HESI EXIT EXAM PN TEST BANK QU
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, HESIjEXITjEXAMjPNj2022/2023jTESTjBANK
1. ajmalejclientjadmittedjthejmorningjofjhisjscheduledjsurgeryjtellsjthejPNjthatjhejdrankjwaterjlastjni
ght.jWhatjinterventionjwilljthejPNjimplementjfirst?jCorrectjAnswer:j Determinejthejamountjofjwa
terjandjexactjtimejitjwasjtaken
2. Ajclientjreceivesjondansetronjpriorjtojchemotherapyjtreatment.HowjshouldjthejPNjevaluatejt
hisjmedication?jCorrectjAnswer:j Monitorjthejclientjforjnauseajorjvomitingjfollowingjthejtreat
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7. photojofjchestjandjlocatingjapicaljHRjCorrectjAnswer:j justjbelowjthejleftjnipple
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eliefjmethods
11. Ajmalejclientjhasjbeenjdiagnosedjwithjschizophreniajisjwithdrawn,jisolatesjhimselfjin ....... withjone
orjtwojwordjresponses.jthejmorningjthejPNjobservesjthatjhe.j Whichjinterventionjisjmost
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terventionjisjperformedjnext?jCorrectjAnswer:j initiatejthejurinejstream?
14. Anj8-yearjoldjisjplacedjinj90-
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15. ThejPNjisjreviewingjdietjinstructionsjwithjajfemalejclientjwhojhasjhyper...shejhasjincreasedjherjint
akesjofjproteinjandjcalories.jWhatjactionjshouldjthejPNjtake?jCorrectjAnswer:j Encouragejthejclie
ntjtojcontinuejthejdietaryjchangesjshejhasjmade
16. Aj3-
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re.jThejPNjshouldjexpectjtojobservejwhichjbehaviorjthatjindicates...jCorrectjAnswer:j playsjdo
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reparingjforjdischargejfromjthejhospital.jWhat...jCorrectjAnswer:j -
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20. Ajmalejclientjreceivesjajprescriptionjforj3,000jmgjofjmedicationjdaily,jwhichjisjavailable...takenjt
wicejdailyjinjequaljdosages.HowjmanyjtabletsjshouldjthejPN...jCorrectjAnswer:j 3
21. ...jCorrectjAnswer:j requestjreturnjvisitjforjexaminationjafterjherjperiodjwhenjhormonesjarejlo
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yearjoldjchildjtojthejclinicjforjschooljphysicaljexaminations.jWhichjassessment...jPNjthatjin
tergenerationaljviolencejmayjbejoccurringjinjthejhome?jCorrectjAnswer:j -Thej6-
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24. -thej3-yearjoldjhasjmultiplejbruisesjonjthejchestjandjbothjlegs
25. Ajclientjhasjajprescriptionjtojdiscontinuejintravenousjtherapyjwhenjthejliterjthatjisjinfusingjatj150
jmLjperjhourjis...1200jthejPNjnotesjthatjtherejarej750jmljofjsolutionjremaining.Atjwhatjtimejshoul
djthejnursejexpectjtojdiscontinuejthejintravenousjtherapy?jCorrectjAnswer:j 1700
26. thejPNjisjcaringjforjajclientjwhojhadjajtotaljlaryngectomy,jleftjradicaljneckjdissection...jclientjisjrec
eivingjnasogastricjtubejfeedingsjviajanjinternaljpump.jtodayjthejratejofjthejfeedingjwasjincreased
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ng?jCorrectjAnswer:j gastricjresidualjvolumes
