HESI PN EXIT
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1. Following the dressing change of an abdominal surgi- A."You can always wear
cal wound, a client expresses concern to the practical clothing to cover the
nurse (P) about the scar that might result from the scar."
wound. Which response is best for the PN to provide? B." know you are fright-
ened about how you will
appear later."
C. "Tell me more about
your concerns regarding
an abdominal scar."
D." have heard that rub-
bing coco butter on the
scar helps it fade away
Answer :C
2. The practical nurse (P) is caring for a 17-year-old client A.Inquire about food al-
who fell 20 feet while climbing the side of a cliff and lergies and food likes and
has been in a sustained vegetative state for 5 months dislikes.
since the accident. Which intervention should the PN B Monitor vital signs and
implement? neurological status every 2
hours.
C Talk directly to the ado-
lescent while providing
care.
D Initiate open communi-
cation with the teens par-
ents.
Answer : C
3. The practical nurse (P) is assisting with the develop- A .The client's fasting
ment of a plan of care for an older adult client who glucose reading will be
, HESI PN EXIT
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reports blurred vision and who is newly diagnosed greater than 140 mg/dL
with type 2 diabetes (DM). Which outcome should the (8 mmol/L) every day.
PN include in the plan of care? B. The client will express
Reference Ranges: acceptance of their newly
Glycosylated hemoglobin (A1C) [4% to 5.9%] diagnosed health status.
Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 C. The client's hemoglobin
mmol/L)] AlC will be less than 7.0 %
in 3 months.
D. The PN will reinforce
with the client on how to
perform stress manage-
ment techniques.
Answer : C
4. at 39 weeks gestation is admitted in early labor. Dur- A.Term 2, Premature 1,
ing the focused assessment, the practical nurse (PN) Abortion 0,Living 3.
reviews the obstetrical history with the client o reports B.Term 3, Premature 0,
that she has been pregnant five times but has only two Abortion 3,Living 2.
living children, both of whom were full term. The oth- C.Term 2, Premature 3,
er three pregnancies were miscarriages ing the first Abortion 3,Living 2
trimester. Which parity should the PN document for D. Term 6, Premature 3,
term, premature, abortion, and living children (TPAL) Abortion 3,Living 2.
for this client?
Answer: B
5. The home health practical nurse (P) visits a young A. Call for ambulance
male client with AIDS who has Kaposi's sarcoma and transportation to the hos-
peripheral neuropathies. His parents, who provide pital immediately.
care for the client, state that their son sleeps most of B. Give a complete bed
the time. The PN observes the client is semi-conscious bath to further assess the
with stable vital signs and cries out in pain when client.
, HESI PN EXIT
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turned or moved. A fentanyl patch is in place and C.Discuss end-of-life deci-
skin lesions are closed and dried. Which intervention sions with the client's par-
should the PN implement? ents.
D.Remove the fentanyl
patch as directed by pre-
scription.
Answer: C
6. Twenty four hours after receiving a telephone pre- A.Hold the next dose of
scription for a client's medication, the practical nurse medication and assess the
(P) observes that the prescription has not been signed client.
by the prescriber, which conflicts with agency policy. B.Continue to administer
Which action should the PN take? the medication as initially
prescribed.
C.Contact the prescriber
for a renewal of the pre-
scription.
D.Discontinue the med-
ication immediately.
Answer: c
7. An older adult female resident of a long-term care fa- A. Ability to perform Kegel
cility experiences frequent episodes of urinary incon- exercises.
tinence. Which focused assessment is most important B.Fluctuations in the body
for weight.
the practical nurse (P) to perform regularly in re- C.Appearance of skin in
sponse to the resident's incontinence? perineal area.
D.Sleep and rest patterns
and routines.
Answer: C
, HESI PN EXIT
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8. Which is the first intervention for the practical nurse A.Determine the client's
(P) to implement when a client refuses to take a pre- reason for refusing the
scribed medication? medication
B.Instruct the client about
the purpose of the med-
ication.
C.Document the client's
refusal on the medication
record.
D.Explain to the client the
potential harm in not tak-
ing the medication.
Answer:A
9. The practical nurse (P) is assisting a client who is multi- A.Obtain fetal heart rate
parous in active labor with breathing techniques dur- and maternal vital signs.
ing contractions. The client's contractions are occur- B.Instruct the client to
ring every 2 minutes, with a duration of 80 seconds, push with each contrac-
when she suddenly wants to go to the bathroom to tion.
have a bowel movement. Which should the PN do C.Notify the registered
first? nurse (R) of the client's
urge to push.
D.Provide the client with a
bedpan to have a bowel
movement.
Answer :C
10. At the end of a 12 hour shift, the practical nurse (P) A.Note the most recent
observes the urine in a client's drainage bag as seen white blood cell count.
in the picture. Which action should the PN take next? B.Obtain a fingerstick cap-
Study online at https://quizlet.com/_hltf11
1. Following the dressing change of an abdominal surgi- A."You can always wear
cal wound, a client expresses concern to the practical clothing to cover the
nurse (P) about the scar that might result from the scar."
wound. Which response is best for the PN to provide? B." know you are fright-
ened about how you will
appear later."
