HESI PN Comprehensive Exam 3
Questions and Answers 100% Pass
What intervention should the practical nurse (PN) implement to meet the
physiologic integrity of a client during a manic episode of bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals. - ANSWER-A. Provide the client
with finger foods.
During the manic phase of bipolar disorder, a client is often unable to sit still long
enough to eat, so the client should be provided finger foods that can be eaten
while hyperactive.
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,A client with bipolar disorder is being treated with cognitive therapy. Which
actions should the practical nurse (PN) implement to reenforce this treatment
strategy? Select all that apply.
A. Recommend daily physical activity.
B. Use affirmations and limit setting.
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative thoughts. -
ANSWER-B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
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,E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive thoughts
and/or attempt suicide. Cognitive therapy sometimes produces relief from
troubling symptoms experienced by clients with bipolar disorder. Cognitive
therapy allows clients to handle "thought errors" and behaviors to stop negative
thoughts.
The practical nurse (PN) is evaluating a client's self management of type 1 diabetes
mellitus (DM). Which findings provide the best parameter in the client's goals for
the prevention of long-term complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
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, D. Consistent hemoglobin A1c levels no greater than 7%. - ANSWER-D.
Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend an A1c target
level no greater than 7% for a client with DM, which is the primary goal and
indicator of effective treatment and diabetes management.
Which action should the practical nurse (PN) implement for a young girl with
pulmonary infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. - ANSWER-D. Percuss the chest
wall in a rhythmic fashion.
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Questions and Answers 100% Pass
What intervention should the practical nurse (PN) implement to meet the
physiologic integrity of a client during a manic episode of bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals. - ANSWER-A. Provide the client
with finger foods.
During the manic phase of bipolar disorder, a client is often unable to sit still long
enough to eat, so the client should be provided finger foods that can be eaten
while hyperactive.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,A client with bipolar disorder is being treated with cognitive therapy. Which
actions should the practical nurse (PN) implement to reenforce this treatment
strategy? Select all that apply.
A. Recommend daily physical activity.
B. Use affirmations and limit setting.
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative thoughts. -
ANSWER-B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive thoughts
and/or attempt suicide. Cognitive therapy sometimes produces relief from
troubling symptoms experienced by clients with bipolar disorder. Cognitive
therapy allows clients to handle "thought errors" and behaviors to stop negative
thoughts.
The practical nurse (PN) is evaluating a client's self management of type 1 diabetes
mellitus (DM). Which findings provide the best parameter in the client's goals for
the prevention of long-term complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, D. Consistent hemoglobin A1c levels no greater than 7%. - ANSWER-D.
Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend an A1c target
level no greater than 7% for a client with DM, which is the primary goal and
indicator of effective treatment and diabetes management.
Which action should the practical nurse (PN) implement for a young girl with
pulmonary infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. - ANSWER-D. Percuss the chest
wall in a rhythmic fashion.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
