Exit HESI PN EXAM
An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral
pneumonia the client
has a living will and the family is requesting hospice care which information should the practical nurse
(PN) reinforce with the
client and family regarding hospice? - ANS • Instructions for care should be included in the clients living
will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility yesterday is confused about
what day of the week it is
her history does not include that she was confused prior to admission what action should the practical
nurse (PN) take? - ANS Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is
having contractions every
5 minutes the PN monitors the clint for an hour using external fetal monitor and determines that the
clients contractions are 7
to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by palpitation which actin should the
PN take? - ANS Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery
of a healthy newborn
the practical nurse (PN) observes that the client is shaking uncontrollably and states she's cold - ANS
Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most
important for the PN
,to implement - ANS Auscultate all the lung fields
While administering prescription medication to an older adult resident in a extended care facility the
practical nurse notice that
the client is having difficulty hearing what action is most important for the PN to take? - ANS Determine
if client has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily
and tells her that she
needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when a list of iron
list foods is given to the
client the client tells the practical nurse she's a vegetarian and does not eat bleeds what instructions
should the PN give? - ANS • Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the
practical nurse (PN) take? - ANS Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar
action should the action
should the PN take first? - ANS Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of
pregnancy what fetal
heart rate should be reported to the registered nurse? - ANS 180 (NORMAL 110-160)
,An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN)
observes from the client
klound followed by appearance of bowel on the skin which complication has occurred? - ANS
Evisceration
A female client with immune thrombocytopenic purpura is transported to a long term facility for
physical therapy rehabilitation
to prevent injury the most important for the practical nurse (PN) to implement? - ANS Ensure the client
has minimum clutter in the room
Which location should the practical nurse palpate to determine if a client submandibular lymph node
are enlarged? - ANS Beneath the lower jaw
A client is receiving an epidural anesthesia during labor which observation is the most important adverse
effect that the
practical nurse (PN) should assess for following the administration of the epidural - ANS Maternal
hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for
screening with a complaint of
hoarseness a danger sign for cancer of the larynx which client has the highest risk of development of
cancer of the larynx that
the PN should refer to healthcare provider - ANS A older male who drinks a 6 pack of beer nightly and
smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt
and has lost a lot of
weight which action should the PN take - ANS Report suspected abuse to supervisor and protective
services
, The practical nurse determines that a client who is one day postpartum has a moderate amount of
lochia and rubra and the
uterus is firm diverted and three finger breaths above umbilicus what should be the first initial action -
ANS Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery disease who is admitted intermitted chest
pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin isoenzymes
levels what should the PN
consider the most significant risk is for this client on the second day of admissions? - ANS The labs
results indicate myocadiac damage and the client is at risk for cardiac dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a client with pruritis? - ANS Keep finger
nails trimmed short
When gathering data about a client with dark skin tones which site should the practical nurse (PN)
observe - ANS Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery following placement of a
ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative care - ANS • Document
strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds the infant is
jittery and has a heel
stick glucose level of 40 30 minuets after birth based on this information which interventions should the
PN implement first - ANS Offer nipple feedings of 10% dextrose
An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral
pneumonia the client
has a living will and the family is requesting hospice care which information should the practical nurse
(PN) reinforce with the
client and family regarding hospice? - ANS • Instructions for care should be included in the clients living
will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility yesterday is confused about
what day of the week it is
her history does not include that she was confused prior to admission what action should the practical
nurse (PN) take? - ANS Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is
having contractions every
5 minutes the PN monitors the clint for an hour using external fetal monitor and determines that the
clients contractions are 7
to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by palpitation which actin should the
PN take? - ANS Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery
of a healthy newborn
the practical nurse (PN) observes that the client is shaking uncontrollably and states she's cold - ANS
Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most
important for the PN
,to implement - ANS Auscultate all the lung fields
While administering prescription medication to an older adult resident in a extended care facility the
practical nurse notice that
the client is having difficulty hearing what action is most important for the PN to take? - ANS Determine
if client has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily
and tells her that she
needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when a list of iron
list foods is given to the
client the client tells the practical nurse she's a vegetarian and does not eat bleeds what instructions
should the PN give? - ANS • Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the
practical nurse (PN) take? - ANS Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar
action should the action
should the PN take first? - ANS Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of
pregnancy what fetal
heart rate should be reported to the registered nurse? - ANS 180 (NORMAL 110-160)
,An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN)
observes from the client
klound followed by appearance of bowel on the skin which complication has occurred? - ANS
Evisceration
A female client with immune thrombocytopenic purpura is transported to a long term facility for
physical therapy rehabilitation
to prevent injury the most important for the practical nurse (PN) to implement? - ANS Ensure the client
has minimum clutter in the room
Which location should the practical nurse palpate to determine if a client submandibular lymph node
are enlarged? - ANS Beneath the lower jaw
A client is receiving an epidural anesthesia during labor which observation is the most important adverse
effect that the
practical nurse (PN) should assess for following the administration of the epidural - ANS Maternal
hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for
screening with a complaint of
hoarseness a danger sign for cancer of the larynx which client has the highest risk of development of
cancer of the larynx that
the PN should refer to healthcare provider - ANS A older male who drinks a 6 pack of beer nightly and
smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt
and has lost a lot of
weight which action should the PN take - ANS Report suspected abuse to supervisor and protective
services
, The practical nurse determines that a client who is one day postpartum has a moderate amount of
lochia and rubra and the
uterus is firm diverted and three finger breaths above umbilicus what should be the first initial action -
ANS Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery disease who is admitted intermitted chest
pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin isoenzymes
levels what should the PN
consider the most significant risk is for this client on the second day of admissions? - ANS The labs
results indicate myocadiac damage and the client is at risk for cardiac dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a client with pruritis? - ANS Keep finger
nails trimmed short
When gathering data about a client with dark skin tones which site should the practical nurse (PN)
observe - ANS Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery following placement of a
ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative care - ANS • Document
strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds the infant is
jittery and has a heel
stick glucose level of 40 30 minuets after birth based on this information which interventions should the
PN implement first - ANS Offer nipple feedings of 10% dextrose
