Latest Updated Solutions
HESI PN EXIT EXAM TEST BANK
2022/2023 V1 | Latest Version, Graded A+
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
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
During morning rounds a client is admitted with OCD is in the...of the same table.
What intervention should the PN implement when approached? - Provide time for the
behavior then guide the client to other activities
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
The pn determines that a client with cirrhosis is experiencing peripheral....take? -
Protect the clients feet from injury
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 reexpansion
photo of chest and locating apical HR - just below the left nipple
At the end of a 12-hour shift the PN observes the urine in a clients drainage..what
action should the PN take next? - note the most recent white blood count
A client with a compound fracture of the left ankle is being discharged with a below
the knee cast....PN provide to the client prior to discharge? - never scratch under the
cast
,Latest Updated Solutions
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
A male client has been diagnosed with schizophrenia is withdrawn, isolates himself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
The PN is assisting an unsteady client to ambulate from the bed to the bath...client
loses balance and falls onto the bedside table. what action should the PN take first? -
Stay with the client and call for assistance
The PN is assisting a female client to obtain a voided specimen for uri...meatus.
Which intervention is performed next? - initiate the urine stream?
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
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
A 3-year old child returns to the pediatricians office for a postoperative visit after
having...procedure. The PN should expect to observe which behavior that indicates... -
plays doctor and nurse with the dolls
The PN reviews the procedure for measuring fluid intake and output
...glomerulonephritis and is preparing for discharge from the hospital. What... - -why
the fluid measurements need to be recoded
-which food types are included when measuring fluid take
-what container to use for the most accurate measurement
,Latest Updated Solutions
A male client receives a prescription for 3,000 mg of medication daily, which is
available...taken twice daily in equal dosages.How many tablets should the PN... - 3
... - request return visit for examination after her period when hormones are lowest
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
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
the PN is caring for a client who had a total laryngectomy, left radical neck
dissection... client is receiving nasogastric tube feedings via an internal pump. today
the rate of the feeding was increased...ml/hr. What parameter should the PN use to
evaluate the clients tolerate to the rate of the feeding? - gastric residual volumes
A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the PN
take? - Ensure that all the areolar tissue of the nipple is in the infants mouth.
Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client? - deltoid
Before inserting medication into a clients vagina, what instructions should the pn... -
urinate until bladder is empty
An 18-year old female client with pelvic inflammatory disease (PID0 asks the
pn..Which information is best for the PN to provide? - A history of untreated
gonnorhea can lead to PID
, Latest Updated Solutions
A 28-year old client is in active labor and complains of a cramp in her leg. What
intervention should the PN implement? - extend the leg and flex the foot?
A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - Wear a supportive bra at
all times
A client with schizophrenia reports auditory hallucinations when admitted to the
hospital. PN to include in the assessment of this client? - "what are the voices
uttering?"
A young adult male tells the PN he has declared to change his hours at work so that he
can...his community. Which stage of Maslow's development is this young adult
attempting to achieve? - Self-actualiztion
A female client arrives to the clinic for an annal physical examination. when
reviewing...the PN that she takes herbs for high blood pressure instead of the
prescribed..important for the PN to reinforce with the client? - Explain risks associated
with using herbs instead of the prescribed antihypertensives.
A female Native American client who is receiving chemotherapy places a native
artifact...the health care provider removes the medicine wheel and tells the client "this
type..hospital" what intervention should the PN implement ? - Act as the clients
advocate when discussing the issue with the HCP
The PN is caring for a client receiving chemotherapy who has
thrombocytopenia..important to include in the nursing care plan? - watch the client for
abnormal bleeding
... - "it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
A client is transferred to the surgical unit from the intensive care unit after evacuation
of bilateral..primary observation should the PN monitor? - neuro-vital signs related to
bleeding and intracranial pressure
HESI PN EXIT EXAM TEST BANK
2022/2023 V1 | Latest Version, Graded A+
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
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
During morning rounds a client is admitted with OCD is in the...of the same table.
What intervention should the PN implement when approached? - Provide time for the
behavior then guide the client to other activities
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
The pn determines that a client with cirrhosis is experiencing peripheral....take? -
Protect the clients feet from injury
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 reexpansion
photo of chest and locating apical HR - just below the left nipple
At the end of a 12-hour shift the PN observes the urine in a clients drainage..what
action should the PN take next? - note the most recent white blood count
A client with a compound fracture of the left ankle is being discharged with a below
the knee cast....PN provide to the client prior to discharge? - never scratch under the
cast
,Latest Updated Solutions
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
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
The PN is assisting an unsteady client to ambulate from the bed to the bath...client
loses balance and falls onto the bedside table. what action should the PN take first? -
Stay with the client and call for assistance
The PN is assisting a female client to obtain a voided specimen for uri...meatus.
Which intervention is performed next? - initiate the urine stream?
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
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
A 3-year old child returns to the pediatricians office for a postoperative visit after
having...procedure. The PN should expect to observe which behavior that indicates... -
plays doctor and nurse with the dolls
The PN reviews the procedure for measuring fluid intake and output
...glomerulonephritis and is preparing for discharge from the hospital. What... - -why
the fluid measurements need to be recoded
-which food types are included when measuring fluid take
-what container to use for the most accurate measurement
,Latest Updated Solutions
A male client receives a prescription for 3,000 mg of medication daily, which is
available...taken twice daily in equal dosages.How many tablets should the PN... - 3
... - request return visit for examination after her period when hormones are lowest
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
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
the PN is caring for a client who had a total laryngectomy, left radical neck
dissection... client is receiving nasogastric tube feedings via an internal pump. today
the rate of the feeding was increased...ml/hr. What parameter should the PN use to
evaluate the clients tolerate to the rate of the feeding? - gastric residual volumes
A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the PN
take? - Ensure that all the areolar tissue of the nipple is in the infants mouth.
Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client? - deltoid
Before inserting medication into a clients vagina, what instructions should the pn... -
urinate until bladder is empty
An 18-year old female client with pelvic inflammatory disease (PID0 asks the
pn..Which information is best for the PN to provide? - A history of untreated
gonnorhea can lead to PID
, Latest Updated Solutions
A 28-year old client is in active labor and complains of a cramp in her leg. What
intervention should the PN implement? - extend the leg and flex the foot?
A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - Wear a supportive bra at
all times
A client with schizophrenia reports auditory hallucinations when admitted to the
hospital. PN to include in the assessment of this client? - "what are the voices
uttering?"
A young adult male tells the PN he has declared to change his hours at work so that he
can...his community. Which stage of Maslow's development is this young adult
attempting to achieve? - Self-actualiztion
A female client arrives to the clinic for an annal physical examination. when
reviewing...the PN that she takes herbs for high blood pressure instead of the
prescribed..important for the PN to reinforce with the client? - Explain risks associated
with using herbs instead of the prescribed antihypertensives.
A female Native American client who is receiving chemotherapy places a native
artifact...the health care provider removes the medicine wheel and tells the client "this
type..hospital" what intervention should the PN implement ? - Act as the clients
advocate when discussing the issue with the HCP
The PN is caring for a client receiving chemotherapy who has
thrombocytopenia..important to include in the nursing care plan? - watch the client for
abnormal bleeding
... - "it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
A client is transferred to the surgical unit from the intensive care unit after evacuation
of bilateral..primary observation should the PN monitor? - neuro-vital signs related to
bleeding and intracranial pressure
