HESI PN EXIT 2020 Rated A+
1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What
action should the PN take next?
Note the most recent white blood count
2. Thirty minutes after receiving IV morphine, a postoperative male client continue to
rate his pain...what action should the PN implement first?
Implement complementary pain relief methods
3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus.
Which intervention is performed next?
Initiate the urine stream
4. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from.
.further action by the PN?
Weights are touching the foot of the bed
5. The PN is reviewing diet instructions with a female client who has hyper. .she
has increased her intakes of protein and calories. What action should the PN
take? Encourage the client to continue the dietary changes she has made
6. The PN reviews the procedure for measuring fluid intake and output
glomerulonephritis and is
Preparing for discharge from the hospital. What... -why the fluid measurements need
to be recoded
7. The nurse is changing the dressing on a client’s wound. The nurse understands which
of the following symptoms indicate a wound infection?
Redness over 1 cm wide on per wound skin and tenderness
8. The nurse is developing a teaching plan for a client who is going home with a
tracheostomy tube. Which of the following is the MOST important part of the
teaching plan?
, The family of a client should know what to do in a case of emergency, i.e.: clogged
tracheostomy tube and how to suction the client.
9. A 64-year-old male client comes to the provider’s office and complains of both legs
hurting him when he walks a few blocks in his neighborhood. He states “When I sit
down for a while, the pain eases off, but if I start walking a few blocks more, the pain
comes back. The nurse recognizes this symptom may be related to peripheral vascular
disease and is called what?
Intermittent claudication
10. A narrowing and hardening of the arteries is called:
Arteriosclerosis
11. A client has clusters of small vesicles over the thoracic region and describes severe
pain and itching of the affected areas. Herpes zoster is diagnosed, and the client will
be treated with which of these medications?
Acyclovir (Zorivax)
12. When administrating oxygen to clients with conditions such as emphysema, it is
important for the nurse to remember which one of the following facts as most
important The drive to breathe may be dependent on low levels of oxygen in the
blood
13. The nurse is preparing to instruct the client with pneumonia on managing the disease
after discharge from the hospital. Which of the following is consistent with
appropriate discharge planning for this client?
Take all medications until they are finished, as ordered by MD
14. Immediately after sustaining severe burn wounds, the nurse would anticipate the client’s
initial nutritional needs would usually be met by which of these methods?
Total parenteral nutrition (TPN)
15. Which of the following measures should the nurse take when care for a client with TB
in an acute care facility?
Double-bag and dispose of client secretions as infectious waste
16. The most important nursing intervention for the nurse to remember in
administrating Digoxin to a client is to?
Take apical pule and withhold med is pulse is <60
, 17. The nurse is performing a respiratory assessment on a new client who has come to the
clinic. On inspection of the anterior and posterior chest, she notices the symmetry of
the chest is equal from front to back and from shoulder to shoulder like the shape of a
barrel. The nurse knows the most common lung disease process causing this change in
chest symmetry is?
COPD
18. A nurse is reinforcing health teaching regarding skin cancer to a group of clients.
Which of the following should the nurse identify as the leading cause of skin cancer?
Sun exposure
19. Which of the following is potassium sparing diuretic?
Aldactone
20. There are many types of wound dressings and therapies in evidence-based wound care.
The wound vac has been around many years and is one of the best ways to heal a
wound 60% faster than conventional dressings because? (select all that apply)
-Negative pressure increases epithelial cell multiplications forming granulation tissue
-Reduces edema in the wound and improves blood flow
21. A nurse is collecting data from a client who present to the provider’s office for
evaluation pf multiple nevi. Which of the following findings should the nurse report to
the provider as a possible sign of malignancy?
Irregular borders
22. Which breath sounds are usually heard over the anterior third of the chest near
the sternum and also scapular posteriorly, and have inspiration and expiration of
equal duration?
Bronchovesicular
23. Frank is a 4 year old paraplegic client with cerebral palsy who was admitted to the
hospital with complications from the H1N1 virus. The nurse who was admitting him
noted that he had an area of redness on his right malleolus that was non-
blanchable. The nurse correctly identified this area as what stage of a pressure
ulcer?
Stage 1
24. A client has a prescription to discontinue intravenous therapy when the liter that
is infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of
solution
1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What
action should the PN take next?
