HESI PN Comprehensive Exam 1
A 34-year-antique male purchaser who is admitted to the intellectual health unit for paranoia is
responding to antipsychotic medications. After the healthcare crew comes to a decision to
discharge the patron, he tells the sensible nurse (PN) that his spouse is untrue and he plans to
get her for this. How ought to the PN reply?
A. Report to the group that the client's wife ought to be knowledgeable.
B. Ask the consumer if he's going to observe the required day hospital visits.
C. Tell the purchaser to talk about his remedy dose together with his healthcare company.
D. Explain the outcomes if he consists of out his threats to his spouse. - ANS-A. Report to the
crew that the client's spouse must be knowledgeable.
Mental healthcare member has the obligation of Duty to Warn and file any supposed, identified
victim of possible future harm by way of a consumer.
A child with acute streptococcal pharyngitis is prescribed amoxicillin (Amoxil) suspension. The
mom asks the realistic nurse (PN) whilst her baby can return to highschool. Which facts should
the PN provide?
A. After the kid is evaluated for complications.
B. As quickly as the kid says the sore throat is higher.
C. When the child completes 3 days of antibiotic doses.
D. After the kid has taken antibiotics for twenty-four hours. - ANS-D. After the child has taken
antibiotics for 24 hours.
Spread of contamination of streptococcal ailment is common in families, school rooms, and day
care centers. After 24 hours, the streptococcal infection should be noninfectious to others.
A patron is 24-hours publish-endoscopic retrograde cholangiopancreatography (ERCP) for
cholelithiasis. Which finding ought to the PN document to healthcare provider?
A. Serum bilirubin elevation four times above everyday price
B. Serum amylase elevation three instances above ordinary fee
C. Steatorrhea
D. Jaundiced sclera - ANS-B. Serum amylase elevation three instances above everyday value
ERCP can motive a gallstone to transport into the common bile duct, obstructing flow into
duodenum and cause pancreatitis, that's evidences by means of boom in serum amylase.
,A consumer is carrying a non-stop 24-hour Holter screen for elevation of coronary heart rhythm
disturbances. What info have to the PN reinforce with this consumer?
A. Remove the electrodes to bathe or shower
B. Keep a diary of activities so long as the display is worn.
C. Exercise as a whole lot as possible whilst the monitor is in area.
D. Call the assigned variety if an episode of abnormal heartbeats takes place. - ANS-B. Keep a
diary of activities so long as the monitor is worn.
Nursing take care of a customer with a Holter monitor consists of preparation of the pores and
skin, placement of the electrodes and leads, and activities of daily residing, so the consumer
have to be informed of the importance of maintaining an correct document of activities and signs
and symptoms
A consumer who brought a 7 pound 8 ounce little one three hours in the past has a gentle,
boggy uterus located above the umbilicus. What movement must the sensible nurse implement
next?
A. Perform fundal rubdown.
B. Notify the rate nurse.
C. Obtain a blood strain.
D. Initiate perineal pad count number. - ANS-A. Perform fundal rub down.
A gentle, boggy uterus locations the purchaser at elevated hazard for postpartum hemorrhage,
so the PN need to carry out fundal rubdown to settlement the uterus.
A consumer who has been taking furosemide (Lasix) for the past months is two days
postoperative for a suprapubic prostatectomy. After breakfast, the customer is inside the rest
room straining to have a bowel motion while he calls the realistic nurse (PN) complaining of
unexpected onset of shortness of breath and acute chest pain. Which circumstance ought to the
realistic nurse (PN) determine the customer?
A. Stable angina pectoris.
B. Pulmonary edema.
C. Pulmonary embolism.
D. Gastroesophageal reflux. - ANS-C. Pulmonary embolism.
The purchaser's postoperative repute and viable dehydration associated with recent use of
Lasix locations the consumer at hazard for pulmonary embolism, which is a postoperative
problem characterised by way of acute chest ache and shortness of breath induced by way of
straining on stool.