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28. WhichjsitejshouldjthejPNjusejwhenjadministeringjanjinjectionjofjRhoj(D)jImmunejnegativejp
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MedjC
j j j j j j
ESTIONS AND ANSWERS, 100%
j j j
Verified & A+ Graded
j j j
writtenjby
angelinas
www.stuvia.com
, HESIjEXITjEXAMjPNj2022/2023jTESTjBANK
1. ajmalejclientjadmittedjthejmorningjofjhisjscheduledjsurgeryjtellsjthejPNjthatjhejdrankjwaterjlastjni
ght.jWhatjinterventionjwilljthejPNjimplementjfirst?jCorrectjAnswer:j Determinejthejamountjofjwa
terjandjexactjtimejitjwasjtaken
2. Ajclientjreceivesjondansetronjpriorjtojchemotherapyjtreatment.HowjshouldjthejPNjevaluatejt
hisjmedication?jCorrectjAnswer:j Monitorjthejclientjforjnauseajorjvomitingjfollowingjthejtreat
ment
3. DuringjmorningjroundsjajclientjisjadmittedjwithjOCDjisjinjthe...ofjthejsamejtable.jWhatjinterventi
onjshouldjthejPNjimplementjwhenjapproached?jCorrectjAnswer:j Providejtimejforjthejbehaviorjth
enjguidejthejclientjtojotherjactivities
4. ThejPNjisjcaringjforjanjolderjadultjclientjwhojisjconfusedjandjspends...factorjcontributesjtojanjincr
easedjriskjforjimpairedjskinjintegrityjforjthisjclient?jCorrectjAnswer:j Hasjincreasingjepisodesjofjuri
naryjincontinence
5. Thejpnjdeterminesjthatjajclientjwithjcirrhosisjisjexperiencingjperipheral. ...... take?jCorrectjAnswer:
Protectjthejclientsjfeetjfromjinjury
6. Ajclientjisjadmittedjtojthejpostoperativejsurgicaljunitjafterjajleftjlobectomyjwithjtwojchestjtubes.
.....observesjthejwater-sealedjchambers,jsetjandjprescribedjsuctionjofj20cmjwater.j what
actionjshouldjthejPNjimplement?jCorrectjAnswer:j Maintainjsystemjintegrityjandjtojpromotejlun
gjreexpansion
7. photojofjchestjandjlocatingjapicaljHRjCorrectjAnswer:j justjbelowjthejleftjnipple
8. Atjthejendjofjaj12-
hourjshiftjthejPNjobservesjthejurinejinjajclientsjdrainage..whatjactionjshouldjthejPNjtakejnext?jC
orrectjAnswer:j notejthejmostjrecentjwhitejbloodjcount
9. Ajclientjwithjajcompoundjfracturejofjthejleftjanklejisjbeingjdischargedjwithjajbelowjthejkneejcast.
...PNjprovidejtojthejclientjpriorjtojdischarge?jCorrectjAnswer:j neverjscratchjunderjthejcast
10. ThirtyjminutesjafterjreceivingjIVjmorphine,jajpostoperativejmalejclientjcontinuejtojratejhisjpain.
..whatjactionjshouldjthejPNjimplementjfirst?jCorrectjAnswer:j implementjcomplementaryjpainjr
eliefjmethods
11. Ajmalejclientjhasjbeenjdiagnosedjwithjschizophreniajisjwithdrawn,jisolatesjhimselfjin ....... withjone
orjtwojwordjresponses.jthejmorningjthejPNjobservesjthatjhe.j Whichjinterventionjisjmost
importantjforjthejPNjtojimplement?jCorrectjAnswer:j Measurejappropriatejvitaljsigns
12. ThejPNjisjassistingjanjunsteadyjclientjtojambulatejfromjthejbedjtojthejbath.j clientjlosesjbalance
andjfallsjontojthejbedsidejtable.jwhatjactionjshouldjthejPNjtakejfirst?jCorrectjAnswer:j Stayjwithjt
hejclientjandjcalljforjassistance
MedjC
, 13. ThejPNjisjassistingjajfemalejclientjtojobtainjajvoidedjspecimenjforjuri...meatus.jWhichjin
terventionjisjperformedjnext?jCorrectjAnswer:j initiatejthejurinejstream?
