PN HESI EXIT 1 Final Exam Questions and 100% Verified
Answers
Use glove finger to rub the suspension over the infected area
in administer nystatin suspension to the gums infant with candida infection. which approach
should the PN use
Assess the skin daily for area of ecchymosis or other signs of bleeding
the practical nurse (PN) is assessing with the pain of care for a client pain of care receiving the
nonsteriod antiinflammatory drug for painful muscle spine of the back. which interveantion
should the PN include in the client plan of care?
give the medication and document the heart rate.
prior to giving the digoxin the PN assess that a two month old infant heart rate is 120bpm based
on this finding what action should the PN take?
preventing heart loss and neinatal cold stress
immediately after birth which nursing intervention has the highest priorityfor the newborn
infant?
send the client home and instruct to call the clinic when her contraction occured 5 mins apart
for one hour
A client who is primigravida at term comes to the prenatal clinic and tells the PN that she having
contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor
,and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with
mild intensitiy by palpation. which action should the nurse take.
obtain a full minute apical pulse assessment
the online UAP report to the PN that an older client haas a radius pulse of 55 bpm. which
intervention should the PN implement first
Dehiscence
an older client who has a cologne resection 8 days ago is straining at stool the PN nurse
observed sudden spillage of serosanguinous drainage from the client's wound followed by
appearance bowel on the skin. which implication has occurred?
determine the level of consciousness
at 0800, a client apical pulse rate is 98 bpm 4 hours later the apical pulse is 54 bpm which action
should the PN take next.
consult with the charge nurse about the catheter
a charge nurse brings a #18 urinal catheter with 30 mL balloon to the PN who is preparing to
insert a catheter in female client who weighs 50kg .which action do the PN takes first?
provide the client a glass of milk
the PN obtain a fingerstick glucoss for a client with a type one mellitus who is conscious and
demonstrating hand tremors and shaking .the PN reports the client result of 55mg/dL to the
nurse. which action should the PN prepare to implement next?
, measure and document urinary output
the client with acute kidney injury is admitted with elevated pulse rate and blood pressure.
which intervention should the PN implement?
Culture for sensitive organism
while changing the dressing of client who is immobile. the PN observes a red and swollen
wound with moderate amount of yellow and green drainage and foul odor. before reporting this
finding to the HCP the PN should evaluate which client lab value ?
Quinipril
a client with hypertension complains of persistence dry cough the PN should tell the client that
this a common side effect of which daily medication?
Sclera and muccus membrane
when gathering data about a client with dark skin tone which site should the PN observed?
provide gentle and meticulous care
a client who is receiving chemotherapy has developed stomati which instruction should the PN
provides the UAP who is assessing with this client?
observe suture line for separation and hematoma formation
the PN views the midline a epistoinomy of client who reports pain in her stitches . which action
should the PN take first?
maternal hypotension
Answers
Use glove finger to rub the suspension over the infected area
in administer nystatin suspension to the gums infant with candida infection. which approach
should the PN use
Assess the skin daily for area of ecchymosis or other signs of bleeding
the practical nurse (PN) is assessing with the pain of care for a client pain of care receiving the
nonsteriod antiinflammatory drug for painful muscle spine of the back. which interveantion
should the PN include in the client plan of care?
give the medication and document the heart rate.
prior to giving the digoxin the PN assess that a two month old infant heart rate is 120bpm based
on this finding what action should the PN take?
preventing heart loss and neinatal cold stress
immediately after birth which nursing intervention has the highest priorityfor the newborn
infant?
send the client home and instruct to call the clinic when her contraction occured 5 mins apart
for one hour
A client who is primigravida at term comes to the prenatal clinic and tells the PN that she having
contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor
,and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with
mild intensitiy by palpation. which action should the nurse take.
obtain a full minute apical pulse assessment
the online UAP report to the PN that an older client haas a radius pulse of 55 bpm. which
intervention should the PN implement first
Dehiscence
an older client who has a cologne resection 8 days ago is straining at stool the PN nurse
observed sudden spillage of serosanguinous drainage from the client's wound followed by
appearance bowel on the skin. which implication has occurred?
determine the level of consciousness
at 0800, a client apical pulse rate is 98 bpm 4 hours later the apical pulse is 54 bpm which action
should the PN take next.
consult with the charge nurse about the catheter
a charge nurse brings a #18 urinal catheter with 30 mL balloon to the PN who is preparing to
insert a catheter in female client who weighs 50kg .which action do the PN takes first?
provide the client a glass of milk
the PN obtain a fingerstick glucoss for a client with a type one mellitus who is conscious and
demonstrating hand tremors and shaking .the PN reports the client result of 55mg/dL to the
nurse. which action should the PN prepare to implement next?
, measure and document urinary output
the client with acute kidney injury is admitted with elevated pulse rate and blood pressure.
which intervention should the PN implement?
Culture for sensitive organism
while changing the dressing of client who is immobile. the PN observes a red and swollen
wound with moderate amount of yellow and green drainage and foul odor. before reporting this
finding to the HCP the PN should evaluate which client lab value ?
Quinipril
a client with hypertension complains of persistence dry cough the PN should tell the client that
this a common side effect of which daily medication?
Sclera and muccus membrane
when gathering data about a client with dark skin tone which site should the PN observed?
provide gentle and meticulous care
a client who is receiving chemotherapy has developed stomati which instruction should the PN
provides the UAP who is assessing with this client?
observe suture line for separation and hematoma formation
the PN views the midline a epistoinomy of client who reports pain in her stitches . which action
should the PN take first?
maternal hypotension