, A client with a not unusual bloodless is looking for treatment on the fitness medical institution.
What facts should the practical nurse (PN) fortify to reduce the unfold of contamination to circle
of relatives contributors?
A. Wash palms after every use of a tissue for nasal drainage.
B. Use a dishwasher for all personal dishes and utensils.
C. Recommend sporting a masks till all bloodless symptoms subside.
D. Sleep on my own in a room and use a humidifier. - ANS-A. Wash fingers after each use of a
tissue for nasal drainage.
Handwashing after sneezing, coughing, and blowing the nose is the excellent protection in
decreasing the threat of spreading viruses immediately or indirectly to others.
A client with acute pancreatitis has a low serum calcium level. The practical nurse (PN)
observes that the lips, nose, and aspect of the face agreement after the customer's face is
cleansed with a material. Which documentation describes these findings?
A. Bell's palsy noted.
B. Tic douloureux referred to.
C. Chvostek's sign referred to.
D. Trousseau's signal stated. - ANS-C. Chvostek's signal referred to.
Chvostek's sign indicating low serum calcium is manifested by way of spasms of the muscle
mass innervated by using the facial nerve, which is elicited via tapping the client's face lightly
underneath the temple.
A consumer with advanced cirrhosis is prescribed lactulose (Cephulac) 30 ml QID. The
consumer complains that the medication is inflicting diarrhea. Which healing response of the
medication have to the PN provide the consumer?
A. Promotes fluid loss.
B. Prevents constipation.
C. Excretes ammonia to enhance cerebral function.
D. Reduces the risk for gastrointestinal bleeding. - ANS-C. Excretes ammonia to improve
cerebral characteristic.
To treat portal-systemic encephalopathy, lactulose causes the motion of serum ammonia, which
accumulates because of hepatic dysfunction in cirrhosis, into the intestine and effects in
diarrhea due to the osmotic movement of water.
A customer with atherosclerosis is trying to stop cigarette smoking and is the use of a nicotine
patch. Which records need to the practical nurse (PN) give a boost to with this client?
A 34-year-antique male purchaser who is admitted to the intellectual health unit for paranoia is
responding to antipsychotic medications. After the healthcare crew comes to a decision to
discharge the patron, he tells the sensible nurse (PN) that his spouse is untrue and he plans to
get her for this. How ought to the PN reply?
A. Report to the group that the client's wife ought to be knowledgeable.
B. Ask the consumer if he's going to observe the required day hospital visits.
C. Tell the purchaser to talk about his remedy dose together with his healthcare company.
D. Explain the outcomes if he consists of out his threats to his spouse. - ANS-A. Report to the
crew that the client's spouse must be knowledgeable.
Mental healthcare member has the obligation of Duty to Warn and file any supposed, identified
victim of possible future harm by way of a consumer.
A child with acute streptococcal pharyngitis is prescribed amoxicillin (Amoxil) suspension. The
mom asks the realistic nurse (PN) whilst her baby can return to highschool. Which facts should
the PN provide?
A. After the kid is evaluated for complications.
B. As quickly as the kid says the sore throat is higher.
C. When the child completes 3 days of antibiotic doses.
D. After the kid has taken antibiotics for twenty-four hours. - ANS-D. After the child has taken
antibiotics for 24 hours.
Spread of contamination of streptococcal ailment is common in families, school rooms, and day
care centers. After 24 hours, the streptococcal infection should be noninfectious to others.
A patron is 24-hours publish-endoscopic retrograde cholangiopancreatography (ERCP) for
cholelithiasis. Which finding ought to the PN document to healthcare provider?
A. Serum bilirubin elevation four times above everyday price
B. Serum amylase elevation three instances above ordinary fee
C. Steatorrhea
D. Jaundiced sclera - ANS-B. Serum amylase elevation three instances above everyday value
ERCP can motive a gallstone to transport into the common bile duct, obstructing flow into
duodenum and cause pancreatitis, that's evidences by means of boom in serum amylase.
