HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
1. The practical nurse (PN) notices that a client's Ask the client about urinary frequency
urine is pale yellow, with a cloudy appearance,
and has a foul odor. Which assessment should
the PN complete next?
2. The practical nurse (PN) is caring for a client Gently blow the nose.
with a new prescription for fluticasone furoate
nasal spray prescribed for the client's aller-
gy symptoms. While reinforcing instructions
about self-administration of the nasal spray,
the PN should emphasize the need for the
client to take which action before self admin-
istration?
3. An older adult client who resides in a Exit the room and quietly close the
long-term care facility has a friend of the op- door.
posite sex who often visits in the evenings.
The practical nurse (PN) enters the client's
room to administer medications and finds the
couple in bed together. Which action should
the PN take?
4. Several residents of a long-term care facility Pupillary constriction.
are receiving eye drops to treat glaucoma.
The practical nurse (PN) should caution the
unlicensed assistive personnel (UAPs) caring
for these clients to observe for which effect
because it places
the clients at risk for falls?
5. Which action by a practical nurse (PN) indi- Hold your hands lower than your el-
cates the best understanding of the principles bows to promote microbe removal.
, HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
related to medical asepsis and effective hand-
washing?
6. The practical nurse (PN) is removing the per- gloves
sonal protective equipment (PPE) worn when
caring for a client. Which PPE should be re-
moved first?
7. The practical nurse (PN) palpates a client's ra- Thready pulse volume.
dial pulse and notes that the pulse disappears
when light pressure is applied. How should
the PN document this finding?
8. The practical nurse (PN) is caring for a prim- Rubra lochia saturating three perineal
igravida five hours after a vaginal delivery. pads per hour.
Which finding should the PN report immedi-
ately to the charge nurse?
9. Following the dressing change of an abdomi- Tell me more about your concerns re-
nal surgical wound, a client expresses concern garding an abdominal scar.
to the practical nurse (PN) about the scar that
might result from the wound. Which response
is best for the PN to provide?
10. The practical nurse (PN) is making a home visit Administer a prescribed PRN dose of
to an older adult client who was recently diag- analgesic.
nosed with Herpes zoster. The client reports
the onset of severe burning pain along the
right side of the trunk. Which action should
the PN take?
11. When preparing to change a client's sterile Pick up pads and place them on a ster-
dressing, the practical nurse (PN) opens a ile field.
, HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
package of gauze pads as seen in the picture.
Which action should the PN take next?
12. A client experiences a muscle strain or sprain Apply ice to the injured site at
to the ankle. Which intervention should the 15-minute intervals for the first 24
practical nurse (PN) implement for an acute hours.
soft tissue injury?
13. The practical nurse (PN) is assisting the nurse a. Dyspnea
with the admission physical assessment of a c. Lung crackles
client diagnosed with e. Painful cough
pneumonia. What symptom(s) is the client
most likely to exhibit?
14. The practical nurse (PN) is working with a new- Posting client names and healthcare
ly hired PN on a medical-surgical unit. Which providers on hospital room doors.
action performed by the newly hired PN re-
quires intervention by the PN?
15. The practical nurse (PN) is caring for a Monitor the distal toes every 2 hours
9-month-old infant with developmental dys- for movement, sensation, and circula-
plasia of the hip (DDH) after a closed tion.
reduction and hip spica cast application. After
application of the cast, which is the most im-
portant intervention in caring for
the infant?
16. The practical nurse (PN) turns a client with Sacrum
right-sided paralysis from a supine to a left lat-
eral position. Which bony prominence is most
likely to manifest signs of erythema when first
turned?
, HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
17. Which nursing intervention is most important Weigh the child daily
to include in the plan of care for a child with
acute glomerulonephritis?
18. The practical nurse (PN) observes two unli- The client is told to keep both legs
censed assistive personnel (UAP) turning an straight and together while turning.
older adult client who had a hip arthroplas-
ty with prosthesis placement four hours ago.
Which observation by the PN indicates that
the UAPs need additional information about
the turning procedure?
19. An older adult female resident of a long-term Appearance of skin in perineal area.
care facility experiences frequent episodes of
urinary incontinence. Which focused assess-
ment is most important for the practical nurse
(PN) to perform regularly in response to the
resident's
incontinence?
20. Prior to an invasive examination of a hospi- Asks if the client understands the exam
talized client, a consent form should be ob- and why the consent form must be
tained. Which action best describes the re- signed.
sponsibility of the practical nurse (PN)?
21. A client tells the practical nurse (PN) of being Tell me what is making you feel afraid.
afraid about a scheduled surgery. How should
the PN respond?
It is normal to have some fears before
surgery.
22. The practical nurse (PN) observes a client's ini- *Compress the drainage device before
tial postoperative dressing and drain as seen closing the tab.
