EXAM QUESTIONS WITH
CORRECT ANSWERS
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HESI PN PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus
Type II has a syncopal episode. Her vital signs are within normal limites and her
sugar is 325 mg/dL. what intervention should the nurse implement first?
A. Give the client 4 ounces of orange juice
B. Administer next scheduled dose of metformin (Glucophage)
C. Cancel the clients dinner tray
D. Administer regular insulin per sliding scale - CORRECT ANSWER - D. Administer
regular insulin per sliding scale
36 hours after delivery, the nurse determines a client's fundus is just above the
umbilicus and displaced to the right of midline. What action should the nurse take
first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
D. Assess the amount of lochia - CORRECT ANSWER - A. Palpate the bladder for
distention
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4 hours after administration of 20U of regular insulin, the client becomes shake and
diaphoretic. What action should the nurse take?
A. Encourage the client to excercise
B. Administer a PRN dose of 10U of regular insulin
C. Give the client crackers and milk
D. Record the client's reaction on the diabetic flow sheet - CORRECT ANSWER - C.
Give the client crackers and milk
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to
having sexual intercourse. What info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and the lochial flow has
stopped
B. They should wait to resume sexual activities until the fatigue assorted with a new
baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual intercourse -
CORRECT ANSWER - A. They can have intercourse when the episiotomy is healed
and the lochial flow has stopped
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A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At
one-house post dilation and curettage (D&C) the nurse assess the vital signs and
vaginal bleeding. The client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possiblity of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding - CORRECT ANSWER - C.
Express sorrow for the client's grief and offer to sit with her
A 3 year-old admitted with fever of unknown origin (FUO) has begun vomiting in the
past half hour. The child's temperature is 101.80 F, and the last dose of antipyretic
medication was given 5 hours ago. The child has prescriptions of acetaminophen
(Tylenol) 160 MG per 5 mL elixir or 160 mg suppositories PRN fever or pain. What
action should the nurse take at this time?
A. Make the child NPO and hold all medications untill the vomiting has stopped
B. Give acetaminophen elixir to ensure the child's cooperation with swallowing
C. Notify the healthcare provider that the child's fever has become dangerously high
D. Use an acetaminophen suppository for the fever since the child is vomiting -
CORRECT ANSWER - A. Make the child NPO and hold all medications untill the
vomiting has stopped
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