,A consumer is carrying a non-stop 24-hour Holter screen for elevation of coronary heart rhythm
disturbances. What info have to the PN reinforce with this consumer?
A. Remove the electrodes to bathe or shower
B. Keep a diary of activities so long as the display is worn.
C. Exercise as a whole lot as possible whilst the monitor is in area.
D. Call the assigned variety if an episode of abnormal heartbeats takes place. - ANS-B. Keep a
diary of activities so long as the monitor is worn.
Nursing take care of a customer with a Holter monitor consists of preparation of the pores and
skin, placement of the electrodes and leads, and activities of daily residing, so the consumer
have to be informed of the importance of maintaining an correct document of activities and signs
and symptoms
A consumer who brought a 7 pound 8 ounce little one three hours in the past has a gentle,
boggy uterus located above the umbilicus. What movement must the sensible nurse implement
next?
A. Perform fundal rubdown.
B. Notify the rate nurse.
C. Obtain a blood strain.
D. Initiate perineal pad count number. - ANS-A. Perform fundal rub down.
A gentle, boggy uterus locations the purchaser at elevated hazard for postpartum hemorrhage,
so the PN need to carry out fundal rubdown to settlement the uterus.
A consumer who has been taking furosemide (Lasix) for the past months is two days
postoperative for a suprapubic prostatectomy. After breakfast, the customer is inside the rest
room straining to have a bowel motion while he calls the realistic nurse (PN) complaining of
unexpected onset of shortness of breath and acute chest pain. Which circumstance ought to the
realistic nurse (PN) determine the customer?
A. Stable angina pectoris.
B. Pulmonary edema.
C. Pulmonary embolism.
D. Gastroesophageal reflux. - ANS-C. Pulmonary embolism.
The purchaser's postoperative repute and viable dehydration associated with recent use of
Lasix locations the consumer at hazard for pulmonary embolism, which is a postoperative
problem characterised by way of acute chest ache and shortness of breath induced by way of
straining on stool.
, A client with a not unusual bloodless is looking for treatment on the fitness medical institution.
What facts should the practical nurse (PN) fortify to reduce the unfold of contamination to circle
of relatives contributors?
A. Wash palms after every use of a tissue for nasal drainage.
B. Use a dishwasher for all personal dishes and utensils.
C. Recommend sporting a masks till all bloodless symptoms subside.
D. Sleep on my own in a room and use a humidifier. - ANS-A. Wash fingers after each use of a
tissue for nasal drainage.
Handwashing after sneezing, coughing, and blowing the nose is the excellent protection in
decreasing the threat of spreading viruses immediately or indirectly to others.
A client with acute pancreatitis has a low serum calcium level. The practical nurse (PN)
observes that the lips, nose, and aspect of the face agreement after the customer's face is
cleansed with a material. Which documentation describes these findings?
A. Bell's palsy noted.
B. Tic douloureux referred to.
C. Chvostek's sign referred to.
D. Trousseau's signal stated. - ANS-C. Chvostek's signal referred to.
Chvostek's sign indicating low serum calcium is manifested by way of spasms of the muscle
mass innervated by using the facial nerve, which is elicited via tapping the client's face lightly
underneath the temple.
A consumer with advanced cirrhosis is prescribed lactulose (Cephulac) 30 ml QID. The
consumer complains that the medication is inflicting diarrhea. Which healing response of the
medication have to the PN provide the consumer?
A. Promotes fluid loss.
B. Prevents constipation.
C. Excretes ammonia to enhance cerebral function.
D. Reduces the risk for gastrointestinal bleeding. - ANS-C. Excretes ammonia to improve
cerebral characteristic.
To treat portal-systemic encephalopathy, lactulose causes the motion of serum ammonia, which
accumulates because of hepatic dysfunction in cirrhosis, into the intestine and effects in
diarrhea due to the osmotic movement of water.
A customer with atherosclerosis is trying to stop cigarette smoking and is the use of a nicotine
patch. Which records need to the practical nurse (PN) give a boost to with this client?
