HESI PN Exit Exam V3 Questions And Correct Verified Answers
A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of
scarlet fever. Which assessment finding provides the earliest Indication to the nurse that the child is
experiencing a reaction to the toxins that are created by the Streptococcus bacteria? - answer-Red bumps
across chest.
26
When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)? -
answer-If the clients has an elevated blood pressure.
20
A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains
noreninanbrine dextrose 5% in water (D,W) 1,000 mL. How many mL/hour should the nurse program the
infusion pump? only.)
45 - answer-45
am
Which laboratory results should the nurse closely monitor in a client wvho has end-stage renal disease (ESRD)?
- answer-Serum potassium, calcium, and phosphorus.
Ex
In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most
important for the nurse
s
to report to the healthcare provider? - answer-Watery diarrhea.
rt
A 6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy. Which pre-operative nursing
pe
action has highest priority? - answer-Initiate a continuous infusion of IV fluids per prescription.
A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission
Ex
procedure, the client has a tonic-clonic
seizure that lasts 50 seconds. Following the seizure, the client is lethargic and confused and his wife tells the
nurse that her husband
has never had a seizure before and has always been alert and communicative. Which action should the nurse
take? - answer-Explain the postictal state that usually follows selzures.
,The client Is a 49-year old who reports flu-like symptoms including fever and chest congestion for 4days.
He came to the emergency department (ED) last night when he was having more difficulty breathing. He
has a history of one-half pack a day cigarette
smoking for 20 years. He has no significant medical or surgical history.
What 2 orders should the nurse complete first? - answer-Place the client on a cardiorespiratory monitor
2 6
Start oxygen 3 L vla nasal cannula
20
.To start the client on oxygen as ordered, what should the nurse collect from the
supply room? Select all that apply. - answer-B Nasal cannula
C Lamb's wool
D Humidifier bottle
F Sterile water
am
G Flowmeter
Ex
The client Is a 49-year-old who reports flu-like symptoms Including fever and chest congestion for 4days. He
came to the emergency department (ED) last night when he was having more difficulty breathing. He has a
ts
history of one-half pack a day cigarette smoking for 20 years. He has no significant medical or surgical history.
- answer-Respiratory oxygen saturation 90% respiratory rate 28 BPM
Neurological anxious restless
r
pe
Cardiovascular BP 145/89 MMHG heart rate 101 BPM
A clients oxygen saturation remains 85-90% after 15 minutes of oxygen therapy. Drag from the choices below
Ex
to fill In each blank in the following sentence - answer-the nurse should place the client in a a semi fowvlers
position to promote lung expansion
Night when he was having more difficulty breathing. He has a history of one half back a day cigarette smoking
for 20 years. He has no significant medical or surgical history - answer-The client should take a 1 to 2 minute
break from the facemask each hour 2
I should put gauze under the elastic straps over the earlobe
, I can adjust Da oxygen level on the flow metre to keep the client oxygen saturation greater than 94%
one,
I should clean the face mask once per shift
I should please The mask first over the nose under cover the mouth one
The mask should cover only the mouth and leave the nose open for expiration2
26
What are the 3 most Important goals that would help the nurse evaluate the
treatment of this client at discharge? - answer-The dient will remain free of skin breakdown
20
The client will maintaln oxygen saturation of 96% without supplemental ox
The client will be afebrile for 24 hours
The most important goals for a client with hypoxia related to pneumonia to achieve by discharge are to
remain free of skin breakdown related to the devices that deliver oxygen, to wean the oxygen off and
am
maintain appropriate oxygen saturation levels, and to be afebrile.
A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease
Ex
(COPD) and peripheral vascular disease (PVD) is being discharged from a skilled nursing facility. Which
action is most important for the nurse to implement? - answer-Reinforce need for adequate hydration.
Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty in
s
breathing. The nurse suspects that the client may have had a pulmonary embolus. Which action should
the nurse take first? - answer-Provide supplemental oxygen
rt
pe
The nurse is providing teaching to a client with type two diabetes mellitus about important points for
disease and symptom management. Which statement by the client indicates understanding? - answer-
Get an eye examination with an ophthalmologist annually.
Ex
the nurse obtains a prescription to perform a straight catheterization, After inserting
the cathotor, the nurse observes that the client has an immediate output of 500 mnl. of clear yellow
urine. Which action should the nurse implomontinext? - answer-Allow the bladder to empty completely
or up to 1 000 ml of urine.