C. "Tell me more about
your concerns regarding
an abdominal scar."
D." have heard that rub-
bing coco butter on the
scar helps it fade away
Answer :C
2. The practical nurse (P) is caring for a 17-year-old client A.Inquire about food al-
who fell 20 feet while climbing the side of a cliff and lergies and food likes and
has been in a sustained vegetative state for 5 months dislikes.
since the accident. Which intervention should the PN B Monitor vital signs and
implement? neurological status every 2
hours.
C Talk directly to the ado-
lescent while providing
care.
D Initiate open communi-
cation with the teens par-
ents.
Answer : C
3. The practical nurse (P) is assisting with the develop- A .The client's fasting
ment of a plan of care for an older adult client who glucose reading will be
, HESI PN EXIT
Study online at https://quizlet.com/_hltf11
reports blurred vision and who is newly diagnosed greater than 140 mg/dL
with type 2 diabetes (DM). Which outcome should the (8 mmol/L) every day.
PN include in the plan of care? B. The client will express
Reference Ranges: acceptance of their newly
Glycosylated hemoglobin (A1C) [4% to 5.9%] diagnosed health status.
Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 C. The client's hemoglobin
mmol/L)] AlC will be less than 7.0 %
in 3 months.
D. The PN will reinforce
with the client on how to
perform stress manage-
ment techniques.
Answer : C
4. at 39 weeks gestation is admitted in early labor. Dur- A.Term 2, Premature 1,
ing the focused assessment, the practical nurse (PN) Abortion 0,Living 3.
reviews the obstetrical history with the client o reports B.Term 3, Premature 0,
that she has been pregnant five times but has only two Abortion 3,Living 2.
living children, both of whom were full term. The oth- C.Term 2, Premature 3,
er three pregnancies were miscarriages ing the first Abortion 3,Living 2
trimester. Which parity should the PN document for D. Term 6, Premature 3,
term, premature, abortion, and living children (TPAL) Abortion 3,Living 2.
for this client?
Answer: B
5. The home health practical nurse (P) visits a young A. Call for ambulance
male client with AIDS who has Kaposi's sarcoma and transportation to the hos-
peripheral neuropathies. His parents, who provide pital immediately.
care for the client, state that their son sleeps most of B. Give a complete bed
the time. The PN observes the client is semi-conscious bath to further assess the
with stable vital signs and cries out in pain when client.
, HESI PN EXIT
Study online at https://quizlet.com/_hltf11
turned or moved. A fentanyl patch is in place and C.Discuss end-of-life deci-
skin lesions are closed and dried. Which intervention sions with the client's par-
should the PN implement? ents.
D.Remove the fentanyl
patch as directed by pre-
scription.
Answer: C
6. Twenty four hours after receiving a telephone pre- A.Hold the next dose of
scription for a client's medication, the practical nurse medication and assess the
(P) observes that the prescription has not been signed client.
by the prescriber, which conflicts with agency policy. B.Continue to administer
Which action should the PN take? the medication as initially
prescribed.
C.Contact the prescriber
for a renewal of the pre-
scription.
D.Discontinue the med-
ication immediately.
Answer: c
7. An older adult female resident of a long-term care fa- A. Ability to perform Kegel
cility experiences frequent episodes of urinary incon- exercises.
tinence. Which focused assessment is most important B.Fluctuations in the body
for weight.
the practical nurse (P) to perform regularly in re- C.Appearance of skin in
sponse to the resident's incontinence? perineal area.
D.Sleep and rest patterns
and routines.
Answer: C
, HESI PN EXIT
Study online at https://quizlet.com/_hltf11
8. Which is the first intervention for the practical nurse A.Determine the client's
(P) to implement when a client refuses to take a pre- reason for refusing the
scribed medication? medication
B.Instruct the client about
the purpose of the med-
ication.
C.Document the client's
refusal on the medication
record.
D.Explain to the client the
potential harm in not tak-
ing the medication.
Answer:A
9. The practical nurse (P) is assisting a client who is multi- A.Obtain fetal heart rate
parous in active labor with breathing techniques dur- and maternal vital signs.
ing contractions. The client's contractions are occur- B.Instruct the client to
ring every 2 minutes, with a duration of 80 seconds, push with each contrac-
when she suddenly wants to go to the bathroom to tion.
have a bowel movement. Which should the PN do C.Notify the registered
first? nurse (R) of the client's
urge to push.
D.Provide the client with a
bedpan to have a bowel
movement.
Answer :C
10. At the end of a 12 hour shift, the practical nurse (P) A.Note the most recent
observes the urine in a client's drainage bag as seen white blood cell count.
in the picture. Which action should the PN take next? B.Obtain a fingerstick cap-
