HESI PN Comprehensive Exam 3 2021/2022
HESI PN Comprehensive Exam 3 2021/2022 100 Questions With Elaborated
Answers
1. 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 long
enough to eat, so the client should be provided finger foods that can be eaten while
hyperactive.
2. 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.:
B. Use affirmations and limit setting.
,HESI PN Comprehensive Exam 3 2021/2022
D. Report client's suicidal expressions to the therapist.
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.
,HESI PN Comprehensive Exam 3 2021/2022
3. 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.
D. Consistent hemoglobin A1c levels no greater than 7%.:
D. Consistent he- moglobin 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.
4. 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.:
D. Percuss the chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by tapping, or
percussing, and vibrating the chest. Percussion is carried out by cupping the hands
and lightly striking the chest wall in a rhythmic fashion over the lung segment to be
drained
, HESI PN Comprehensive Exam 3 2021/2022
5. The practical nurse (PN) is preparing to administer erythromycin (Ilotycin)
0.5% ophthalmic ointment to a newborn. The father asks the PN the purpose
of this medication. What rationale should the PN provide?
A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
HESI PN Comprehensive Exam 3 2021/2022 100 Questions With Elaborated
Answers
1. 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 long
enough to eat, so the client should be provided finger foods that can be eaten while
hyperactive.
2. 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.:
B. Use affirmations and limit setting.
,HESI PN Comprehensive Exam 3 2021/2022
D. Report client's suicidal expressions to the therapist.
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.
,HESI PN Comprehensive Exam 3 2021/2022
3. 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.
D. Consistent hemoglobin A1c levels no greater than 7%.:
D. Consistent he- moglobin 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.
4. 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.:
D. Percuss the chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by tapping, or
percussing, and vibrating the chest. Percussion is carried out by cupping the hands
and lightly striking the chest wall in a rhythmic fashion over the lung segment to be
drained
, HESI PN Comprehensive Exam 3 2021/2022
5. The practical nurse (PN) is preparing to administer erythromycin (Ilotycin)
0.5% ophthalmic ointment to a newborn. The father asks the PN the purpose
of this medication. What rationale should the PN provide?
A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
