EXAM QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) HESI PN EXIT EXAM TEST
BANK Q&A (BEST FOR EXAM PREPARATION)
Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat and
protect his ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated
coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk and
cream.
d. Reinforce this teaching by asking the client to list a dairy food that he
might select.
c. Review with the client the need to avoid foods that are rich in milk and
cream.
The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and the
UAP is
placing soft pillows along the side rails. What action should the nurse
implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes
another task.
,d. Ask the UAP to use some of the pillows to prop the client in a side lying
position.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible ovarian
cancer.
Her Papanicolau (Pap) smear results are negative. What information should
the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
a. Further evaluation involving surgery may be needed
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
b. Teach tracheal suctioning techniques
,In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen reservoir bag does not deflate completely during inspiration
and the client's respiratory rate is 14 breaths / minute. What action should the
nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
d. Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
a. Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetes slip
and fall. What action should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level
c. Check the client for lacerations or fractures
, At 0600 while admitting a woman for a schedule repeat cesarean section
(C- Section), the client tells the nurse that she drank a cup a coffee at 0400
because she wanted to avoid getting a headache. Which action should the
nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
c. Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates
S1 and S2 heart sounds. To determine if an S3 heart sound is present,
what action should the nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
c. Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be
referred to by the
employee health nurse for health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
c. Medicare