PN HESI EXIT EXAM TESTBANK

PN HESI EXIT EXAM TESTBANK 1. a male client admitted the morning of his scheduled surgery tells the PN that he drank water last night. What intervention will the PN implement first? Determine the amount of water and exact time it was taken 2. A client receives ondansetron prior to chemotherapy treatment. How should the PN evaluate this medication? Monitor the client for nausea or vomiting following the treatment 3. The PN is caring for an older adult client who is confused and spends...factor contributes to an increased risk for impaired skin integrity for this client? Has increasing episodes of urinary incontinence 4. The pn determines that a client with cirrhosis is experiencing peripheral... take? Protect the clients feet from injury 5. A client is admitted to the postoperative surgical unit after a left lobectomy with two chest tubes observes the water-sealed chambers, set and prescribed suction of 20cm water.. what action should the PN implement? Maintain system integrity and to promote lung re-expansion 6. Photo of chest and locating apical HR Just below the left nipple 7. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What action should the PN take next? Note the most recent white blood count 8. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate his pain...what action should the PN implement first? Implement complementary pain relief methods 9. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with one or two word responses. The morning the PN observes that he...Which intervention is most important for the PN to implement? Measure appropriate vital signs 10. The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which intervention is performed next? Initiate the urine stream? 11. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further action by the PN? Weights are touching the foot of the bed 12. The PN is reviewing diet instructions with a female client who has hyper...she has increased her intakes of protein and calories. What action should the PN take? Encourage the client to continue the dietary changes she has made 13. A mother brings her 5-year old child to the clinic for school physical examinations. Which assessment... PN that intergenerational violence may be occurring in the home?- The 6-year old son hits his younger sister during the interview -the 10-year old daughter has circular burns on her trunk and legs -the 3-year old has multiple bruises on the chest and both legs 14. A client has a prescription to discontinue intravenous therapy when the liter that is infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of solution remaining. At what time should the nurse expect to discontinue the intravenous therapy? 1700