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HESI PN Comprehensive Exam 3
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HESI PN Comprehensive Exam 3 Case Study Depression MH: V Sim Sandra Lit
100 terms 30 terms 6 terms
EricahNjuguna Preview slwicker Preview Kathyx5
A 9-year-old boy who had an C. Ask the child to recall the surgical event and assess his pain
emergency appendectomy level.
during the night awakens and
starts to cry when he does not A 9-year-old can use cognitive abilities to understand the nurse's
see his parents at the bedside. explanation which should help him focus and assess his
He has an IV and a dressing postoperative pain.
covering the operative site.
What action should the practical
nurse (PN) implement?
A. Encourage the child to calm
down because big boys do not
cry.
B. Locate his mother and ask her
to stay at the bedside with her
son.
C. Ask the child to recall the
surgical event and assess his
pain level.
D. Call the healthcare provider
for a prescription for a different
analgesic.
See an expert-written answer!
,A 17-year-old male comes to the C. Acknowledge the difficulty of this decision-making while
clinic for his pre-college supporting his desire to continue to explore his options.
physical examination. During the
interview, he tells the practical
nurse (PN) that although he has Erikson's stage of adolescent sense of identity is a development
been actively engaged in sports, milestone that often continues into early young adulthood when
music, and academics, he still career options in college are explored. Acknowledging the
does not know what he would teen's difficulty in deciding about his future offers support that his
like to do after graduation. How search is a normal stage.
should the PN respond?
A. Encourage him to speak with
his parents about his confusion
about his future.
B. Recommend that he choose
one area on which to focus so
that he begins to develop a
firmer sense of identity.
C. Acknowledge the difficulty of
this decision-making while
supporting his desire to
continue to explore his options.
D. Suggest that he explore
different part-time work options
while going to college.
A client admitted with major B. Explain the purpose and implementation of suicide
depression is placed on suicide precautions.
precautions. While orienting the
client to the unit, what activity A client on suicide precautions should be informed about the
should the practical nurse (PN) purpose and parameters of suicidal precautions, which include
implement? use of selected personal items under direct supervision, removal
of sharp objects, observation at frequent intervals, and
A. Assign the same unlicensed restriction to the unit.
assistive personnel for one on
one observations.
B. Explain the purpose and
implementation of suicide
precautions.
C. Discuss that visitors will be
limited during the client's close
observation period.
D. Obtain the client's permission
to search his personal items.
,A client has collapsed while D. Begin cardiac compressions.
getting out of bed, has no pulse,
and is not breathing. After Basic Life Support (BLS) for a client who is unconscious and not
calling for help and an breathing should begin with cardiac compressions.
automated external defibrillator
(AED), which action should the
practical nurse (PN) take?
A. Give two quick short breaths.
B. Palpate for a carotid pulse.
C. Defibrillate using the AED.
D. Begin cardiac compressions.
A client is admitted with a tumor C. An oral temperature of 101.8° F.
of the hypothalamus. Which
finding should the practical The hypothalamus controls body temperature, so variation in the
nurse (PN) report to the charge temperature should be reported to determine if the elevation is
nurse? related to infection or cerebral pathology.
A. A pulse rate of 98 beats/min.
B. Respirations of 20
breaths/min.
C. An oral temperature of 101.8°
F.
D. A blood pressure of 130/80
mm Hg.
A client is admitted with C. Check for verbal and motor response.
possible head trauma after a
motor vehicle collision. Which A client experiencing a traumatic closed head injury should be
action should the practical nurse monitored for signs of increased intracranial pressure (ICP). A
(PN) implement? neurologic examination, such as the Glasgow Coma Scale, is
performed the detect early signs of ICP, as manifested by
A. Auscultate heart sounds. changes in verbal and motor response.
B. Monitor client's weight.
C. Check for verbal and motor
response.
D. Auscultate lung and
abdominal sounds.
See an expert-written answer!
, A client recently diagnosed with A. "You appear upset about the diagnosis. Let's talk about your
diabetes is very angry about the feelings."
changed circumstances. How
should the practical nurse (PN) (A) demonstrates acceptance of the client's thoughts and
respond? feelings and encourages open communication.
A. "You appear upset about the
diagnosis. Let's talk about your
feelings."
B. "Try not to be angry because
you are receiving the best care
possible."
C. "Anger is only an emotion, but
try not to be angry with
healthcare providers."
D. "You learn quickly and will
probably handle the difficult
treatments very well."
See an expert-written answer!
A client's blood pressure is D. Check pulses distal to the insertion site hourly.
being monitored with an arterial
catheter placed in the brachial Arterial lines carry the risk of hemorrhage, infections, thrombus
artery. To prevent neurovascular formation, and neurovascular impairment. Pulse and circulation
complications while the catheter distal to the arterial insertion site should be assessed hourly to
is in place, what action should monitor for neurovascular impairment that can cause irreversible
the practical nurse (PN) tissue damage.
implement?
A. Perform an Allen test to
validate circulation to the hand.
B. Assess continuous-flush
irrigation system q1 to 4 hours.
C. Ensure that all tubing
connections are secure.
D. Check pulses distal to the
insertion site hourly.
See an expert-written answer!
