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Exam (elaborations)

HESI PN Comprehensive Exam 3 with verified 100% correct solutions

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HESI PN Comprehensive Exam 3 with verified 100% correct solutions

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HESI PN
Course
HESI PN











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Institution
HESI PN
Course
HESI PN

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Uploaded on
January 15, 2025
Number of pages
63
Written in
2024/2025
Type
Exam (elaborations)
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What intervention should the practical nurse (PN) implement to meet the
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physiologic integrity of a client during a manic episode of bipolar disorder?
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A. Provide the client with finger foods.
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B. Restrict the client's oral fluid intake.
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C. Give the client low-protein, low-calorie snacks.
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D. Interrupt the client's performance of rituals. - correct answer -✔A. Provide
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the client with finger foods.
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During the manic phase of bipolar disorder, a client is often unable to sit still
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long enough to eat, so the client should be provided finger foods that can be
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eaten while hyperactive.
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A client with bipolar disorder is being treated with cognitive therapy. Which
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actions should the practical nurse (PN) implement to reenforce this treatment
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strategy? Select all that apply.
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A. Recommend daily physical activity.
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B. Use affirmations and limit setting.
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,C. Allow the client to talk continuously.
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D. Report client's suicidal expressions to the therapist.
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E. Encourage substituting positive thoughts for negative thoughts.
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F. Reenforce relaxation techniques when experiencing negative thoughts. -
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correct answer -✔B. Use affirmations and limit setting.
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D. Report client's suicidal expressions to the therapist.
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E. Encourage substituting positive thoughts for negative thoughts.
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Clients diagnosed with bipolar disorder may experience depressive thoughts
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and/or attempt suicide. Cognitive therapy sometimes produces relief from
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troubling symptoms experienced by clients with bipolar disorder. Cognitive
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therapy allows clients to handle "thought errors" and behaviors to stop
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negative thoughts.
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The practical nurse (PN) is evaluating a client's self management of type 1
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diabetes mellitus (DM). Which findings provide the best parameter in the
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client's goals for the prevention of long-term complications of DM?
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A. Strict adherence to a diabetic diet.
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B. Participation in a regular exercise program.
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,C. Scheduled administration of accurate insulin doses.
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D. Consistent hemoglobin A1c levels no greater than 7%. - correct answer -✔D.
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Consistent hemoglobin A1c levels no greater than 7%.
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For optimal diabetic control, evidence-based guidelines recommend an A1c
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target level no greater than 7% for a client with DM, which is the primary goal
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and indicator of effective treatment and diabetes management.
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Which action should the practical nurse (PN) implement for a young girl with
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pulmonary infection who is receiving chest physiotherapy?
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A. Encourage to hold her breath and then cough.
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B. Administer bronchodilators after the procedure.
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C. Allow the child to sit in a position of choice.
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D. Percuss the chest wall in a rhythmic fashion. - correct answer -✔D. Percuss
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the chest wall in a rhythmic fashion.
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Thick secretions that are difficult to cough up can be loosened by tapping, or
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percussing, and vibrating the chest. Percussion is carried out by cupping the
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hands and lightly striking the chest wall in a rhythmic fashion over the lung
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segment to be drained
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, The practical nurse (PN) is preparing to administer erythromycin (Ilotycin) 0.5%
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ophthalmic ointment to a newborn. The father asks the PN the purpose of this
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medication. What rationale should the PN provide?
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A. To allow the baby's eyes to focus.
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B. To lubricate the baby's eyes.
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C. To prevent infection in the baby's eyes.
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D. Refer the father to the pediatrician. - correct answer -✔C. To prevent
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infection in the baby's eyes.
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Erythromycin is prescribed in the prophylaxis of ophthalmia neonatorum
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caused by Neisseria gonorrhea and Chlamydia trachomatis. The PN should
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explain the ointment is a prophylactic treatment to prevent infection in the
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baby's eyes.
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A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV
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dose of atropine is given per protocol. Which finding should the practical nurse
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(PN) identify as a therapeutic response?
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A. A decrease in blood pressure.
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B. A decrease in premature contractions.
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C. An increase in heart rate.
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D. An increase in sensorium. - correct answer -✔C. An increase in heart rate.
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Atropine increases heart rate (C) by its anticholinergic effects on the sinoatrial
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(SA) node.
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