PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
The practical nurse (PN) is instructing a client in the proper use of a metered-dose inhaler. Which
instructions should the PN reinforce to the client to ensure the optimal benefits from the drug? -
ANSWER Compress the inhaler while slowly breathing in through the mouth.
The nurse notes that the health care provider has written a prescription for morphine 100 mg
intramuscularly (IM) for a client. The nurse researches the medication and notes that the usual dose of
meperidine is 100 mg IM, while the usual dose of morphine is 10 mg IM. What should be the nurse's
next action? - ANSWER Contact the health care provider.
The practical nurse (PN) is caring for a dyspneic client whose oxygen saturation rate is currently 95%.
What position is best for this client? - ANSWER Fowler's with both legs supported.
The practical nurse (PN) is assessing a client's 2 days after post hip replacement surgery. In assessing the
client's vital signs, which finding requires the most immediate action by the PN? - ANSWER
Hyperthermia
The practical nurse (PN) is administering medications to a client via a nasogastric tube. The 0900
medications include a sustained-release spansule. Which action should the PN take when administering
the sustained-release drug via the nasogastric tube (NGT)? - ANSWER Consult the health care provider
for a different drug form that can be crushed.
The practical nurse (PN) is administering a rectal suppository to a client. What action should be
implemented to prevent discomfort during administration? - ANSWER Allow the suppository soften
before insertion.
,PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
The practical nurse (PN) enters a client's room and finds the client on the floor after a fall. How should
the PN communicate this situation to the risk management team? - ANSWER Submit a completed
incident report describing the situation to the unit manager.
The practical nurse (PN) is the team leader on a 35 resident long-term care unit. Besides the PN team
leader, there is another PN and 4 unlicensed assistive personnel (UAPs). Which tasks should the PN
assign to the PN, rather than the UAP? (Select all that apply.) - ANSWER Phoning the health care
provider regarding laboratory tests for a resident.
Contacting a resident's family regarding a change in the resident's medications.
Determining the cause of a resident's recent onset of confusion and agitation.
The HIV unit nursing team, composed of the registered nurse (RN) case manager, staff RNs, and staff
practical nurses (PNs), is meeting to discuss a client who has developed anorexia related to HIV
medications. The client has lost 15 pounds in the previous 2 months. Which action should the team
implement to continue the nursing process? - ANSWER Collaborate with the client to set goals.
The practical nurse (PN) obtains lying and standing blood pressure measurements for a client who
complains of dizziness upon standing up from the computer at work. The PN determines that systolic
pressure decreases 24 mm Hg when standing. What intervention is most important for the PN to
implement? - ANSWER Encourage the client to flex both feet before rising slowly
An older adult client in a wheelchair wants to return to bed after eating breakfast. What assessment is
most important for the practical nurse (PN) to consider before assisting this client? - ANSWER Blood
pressure of 86/54 mm Hg
The practical nurse (PN) is applying the finger probe for continuous pulse oximetry on a client. Which
actions should help prevent skin irritation or breakdown? (Select all that apply.) - ANSWER a. Rotate the
probe location site every 4 to 8 hours
, PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
c. Cleanse the finger with soap and water as needed
d. Secure with gauze if client has allergy to adhesives
When should the practical nurse (PN) evaluate the client's pain level? (Select all that apply.) - ANSWER a.
Routinely with measurement of vital signs
b. When the client initially complains of pain
c. At the beginning and end of each shift
e. 30 to 60 minutes after administration of an analgesic
After receiving reinforcement of written and verbal instructions from the clinic nurse about a newly
prescribed medication, a client asks the nurse what to do if questions arise about the medication after
getting home. How should the nurse respond? - ANSWER Encourage the client to call the clinic nurse,
pharmacist or the health care provider if any questions arise
The practical nurse (PN) is assisting with data collection for several clients before surgery. Which factor
in a client's history poses the greatest threat for complications to occur during surgery? - ANSWER
Taking anticoagulants for the past year
The nurse has just begun a sterile wound dressing change for a resident at a long-term care facility when
the nurse's pager goes off, indicating a health care provider is calling the nurse with prescriptions for a
different resident. What should be the nurse's action? - ANSWER Ask the unit secretary to obtain a call
back number for the health care provider.
The practical nurse (PN) reinforces information with a client about portion control and diet
management. Which portion description indicates that the client understands the instructions? -
ANSWER Four small cookies are about the size of four poker chips.
Study Practice 140 Solutions correctly
verified.
PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
The practical nurse (PN) is instructing a client in the proper use of a metered-dose inhaler. Which
instructions should the PN reinforce to the client to ensure the optimal benefits from the drug? -
ANSWER Compress the inhaler while slowly breathing in through the mouth.
The nurse notes that the health care provider has written a prescription for morphine 100 mg
intramuscularly (IM) for a client. The nurse researches the medication and notes that the usual dose of
meperidine is 100 mg IM, while the usual dose of morphine is 10 mg IM. What should be the nurse's
next action? - ANSWER Contact the health care provider.
The practical nurse (PN) is caring for a dyspneic client whose oxygen saturation rate is currently 95%.
What position is best for this client? - ANSWER Fowler's with both legs supported.
The practical nurse (PN) is assessing a client's 2 days after post hip replacement surgery. In assessing the
client's vital signs, which finding requires the most immediate action by the PN? - ANSWER
Hyperthermia
The practical nurse (PN) is administering medications to a client via a nasogastric tube. The 0900
medications include a sustained-release spansule. Which action should the PN take when administering
the sustained-release drug via the nasogastric tube (NGT)? - ANSWER Consult the health care provider
for a different drug form that can be crushed.
The practical nurse (PN) is administering a rectal suppository to a client. What action should be
implemented to prevent discomfort during administration? - ANSWER Allow the suppository soften
before insertion.
,PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
The practical nurse (PN) enters a client's room and finds the client on the floor after a fall. How should
the PN communicate this situation to the risk management team? - ANSWER Submit a completed
incident report describing the situation to the unit manager.
The practical nurse (PN) is the team leader on a 35 resident long-term care unit. Besides the PN team
leader, there is another PN and 4 unlicensed assistive personnel (UAPs). Which tasks should the PN
assign to the PN, rather than the UAP? (Select all that apply.) - ANSWER Phoning the health care
provider regarding laboratory tests for a resident.
Contacting a resident's family regarding a change in the resident's medications.
Determining the cause of a resident's recent onset of confusion and agitation.
The HIV unit nursing team, composed of the registered nurse (RN) case manager, staff RNs, and staff
practical nurses (PNs), is meeting to discuss a client who has developed anorexia related to HIV
medications. The client has lost 15 pounds in the previous 2 months. Which action should the team
implement to continue the nursing process? - ANSWER Collaborate with the client to set goals.
The practical nurse (PN) obtains lying and standing blood pressure measurements for a client who
complains of dizziness upon standing up from the computer at work. The PN determines that systolic
pressure decreases 24 mm Hg when standing. What intervention is most important for the PN to
implement? - ANSWER Encourage the client to flex both feet before rising slowly
An older adult client in a wheelchair wants to return to bed after eating breakfast. What assessment is
most important for the practical nurse (PN) to consider before assisting this client? - ANSWER Blood
pressure of 86/54 mm Hg
The practical nurse (PN) is applying the finger probe for continuous pulse oximetry on a client. Which
actions should help prevent skin irritation or breakdown? (Select all that apply.) - ANSWER a. Rotate the
probe location site every 4 to 8 hours
, PNVN 1521 Hesi Term 2 Fundamentals
Study Practice 140 Solutions correctly
verified.
c. Cleanse the finger with soap and water as needed
d. Secure with gauze if client has allergy to adhesives
When should the practical nurse (PN) evaluate the client's pain level? (Select all that apply.) - ANSWER a.
Routinely with measurement of vital signs
b. When the client initially complains of pain
c. At the beginning and end of each shift
e. 30 to 60 minutes after administration of an analgesic
After receiving reinforcement of written and verbal instructions from the clinic nurse about a newly
prescribed medication, a client asks the nurse what to do if questions arise about the medication after
getting home. How should the nurse respond? - ANSWER Encourage the client to call the clinic nurse,
pharmacist or the health care provider if any questions arise
The practical nurse (PN) is assisting with data collection for several clients before surgery. Which factor
in a client's history poses the greatest threat for complications to occur during surgery? - ANSWER
Taking anticoagulants for the past year
The nurse has just begun a sterile wound dressing change for a resident at a long-term care facility when
the nurse's pager goes off, indicating a health care provider is calling the nurse with prescriptions for a
different resident. What should be the nurse's action? - ANSWER Ask the unit secretary to obtain a call
back number for the health care provider.
The practical nurse (PN) reinforces information with a client about portion control and diet
management. Which portion description indicates that the client understands the instructions? -
ANSWER Four small cookies are about the size of four poker chips.