Study online at https://quizlet.com/_hje1l0
1. The practical nurse (PN) notices that a client's Ask the client about urinary frequency
urine is pale yellow, with a cloudy appearance,
and has a foul odor. Which assessment should
the PN complete next?
2. The practical nurse (PN) is caring for a client Gently blow the nose.
with a new prescription for fluticasone furoate
nasal spray prescribed for the client's aller-
gy symptoms. While reinforcing instructions
about self-administration of the nasal spray,
the PN should emphasize the need for the
client to take which action before self admin-
istration?
3. An older adult client who resides in a Exit the room and quietly close the
long-term care facility has a friend of the op- door.
posite sex who often visits in the evenings.
The practical nurse (PN) enters the client's
room to administer medications and finds the
couple in bed together. Which action should
the PN take?
4. Several residents of a long-term care facility Pupillary constriction.
are receiving eye drops to treat glaucoma.
The practical nurse (PN) should caution the
unlicensed assistive personnel (UAPs) caring
for these clients to observe for which effect
because it places
the clients at risk for falls?
5. Which action by a practical nurse (PN) indi- Hold your hands lower than your el-
cates the best understanding of the principles bows to promote microbe removal.
, HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
related to medical asepsis and effective hand-
washing?
6. The practical nurse (PN) is removing the per- gloves
sonal protective equipment (PPE) worn when
caring for a client. Which PPE should be re-
moved first?
7. The practical nurse (PN) palpates a client's ra- Thready pulse volume.
dial pulse and notes that the pulse disappears
when light pressure is applied. How should
the PN document this finding?
8. The practical nurse (PN) is caring for a prim- Rubra lochia saturating three perineal
igravida five hours after a vaginal delivery. pads per hour.
Which finding should the PN report immedi-
ately to the charge nurse?
9. Following the dressing change of an abdomi- Tell me more about your concerns re-
nal surgical wound, a client expresses concern garding an abdominal scar.
to the practical nurse (PN) about the scar that
might result from the wound. Which response
is best for the PN to provide?
10. The practical nurse (PN) is making a home visit Administer a prescribed PRN dose of
to an older adult client who was recently diag- analgesic.
nosed with Herpes zoster. The client reports
the onset of severe burning pain along the
right side of the trunk. Which action should
the PN take?
11. When preparing to change a client's sterile Pick up pads and place them on a ster-
dressing, the practical nurse (PN) opens a ile field.
, HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
package of gauze pads as seen in the picture.
Which action should the PN take next?
12. A client experiences a muscle strain or sprain Apply ice to the injured site at
to the ankle. Which intervention should the 15-minute intervals for the first 24
practical nurse (PN) implement for an acute hours.
soft tissue injury?
13. The practical nurse (PN) is assisting the nurse a. Dyspnea
with the admission physical assessment of a c. Lung crackles
client diagnosed with e. Painful cough
pneumonia. What symptom(s) is the client
most likely to exhibit?
14. The practical nurse (PN) is working with a new- Posting client names and healthcare
ly hired PN on a medical-surgical unit. Which providers on hospital room doors.
action performed by the newly hired PN re-
quires intervention by the PN?
15. The practical nurse (PN) is caring for a Monitor the distal toes every 2 hours
9-month-old infant with developmental dys- for movement, sensation, and circula-
plasia of the hip (DDH) after a closed tion.
reduction and hip spica cast application. After
application of the cast, which is the most im-
portant intervention in caring for
the infant?
16. The practical nurse (PN) turns a client with Sacrum
right-sided paralysis from a supine to a left lat-
eral position. Which bony prominence is most
likely to manifest signs of erythema when first
turned?
, HESI PN EXIT
Study online at https://quizlet.com/_hje1l0
17. Which nursing intervention is most important Weigh the child daily
to include in the plan of care for a child with
acute glomerulonephritis?
18. The practical nurse (PN) observes two unli- The client is told to keep both legs
censed assistive personnel (UAP) turning an straight and together while turning.
older adult client who had a hip arthroplas-
ty with prosthesis placement four hours ago.
Which observation by the PN indicates that
the UAPs need additional information about
the turning procedure?
19. An older adult female resident of a long-term Appearance of skin in perineal area.
care facility experiences frequent episodes of
urinary incontinence. Which focused assess-
ment is most important for the practical nurse
(PN) to perform regularly in response to the
resident's
incontinence?
20. Prior to an invasive examination of a hospi- Asks if the client understands the exam
talized client, a consent form should be ob- and why the consent form must be
tained. Which action best describes the re- signed.
sponsibility of the practical nurse (PN)?
21. A client tells the practical nurse (PN) of being Tell me what is making you feel afraid.
afraid about a scheduled surgery. How should
the PN respond?
It is normal to have some fears before
surgery.
22. The practical nurse (PN) observes a client's ini- *Compress the drainage device before
tial postoperative dressing and drain as seen closing the tab.