14. Anj8-yearjoldjisjplacedjinj90-
90jtractionjforjajfracturedjfemurjthatjresultedjfrom...furtherjactionjbyjthejPN?jCorrectjAnswer:j w
eightsjarejtouchingjthejfootjofjthejbed
15. ThejPNjisjreviewingjdietjinstructionsjwithjajfemalejclientjwhojhasjhyper...shejhasjincreasedjherjint
akesjofjproteinjandjcalories.jWhatjactionjshouldjthejPNjtake?jCorrectjAnswer:j Encouragejthejclie
ntjtojcontinuejthejdietaryjchangesjshejhasjmade
16. Aj3-
yearjoldjchildjreturnsjtojthejpediatriciansjofficejforjajpostoperativejvisitjafterjhaving...procedu
re.jThejPNjshouldjexpectjtojobservejwhichjbehaviorjthatjindicates...jCorrectjAnswer:j playsjdo
ctorjandjnursejwithjthejdolls
17. ThejPNjreviewsjthejprocedurejforjmeasuringjfluidjintakejandjoutputj...glomerulonephritisjandjisjp
reparingjforjdischargejfromjthejhospital.jWhat...jCorrectjAnswer:j -
whyjthejfluidjmeasurementsjneedjtojbejrecoded
18. -whichjfoodjtypesjarejincludedjwhenjmeasuringjfluidjtake
19. -whatjcontainerjtojusejforjthejmostjaccuratejmeasurement
20. Ajmalejclientjreceivesjajprescriptionjforj3,000jmgjofjmedicationjdaily,jwhichjisjavailable...takenjt
wicejdailyjinjequaljdosages.HowjmanyjtabletsjshouldjthejPN...jCorrectjAnswer:j 3
21. ...jCorrectjAnswer:j requestjreturnjvisitjforjexaminationjafterjherjperiodjwhenjhormonesjarejlo
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22. Ajmotherjbringsjherj5-
yearjoldjchildjtojthejclinicjforjschooljphysicaljexaminations.jWhichjassessment...jPNjthatjin
tergenerationaljviolencejmayjbejoccurringjinjthejhome?jCorrectjAnswer:j -Thej6-
yearjoldjsonjhitsjhisjyoungerjsisterjduringjthejinterview
23. -thej10-yearjoldjdaughterjhasjcircularjburnsjonjherjtrunkjandjlegs
24. -thej3-yearjoldjhasjmultiplejbruisesjonjthejchestjandjbothjlegs
25. Ajclientjhasjajprescriptionjtojdiscontinuejintravenousjtherapyjwhenjthejliterjthatjisjinfusingjatj150
jmLjperjhourjis...1200jthejPNjnotesjthatjtherejarej750jmljofjsolutionjremaining.Atjwhatjtimejshoul
djthejnursejexpectjtojdiscontinuejthejintravenousjtherapy?jCorrectjAnswer:j 1700
26. thejPNjisjcaringjforjajclientjwhojhadjajtotaljlaryngectomy,jleftjradicaljneckjdissection...jclientjisjrec
eivingjnasogastricjtubejfeedingsjviajanjinternaljpump.jtodayjthejratejofjthejfeedingjwasjincreased
...ml/hr.jWhatjparameterjshouldjthejPNjusejtojevaluatejthejclientsjtoleratejtojthejratejofjthejfeedi
ng?jCorrectjAnswer:j gastricjresidualjvolumes
27. Ajnewjmotherjisjbreastfeedingjherjnewbornjforjthejfirstjtimejafterjdeliveryjandjcomplainsjofjni
pplejpain...Basedjonjthejclientjcomplaint,jwhatjactionjshouldjthejPNjtake?jCorrectjAnswer:jEns
urejthatjalljthejareolarjtissuejofjthejnipplejisjinjthejinfantsjmouth.
28. WhichjsitejshouldjthejPNjusejwhenjadministeringjanjinjectionjofjRhoj(D)jImmunejnegativejp
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