HESI EXIT PRACTICE, Real Hesi PN, KHESI2
you got this 2, Exit HESI PN
Terms in this set (600)
What steps should you take for an older Remind the client what day of the week it is
female client who was just admitted to a
long-term facility and is confused about
the day of the week?
Which information about end-of-life care Instructions for care should be included in the clients living will
should a practical nurse (PN) ensure the (Advance directives)
client has?
After a routine vaginal delivery of a healthy Apply light warm blanket and assure her that this is normal following delivery
newborn, a client who is pregnant is taken
to the recovery room. You notice the client
is shaking asks if she's cold. What's next?
The practical nurse (PN) is assessing an Auscultate all the lung fields
older client with left sided heart failure
what intervention is most important for the
PN to implement
What is the most crucial step for the Determine if client has had difficulty hearing in the past
practical nurse to take while giving
prescription medication to an elderly
resident of an extended care home who is
having trouble hearing?
A full term 24 hour old infant in the nursery Turn the infant to the right side
regulates and suddenly turns cyanotic
which immediate interventions should the
practical nurse (PN) take?
The practical nurse (PN) views the midline Observe suture line for separation and hematoma formation
episiotomy of a client who reports pain in
her stiches. What action should the action
should the PN take first?
The practical nurse (PN) is obtaining fetal 180
heart rates on a client in their third trimester
of pregnancy what fetal heart rate should
be reported to the registered nurse?
Which problem has happened in an older Evisceration
client with these issues?
Which location should the practical nurse Beneath the lower jaw
palpate to determine if a client
submandibular lymph node are enlarged?
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The most significant side effect that a Maternal hypotension
practical nurse (PN) should check for after
administering an epidural to a client during
labor is observation of the side effect.
Which person has the highest risk of A older male who drinks a 6 pack of beer nightly and smokes heavily
developing laryngeal cancer?
A home health practical nurse (PN) visits Report suspected abuse to supervisor and protective services
and older client living with offspring who
exhibits fear unkept and has lost a lot of
weight which action should the PN take>
Which interventions should the practical Keep fingernails trimmed short.
nurse (PN) reinforce for a client with
pruritis?
When gathering data about a client with Finger and toe nails
dark skin tones which site should the
practical nurse (PN) observe?
What important intervention does the nurse Measure head circumference
need to ensure?
If a baby is born to a diabetic mother what Offer nipple feedings or 10% dextrose
should the nurse encourage?
The practical nurse (PN) and unlicensed obtain emergency help
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 .
Which intervention should the practice Implement ongoing assessments for signs of shortness or slowed breathing
nurse (PN) include in the client's care if the
client has broken metatarsals as a result of
slamming a hand in a car door after taking
the hydrocodone/acetaminophen
prescription for pain?
The response of the practical nurse (PN) is Mood adherence
based on understanding which prevalent
manifestations of the illness. The PN
overhears the female client with crushing
syndrome telling her family to leave her
room and not return.
A child receiving chemotherapy develops a Provide oral hygiene
cough that productive of yellow tinged
sputum after determine that the client is
afebrile which priority action for the
practice nurse (PN) to take?
The Glasgow scale is being used to Level of consciousness
monitor a client who experienced a
traumatic brain injury what primary
assessment should the PN evaluate
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