HESI PN 2027 EXAMS ANSWERS AND QUESTIONS
SET A+
✔✔A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the PN
take? - ✔✔Ensure that all the areolar tissue of the nipple is in the infants mouth.
✔✔Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client? - ✔✔deltoid
✔✔Before inserting medication into a clients vagina, what instructions should the pn... -
✔✔urinate until bladder is empty
✔✔An 18-year old female client with pelvic inflammatory disease (PID0 asks the
pn..Which information is best for the PN to provide? - ✔✔A history of untreated
gonnorhea can lead to PID
✔✔A 28-year old client is in active labor and complains of a cramp in her leg. What
intervention should the PN implement? - ✔✔extend the leg and flex the foot?
✔✔A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - ✔✔Wear a supportive bra at
all times
✔✔A client with schizophrenia reports auditory hallucinations when admitted to the
hospital. PN to include in the assessment of this client? - ✔✔"what are the voices
uttering?"
✔✔A young adult male tells the PN he has declared to change his hours at work so that
he can...his community. Which stage of Maslow's development is this young adult
attempting to achieve? - ✔✔Self-actualiztion
,✔✔A female client arrives to the clinic for an annal physical examination. when
reviewing...the PN that she takes herbs for high blood pressure instead of the
prescribed..important for the PN to reinforce with the client? - ✔✔Explain risks
associated with using herbs instead of the prescribed antihypertensives.
✔✔A female Native American client who is receiving chemotherapy places a native
artifact...the health care provider removes the medicine wheel and tells the client "this
type..hospital" what intervention should the PN implement ? - ✔✔Act as the clients
advocate when discussing the issue with the HCP
✔✔The PN is caring for a client receiving chemotherapy who has
thrombocytopenia..important to include in the nursing care plan? - ✔✔watch the client
for abnormal bleeding
✔✔... - ✔✔"it is better to obtain children acetaminophen to prevent possible side effects
from the aspirin "
✔✔A client is transferred to the surgical unit from the intensive care unit after
evacuation of bilateral..primary observation should the PN monitor? - ✔✔neuro-vital
signs related to bleeding and intracranial pressure
✔✔The PN is working the day shift in a long term facility and is preparing..delegate to
the UAP to perform during the change of.. - ✔✔total the clients PO intake, fill the water
pitchers, empty urinals and catheter bags.
✔✔While taking the vital signs of a older male client who takes psychotropic
medication...uncontrollable hand movements ad is excessively blinking his eyes, which
information.... - ✔✔screening for tardive dyskinesia
✔✔A female client tells the PN that her hemorrhoids are inflamed and hurt..the PN to
implement to complete a focused assessment? - ✔✔position client in left lateral position
to inspect perianal area for fissures or sacs
✔✔the PN is implementing the plan of care for a client who admits having...indicates the
highest risk for the client acting on these suicidal thoughts? - ✔✔Begins to show signs
of improvement
✔✔... - ✔✔-Assess the condition of the IV site
-loosen tape that secures the existing tubing
-remove existing tubing and spike new tubing into bag
-clamp the IV catheter and attach the new tubing
-unclamp the tubing and IV catheter and begin the infusion
, ✔✔The PN observes that a male clients urinary catheter drainage tubing is...the
attached to the bed frame. What action should the PN implement? - ✔✔observe the
appearance of the urine in the drainage tubing
✔✔A 150 pound adult client with Partial-thicknees burns over 40% of the body..hospital
burn unit. Which observation is most important for the Pn to report... - ✔✔urinary output
of 20 mL/hr
✔✔The PN notes that an elderly client has developed nonproductive...the previous day.
Vital signs are temperature 99.8 F; pulse 94; respirations 22; and BP...important for the
PN to implement? - ✔✔report the findings to the charge nurse
✔✔The PN is making shift assignment at an extended care rehabilitation...assign to the
UAP. - ✔✔-Toileting assistance for a client receiving therapy after a total hip
replacement
-daily skin care for a client with a descending double barrel colostomy
-morning care for a client with a staph wound infection
✔✔A client is complaining of a tightening sensation in the fingers, nose tip and ear
lobes...24...PN should be prepared to implement what measure first? - ✔✔Obtain
prescribed calcium gluconate for tetany
✔✔A clients chief complaint is being able to swallow only small bites of solid food...PN
should assess for what additional information? - ✔✔History of alcohol and tobacco use
✔✔An adult female client with type 1 diabetes mellitus is receiving 35 units of NPH
insulin...PN document as evidence that the amount of insulin is inadequate... -
✔✔Consecutive evening serum glucose readings of >260 mg/dl
✔✔The PN is assigned the care of four clients on a medical-surgical...prioritze client
assessments - ✔✔-A client who is admitted with a suspected ruptured appendix
-A client who is post-lumbar puncture is reporting a severe headache
-An older male adult with Alzheimers who wanders out of his room
-A postoperative client who needs reinforcement of discharge instruction
✔✔...the partner refuses to go. The PN suspects the injuries may be the result of... -
✔✔Arrange to take the client to the operating room holding area for privacy
✔✔The PN is caring for a client whose urine drug screen is positive for...exhibit during
cocaine withdraw - ✔✔powerful craving for more
SET A+
✔✔A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the PN
take? - ✔✔Ensure that all the areolar tissue of the nipple is in the infants mouth.
