HESI PN EXIT EXAM 2019 TEST
BANK
1. a male client admitted the morning of his scheduled surgery tells the PN that
he drank water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A client receives ondansetron prior to chemotherapy treatment. How should the
PN evaluate this medication?
Monitor the client for nausea or vomiting following the treatment
3. The PN is caring for an older adult client who is confused and
spends...factor contributes to an increased risk for impaired skin integrity
for this client?
Has increasing episodes of urinary incontinence
4. The pn determines that a client with cirrhosis is experiencing peripheral...take?
Protect the clients feet from injury
5. A client is admitted to the postoperative surgical unit after a left lobectomy with
two chest tubes. observes the water-sealed chambers, set and prescribed
suction of
20cm water..what action should the PN implement?
Maintain system integrity and to promote lung re-expansion
6. Photo of chest and locating apical
HR Just below the left nipple
7. At the end of a 12-hour shift the PN observes the urine in a client’s drainage.
What action should the PN take next?
Note the most recent white blood count
8. Thirty minutes after receiving IV morphine, a postoperative male client continue
to rate his pain. what action should the PN implement first?
Implement complementary pain relief methods
9. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself
in....with one or two word responses. The morning the PN observes that he..Which
intervention is most important for the PN to implement?
,Measure appropriate vital signs
, 10. The PN is assisting a female client to obtain a voided specimen for
uri...meatus. Which intervention is performed next?
Initiate the urine stream?
11. An 8-year old is placed in 90-90 traction for a fractured femur that
resulted from...further action by the PN?
Weights are touching the foot of the bed
12. The PN is reviewing diet instructions with a female client who has hyper...she
has increased her intakes of protein and calories. What action should the PN
take?
Encourage the client to continue the dietary changes she has made
13. A mother brings her 5-year old child to the clinic for school physical
examinations. Which assessment... PN that intergenerational violence may be
occurring in the home?-The 6-year old son hits his younger sister during the
interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs
14. A client has a prescription to discontinue intravenous therapy when the liter that
is infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of
solution remaining. At what time should the nurse expect to discontinue the
intravenous therapy? 1700
15. The PN is caring for a client who had a total laryngectomy, left radical neck
dissection... client is receiving nasogastric tube feedings via an internal pump.
today the rate of the feeding was increased...ml/hr. What parameter should the PN
use to evaluate the clients tolerate to the rate of the feeding?
Gastric residual volumes
16. A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the
PN take?
Ensure that all the areolar tissue of the nipple is in the infants’ mouth.
17. Which site should the PN use when administering an injection of Rho (D)
Immune negative postpartum client?
BANK
1. a male client admitted the morning of his scheduled surgery tells the PN that
he drank water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A client receives ondansetron prior to chemotherapy treatment. How should the
PN evaluate this medication?
Monitor the client for nausea or vomiting following the treatment
3. The PN is caring for an older adult client who is confused and
spends...factor contributes to an increased risk for impaired skin integrity
for this client?
Has increasing episodes of urinary incontinence
4. The pn determines that a client with cirrhosis is experiencing peripheral...take?
Protect the clients feet from injury
5. A client is admitted to the postoperative surgical unit after a left lobectomy with
two chest tubes. observes the water-sealed chambers, set and prescribed
suction of
20cm water..what action should the PN implement?
Maintain system integrity and to promote lung re-expansion
6. Photo of chest and locating apical
HR Just below the left nipple
7. At the end of a 12-hour shift the PN observes the urine in a client’s drainage.
What action should the PN take next?
Note the most recent white blood count
8. Thirty minutes after receiving IV morphine, a postoperative male client continue
to rate his pain. what action should the PN implement first?
Implement complementary pain relief methods
9. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself
in....with one or two word responses. The morning the PN observes that he..Which
intervention is most important for the PN to implement?
,Measure appropriate vital signs
, 10. The PN is assisting a female client to obtain a voided specimen for
uri...meatus. Which intervention is performed next?
Initiate the urine stream?
11. An 8-year old is placed in 90-90 traction for a fractured femur that
resulted from...further action by the PN?
Weights are touching the foot of the bed
12. The PN is reviewing diet instructions with a female client who has hyper...she
has increased her intakes of protein and calories. What action should the PN
take?
Encourage the client to continue the dietary changes she has made
13. A mother brings her 5-year old child to the clinic for school physical
examinations. Which assessment... PN that intergenerational violence may be
occurring in the home?-The 6-year old son hits his younger sister during the
interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs
14. A client has a prescription to discontinue intravenous therapy when the liter that
is infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of
solution remaining. At what time should the nurse expect to discontinue the
intravenous therapy? 1700
15. The PN is caring for a client who had a total laryngectomy, left radical neck
dissection... client is receiving nasogastric tube feedings via an internal pump.
today the rate of the feeding was increased...ml/hr. What parameter should the PN
use to evaluate the clients tolerate to the rate of the feeding?
Gastric residual volumes
16. A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the
PN take?
Ensure that all the areolar tissue of the nipple is in the infants’ mouth.
17. Which site should the PN use when administering an injection of Rho (D)
Immune negative postpartum client?
