Advise the doctor about the facility's
policy.
3. Mastectomy incision is healing well but patient refuses to look at the inci-
sion site. What will be your intervention? Ans: It is ok not to look at it, I am
available for you when you are ready for it.
4. A college student states that his roommate is hearing voices that says "Kill,
kill, kill", what should be the intervention? Ans: Ask the client "are you
planning to obey the voices?"
5. Which task could the nurse safely delegate to a UAP? Ans: Oral
feeding of a two-year-old child after the application of a hip spica cast.
6. In monitoring a child with Type 1 diabetes mellitus, the nurse observes
that the child is exhibiting Kussmaul respiration. What additional finding is
1/
12
, suspected Ans: fruity odor breath.
7. The nurse concludes that the client is developing pulmonary edema after
observing Ans: cough with pink frothy sputum.
8. a client with hypertension complains of a persistent, dry cough. the PN
should tell the client that this is a common side effect of which daily medica-
tion? Ans: Quinapril
9. The HCP gives a pregnant women a prescription for one prenatal vitamin
with iron daily, and tells her that she needs to increase foods in her diet
because her hemoglobin is 8.2 grams/dL.When a list of iron rich foods is given
to the client, She tells the PN that she is vegetarian and does not eat anything
that "bleeds." Which instruction should the PN provide? Select All That Apply
A. Take two prenatal vitamins with iron daily
B. Increase green leafy vegetables in the diet
C. Oatmeal is a good choice for breakfast
D. Add lentils and black beans to soup
E. Eat red meat just until the anemia is resolved Ans: -B. Increase green
leafy vegetables in the diet
-C. Oatmeal is a good choice for breakfast
-D. Add lentils and black beans to soup
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12
