HESI PN Comprehensive Exam 3
A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV
dose of atropine is given per protocol. Which finding should the practical nurse
(PN) identify as a therapeutic response?
(ANS - An increase in heart rate.
A client is admitted with a tumor of the hypothalamus. Which finding should the
practical nurse (PN) report to the charge nurse?
(ANS - An oral temperature of 101.8° F.
The practical nurse (PN) is reinforcing instructions to a client who is scheduled for
a bone marrow aspiration. The PN should prepare the client for the procedure at
which site?
(ANS - The posterior iliac crest.
Which discharge instructions should the practical nurse (PN) reinforce with a client
who has acute cholecystitis?
(ANS - Consume a low-fat diet in smaller, more frequent meals.
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.
(ANS –
B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
,E. Encourage substituting positive thoughts for negative thoughts.
A male client draws back when the practical nurse (PN) reaches over the side rails
to take his blood pressure. To promote effective communication, what should the
PN do?
(ANS - Apologize for startling the client and explain the need for contact.
A client with delirium is confused and disoriented to time and place. He states he is
experiencing visual illusions and tactile hallucinations. What actions in the plan of
care should the practical nurse (PN) implement? Select all that apply.
(ANS –
C. Give simple explanations about nursing care to be given.
D. Remove unnecessary furniture and equipment from the room.
F. Identify oneself each time the client is approached.
Following a client's bladder surgery, the practical nurse (PN) notes that the ureteral
catheter is no longer draining urine. What action should the PN implement?
(ANS - A. Notify the healthcare provider immediately.
A male client is being discharged after starting a new prescription of olanzapine
(Zyprexa) for paranoid schizophrenia. Which discharge instructions should the
practical nurse (PN) reinforce with the client?
(ANS - B. Avoid the use of antihistamines and alcohol.
, In which position should the practical nurse (PN) place a client after the client has
a liver biopsy?
(ANS - D. Right-side lying.
The practical nurse is discussing glucose balance with a client who is newly
diagnosed with type 2 diabetes mellitus. Which physiological process supports the
movement of glucose into the cells?
(ANS - C. Insulin is needed to carry glucose into cells.
A mother who is a single parent of three children comes into the well-child clinic
and tells the nurse that she needs to start prenatal visits because she unexpectantly
is pregnant. To determine how well the client is coping with the pregnancy, which
information should the practical nurse obtain?
(ANS - C. The client's support person during this pregnancy.
Which action should the practical nurse (PN) implement to improve delivery of
care by an unlicensed assistive personnel (UAP) who is providing less than optimal
hygienic care to older adult clients?
(ANS - C. Demonstrate to the UAP how to give a gentle bath to a client.
The practical nurse (PN) explains details of drawing up a dosage of insulin and
uses an insulin syringe and vial to show a client how to manipulate the equipment
while withdrawing the solution. To evaluate the client's understanding, what action
should the PN implement next?
(ANS - D. Direct client to use the syringe to withdraw a dose of insulin from the
vial.
A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV
dose of atropine is given per protocol. Which finding should the practical nurse
(PN) identify as a therapeutic response?
(ANS - An increase in heart rate.
A client is admitted with a tumor of the hypothalamus. Which finding should the
practical nurse (PN) report to the charge nurse?
(ANS - An oral temperature of 101.8° F.
The practical nurse (PN) is reinforcing instructions to a client who is scheduled for
a bone marrow aspiration. The PN should prepare the client for the procedure at
which site?
(ANS - The posterior iliac crest.
Which discharge instructions should the practical nurse (PN) reinforce with a client
who has acute cholecystitis?
(ANS - Consume a low-fat diet in smaller, more frequent meals.
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.
(ANS –
B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
,E. Encourage substituting positive thoughts for negative thoughts.
A male client draws back when the practical nurse (PN) reaches over the side rails
to take his blood pressure. To promote effective communication, what should the
PN do?
(ANS - Apologize for startling the client and explain the need for contact.
A client with delirium is confused and disoriented to time and place. He states he is
experiencing visual illusions and tactile hallucinations. What actions in the plan of
care should the practical nurse (PN) implement? Select all that apply.
(ANS –
C. Give simple explanations about nursing care to be given.
D. Remove unnecessary furniture and equipment from the room.
F. Identify oneself each time the client is approached.
Following a client's bladder surgery, the practical nurse (PN) notes that the ureteral
catheter is no longer draining urine. What action should the PN implement?
(ANS - A. Notify the healthcare provider immediately.
A male client is being discharged after starting a new prescription of olanzapine
(Zyprexa) for paranoid schizophrenia. Which discharge instructions should the
practical nurse (PN) reinforce with the client?
(ANS - B. Avoid the use of antihistamines and alcohol.
, In which position should the practical nurse (PN) place a client after the client has
a liver biopsy?
(ANS - D. Right-side lying.
The practical nurse is discussing glucose balance with a client who is newly
diagnosed with type 2 diabetes mellitus. Which physiological process supports the
movement of glucose into the cells?
(ANS - C. Insulin is needed to carry glucose into cells.
A mother who is a single parent of three children comes into the well-child clinic
and tells the nurse that she needs to start prenatal visits because she unexpectantly
is pregnant. To determine how well the client is coping with the pregnancy, which
information should the practical nurse obtain?
(ANS - C. The client's support person during this pregnancy.
Which action should the practical nurse (PN) implement to improve delivery of
care by an unlicensed assistive personnel (UAP) who is providing less than optimal
hygienic care to older adult clients?
(ANS - C. Demonstrate to the UAP how to give a gentle bath to a client.
The practical nurse (PN) explains details of drawing up a dosage of insulin and
uses an insulin syringe and vial to show a client how to manipulate the equipment
while withdrawing the solution. To evaluate the client's understanding, what action
should the PN implement next?
(ANS - D. Direct client to use the syringe to withdraw a dose of insulin from the
vial.
