(NGN) HESI PN EXIT EXAM fully solved &
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An exam consisting of multiple versions (V1 to V7),
HESI PN Exit Exam
each with 75 questions and answers.
The best action for a practical nurse when a client is
on the phone is to wait for the client to excuse himself
Practical Nurse Action
from the conversation and observe him taking the
medication.
A unit where clients are admitted after surgery, such
Postoperative Surgical
as after a left lobectomy, and monitored for
Unit
complications.
The prescribed suction for a postoperative client is
Suction Pressure
set at 20 cm water pressure.
Respiratory Syncytial Virus A highly contagious virus that can be transmitted even
(RSV) without direct contact.
A child diagnosed with RSV should not be exposed to
Contagiousness of RSV
other children as the virus is very contagious.
Maintaining system integrity is essential to promote
Lung Reexpansion
lung reexpansion in a client with chest tubes.
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The practical nurse assists with the admission of
Admission of Young Adult patients, such as a young adult female with acute
abdominal pain.
The practical nurse should observe the client taking
Medication Administration
medication after they finish a phone conversation.
If bubbling occurs in the chest tube system, the
Chest Tube Management practical nurse should maintain system integrity to
promote lung reexpansion.
Precautions should be taken to prevent exposing
Infection Control
other children to a child with RSV.
If a client refuses medication, the practical nurse
Client Refusal of
should document the refusal and return the
Medication
medication.
This dressing may be applied to a chest tube site if
Partially Occlusive
necessary, but it should not be done if it compromises
Dressing
system integrity.
A mother should be advised not to take her RSV-
Young Child's Birthday
infected child to a birthday party to avoid spreading
Party
the virus.
If a malfunction is suspected in the chest tube system,
Nurse Notification
the practical nurse should notify the registered nurse.
Clients in a postoperative unit are monitored for
Client Monitoring
complications such as bubbling in chest tubes.
The practical nurse assists with the admission of
Korean Exchange Student
diverse patients, including international students.
The timing of medication administration should
Medication Timing consider the client's current activities, such as phone
calls.
Precautions should be taken to prevent RSV-infected
Contagion Precautions
children from being around other young children.
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It is essential for practical nurses to document all care
Documentation of Care
provided, including medication refusals.
Postoperative recovery involves monitoring for
Surgical Recovery
complications and ensuring proper care is provided.
Child's Respiratory Children diagnosed with respiratory conditions like
Condition RSV require careful monitoring and precautions.
Practical nurses have specific responsibilities,
Nursing Responsibilities including medication administration and patient
monitoring.
Client's response to sexual When asked about sexual activity, the client looks
activity question away.
Postoperative intervention Keep client's hip aligned with knees abducted.
for total hip placement
The client has been substituting herbal supplements
Client substituting herbal
for high blood pressure instead of the prescribed
supplements
medication.
Best nursing action for Confirm the room and bed numbers with those on the
disoriented resident medication record.
Observation for burns Urinary Output of 20ml/hr is the most important
patient observation to report immediately.
Blood transfusion reaction The child begins to complain of 'itchy' skin 15 minutes
in child after the unit of blood is started.
Action for itchy skin during Stop the transfusion.
transfusion
Lesion assessment on The PN notes a crusted 0.7 cm lesion on the client's
older adult forehead.
Action for crusted lesion Apply a warm compress to remove the crusted area.
Importance of asking Ask the client's reason for choosing to take herbs
about herbal supplements instead of prescribed drugs.
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Response to client Poor appetite and refusing to eat is not the most
refusing to eat critical observation.
Monitoring urinary flow Monitor urinary flow via indwelling catheter.
via catheter
Teaching client about Encourage client to use walker or cane when
ambulation ambulating.
Rewording questions for Reword the question in case the client did not
understanding understand.
Re-orienting the resident Re-orient the resident to name, place, and situation.
Vital signs after blood Obtain the vital signs after stopping the transfusion.
transfusion
Complications of high Have client use own words to describe complications
blood pressure of high blood pressure.
Healthcare provider's Reinforce that the healthcare provider prescribed the
prescription medication for a reason.
Client's identity Ask a regular staff member to confirm the resident's
confirmation identity.
Painful moaning and Painful moaning and crying is not the most critical
crying observation.
Systolic blood pressure Systolic blood pressure at 102 is not the most critical
observation observation.
Client's understanding of Watch the client's response when asked a different
questions question.
Assessment of skin lesions Report the finding to the healthcare provider.
A medical history that indicates a diagnosis of
History of Parkinson's Parkinson's disease, which may contribute to
disease symptoms such as uncontrollable hand movements
and excessive blinking.
The group of muscles that support the pelvic organs,
Pelvic floor muscles
which are involved in Kegel exercises.
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