Note the most recent white blood count
2. Thirty minutes after receiving IV morphine, a postoperative male client continue to
rate his pain...what action should the PN implement first?
Implement complementary pain relief methods
3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus.
Which intervention is performed next?
Initiate the urine stream
4. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from.
.further action by the PN?
Weights are touching the foot of the bed
5. The PN is reviewing diet instructions with a female client who has hyper. .she
has increased her intakes of protein and calories. What action should the PN
take? Encourage the client to continue the dietary changes she has made
6. The PN reviews the procedure for measuring fluid intake and output
glomerulonephritis and is
Preparing for discharge from the hospital. What... -why the fluid measurements need
to be recoded
7. The nurse is changing the dressing on a client’s wound. The nurse understands which
of the following symptoms indicate a wound infection?
Redness over 1 cm wide on per wound skin and tenderness
8. The nurse is developing a teaching plan for a client who is going home with a
tracheostomy tube. Which of the following is the MOST important part of the
teaching plan?
, The family of a client should know what to do in a case of emergency, i.e.: clogged
tracheostomy tube and how to suction the client.
9. A 64-year-old male client comes to the provider’s office and complains of both legs
hurting him when he walks a few blocks in his neighborhood. He states “When I sit
down for a while, the pain eases off, but if I start walking a few blocks more, the pain
comes back. The nurse recognizes this symptom may be related to peripheral vascular
disease and is called what?
Intermittent claudication
10. A narrowing and hardening of the arteries is called:
Arteriosclerosis
11. A client has clusters of small vesicles over the thoracic region and describes severe
pain and itching of the affected areas. Herpes zoster is diagnosed, and the client will
be treated with which of these medications?
Acyclovir (Zorivax)
12. When administrating oxygen to clients with conditions such as emphysema, it is
important for the nurse to remember which one of the following facts as most
important The drive to breathe may be dependent on low levels of oxygen in the
blood
13. The nurse is preparing to instruct the client with pneumonia on managing the disease
after discharge from the hospital. Which of the following is consistent with
appropriate discharge planning for this client?
Take all medications until they are finished, as ordered by MD
14. Immediately after sustaining severe burn wounds, the nurse would anticipate the client’s
initial nutritional needs would usually be met by which of these methods?
Total parenteral nutrition (TPN)
15. Which of the following measures should the nurse take when care for a client with TB
in an acute care facility?
Double-bag and dispose of client secretions as infectious waste
16. The most important nursing intervention for the nurse to remember in
administrating Digoxin to a client is to?
Take apical pule and withhold med is pulse is <60
, 17. The nurse is performing a respiratory assessment on a new client who has come to the
clinic. On inspection of the anterior and posterior chest, she notices the symmetry of
the chest is equal from front to back and from shoulder to shoulder like the shape of a
barrel. The nurse knows the most common lung disease process causing this change in
chest symmetry is?
COPD
18. A nurse is reinforcing health teaching regarding skin cancer to a group of clients.
Which of the following should the nurse identify as the leading cause of skin cancer?
Sun exposure
19. Which of the following is potassium sparing diuretic?
Aldactone
20. There are many types of wound dressings and therapies in evidence-based wound care.
The wound vac has been around many years and is one of the best ways to heal a
wound 60% faster than conventional dressings because? (select all that apply)
-Negative pressure increases epithelial cell multiplications forming granulation tissue
-Reduces edema in the wound and improves blood flow
21. A nurse is collecting data from a client who present to the provider’s office for
evaluation pf multiple nevi. Which of the following findings should the nurse report to
the provider as a possible sign of malignancy?
Irregular borders
22. Which breath sounds are usually heard over the anterior third of the chest near
the sternum and also scapular posteriorly, and have inspiration and expiration of
equal duration?
Bronchovesicular
23. Frank is a 4 year old paraplegic client with cerebral palsy who was admitted to the
hospital with complications from the H1N1 virus. The nurse who was admitting him
noted that he had an area of redness on his right malleolus that was non-
blanchable. The nurse correctly identified this area as what stage of a pressure
ulcer?
Stage 1
24. A client has a prescription to discontinue intravenous therapy when the liter that
is infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of
solution
