Exit HESI PN Final Exam Questions and 100% Verified
Answers
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?
• 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?
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?
,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
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
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?
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?
,• 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?
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?
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?
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?
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?
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?
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
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
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
Answers
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?
• 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?
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?
,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
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
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?
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?
,• 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?
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?
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?
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?
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?
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?
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
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
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