The charge nurse observes a new nurse demonstrate the administration of two different liquid
medications through a gastrostomy tube used for continuous feedings, as seen in the video. Which
A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of
scarlet fever. Which assessment finding provides the earliest Indication to the nurse that the child is
experiencing a reaction to the toxins that are created by the Streptococcus bacteria? - answer-Red bumps
across chest.
26
When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)? -
answer-If the clients has an elevated blood pressure.
20
A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains
noreninanbrine dextrose 5% in water (D,W) 1,000 mL. How many mL/hour should the nurse program the
infusion pump? only.)
45 - answer-45
am
Which laboratory results should the nurse closely monitor in a client wvho has end-stage renal disease (ESRD)?
- answer-Serum potassium, calcium, and phosphorus.
Ex
In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most
important for the nurse
s
to report to the healthcare provider? - answer-Watery diarrhea.
rt
A 6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy. Which pre-operative nursing
pe
action has highest priority? - answer-Initiate a continuous infusion of IV fluids per prescription.
A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission
Ex
procedure, the client has a tonic-clonic
seizure that lasts 50 seconds. Following the seizure, the client is lethargic and confused and his wife tells the
nurse that her husband
has never had a seizure before and has always been alert and communicative. Which action should the nurse
take? - answer-Explain the postictal state that usually follows selzures.
,The client Is a 49-year old who reports flu-like symptoms including fever and chest congestion for 4days.
He came to the emergency department (ED) last night when he was having more difficulty breathing. He
has a history of one-half pack a day cigarette
smoking for 20 years. He has no significant medical or surgical history.
What 2 orders should the nurse complete first? - answer-Place the client on a cardiorespiratory monitor
2 6
Start oxygen 3 L vla nasal cannula
20
.To start the client on oxygen as ordered, what should the nurse collect from the
supply room? Select all that apply. - answer-B Nasal cannula
C Lamb's wool
D Humidifier bottle
F Sterile water
am
G Flowmeter
Ex
The client Is a 49-year-old who reports flu-like symptoms Including fever and chest congestion for 4days. He
came to the emergency department (ED) last night when he was having more difficulty breathing. He has a
ts
history of one-half pack a day cigarette smoking for 20 years. He has no significant medical or surgical history.
- answer-Respiratory oxygen saturation 90% respiratory rate 28 BPM
Neurological anxious restless
r
pe
Cardiovascular BP 145/89 MMHG heart rate 101 BPM
A clients oxygen saturation remains 85-90% after 15 minutes of oxygen therapy. Drag from the choices below
Ex
to fill In each blank in the following sentence - answer-the nurse should place the client in a a semi fowvlers
position to promote lung expansion
Night when he was having more difficulty breathing. He has a history of one half back a day cigarette smoking
for 20 years. He has no significant medical or surgical history - answer-The client should take a 1 to 2 minute
break from the facemask each hour 2
I should put gauze under the elastic straps over the earlobe
, I can adjust Da oxygen level on the flow metre to keep the client oxygen saturation greater than 94%
one,
I should clean the face mask once per shift
I should please The mask first over the nose under cover the mouth one
The mask should cover only the mouth and leave the nose open for expiration2
26
What are the 3 most Important goals that would help the nurse evaluate the
treatment of this client at discharge? - answer-The dient will remain free of skin breakdown
20
The client will maintaln oxygen saturation of 96% without supplemental ox
The client will be afebrile for 24 hours
The most important goals for a client with hypoxia related to pneumonia to achieve by discharge are to
remain free of skin breakdown related to the devices that deliver oxygen, to wean the oxygen off and
am
maintain appropriate oxygen saturation levels, and to be afebrile.
A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease
Ex
(COPD) and peripheral vascular disease (PVD) is being discharged from a skilled nursing facility. Which
action is most important for the nurse to implement? - answer-Reinforce need for adequate hydration.
Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty in
s
breathing. The nurse suspects that the client may have had a pulmonary embolus. Which action should
the nurse take first? - answer-Provide supplemental oxygen
rt
pe
The nurse is providing teaching to a client with type two diabetes mellitus about important points for
disease and symptom management. Which statement by the client indicates understanding? - answer-
Get an eye examination with an ophthalmologist annually.
Ex
the nurse obtains a prescription to perform a straight catheterization, After inserting
the cathotor, the nurse observes that the client has an immediate output of 500 mnl. of clear yellow
urine. Which action should the nurse implomontinext? - answer-Allow the bladder to empty completely
or up to 1 000 ml of urine.
The charge nurse observes a new nurse demonstrate the administration of two different liquid
medications through a gastrostomy tube used for continuous feedings, as seen in the video. Which
