NURSEREP

Med-Surg Hesi PN During a clinic visit, a client reports to the practical nurse (PN) that they felt a solid mass in their breast during self-examination, but it was not painful. What instruction should the PN reinforce with the client? A. Continue to monitor the mass until the next scheduled annual exam. B. Notify the PCP if the mass becomes soft or painful or starts to drain. C. Schedule an appointment with the PCP for evaluation D. Breast masses are usually insignificant if they feel so...

LPN MED SURG EXAM Three days after surgery, a male client suddenly grabs his right chest and becomes short of breath, pale, and diaphoretic. The practical nurse (PN) immediately assesses his vital signs and obtains 100/80 mm Hg blood pressure, 110 beats/min heart rate, and 36 breaths/min respiratory rate. What action is most important for the PN to take next? Apply oxygen at 2 liters per nasal cannula. An elderly female client with dementia is transferred from a long-term care unit to a...

HESI PN Pharmacology 1) A client is being treated for hyperthyridism with propylthiouracil (PTU). The LPN/LVN knows that the action of this drug is to: A. decrease the amount of thyroid stimulating hormone circulating in the blood. B. increase the amount of thyroid-stimulating hormone circulating in the blood. C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid. D. inhibit synthesis of T3 and T4 by the thyroid gland. D. PTU is an adjunct therapy used to c...

HESI PN Pediatric V2 1) A toddler is receiving an infusion of total parenteral nutrition via a Broviac catheter. As the child plays, the I.V. tubing becomes disconnected from the catheter. What should the LPN/LVN do first? a. Turn off the infusion pump. b. Position the child on the side. c. Clamp the catheter. d. Flush the catheter with heparin. Correct Answer: C. Clamp the catheter. 2) A LPN/LVN is conducting an infant nutrition class for parents. Which foods are appropriate to introd...

OB PN HESI EXAM 2021 1.At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutesafter admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. Check the hematocrit ...

HESI PN Mental Health 1.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? Answer: Offer liquid supplements to the client 2. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance. Which of th...

HESI PN Medical Surgical EXAM The practical nurse is reviewing pre-op instructions with a male client who is having surgery today. What question should the PN ask the client to best evaluate his understanding of the surgery? What do you know about the surgery you are having? An adult client with otitis media has thick, yellow drainage from the right ear canal. What additional findings should the PN expect to identify? Pain relief after ear drainage begins Which assessment is most importan...

HESI Medical-Surgical LPN/PN Question 1 The nurse is providing care for a patient who is unhappy with the health care provider’s care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient’s medical record or on the AMA form? 1. Documentation that the patient was informed that he or she cannot come back to the hospital 2. Documentation that the patient wa...

HESI PN Maternity V1 1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. Check the hematocri...

Hesi Pn Fundamentals 2021 Handwashing - The single most effective way to stop the spread of infection Medical Asepsis - Reducing the number of organisms in an environment (ex. cleaning the tub with disinfectant before giving a patient a bath) Sterilization - Breaks the chain of infection at its various links of reservoir and the portal exit (removes all organisms) Standard Precautions are? - The principle of infection control that considers every client's blood and body fluid infectious ...

Fundamentals HESI PN The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml. How many ml should the nurse administer? 0.5 ml. A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take? After clearing the tube with 30 ml of air, check the pH of fluid withdr...

1 HESI PN Fundamentals Which drug does a nurse anticipate may be prescribed to produce diuresis and inhibitformation of aqueous humor for a client with glaucoma? Chlorothiazide (Diuril) Acetazolamide (Diamox) Bendroflumethiazide (Naturetin) Demecarium bromide (Humorsol) A client receiving steroid therapy states, "I have difficulty controlling my temper which is sounlike me, and I don't know why this is happening." What is the nurse's best response? Tell the client it is nothing to ...

PN Hesi Exit V1 Question 1 A school-age client with diabetes is placed on an intermediateacting insulin and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What does the nurse tell the client the snack is intended to do? You Selected: • Prevent late night hypoglycemia. Correct response: • Prevent late night hypoglycemia. Question 2 A well-known public official of a small community is admitted to the emergency department ...

HESI PN Comprehensive Exam 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. A. Provide the client with finger foods. During the manic phase of bipolar disorder, a client is often unable to sit still lo...

HESI Mid-curricular The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's blood pressure is 150/96, edema of the face and hands is noted, 3+ protein in the urine, and serum albumin level is 3 gm/dL. Which of the following instructions by the nurse is MOST important? 1. The client should decrease caloric intake. 2. The client should eliminate all salt from her diet. 3. The client should ensure adequate protein. 4. The client should increase her intake of...

HESI Maternity V2 1) A client is admitted to the labor and delivery unit with contractions that are 3-5 minutes apart, lasting 60-70 seconds. She reports that she is leaking fluid. A vaginal exam reveals that her cervix is 80 percent effaced and 4 cm dilated and a -1 station. The LPN/LVN knows that the client is in which phase and stage of labor? A) Latent phase, First Stage B) Active Phase of First Stage C) Latent phase of Second Stage D) Transition Ans: B) Active Phase of First Stag...

1 HESI GERONTOLOGY RN Which is a common age-related physical change that may affect digestion and food intake? DECREASED MOTILITY IN THE ESOPHAGUS Which of the following is true about nutrition for older adults? TRANSPORTATION CAN BE A CRITICAL FACTOR IN NUTRITIONAL INSUFFICIENCY IN OLDER ADULTS Which of the following is a true statement about dental health in older adults? DENTURES SHOULD BE CLEANED ONCE A DAY BY BRUSHING AND SOAKING IN A CLEANSING SOLUTION Which intervention should th...

HESI EXIT COMPREHENSIVE 1.Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type structure in the visual field D. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which constitutes a m...

HESI Comprehensive PN EXIT Exam The nurse is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softner B. Administer prescribed PRN sleep medications. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal sprays. A. Administer Prescribed stool softner The nurse is palpat...