2019 PN Hesi Exit V1
Question 1
A school-age client with diabetes is placed on an intermediate-acting 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 tothe emergency
department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission andaccess the official’s
electronic medical record to obtain a status update. What is the best response for the
nurse manager to make to the nurses regarding this situation?
You Selected:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic leukemia. The white
blood cell (WBC) count, especially the neutrophil count, is low. What is the most
important intervention the nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance toinfection is
decreased
Correct response:
• Protect your child from infections because his resistance toinfection is
decreased
Question 4
,The nurse is caring for a client with influenza. The most effectiveway to decrease the
spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5
A client with a history of hypertension has been prescribed a newantihypertensive
medication and is reporting dizziness. Which is the best way for the nurse to assess
blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment findingshould the nurse
investigate further?
You Selected:
• cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client statesthat she is glad that
she will not be going through menopause as a result of her surgery and is only having
her uterus removed. The nurse reviews the consent form and notes that the surgery is for
a total abdominal hysterectomy with a salpingo-oophorectomy. What should the nurse
do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs furtherclarification
regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs furtherclarification
, regarding surgery.
Question 8
A young client diagnosed with schizophrenia is talking with the nurse and says, "You
know, when I thought everyone was out to getme, I was staying in my apartment all the
time. Now, I would like toget out and do things again." What is the best initial response
by thenurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
Question 9
A client with anemia has been admitted to the medical-surgical unit.Which assessment
findings are characteristic of iron deficiency anemia?
You Selected:
• nausea, vomiting, and anorexia
Correct response:
• dyspnea, tachycardia, and pallor
Question 10
The nurse is discontinuing an intravenous catheter on a 10-year-oldclient with
hemophilia. What would be the most important intervention for this client?
You Selected:
• Apply firm pressure on the site for 5 minutes after removal.
Correct response:
• Apply firm pressure on the site for 5 minutes after removal.
Question 11
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse’s priority assessment?
You Selected:
• checking the dressing, drain, and amount of drainage
Correct response:
, • assessing the vital signs and oxygen saturation levels
Question 12
A client with an uncomplicated term pregnancy arrives at the labor- and-delivery unit in
early labor saying that she thinks her water has broken. What is the nurse’s best action?
You Selected:
• Ask what time this happened and note the color, amount, andodor of the fluid.
Correct response:
• Ask what time this happened and note the color, amount, andodor of the fluid.
Question 13
When documenting the care of a client, the nurse is aware of the need to use
abbreviations conscientiously and safely. This includes
You Selected:
• ensuring the abbreviations are understandable to clients whomay seek access
to their health records
Correct response:
• limiting abbreviations to those approved for use by theinstitution
Question 14
During routine prenatal screening, a nurse tells a client that herblood sample will be
used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP
testing indicates?
You Selected:
• "This screening indicates if your baby's lungs are mature."
Correct response:
• "This test will screen for spina bifida, Down syndrome, orother genetic
defects."
Question 1
A school-age client with diabetes is placed on an intermediate-acting 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 tothe emergency
department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission andaccess the official’s
electronic medical record to obtain a status update. What is the best response for the
nurse manager to make to the nurses regarding this situation?
You Selected:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic leukemia. The white
blood cell (WBC) count, especially the neutrophil count, is low. What is the most
important intervention the nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance toinfection is
decreased
Correct response:
• Protect your child from infections because his resistance toinfection is
decreased
Question 4
,The nurse is caring for a client with influenza. The most effectiveway to decrease the
spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5
A client with a history of hypertension has been prescribed a newantihypertensive
medication and is reporting dizziness. Which is the best way for the nurse to assess
blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment findingshould the nurse
investigate further?
You Selected:
• cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client statesthat she is glad that
she will not be going through menopause as a result of her surgery and is only having
her uterus removed. The nurse reviews the consent form and notes that the surgery is for
a total abdominal hysterectomy with a salpingo-oophorectomy. What should the nurse
do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs furtherclarification
regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs furtherclarification
, regarding surgery.
Question 8
A young client diagnosed with schizophrenia is talking with the nurse and says, "You
know, when I thought everyone was out to getme, I was staying in my apartment all the
time. Now, I would like toget out and do things again." What is the best initial response
by thenurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
Question 9
A client with anemia has been admitted to the medical-surgical unit.Which assessment
findings are characteristic of iron deficiency anemia?
You Selected:
• nausea, vomiting, and anorexia
Correct response:
• dyspnea, tachycardia, and pallor
Question 10
The nurse is discontinuing an intravenous catheter on a 10-year-oldclient with
hemophilia. What would be the most important intervention for this client?
You Selected:
• Apply firm pressure on the site for 5 minutes after removal.
Correct response:
• Apply firm pressure on the site for 5 minutes after removal.
Question 11
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse’s priority assessment?
You Selected:
• checking the dressing, drain, and amount of drainage
Correct response:
, • assessing the vital signs and oxygen saturation levels
Question 12
A client with an uncomplicated term pregnancy arrives at the labor- and-delivery unit in
early labor saying that she thinks her water has broken. What is the nurse’s best action?
You Selected:
• Ask what time this happened and note the color, amount, andodor of the fluid.
Correct response:
• Ask what time this happened and note the color, amount, andodor of the fluid.
Question 13
When documenting the care of a client, the nurse is aware of the need to use
abbreviations conscientiously and safely. This includes
You Selected:
• ensuring the abbreviations are understandable to clients whomay seek access
to their health records
Correct response:
• limiting abbreviations to those approved for use by theinstitution
Question 14
During routine prenatal screening, a nurse tells a client that herblood sample will be
used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP
testing indicates?
You Selected:
• "This screening indicates if your baby's lungs are mature."
Correct response:
• "This test will screen for spina bifida, Down syndrome, orother genetic
defects."
