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Exam (elaborations)

HESI PN EXIT Comprehensive V3 Exam Questions and Verified Rationalized Answers, 100% Guarantee Pass

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HESI PN EXIT Comprehensive V3 Exam Questions and Verified Rationalized Answers, 100% Guarantee Pass 1. Whatlinterventionlshouldlthelpracticallnursel(PN)limplementltolmeetlthelphysiologiclintegrityloflalclientlduringlalmaniclepisodeloflbipolarldisorder? A. Provide lthelclientlwithlfingerlfoods. B. Restrictlthelclient'slorallfluidlintake. C. Givelthelclientllow-protein,llow-calorielsnacks. D. Interruptlthelclient'slperformanceloflrituals lAnswer:lA.lProvidelthelclientlwithlfingerlfoods. Duringlthelmaniclphaseloflbipolarldisorder,lalclientlisloftenlunableltolsitlstillllonglenoughltoleat,lsolthelclientlshouldlbelprovidedlfingerlfoodslthatlcanlbeleatenlwhilelhyperactive. 2. Alclientlwithlbipolarldisorderlislbeingltreatedlwithlcognitiveltherapy.lWhichlactionslshouldlthelpracticallnursel(PN)limplementltolreenforcelthisltreatmentlstrategy?lSelectlalllthatlapply. A. Recommendldailylphysicallactivity. B. Uselaffirmationslandllimitlsetting. C. Allowlthelclientltoltalklcontinuously. D. Reportlclient'slsuicidallexpressionsltoltheltherapist. E. Encouragelsubstitutinglpositivelthoughtslforlnegativelthoughts. F. Reenforcelrelaxationltechniqueslwhenlexperiencinglnegativelthoughts lAnswer:lB.lUselaffirmationslandllimitlsetting. D.lReportlclient'slsuicidallexpressionsltoltheltherapist. E.lEncouragelsubstitutinglpositivelthoughtslforlnegativelthoughts. Clientsldiagnosedlwithlbipolarldisorderlmaylexperienceldepressivelthoughtsland/orlattemptlsuicide.lCognitiveltherapylsometimeslproduceslrelieflfromltroublinglsymp-ltomslexperiencedlbylclientslwithlbipolarldisorder.lCognitiveltherapylallowslclientsltolhandlel"thoughtlerrors"landlbehaviorsltolstoplnegativelthoughts. 3. Thelpracticallnursel(PN)lislevaluatinglalclient'slselflmanagementlofltypel1ldiabeteslmellitusl(DM).lWhichlfindingslprovidelthelbestlparameterlinlthe client'slgoalslforlthelpreventionlofllong-termlcomplicationsloflDM? A. Strictladherenceltolaldiabeticldiet. B. Participationlinlalregularlexerciselprogram. C. Scheduledladministrationloflaccuratelinsulinldoses. D. ConsistentlhemoglobinlA1cllevelslnolgreaterlthanl7% lAnswer:lD.lConsistentlhemo-lglobinlA1cllevelslnolgreaterlthanl7%. Forloptimalldiabeticlcontrol,levidence-basedlguidelineslrecommendlanlA1cltargetllevellnolgreaterlthanl7%lforlalclientlwithlDM,lwhichlislthelprimarylgoallandlindicatorlofleffectiveltreatmentlandldiabeteslmanagement.

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HESI PN EXIT Comprehensive V3 Exam
Questions and Verified Rationalized Answers, 100%
Guarantee Pass

1. What intervention should the practical nurse (PN) implement to meet the physiologic integrity o
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f a client during a manic episode of bipolar disorder?
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A. Provide the client with finger foods. l l l l l




B. Restrict the client's oral fluid intake. l l l l l




C. Give the client low-protein,low-calorie snacks.
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D. Interrupt the client's performance of rituals l l l l l




Answer:A.Provide the client with fingerfoods.
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During the manic phase of bipolar disorder, a client is often unable to sit still long enough to eat, so th
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e client should be provided finger foods that can be eaten whilehyperactive.
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2. A client with bipolar disorder is being treated with cognitive therapy.Whichactionsshouldthe pr
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actical nurse (PN) implement to reenforce thistreatmentstrategy? Select all that apply.
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A. Recommend daily physical activity. l l l




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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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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Clientsdiagnosedwithbipolardisordermayexperiencedepressivethoughtsand/orattempt suici
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de. Cognitive therapy sometimes produces relief from troubling symp-
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toms experienced by clients with bipolar disorder. Cognitive therapy allows clients to handle "thou
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ght errors" and behaviors to stop negative thoughts.
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3. The practical nurse (PN) is evaluating a client's self management of type1 diabetes mellitus (D
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M).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. l l l l l




C. Scheduled administration of accurate insulin doses.
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D. Consistent hemoglobin A1c levels no greater than 7%
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Answer: D.Consistent hemo-globin A1c levels no greater than 7%.
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For optimal diabetic control, evidence-
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based guidelines recommend an A1c targetlevelnogreaterthan7%foraclientwithDM,whichisthe
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primarygoalandindicatorof effective treatment and diabetes management.
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4. Whichactionshouldthepracticalnurse(PN)implementforayounggirlwithpulmonary infection wh
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o is receiving chest physiotherapy?
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A. Encourage to hold her breath and then cough. l l l l l l l




B. Administer bronchodilators after the procedure. l l l l




C. Allow the child to sit in a position of choice.
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D. Percuss the chest wall in a rhythmic fashion Answer:D.Percuss the chest wall in arhythmic fashion.
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Thick secretions that are difficult to cough up can be loosened by tapping, or percussing, and vibrati
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, ng the chest.Percussion is carried out by cupping the handsand lightly striking the chest wall in a rhyth
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mic fashion over the lung segment to bedrained
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5. The practical nurse (PN) is preparing to administer erythromycin (Ilotycin)0.5% ophthalmic oint
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ment to a newborn.The father asks the PN the purposeof this medication.What rationale should th
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e 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 l l l l l




Answer:C.To prevent infection in the baby's eyes.
l l l l l l l l l

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