Pn Exit Hesi Actual Exam Latest Exams Test Bank Actual Exam 200 Questions And Correct Detailed Answers With Rationales (Verified Answers) |Already Graded A+

PN Exit Hesi ACTUAL EXAM LATEST EXAMS TEST BANK ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Airway clearance - CORRECT ANSWER Airway clearance is the highest priority nursing intervention, and further resuscitative efforts are effective only when the airway is patent. Suctioning clears passages and prevents mucus or feedings from obstructing the airway during resuscitation. The fetal heart rate is 180, what action should the PN take? - CORRECT ANSWER Although a fetal heart rate of 180 (Normal Range is 110-160) may be an acceleration secondary to fetal movement, this finding should be reported immediately to the RN it indicates tachycardia which requires further assessment. A pregnant client reports contractions that are 7-15 minutes apart, lasting 20-30 seconds with mild intensity. What should the PN instruct her to do? - CORRECT ANSWER The contractions of true labor generally begin in the back and radiate to the front of the abdomen, and become increasingly regular, stronger and longer-lasting. The client is not yet in active labor and would probably be more comfortable at home until she is in labor. Which food options would you offer a vegetarian client in need of foods high in iron? - CORRECT ANSWER The client should be encouraged to increase her intake of green leafy vegetables such as Spinach, Broccoli, Kale and other vegetarian sources of iron, such as oatmeal, lentils and black beans. A postpartum client is shaking and states that she is cold. Which action should the PN take? - CORRECT ANSWER Maternal Vasomotor instability after delivery is usually manifested by uncomfortable shaking and reports of being cold. The PN should apply warmed blankets to provide external warmth. What interventions should be used for a newborn with signs of hypoglycemia? - CORRECT ANSWER For a newborn who is exhibiting signs of hypoglycemia (Normal Glucose 70-110 mg/Dl or less than 6.1mmol/l or SI units) which is common in infants born to mothers with gestational diabetes, early and prompt feeding should begin to alleviate hypoglycemia. A postpartum clients fundus is elevated above the umbilicus. What action should the PN take? - CORRECT ANSWER A fundus that is dextroverted (Up to the right) and elevated above the umbilicus is indicative of bladder distension and urine retention. The PN should ensure that the client empties her bladder before the post-partum exam. What should the PN monitor in a pregnant client who received an epidural? - CORRECT ANSWER Epidural anesthesia can cause peripheral vasodilation. Maternal hypotension is the most serious adverse effect of epidural anesthesia during labor, which can reduce both maternal and fetal oxygenation. Minimizing damage to the skin - CORRECT ANSWER Keeping fingernails short with rough edges filed help minimize excoriation from scratching the pruritic (Itch area).