HESI PN Comprehensive Exam 3
Save
Students also studied
Flashcard sets Study guides
HESI PN Comprehensive Exam 3 Case Study Depression MH: V Sim Sandra Lit
100 terms 30 terms 6 terms
EricahNjuguna Preview slwicker Preview Kathyx5
A 9-year-old boy who had an C. Ask the child to recall the surgical event and assess his pain
emergency appendectomy level.
during the night awakens and
starts to cry when he does not A 9-year-old can use cognitive abilities to understand the nurse's
see his parents at the bedside. explanation which should help him focus and assess his
He has an IV and a dressing postoperative pain.
covering the operative site.
What action should the practical
nurse (PN) implement?
A. Encourage the child to calm
down because big boys do not
cry.
B. Locate his mother and ask her
to stay at the bedside with her
son.
C. Ask the child to recall the
surgical event and assess his
pain level.
D. Call the healthcare provider
for a prescription for a different
analgesic.
See an expert-written answer!
,A 17-year-old male comes to the C. Acknowledge the difficulty of this decision-making while
clinic for his pre-college supporting his desire to continue to explore his options.
physical examination. During the
interview, he tells the practical
nurse (PN) that although he has Erikson's stage of adolescent sense of identity is a development
been actively engaged in sports, milestone that often continues into early young adulthood when
music, and academics, he still career options in college are explored. Acknowledging the
does not know what he would teen's difficulty in deciding about his future offers support that his
like to do after graduation. How search is a normal stage.
should the PN respond?
A. Encourage him to speak with
his parents about his confusion
about his future.
B. Recommend that he choose
one area on which to focus so
that he begins to develop a
firmer sense of identity.
C. Acknowledge the difficulty of
this decision-making while
supporting his desire to
continue to explore his options.
D. Suggest that he explore
different part-time work options
while going to college.
A client admitted with major B. Explain the purpose and implementation of suicide
depression is placed on suicide precautions.
precautions. While orienting the
client to the unit, what activity A client on suicide precautions should be informed about the
should the practical nurse (PN) purpose and parameters of suicidal precautions, which include
implement? use of selected personal items under direct supervision, removal
of sharp objects, observation at frequent intervals, and
A. Assign the same unlicensed restriction to the unit.
assistive personnel for one on
one observations.
B. Explain the purpose and
implementation of suicide
precautions.
C. Discuss that visitors will be
limited during the client's close
observation period.
D. Obtain the client's permission
to search his personal items.
,A client has collapsed while D. Begin cardiac compressions.
getting out of bed, has no pulse,
and is not breathing. After Basic Life Support (BLS) for a client who is unconscious and not
calling for help and an breathing should begin with cardiac compressions.
automated external defibrillator
(AED), which action should the
practical nurse (PN) take?
A. Give two quick short breaths.
B. Palpate for a carotid pulse.
C. Defibrillate using the AED.
D. Begin cardiac compressions.
A client is admitted with a tumor C. An oral temperature of 101.8° F.
of the hypothalamus. Which
finding should the practical The hypothalamus controls body temperature, so variation in the
nurse (PN) report to the charge temperature should be reported to determine if the elevation is
nurse? related to infection or cerebral pathology.
A. A pulse rate of 98 beats/min.
B. Respirations of 20
breaths/min.
C. An oral temperature of 101.8°
F.
D. A blood pressure of 130/80
mm Hg.
A client is admitted with C. Check for verbal and motor response.
possible head trauma after a
motor vehicle collision. Which A client experiencing a traumatic closed head injury should be
action should the practical nurse monitored for signs of increased intracranial pressure (ICP). A
(PN) implement? neurologic examination, such as the Glasgow Coma Scale, is
performed the detect early signs of ICP, as manifested by
A. Auscultate heart sounds. changes in verbal and motor response.
B. Monitor client's weight.
C. Check for verbal and motor
response.
D. Auscultate lung and
abdominal sounds.
See an expert-written answer!
, A client recently diagnosed with A. "You appear upset about the diagnosis. Let's talk about your
diabetes is very angry about the feelings."
changed circumstances. How
should the practical nurse (PN) (A) demonstrates acceptance of the client's thoughts and
respond? feelings and encourages open communication.
A. "You appear upset about the
diagnosis. Let's talk about your
feelings."
B. "Try not to be angry because
you are receiving the best care
possible."
C. "Anger is only an emotion, but
try not to be angry with
healthcare providers."
D. "You learn quickly and will
probably handle the difficult
treatments very well."
See an expert-written answer!
A client's blood pressure is D. Check pulses distal to the insertion site hourly.
being monitored with an arterial
catheter placed in the brachial Arterial lines carry the risk of hemorrhage, infections, thrombus
artery. To prevent neurovascular formation, and neurovascular impairment. Pulse and circulation
complications while the catheter distal to the arterial insertion site should be assessed hourly to
is in place, what action should monitor for neurovascular impairment that can cause irreversible
the practical nurse (PN) tissue damage.
implement?
A. Perform an Allen test to
validate circulation to the hand.
B. Assess continuous-flush
irrigation system q1 to 4 hours.
C. Ensure that all tubing
connections are secure.
D. Check pulses distal to the
insertion site hourly.
See an expert-written answer!
