• PN EXIT HESI EXAM QUESTIONS AND ANSWERS BEST
RATED A+ GUARANTEED SUCCESS NEW
•
• Thepracticalnurse(PN)isobservingaclientself-
administeringadoseifsubcutaneousinsulin.Whatstepoftheinjection techniqu w
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e should the practical nurse (PN) reteach?
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a. Injectsairintotheinsulinvialtodisplacethedose
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s w
s w
s w
s w
s w
s w
s
b. Selects thesamesitethatwasusedfor thepreviousinjection
vc w
s w
s
c. Insertstheneedleat a90-degreeangletotheskinsurface
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s w
s vc w
s w
s w
s w
s w
s w
s
d. Usesacircularmotionwhenapplying analcoholpadtothesite
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s w
s vc sw w
s w
s
Rationale: The PN shouldreteach the client to rotatethe NOON site to a site other tha
sw sw sw sw sw sw sw sw w
s sw sw sw sw sw
nthesameoneusedfor the AMdose.Different sites usedthroughout the day m ay p sw sw vc sw s w s w s w s w sw
rovide a varying rateof absorption related to activity. Intra-
sw sw sw sw sw sw sw sw
siterotationisrecommended forthedoseusedduringonespecific timeoftheday
w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s
. The other choices are acceptable techniques for subcutaneousinjection of insuli n.
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s w
s sw sw w
s w
s sw sw
,• Thepracticalnurse(PN)observesanewlyhiredunlicensedassistivepe r w
s sw
sonnel (UAP)who is counting a client’s radial pulse as seenin the
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s w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s
, picture.WhichactionshouldthePNtake? w
s w
s w
s
a. Confirmaccuracyof thepulse rate obtainedbythe UAP w
s w
s w
s w
s
b. Instructthe UAPtoreport anyabnormal findings sw w
s sw
c. RemindtheUAPtocheck theclientspulsevolume
w
s w
s w
s vc w
s w
s
d. DemonstratethecorrectpulsesitetotheUAP(followthethumbfor the r sw sw
adial pulse,follow the pinky for the brachial)
sw sw sw sw sw sw
Rationale: When checking the radialpulse, the index andmiddle finger should be a lig
w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s sw
nedwiththe thumb, for brachial pulseassessment should be aligned withthe pin kyfi
w
s w
s w
s w
s w
s w
s w
s w
s w
s sw w
s
nger.
• The birth weight of an infant delivered by a woman with gestational diab et
sw sw sw sw sw vc sw sw sw sw sw sw sw
es is 10.1 pounds (4,581 grams). The infant is jittery and has aheelstick gluco
sw vc sw sw sw sw sw vc sw sw sw sw sw
se levelof40mg/dL(2.2 mmol/L orSI units) 30minutes afterbirth. B ased on t
sw sw vc sw sw sw sw sw sw sw
his information, whichintervention should the practicalnurse ( PN) imple
sw sw sw sw sw sw sw sw
ment first? sw
a. Repeattheheel stickforglucoseinonehour
w
s w
s w
s
b. Offernipplefeedingsof10%dextrose
c. Beginfrequentfeedings ofbreastmilkor formula w
s w
s
d. Assessforsignsofhypocalcemiaw
s w
s w
s
Rationale:Providing frequent feedingswillreducetheinfantsbloodglucose;we wo u
vc vc sw sw
ldn’twant toobtainanother heelstick as we wantto do less invasive aspossible.
sw sw sw sw sw sw sw sw sw
, • A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flav ore
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
dgelatinand1banana.Duringthesameshift,thisclient receives1 liter of IV fl vc sw sw s w sw
uid and voids 700 mL. How many mL total oral and IV intake should the P N docu
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ment on the client’s medical record?(Enter numeric value only).
sw sw sw sw sw sw sw sw
8ozx30mL=240mL
w
s w
s w
s w
s w
s sw
4ozx30mL=120mL
w
s w
s w
s w
s w
s w
s
4ozx30mL=120mL
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s w
s w
s w
s w
s w
s
1L =1000mL
w
s vc w
s sw
Totalintake=1480mL
• The nurse isverybusy and running latewith administering medications a
w
s w
s w
s w
s w
s sw w
s sw
nd asks thepractical nurse (PN) to administer a medicationalreadydra wn
sw sw sw sw sw sw sw sw sw
upinanunlabeledsyringe.Howshouldthe PN respond? w
s sw sw
a. “Youshouldknowthat Icannot administerthe medication inthissyringe” vc vc sw w
s
b. “Aslongasthechargenursechecksthesyringe, Icangive themedication” s w s w
c. “Teamworkisthebestapproach. Iwillbegladtohelp yougetcaught up” w
s w
s w
s w
s w
s w
s sw
d. “Iamnotcomfortabledoingthat. Istheresomething elseIcando to hel p w
s vc w
s w
s w
s sw sw w
s
you?”
