PN HESI EXIT 1 Final Exam Questions and Verified
Answers
What instruction should a nurse provide to a pregnant client with genital herpes to protect
the fetus?
A cesarean section will be necessary if vaginal lesions are present at the time of labor.
What intervention should a nurse include in the care plan for a client with herpes zoster?
Administer analgesics for pain.
What should a practical nurse do if they observe hives with pruritus in a client receiving IV
antibiotics?
Stop the IV infusion and notify the healthcare provider.
Why is it important to place gauze pads on a sterile field after opening the package?
To maintain sterility and prevent infection during the dressing change.
Why should an infant be kept NPO until a diagnosis of tracheoesophageal fistula (TEF) is
confirmed?
Keeping the infant NPO prevents further choking and aspiration risks.
What should a practical nurse prioritize if IV bleeding causes the client to become unstable?
Monitor the client's vital signs closely.
,What specific instruction should a client who has undergone hip arthroplasty follow regarding
their legs during turning?
Keep one leg straight and the other bent.
What signs and symptoms should a nurse expect to assess in a client with pneumonia?
Pyrexia, crackles in the bases of the lungs, and dyspnea.
What should a practical nurse prioritize if an infant's condition worsens while being kept
NPO?
Administer IV fluids immediately.
What is the most appropriate nursing intervention for an acutely agitated client with
paranoia?
Provide personal space.
What action should a client take prior to using fluticasone furoate nasal spray?
Gently blow the nose.
Which symptom should a client taking lovastatin (Mevacor) report immediately?
Muscle aching.
What does recognizing dyspnea and lung crackles indicate in a patient with pneumonia?
It indicates respiratory distress and fluid in the lungs.
What additional finding in a child with a spiral fracture may indicate physical abuse?
, The child clings to the nurse when his father enters the room.
What instruction should a nurse provide to a UAP assisting a client with intractable pain?
Take measures to promote as much comfort as possible.
What is a priority assessment for a nurse caring for a patient receiving an opioid analgesic?
Level of consciousness and respiratory rate.
How should a practical nurse document a client's radial pulse that disappears with light
pressure?
Thready pulse volume.
What action should a practical nurse take after administering an anticonvulsant that causes
photosensitivity?
Remind the client to protect skin from sunlight.
Which urinalysis result supports a suspicion of a urinary tract infection?
WBC 10-15.
Why is it important for a client who had a hip arthroplasty to keep their legs straight and
together during turning?
To prevent dislocation of the hip prosthesis and ensure proper alignment.
What should be the immediate nursing intervention if a patient with rubra lochia saturates
three perineal pads per hour?
Answers
What instruction should a nurse provide to a pregnant client with genital herpes to protect
the fetus?
A cesarean section will be necessary if vaginal lesions are present at the time of labor.
What intervention should a nurse include in the care plan for a client with herpes zoster?
Administer analgesics for pain.
What should a practical nurse do if they observe hives with pruritus in a client receiving IV
antibiotics?
Stop the IV infusion and notify the healthcare provider.
Why is it important to place gauze pads on a sterile field after opening the package?
To maintain sterility and prevent infection during the dressing change.
Why should an infant be kept NPO until a diagnosis of tracheoesophageal fistula (TEF) is
confirmed?
Keeping the infant NPO prevents further choking and aspiration risks.
What should a practical nurse prioritize if IV bleeding causes the client to become unstable?
Monitor the client's vital signs closely.
,What specific instruction should a client who has undergone hip arthroplasty follow regarding
their legs during turning?
Keep one leg straight and the other bent.
What signs and symptoms should a nurse expect to assess in a client with pneumonia?
Pyrexia, crackles in the bases of the lungs, and dyspnea.
What should a practical nurse prioritize if an infant's condition worsens while being kept
NPO?
Administer IV fluids immediately.
What is the most appropriate nursing intervention for an acutely agitated client with
paranoia?
Provide personal space.
What action should a client take prior to using fluticasone furoate nasal spray?
Gently blow the nose.
Which symptom should a client taking lovastatin (Mevacor) report immediately?
Muscle aching.
What does recognizing dyspnea and lung crackles indicate in a patient with pneumonia?
It indicates respiratory distress and fluid in the lungs.
What additional finding in a child with a spiral fracture may indicate physical abuse?
, The child clings to the nurse when his father enters the room.
What instruction should a nurse provide to a UAP assisting a client with intractable pain?
Take measures to promote as much comfort as possible.
What is a priority assessment for a nurse caring for a patient receiving an opioid analgesic?
Level of consciousness and respiratory rate.
How should a practical nurse document a client's radial pulse that disappears with light
pressure?
Thready pulse volume.
What action should a practical nurse take after administering an anticonvulsant that causes
photosensitivity?
Remind the client to protect skin from sunlight.
Which urinalysis result supports a suspicion of a urinary tract infection?
WBC 10-15.
Why is it important for a client who had a hip arthroplasty to keep their legs straight and
together during turning?
To prevent dislocation of the hip prosthesis and ensure proper alignment.
What should be the immediate nursing intervention if a patient with rubra lochia saturates
three perineal pads per hour?
