HESI EXIT 3, EXIT 2 ON NAXLEX QUESTIONS AND
CORRECT ANSWERS|GRADED A+ |VERIFIED ANSWERS
The practical nurse (PN) is caring for a client who has a prescription for
loratadine by mouth daily as needed. Which sign indicates to the PN that
there is a need to administer the medication? Correct Answers Red welts
widespread over the chest. Most selected
Red welts widespread over the chest are indicative of hives (urticaria),
which are often caused by allergic reactions. Loratadine can help
alleviate the symptoms of hives by blocking histamine release, making it
an appropriate choice for this condition.
A client has a prescription for NPH insulin 25 units before breakfast and
insulin aspart before meals and hour of sleep per sliding scale. The
sliding scale parameters are:. 0 units for finger stick glucose less than
170 mg/dL;. 5 units for finger stick glucose 171 to 219 mg/dL;. 10 units
for finger stick glucose 220 to 269 mg/dL;. 15 units for finger stick
glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL.
The client's 0730 finger stick glucose is 271 mg/dL. What is the total
amount of insulin this client should receive? (Enter numeric value
only.). Correct Answers Correct Answer: 35
At a prenatal visit, a primigravida client confides to the practical nurse
(PN) that her partner is abusive. Which information should the PN
provide? Correct Answers Safety plan to keep in a purse at all times.
Most selected
The practical nurse (PN) should provide the client with a safety plan to
keep in her purse at all times. Safety planning is crucial for individuals
facing domestic abuse, and having a plan readily available can be a
,lifesaving resource. This plan should include emergency contact
numbers, information about local women's shelters, steps to take during
an abusive incident, and strategies for safely leaving an abusive
situation. By giving the client a safety plan, the PN empowers her with
tools to protect herself and her unborn child.
The practical nurse (PN) learns that a client who is receiving
chemotherapy has developed stomatitis. Which information should the
PN obtain from the client during a focused assessment? Correct
Answers Ability to swallow. Most selected
Ability to swallow is crucial in the context of stomatitis. Stomatitis can
cause painful sores in the mouth, making it difficult for the client to eat
or drink. Assessing the client's ability to swallow will help determine the
impact of stomatitis on their nutritional intake and overall well-being.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds
that he has become increasingly irritable and has developed tachypnea
and resting stridor. Which intervention is best for the PN to implement?
Correct Answers Monitor the child's oxygen saturation level via pulse
oximetry. Most selected
Croup is a respiratory infection that causes inflammation and narrowing
of the airway, resulting in a barking cough, hoarseness, and stridor. The
PN should monitor the child's oxygen saturation level via pulse
oximetry, as it can indicate the severity of the airway obstruction and the
need for supplemental oxygen or other interventions.
The practical nurse (PN) determines that a client's pupils constrict as
they change focus from a far object to a near object. How should the PN
,document this finding? Correct Answers Pupils reactive to
accommodation Most selected
"Pupils reactive to accommodation". accurately describes the normal
physiological response of the pupils constricting as they change focus
from a distant object to a nearby object. This response ensures that the
appropriate amount of light enters the eyes to maintain clear vision
during different distances of focus.
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-
old infant's heart rate is 120 beats/minute. Based on this finding, which
action should the PN take? Correct Answers Administer the medication
and document the heart rate. Most selected
However, it's crucial to emphasize that the nurse should always follow
the specific orders and guidelines of the healthcare provider and the
facility's protocols. If there is any uncertainty or concern, the nurse
should seek guidance from the charge nurse or the healthcare provider
before taking any action.
The practical nurse (PN) is providing care for a client who is ordered
nothing by mouth (NPO) after a small bowel resection. The client's
nasogastric (NG) tube is connected to low intermitent suction. The client
reports dizziness and tingling in digits.
Which assessment finding by the PN should be reported to the
healthcare provider? Correct Answers Heart rate of 90 beats per minute
with premature ventricular contractions (PVCs) noted on telemetry.
Most selected
PVCs are abnormal heartbeats that occur when a ventricle contracts
earlier than expected. They can indicate electrolyte imbalance, such as
, hypokalemia, which can result from NG suctioning. The PN should
report this finding to the healthcare provider, as it may require treatment
or adjustment of the suctioning.
A 15-year-old adolescent male with a mild mental disability is
hospitalized for minor surgery and tells the practical nurse (PN), "Wow!
You have big breasts." Which response is best for the PN to provide?
Correct Answers That language is not allowed. Most selected
This is the best response for the PN to provide because it sets a clear and
firm boundary for the adolescent and discourages inappropriate or
sexual comments. The PN should also redirect the adolescent's attention
to another topic or activity and document the incident.
The practical nurse (PN) is making a home visit to an older male adult
who was recently diagnosed with Herpes zoster (shingles). The client
reports the onset of severe burning pain along the right side of his trunk.
What action should the PN take? Correct Answers Administer a
prescribed PRN dose of analgesic. Most selected
This is the best action for the PN to take because it provides immediate
relief for the client's pain, which can be severe and debilitating in
Herpes zoster. The PN should also assess the client's pain level,
location, and characteristics and document the response to the
medication.
