MEDICAL-SU FAN PN 112; 2019 PN HESI Exit Exam Version 1 Questions with Revised Answers NEW Complete Guide.

A child is receiving total parenteral nutrition (TPN). During TPN therapy, the most important nursing action is: You Selected: • monitoring the blood glucose level closely. Correct response: • monitoring the blood glucose level closely. Question 31 A 9-year-old client is brought to the emergency department with a sutured wound with purulent drainage. The area around the wound is red and warm to the touch, and the child is febrile. The parents want to know the significance of the purulent drainage. What is the best response by the nurse? You Selected: • “The drainage is an indication that the sutures were not tight enough.” Correct response: • “If a wound heals on the surface but infection remains, it will open and drain.” Question 32 A 19-year-old primigravid client at 38 weeks' gestation is 7 cm dilated, and the presenting part is at +1 station. The client tells the nurse, "I need to push!" What should the nurse do next? You Selected: • Instruct the client to use a pant-blow pattern of breathing. Correct response: • Instruct the client to use a pant-blow pattern of breathing. Question 33 A client with cystic fibrosis develops pneumonia. To decrease the viscosity of respiratory secretions, the physician orders acetylcysteine. Before administering the first dose, the nurse checks the client's history for asthma. Acetylcysteine must be used cautiously in a client with asthma because it You Selected: • may induce bronchospasm. Correct response: • may induce bronchospasm. Question 34 Bone resorption is a possible complication of Cushing’s disease. To help the client prevent this complication, what should the nurse recommend to the client? You Selected: • Maintain a regular program of weight-bearing exercise. Correct response: • Maintain a regular program of weight-bearing exercise. Question 35 A client rates the pain level of a migraine an 8 on a scale of 1-10. How would the nurse administer the medication to give the client the quickest relief? You Selected: • intravenous (IV) Correct response: • intravenous (IV) Question 36 A client with Parkinson’s disease who is scheduled for physiotherapy is experiencing nausea and weakness. What is the mostappropriate action by the nurse? You Selected: • Assess the nausea and weakness and call physiotherapy to cancel or reschedule the appointment. Correct response: • Assess the nausea and weakness and call physiotherapy to cancel or reschedule the appointment. Question 37 Which intervention should the nurse include in the plan of care to ensure adequate nutrition for a very active, talkative, and easily distractible client who is unable to sit through meals? You Selected: • Offer the client nutritious finger foods. Correct response: • Offer the client nutritious finger foods. Question 38 Which activity should the nurse recommend to the client on an inpatient unit when thoughts of suicide occur? You Selected: • playing a card game with other clients Correct response: • talking with the nurse Question 39 A nurse is teaching a client with multiple sclerosis (MS). When teaching the client how to reduce fatigue, the nurse should tell the client to You Selected: • rest in an air-conditioned room. Correct response: • rest in an air-conditioned room. Question 40 An apartment fire spreads to seven apartment units. Victims suffer burns, minor injuries, and broken bones from jumping from windows. Which client should be transported first? You Selected: • a 10-year-old with a simple fracture of the humerus who is in severe pain Correct response: • a middle-aged man with no injuries who has rapid respirations and coughs Question 41 A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34 weeks’ gestation tells the nurse that she takes mineral oil for occasional constipation. What should the nurse should instruct the client to do? You Selected: • Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins. Correct response: • Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins. Question 42 A client is receiving chemotherapy that has the potential to cause pulmonary toxicity. Which signs or symptoms indicates a toxic response to the chemotherapy? You Selected: • cough and shortness of breath Correct response: • cough and shortness of breath Question 43 A nurse observes a physician providing care to an infectious client without the use of personal protective equipment. What should the nurse do first? You Selected: • Notify the unit manager. Correct response: • Discuss the breach of practice with the physician. Question 44 The nurse observes a client in a group who is reminiscing about his past. Which effect should the nurse expect reminiscing to have on the client's functioning in the hospital? You Selected: • Decrease the client's feelings of isolation and loneliness. Correct response: • Decrease the client's feelings of isolation and loneliness. Question 45 A nurse, a licensed practical nurse (LPN), and a nursing assistant are caring for a group of clients. The nurse asks the nursing assistant to check the pulse oximetry level of a client who underwent laminectomy. The nursing assistant reports that the pulse oximetry reading is 89%. The client Kardex contains an order for oxygen application at 2 L/min should the pulse oximetry level fall below 92%. The nurse is currently assessing a postoperative client who just returned from the postanesthesia care unit. How should the nurse proceed? You Selected: • Ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy. Correct response: • Ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy. Question 46 A physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains the stool specimen should You Selected: • collect the specimen in a sterile container. Correct response: • collect the specimen in a sterile container. Question 47 A client returns to the nursing division after a procedure. The client tells the nurse that the client was awake during the procedure and recalls certain events. What is the nurse’s priorityintervention? You Selected: • Ask for additional information from the client. Correct response: • Ask for additional information from the client. Question 48 The nurse is observing an unlicensed assistive personnel (UAP) give care to a client after gynecologic surgery. The nurse should intervene if the UAP: You Selected: • ambulates the client. Correct response: • massages the client’s legs. Question 49 For a client with Graves' disease, which nursing intervention promotes comfort? You Selected: • maintaining room temperature in the low-normal range Correct response: • maintaining room temperature in the low-normal range