Rationale: Explaining your comfortability is always okay because you don’t want t o j
sw sw sw sw sw sw w
s sw sw sw w
s sw sw
eopardizeyour license, so offering to help withthe nurse’s other workload is bei ng. A
w
s sw sw sw sw sw sw sw w
s w
s sw sw sw sw
team player. sw
RATED A+ GUARANTEED SUCCESS NEW
•
• Thepracticalnurse(PN)isobservingaclientself-
administeringadoseifsubcutaneousinsulin.Whatstepoftheinjection techniqu w
s w
s w
s w
s w
s w
s w
s sw
e should the practical nurse (PN) reteach?
sw sw sw sw sw sw
a. Injectsairintotheinsulinvialtodisplacethedose
w
s w
s w
s w
s w
s w
s w
s w
s
b. Selects thesamesitethatwasusedfor thepreviousinjection
vc w
s w
s
c. Insertstheneedleat a90-degreeangletotheskinsurface
w
s w
s w
s vc w
s w
s w
s w
s w
s w
s
d. Usesacircularmotionwhenapplying analcoholpadtothesite
w
s w
s w
s vc sw w
s w
s
Rationale: The PN shouldreteach the client to rotatethe NOON site to a site other tha
sw sw sw sw sw sw sw sw w
s sw sw sw sw sw
nthesameoneusedfor the AMdose.Different sites usedthroughout the day m ay p sw sw vc sw s w s w s w s w sw
rovide a varying rateof absorption related to activity. Intra-
sw sw sw sw sw sw sw sw
siterotationisrecommended forthedoseusedduringonespecific timeoftheday
w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s
. The other choices are acceptable techniques for subcutaneousinjection of insuli n.
sw sw sw w
s w
s sw sw w
s w
s sw sw
,• Thepracticalnurse(PN)observesanewlyhiredunlicensedassistivepe r w
s sw
sonnel (UAP)who is counting a client’s radial pulse as seenin the
w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s
, picture.WhichactionshouldthePNtake? w
s w
s w
s
a. Confirmaccuracyof thepulse rate obtainedbythe UAP w
s w
s w
s w
s
b. Instructthe UAPtoreport anyabnormal findings sw w
s sw
c. RemindtheUAPtocheck theclientspulsevolume
w
s w
s w
s vc w
s w
s
d. DemonstratethecorrectpulsesitetotheUAP(followthethumbfor the r sw sw
adial pulse,follow the pinky for the brachial)
sw sw sw sw sw sw
Rationale: When checking the radialpulse, the index andmiddle finger should be a lig
w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s w
s sw
nedwiththe thumb, for brachial pulseassessment should be aligned withthe pin kyfi
w
s w
s w
s w
s w
s w
s w
s w
s w
s sw w
s
nger.
• The birth weight of an infant delivered by a woman with gestational diab et
sw sw sw sw sw vc sw sw sw sw sw sw sw
es is 10.1 pounds (4,581 grams). The infant is jittery and has aheelstick gluco
sw vc sw sw sw sw sw vc sw sw sw sw sw
se levelof40mg/dL(2.2 mmol/L orSI units) 30minutes afterbirth. B ased on t
sw sw vc sw sw sw sw sw sw sw
his information, whichintervention should the practicalnurse ( PN) imple
sw sw sw sw sw sw sw sw
ment first? sw
a. Repeattheheel stickforglucoseinonehour
w
s w
s w
s
b. Offernipplefeedingsof10%dextrose
c. Beginfrequentfeedings ofbreastmilkor formula w
s w
s
d. Assessforsignsofhypocalcemiaw
s w
s w
s
Rationale:Providing frequent feedingswillreducetheinfantsbloodglucose;we wo u
vc vc sw sw
ldn’twant toobtainanother heelstick as we wantto do less invasive aspossible.
sw sw sw sw sw sw sw sw sw
, • A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flav ore
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
dgelatinand1banana.Duringthesameshift,thisclient receives1 liter of IV fl vc sw sw s w sw
uid and voids 700 mL. How many mL total oral and IV intake should the P N docu
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ment on the client’s medical record?(Enter numeric value only).
sw sw sw sw sw sw sw sw
8ozx30mL=240mL
w
s w
s w
s w
s w
s sw
4ozx30mL=120mL
w
s w
s w
s w
s w
s w
s
4ozx30mL=120mL
w
s w
s w
s w
s w
s w
s
1L =1000mL
w
s vc w
s sw
Totalintake=1480mL
• The nurse isverybusy and running latewith administering medications a
w
s w
s w
s w
s w
s sw w
s sw
nd asks thepractical nurse (PN) to administer a medicationalreadydra wn
sw sw sw sw sw sw sw sw sw
upinanunlabeledsyringe.Howshouldthe PN respond? w
s sw sw
a. “Youshouldknowthat Icannot administerthe medication inthissyringe” vc vc sw w
s
b. “Aslongasthechargenursechecksthesyringe, Icangive themedication” s w s w
c. “Teamworkisthebestapproach. Iwillbegladtohelp yougetcaught up” w
s w
s w
s w
s w
s w
s sw
d. “Iamnotcomfortabledoingthat. Istheresomething elseIcando to hel p w
s vc w
s w
s w
s sw sw w
s
you?”
Rationale: Explaining your comfortability is always okay because you don’t want t o j
sw sw sw sw sw sw w
s sw sw sw w
s sw sw
eopardizeyour license, so offering to help withthe nurse’s other workload is bei ng. A
w
s sw sw sw sw sw sw sw w
s w
s sw sw sw sw
team player. sw