HESI PN EXIT REAL EXAM 2024

in administer nystatin suspension to the gums infant with candida infection. which approach should the PN use - Use glove finger to rub the suspension over the infected area the practical nurse (PN) is assessing with the pain of care for a client pain of care receiving the nonsteriod antiinflammatory drug for painful muscle spine of the back. which interveantion should the PN include in the client plan of care? - Assess the skin daily for area of ecchymosis or other signs of bleeding prior to giving the digoxin the PN assess that a two month old infant heart rate is 120bpm based on this finding what action should the PN take? - give the medication and document the heart rate. immediately after birth which nursing intervention has the highest priorityfor the newborn infant? - preventing heart loss and neinatal cold stress A client who is primigravida at term comes to the prenatal clinic and tells the PN that she having contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with mild intensitiy by palpation. which action should the nurse take. - send the client home and instruct to call the clinic when her contraction occured 5 mins apart for one hour the online UAP report to the PN that an older client haas a radius pulse of 55 bpm. which intervention should the PN implement first - obtain a full minute apical pulse assessment an older client who has a cologne resection 8 days ago is straining at stool the PN nurse observed sudden spillage of serosanguinous drainage from the client's wound followed by appearance bowel on the skin. which implication has occurred? - Dehiscence at 0800, a client apical pulse rate is 98 bpm 4 hours later the apical pulse is 54 bpm which action should the PN take next. - determine the level of consciousness a charge nurse brings a #18 urinal catheter with 30 mL balloon to the PN who is preparing to insert a catheter in female client who weighs 50kg .which action do the PN takes first? - consult with the charge nurse about the catheter the PN obtain a fingerstick glucoss for a client with a type one mellitus who is conscious and demonstrating hand tremors and shaking .the PN reports the client result of 55mg/dL to the nurse. which action should the PN prepare to implement next? - provide the client a glass of milk the client with acute kidney injury is admitted with elevated pulse rate and blood pressure. which intervention should the PN implement? - measure and document urinary output while changing the dressing of client who is immobile. the PN observes a red and swollen wound with moderate amount of yellow and green drainage and foul odor. before reporting this finding to the HCP the PN should evaluate which client lab value ? - Culture for sensitive organism a client with hypertension complains of persistence dry cough the PN should tell the client that this a common side effect of which daily medication? - Quinipril when gathering data about a client with dark skin tone which site should the PN observed? - Sclera and muccus membrane a client who is receiving chemotherapy has developed stomati which instruction should the PN provides the UAP who is assessing with this client? - provide gentle and meticulous care the PN views the midline a epistoinomy of client who reports pain in her stitches . which action should the PN take first? - observe suture line for separation and hematoma formation client receving a epidural anesthesia during labor. which observation is the most important adverse effect that the PN assess for following the administration of the epidural ? - maternal hypotension a client is using an intensive spirometer on the first postoperative day after inguinal hemionhaphy. the PN should research the proper use of the spirometer when the client demonstrate which action? - blowing forcefully into the mouth piece the PN is preparing to assist an elderly client to the bathroom. the PN knows that an elderly adult center of gravity change from the... another area of the body. in planning to safely assist this client the pn knows that the center of gravity for the elderly client is in which area of the body? - upper extremities the PN explains to a client hoe to obtain a septum specimen and the client indicate understanding the procedure after the PN leaves the room the client obtains the specimen and notifies the PN . when the PN arrives to collect it appears as seen in the picture what action should the PN takes - the PN should teach the client to a client how to obtain a septum specimen and if the client does not correctly collect the specimen the PN should assist the client in obtaining another specimen coughed directly into a sterile cup an adult client is undergoing weekly external radiation treatment breast cancer. upon arriving at the outpatient clinic for a schedule treatment the client reports increasing fatigue the PN who is taking the client vital signs what action should the PN implement? - reinforced the need for extra test. plenty of sleep while changing a client postoperative dressing the PN observes red and swollen wound with a moderate amount of yellow and green drainage and foul odor positive resistances MRSA which is the most important action the PN to take - limit visitors to immediate