A client who had knee replacement surgery receives a prescription for
enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The
medication is available in 30 mg per 0.3 mL prefilled syringes. How
many mL should the practical nurse (PN) administer each day? (Enter
numerical value only.). Correct Answers Correct Answer: 0.6
CORRECT ANSWERS|GRADED A+ |VERIFIED ANSWERS
The practical nurse (PN) is caring for a client who has a prescription for
loratadine by mouth daily as needed. Which sign indicates to the PN that
there is a need to administer the medication? Correct Answers Red welts
widespread over the chest. Most selected
Red welts widespread over the chest are indicative of hives (urticaria),
which are often caused by allergic reactions. Loratadine can help
alleviate the symptoms of hives by blocking histamine release, making it
an appropriate choice for this condition.
A client has a prescription for NPH insulin 25 units before breakfast and
insulin aspart before meals and hour of sleep per sliding scale. The
sliding scale parameters are:. 0 units for finger stick glucose less than
170 mg/dL;. 5 units for finger stick glucose 171 to 219 mg/dL;. 10 units
for finger stick glucose 220 to 269 mg/dL;. 15 units for finger stick
glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL.
The client's 0730 finger stick glucose is 271 mg/dL. What is the total
amount of insulin this client should receive? (Enter numeric value
only.). Correct Answers Correct Answer: 35
At a prenatal visit, a primigravida client confides to the practical nurse
(PN) that her partner is abusive. Which information should the PN
provide? Correct Answers Safety plan to keep in a purse at all times.
Most selected
The practical nurse (PN) should provide the client with a safety plan to
keep in her purse at all times. Safety planning is crucial for individuals
facing domestic abuse, and having a plan readily available can be a
,lifesaving resource. This plan should include emergency contact
numbers, information about local women's shelters, steps to take during
an abusive incident, and strategies for safely leaving an abusive
situation. By giving the client a safety plan, the PN empowers her with
tools to protect herself and her unborn child.
The practical nurse (PN) learns that a client who is receiving
chemotherapy has developed stomatitis. Which information should the
PN obtain from the client during a focused assessment? Correct
Answers Ability to swallow. Most selected
Ability to swallow is crucial in the context of stomatitis. Stomatitis can
cause painful sores in the mouth, making it difficult for the client to eat
or drink. Assessing the client's ability to swallow will help determine the
impact of stomatitis on their nutritional intake and overall well-being.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds
that he has become increasingly irritable and has developed tachypnea
and resting stridor. Which intervention is best for the PN to implement?
Correct Answers Monitor the child's oxygen saturation level via pulse
oximetry. Most selected
Croup is a respiratory infection that causes inflammation and narrowing
of the airway, resulting in a barking cough, hoarseness, and stridor. The
PN should monitor the child's oxygen saturation level via pulse
oximetry, as it can indicate the severity of the airway obstruction and the
need for supplemental oxygen or other interventions.
The practical nurse (PN) determines that a client's pupils constrict as
they change focus from a far object to a near object. How should the PN
,document this finding? Correct Answers Pupils reactive to
accommodation Most selected
"Pupils reactive to accommodation". accurately describes the normal
physiological response of the pupils constricting as they change focus
from a distant object to a nearby object. This response ensures that the
appropriate amount of light enters the eyes to maintain clear vision
during different distances of focus.
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-
old infant's heart rate is 120 beats/minute. Based on this finding, which
action should the PN take? Correct Answers Administer the medication
and document the heart rate. Most selected
However, it's crucial to emphasize that the nurse should always follow
the specific orders and guidelines of the healthcare provider and the
facility's protocols. If there is any uncertainty or concern, the nurse
should seek guidance from the charge nurse or the healthcare provider
before taking any action.
The practical nurse (PN) is providing care for a client who is ordered
nothing by mouth (NPO) after a small bowel resection. The client's
nasogastric (NG) tube is connected to low intermitent suction. The client
reports dizziness and tingling in digits.
Which assessment finding by the PN should be reported to the
healthcare provider? Correct Answers Heart rate of 90 beats per minute
with premature ventricular contractions (PVCs) noted on telemetry.
Most selected
PVCs are abnormal heartbeats that occur when a ventricle contracts
earlier than expected. They can indicate electrolyte imbalance, such as
, hypokalemia, which can result from NG suctioning. The PN should
report this finding to the healthcare provider, as it may require treatment
or adjustment of the suctioning.
A 15-year-old adolescent male with a mild mental disability is
hospitalized for minor surgery and tells the practical nurse (PN), "Wow!
You have big breasts." Which response is best for the PN to provide?
Correct Answers That language is not allowed. Most selected
This is the best response for the PN to provide because it sets a clear and
firm boundary for the adolescent and discourages inappropriate or
sexual comments. The PN should also redirect the adolescent's attention
to another topic or activity and document the incident.
The practical nurse (PN) is making a home visit to an older male adult
who was recently diagnosed with Herpes zoster (shingles). The client
reports the onset of severe burning pain along the right side of his trunk.
What action should the PN take? Correct Answers Administer a
prescribed PRN dose of analgesic. Most selected
This is the best action for the PN to take because it provides immediate
relief for the client's pain, which can be severe and debilitating in
Herpes zoster. The PN should also assess the client's pain level,
location, and characteristics and document the response to the
medication.
A client who had knee replacement surgery receives a prescription for
enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The
medication is available in 30 mg per 0.3 mL prefilled syringes. How
many mL should the practical nurse (PN) administer each day? (Enter
numerical value only.). Correct Answers Correct Answer: 0.6
