HESI PN Exit 2022/2023 Update
1. in administer nystatin suspension to the gum’s infant with candida infection.
which approach should the PN use?
Use glove finger to rub the suspension over the infected area.
2. the practical nurse (PN) is assessing with the pain of care for a client pain of care
receiving the non-steroid anti-inflammatory drug for painful muscle spine of the
back. which intervention should the PN include in the client plan of care?
Assess the skin daily for area of ecchymosis or other signs of bleeding.
3. prior to giving the digoxin the PN assess that a two-month-old infant heart
rate is 120bpm based on this finding what action should the PN take?
give the medication and document the heart rate.
4. immediately after birth which nursing intervention has the highest priority for
the newborn infant?
preventing heart loss and neonatal cold stress.
5. A client who is primigravida at term comes to the prenatal clinic and tells the
PN that she is having contraction every 5 mins the PN monitors the client for
0ne hour using an external fetal monitor and determine that the client
contractions are 7-15 mins apart lasting to 20-30 seconds with mild intensity by
,palpation. which action should the nurse take?
send the client home and instruct to call the clinic when her contraction occurred 5
mins apart for one hour.
6. the online UAP report to the PN that an older client has a radius pulse of
55 bpm. which intervention should the PN implement first?
obtain a full minute apical pulse assessment.
7. an older client who has a cologne resection 8 days ago is straining at stool
the PN nurse observed sudden spillage of serosanguinous drainage from the
client's wound followed by appearance bowel on the skin. which implication
has occurred?
Dehiscence
8. at 0800, a client apical pulse rate is 98 bpm 4 hours later the apical pulse is
54 bpm which action should the PN take next.
determine the level of consciousness.
,9. a charge nurse brings a #18 urinal catheter with 30 mL balloon to the PN who
is preparing to insert a catheter in female client who weighs 50kg. which action
do the PN takes first?
consult with the charge nurse about the catheter.
10. the PN obtain a fingerstick glucose for a client with type one mellitus who is
conscious and demonstrating hand tremors and shaking. the PN reports the client
result of 55mg/dL to the nurse. which action should the PN prepare to implement
next?
provide the client a glass of milk.
11. the client with acute kidney injury is admitted with elevated pulse rate and
blood pressure. which intervention should the PN implement?
measure and document urinary output.
12. while changing the dressing of client who is immobile. the PN observes a red
and swollen wound with moderate amount of yellow and green drainage and foul
odor. before reporting this finding to the HCP, the PN should evaluate which
client lab value?
Culture for sensitive organism.
13. a client with hypertension complains of persistence dry cough the PN should
tell the client that this a common side effect of which daily medication?
Quinapril.
14. when gathering data about a client with dark skin tone which site should the PN
observed?
Sclera and mucous membrane.
15. a client who is receiving chemotherapy has developed stomate which
instruction should the PN provides the UAP who is assessing with this client?
provide gentle and meticulous care.
16. the PN views the midline a episiotomy of client who reports pain in her stitches.
, which action should the PN take first?
observe suture line for separation and hematoma formation
17. client receiving an epidural anesthesia during labor. which observation is the
most important adverse effect that the PN assess for following the administration
of the epidural?
maternal hypotension.
1. in administer nystatin suspension to the gum’s infant with candida infection.
which approach should the PN use?
Use glove finger to rub the suspension over the infected area.
2. the practical nurse (PN) is assessing with the pain of care for a client pain of care
receiving the non-steroid anti-inflammatory drug for painful muscle spine of the
back. which intervention should the PN include in the client plan of care?
Assess the skin daily for area of ecchymosis or other signs of bleeding.
3. prior to giving the digoxin the PN assess that a two-month-old infant heart
rate is 120bpm based on this finding what action should the PN take?
give the medication and document the heart rate.
4. immediately after birth which nursing intervention has the highest priority for
the newborn infant?
preventing heart loss and neonatal cold stress.
5. A client who is primigravida at term comes to the prenatal clinic and tells the
PN that she is having contraction every 5 mins the PN monitors the client for
0ne hour using an external fetal monitor and determine that the client
contractions are 7-15 mins apart lasting to 20-30 seconds with mild intensity by
,palpation. which action should the nurse take?
send the client home and instruct to call the clinic when her contraction occurred 5
mins apart for one hour.
6. the online UAP report to the PN that an older client has a radius pulse of
55 bpm. which intervention should the PN implement first?
obtain a full minute apical pulse assessment.
7. an older client who has a cologne resection 8 days ago is straining at stool
the PN nurse observed sudden spillage of serosanguinous drainage from the
client's wound followed by appearance bowel on the skin. which implication
has occurred?
Dehiscence
8. at 0800, a client apical pulse rate is 98 bpm 4 hours later the apical pulse is
54 bpm which action should the PN take next.
determine the level of consciousness.
,9. a charge nurse brings a #18 urinal catheter with 30 mL balloon to the PN who
is preparing to insert a catheter in female client who weighs 50kg. which action
do the PN takes first?
consult with the charge nurse about the catheter.
10. the PN obtain a fingerstick glucose for a client with type one mellitus who is
conscious and demonstrating hand tremors and shaking. the PN reports the client
result of 55mg/dL to the nurse. which action should the PN prepare to implement
next?
provide the client a glass of milk.
11. the client with acute kidney injury is admitted with elevated pulse rate and
blood pressure. which intervention should the PN implement?
measure and document urinary output.
12. while changing the dressing of client who is immobile. the PN observes a red
and swollen wound with moderate amount of yellow and green drainage and foul
odor. before reporting this finding to the HCP, the PN should evaluate which
client lab value?
Culture for sensitive organism.
13. a client with hypertension complains of persistence dry cough the PN should
tell the client that this a common side effect of which daily medication?
Quinapril.
14. when gathering data about a client with dark skin tone which site should the PN
observed?
Sclera and mucous membrane.
15. a client who is receiving chemotherapy has developed stomate which
instruction should the PN provides the UAP who is assessing with this client?
provide gentle and meticulous care.
16. the PN views the midline a episiotomy of client who reports pain in her stitches.
, which action should the PN take first?
observe suture line for separation and hematoma formation
17. client receiving an epidural anesthesia during labor. which observation is the
most important adverse effect that the PN assess for following the administration
of the epidural?
maternal hypotension.