family only before administering zolpidem at bed time which client assessment should the PN complete? - mental status picture: the Pn assess a child in 90-90 skeletal traction it is most important for the PN to assess the signs of inflammation at what location (select the correct location of the image) - q33 a client is diagnosis with hyperthyroidism which symptoms should the PN expect this client to exhibit? - muscle cramping and dry, flush skin PN administered antibiotic to a client with respiratory tract infection to evaluate the medication effectiveness which lab values should the PN monitor? - sputum culture and sensitivity white cells blood count the PN is calling for a client who's drug screen is positive for cocaine which behavior should the PN document as evidence as withdrawal ? - intense craving the PN is observing a newly hired UAP bathing a client who has a type2 DA the UAP place the client feet in the wash basin filled with warm soapy water to soak which action should the PN take - check the client feet before sucking the PN is assessing the recreational director of a long term care facility plan outdoor activities for the wheelchair bound older client mentally alert which activity meets the physical needs of this resident - a tea party in the courtyard which assessment findings indicate to the PN that venturi face mask is producing the desire effect - increase oxygen saturation a client who has a history of asthma expressing concern about rapidly spreading flu like diseases in the community which instruction should the PN provide - obtain an influenza vaccine prior to discharge a new mother who is breastfeeding tell the PN about breast that are now hard shine and warm which action should the PN take - develop a schedule increasing the time intervals between feedings the PN enters the room of client who under went mastectomy 8 hours ago the PN observes The UAP preparing .. - instruct the UAP to measure the client BP on the non cooperative side the PN assigning care of a group of on biology medical unit care which client care intervention should the PN assign to UAP - empty bedside drainage with indwelling catheter transport urine culture sample to the lab the PN is assisting the client to the bathroom after right cataract extraction the client has an eye shield over the right eye how should - stand in front of the client and lead the client to the bathroom which client information is the most important for the PN to consider after providing instruction to the UAP about providing morning care to the postoperative client - urinary output 50 mL/h an older client male resident of a long term facility is at woke at 3;30 am wandering down hallway with pajamas unbutton which intervention the PN implement - address the client to determine his needs the client receives acetaminophen prior to chemotherapy treatment how should the PN evaluate the effectiveness of the medication - monitor the client for nausea and vomiting following the treatment the male client with TB returns to clinic for the daily antibiotics injections the client has been taking antitubercular medication for 12 weeks and ...he has ringing in the ears which prescribed medication should the PN report to HCP - Getamicin 160mg daily a young adult female client a mother with 2 small children looks different and depressed ... after learning HCP that she has a MULTIPLE SCLESSIS which nursing intervention should the PN implement immediately after the client has been .. diagnosis - sit quietly with the client and answer questions she may ask the PN is caring for hospice client who request a priest for the last right which should be the next response by the PN - offer to contact the priest for the client in which client situation should PN assess the presence of cheynne strokes respiration - when death is intermittent the PN receives change of shift report of postpartum which client should receive the PN attention first? - a client who needs to ambulate to the bathroom for the first time since the birth of her infant . The practical nurse (PN) and unlicensed assistive personnel (UAP) are providing care for a client who exhibits signs of neglect syndrome following affecting the right hemisphere. Which action should the PN implement? - Demonstrate to the UAP how to approach the client from the client's left side. Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (select all that apply) - Time of last administration of pain medication Effectiveness of last pain medication administered. Client's pain rating on a scale of 1 to 10. The practical nurse (PN) notes that the client has truncal obesity, a moon face, and a buffalo hump. The PN should question clients about recent use of which type of medication? - Thyroid replacement hormone. The practical nurse (PN) observes an unlicensed assistive personnel (AUP) who is leaving a client's room with visibility and solid hands. Which immediate action should the PN take? - Advice the UAP to wash hands before providing further care. The practical nurse (PN) is planning evening shift rounds for a group of postoperative clients who all had surgery earlier that day. Which client should the PN check first? - A preschooler who had an emergency appendectomy for appendicitis.