✔✔Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client? - ✔✔deltoid
✔✔Before inserting medication into a clients vagina, what instructions should the pn... -
✔✔urinate until bladder is empty
✔✔An 18-year old female client with pelvic inflammatory disease (PID0 asks the
pn..Which information is best for the PN to provide? - ✔✔A history of untreated
gonnorhea can lead to PID
✔✔A 28-year old client is in active labor and complains of a cramp in her leg. What
intervention should the PN implement? - ✔✔extend the leg and flex the foot?
✔✔A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - ✔✔Wear a supportive bra at
all times
✔✔A client with schizophrenia reports auditory hallucinations when admitted to the
hospital. PN to include in the assessment of this client? - ✔✔"what are the voices
uttering?"
✔✔A young adult male tells the PN he has declared to change his hours at work so that
he can...his community. Which stage of Maslow's development is this young adult
attempting to achieve? - ✔✔Self-actualiztion
,✔✔A female client arrives to the clinic for an annal physical examination. when
reviewing...the PN that she takes herbs for high blood pressure instead of the
prescribed..important for the PN to reinforce with the client? - ✔✔Explain risks
associated with using herbs instead of the prescribed antihypertensives.
✔✔A female Native American client who is receiving chemotherapy places a native
artifact...the health care provider removes the medicine wheel and tells the client "this
type..hospital" what intervention should the PN implement ? - ✔✔Act as the clients
advocate when discussing the issue with the HCP
✔✔The PN is caring for a client receiving chemotherapy who has
thrombocytopenia..important to include in the nursing care plan? - ✔✔watch the client
for abnormal bleeding
✔✔... - ✔✔"it is better to obtain children acetaminophen to prevent possible side effects
from the aspirin "
✔✔A client is transferred to the surgical unit from the intensive care unit after
evacuation of bilateral..primary observation should the PN monitor? - ✔✔neuro-vital
signs related to bleeding and intracranial pressure
✔✔The PN is working the day shift in a long term facility and is preparing..delegate to
the UAP to perform during the change of.. - ✔✔total the clients PO intake, fill the water
pitchers, empty urinals and catheter bags.
✔✔While taking the vital signs of a older male client who takes psychotropic
medication...uncontrollable hand movements ad is excessively blinking his eyes, which
information.... - ✔✔screening for tardive dyskinesia
✔✔A female client tells the PN that her hemorrhoids are inflamed and hurt..the PN to
implement to complete a focused assessment? - ✔✔position client in left lateral position
to inspect perianal area for fissures or sacs
✔✔the PN is implementing the plan of care for a client who admits having...indicates the
highest risk for the client acting on these suicidal thoughts? - ✔✔Begins to show signs
of improvement
✔✔... - ✔✔-Assess the condition of the IV site
-loosen tape that secures the existing tubing
-remove existing tubing and spike new tubing into bag
-clamp the IV catheter and attach the new tubing
-unclamp the tubing and IV catheter and begin the infusion
, ✔✔The PN observes that a male clients urinary catheter drainage tubing is...the
attached to the bed frame. What action should the PN implement? - ✔✔observe the
appearance of the urine in the drainage tubing
✔✔A 150 pound adult client with Partial-thicknees burns over 40% of the body..hospital
burn unit. Which observation is most important for the Pn to report... - ✔✔urinary output
of 20 mL/hr
✔✔The PN notes that an elderly client has developed nonproductive...the previous day.
Vital signs are temperature 99.8 F; pulse 94; respirations 22; and BP...important for the
PN to implement? - ✔✔report the findings to the charge nurse
✔✔The PN is making shift assignment at an extended care rehabilitation...assign to the
UAP. - ✔✔-Toileting assistance for a client receiving therapy after a total hip
replacement
-daily skin care for a client with a descending double barrel colostomy
-morning care for a client with a staph wound infection
✔✔A client is complaining of a tightening sensation in the fingers, nose tip and ear
lobes...24...PN should be prepared to implement what measure first? - ✔✔Obtain
prescribed calcium gluconate for tetany
✔✔A clients chief complaint is being able to swallow only small bites of solid food...PN
should assess for what additional information? - ✔✔History of alcohol and tobacco use
✔✔An adult female client with type 1 diabetes mellitus is receiving 35 units of NPH
insulin...PN document as evidence that the amount of insulin is inadequate... -
✔✔Consecutive evening serum glucose readings of >260 mg/dl
✔✔The PN is assigned the care of four clients on a medical-surgical...prioritze client
assessments - ✔✔-A client who is admitted with a suspected ruptured appendix
-A client who is post-lumbar puncture is reporting a severe headache
-An older male adult with Alzheimers who wanders out of his room
-A postoperative client who needs reinforcement of discharge instruction
✔✔...the partner refuses to go. The PN suspects the injuries may be the result of... -
✔✔Arrange to take the client to the operating room holding area for privacy
✔✔The PN is caring for a client whose urine drug screen is positive for...exhibit during
cocaine withdraw - ✔✔powerful craving for more
