Exit Hesi Practice Questions and answers exam

Exit Hesi Practice Questions and answers exam The PN is caring for an elderly female client who tells the PN, "When I sneeze, I wet my pants." After discussing the client's complaint with the charge nurse, the PN plans to reinforce teaching that the client has received about the importance of Kegel exercises.What muscles are involved in these exercises? A. Pectoral muscles B. Buttock muscles C. Abdominal muscles D. Pelvic floor muscles - D The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? A. Ask another nurse to go back with the medication when the client's hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the medication C. Return the medication to the client's drawer on the cart and document the client refused the dose D. Leave the medication with the client, and let him take it when he finishes the conversation. - B A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs with respirations and bubbling. What action should the PN implement? A. Clamp the chest tube to see if the activity stops B. Notify the registered nurse of the malfunction C. Maintain system integrity to promote lung reexpansion D. Apply a partially occlusive dressing toterm-10 chest - C The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child for the following day. Which response should the PN provide the mother? A. Do not expose other children as the virus is very contagious even without direct contact B. The child will no longer be contagious, no need to take any further precautions C. The child can be around other children but should wear a mask D. Make sure there are no children under the age of 5 months around the infected child. - A The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange student with acute abdominal pain. Although the client has been able to easily answer questions, when asked about sexual activity, she looks away. What action should the PN take? A. Omit compelling this section of the assessment form B. Ask her if she would like an interpreter to ask her the question C. Reword the question in case the client did not understand D. Watch the client's response when asked a different question - D During immediate postoperative period following a total hip placement, which intervention is most important for the PN to implement? A. Encourage client to use walker or cane when ambulating B. Keep client's hip aligned with knees abducted C. Teach client to sit on the side of the bed before standing D. Monitor urinary flow via indwelling catheter - B A client confides to the PN that the client has been substituting herbal supplements for high blood pressure instead of the prescribed medication. How should the PN respond first? A. Ask the client's reason for choosing to take herbsinstead of prescribed drugs B. Reinforce that the healthcare provider prescribed the medication for a reason C. Have client use own words to describe complications of high blood pressure D. Point out the risks of not taking the herbal medications rather than prescribed - A The PN is assigned to administer medications in a long term care facility. A disoriented resident has no identification band or picture. What is the best nursing action for the PN to take prior administering the medications this resident? A. Ask a regular staff member to confirm the resident's identity B. Hold the medication until a family member again C. Re-orient the resident to name, place, and situation D. Confirm the room and bed numbers with those on the medication record. - D An adult client who weighs 150 pounds has partial-thickness and full-thickness burns over 40% of the body from a house fire. After admission, which observation is most important for the practical nurse to report immediately? A. Poor appetite and refusing to eat B. Systolic blood pressure at 102 C. Painful moaning and crying D. Urinary Output of 20ml/hr - D A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "itchy" skin 15 minutes after the unit of blood is started. The child appears flushed. What action should the practical nurse take first? A. Apply lotion to the skin B. Stop the transfusion C. Inspect the infusion site D. Obtain the vital signs - B A PN is competing a focused assessment of an older adult's skin. The PN notes a crusted 0.7 cm lesion on the client's forehead. Which action should the PN take in response to this finding? A. Report the finding to the healthcare provider B. Place a clear occlusive dressing over the site C. Apply a warm compress to remove the crusted area D. Explain that this is a normal skin change with aging - C