HESI PN Comprehensive Exam 2
GRADED A LATEST VERSION 2023/2024
A newborn with apnea is being discharged from the hospital with home
monitoring. What information concerning the infant's care should the
practical nurse review with the parents?
A. Cardiopulmonary resuscitation (CPR).
B. Administration of intravenous antibiotics.
C. Reassurance that the infant cannot be electrocuted during
monitoring.
D. Advise that the infant not be left with caretakers, such as babysitters.
- CORRECT ANSWER A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents,
and the initiation of home monitoring presents additional emotional
stress. When home monitoring is required the parents should receive
instructions that include cardiopulmonary resuscitation(A). (B) does not
indicate Apnea
Which protocol regarding standard policies about prescriptions should
the practical nurse (PN) question?
,A. All drug prescriptions should have the date, time, and prescriber's
signature.
B.Verbal orders are accepted from prescribers and should include
signatures.
C. Prescribers may write specific times at which the medications are to
be given.
D. Preoperative prescriptions should be resumed after a client returns
from surgery - CORRECT ANSWER D. Preoperative prescriptions should
be resumed after a client returns from surgery.
Rationale: A standard policy about preoperative medications that
preoperative prescriptions are automatically canceled for surgery and
should be rewritten, if indicated , in the postoperatively so the (PN)
should question (D). (A,B,C) are correct statements.
When reviewing the safety precautions regarding newborns, what
information should the practical nurse communicate to the parents?
A. Position the infant to sleep on the baby's back.
B. Use a crib with slats no more than 4 inches apart.
C. Propping a bottle can be done when the infant gets older.
D. Place the infant a front-facing car seat in the automobile. - CORRECT
ANSWER A. Position the infant to sleep on the baby's back.
,Rationale: The incident of sudden infant death syndrome (SIDS) decline
when infants are positioned on their backs (A), instead of prone for
sleeping. Crib slats (B) 2.375 inches apart to prevent the baby from
slipping. (C) Never prop a babies bottle. (D)Infant who weighs less than
30lbs should be placed in a rear facing car seat.
When monitoring a newborn, which observation should the practical
nurse report to the healthcare provider?
A. Rectal temperature of 37.6° C.
B. Axillary temperature of 37.1° C.
C. Heart rate of 110 beats per minute. Correct
D. Respiration rate of 40 breaths per minute. - CORRECT ANSWER C.
Heart rate of 110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-160 so
a heart rate of 110 should be reported to the healthcare provider.
Newborn temperature ranges from 97.7,99.4,36.5,37.5 and normal
respiratory rate is 30-60
After reviewing discharge instructions with a male client who has
hepatitis C, what statement by the client indicates to the practical nurse
that the client understands his disease?
, A. "I will avoid taking any products with acetaminophen, such as
Tylenol."
B. "I will eliminate alcohol consumption until my infection subsides."
C. "I should eat a diet rich in dark green leafy vegetables."
D. "I understand that my other medications doses need to be
increased." - CORRECT ANSWER A. "I will avoid taking any products
with acetaminophen, such as Tylenol."
Rationale: Tylenol is metabolized in the liver and should be avoided
with clients with liver disease
Which action should the practical nurse perform first for a child who is
injured on the school grounds and has an obvious mis-alignment of the
lower forearm?
A. Remove the child's finger rings.
B. Assess and document the child's level of pain.
C. Evaluate the child's range of motion.
D. Place arm in a sling at level of the child's heart. - CORRECT ANSWER
A. Remove the child's finger rings.
Rationale: The child is a risk for swelling in the distal areas of the
affected arm and hand. Removal of finger rings (A) should be
implemented first to remove any potential constriction that may occur
after tissue injury or fracture of the lower arm
GRADED A LATEST VERSION 2023/2024
A newborn with apnea is being discharged from the hospital with home
monitoring. What information concerning the infant's care should the
practical nurse review with the parents?
A. Cardiopulmonary resuscitation (CPR).
B. Administration of intravenous antibiotics.
C. Reassurance that the infant cannot be electrocuted during
monitoring.
D. Advise that the infant not be left with caretakers, such as babysitters.
- CORRECT ANSWER A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents,
and the initiation of home monitoring presents additional emotional
stress. When home monitoring is required the parents should receive
instructions that include cardiopulmonary resuscitation(A). (B) does not
indicate Apnea
Which protocol regarding standard policies about prescriptions should
the practical nurse (PN) question?
,A. All drug prescriptions should have the date, time, and prescriber's
signature.
B.Verbal orders are accepted from prescribers and should include
signatures.
C. Prescribers may write specific times at which the medications are to
be given.
D. Preoperative prescriptions should be resumed after a client returns
from surgery - CORRECT ANSWER D. Preoperative prescriptions should
be resumed after a client returns from surgery.
Rationale: A standard policy about preoperative medications that
preoperative prescriptions are automatically canceled for surgery and
should be rewritten, if indicated , in the postoperatively so the (PN)
should question (D). (A,B,C) are correct statements.
When reviewing the safety precautions regarding newborns, what
information should the practical nurse communicate to the parents?
A. Position the infant to sleep on the baby's back.
B. Use a crib with slats no more than 4 inches apart.
C. Propping a bottle can be done when the infant gets older.
D. Place the infant a front-facing car seat in the automobile. - CORRECT
ANSWER A. Position the infant to sleep on the baby's back.
,Rationale: The incident of sudden infant death syndrome (SIDS) decline
when infants are positioned on their backs (A), instead of prone for
sleeping. Crib slats (B) 2.375 inches apart to prevent the baby from
slipping. (C) Never prop a babies bottle. (D)Infant who weighs less than
30lbs should be placed in a rear facing car seat.
When monitoring a newborn, which observation should the practical
nurse report to the healthcare provider?
A. Rectal temperature of 37.6° C.
B. Axillary temperature of 37.1° C.
C. Heart rate of 110 beats per minute. Correct
D. Respiration rate of 40 breaths per minute. - CORRECT ANSWER C.
Heart rate of 110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-160 so
a heart rate of 110 should be reported to the healthcare provider.
Newborn temperature ranges from 97.7,99.4,36.5,37.5 and normal
respiratory rate is 30-60
After reviewing discharge instructions with a male client who has
hepatitis C, what statement by the client indicates to the practical nurse
that the client understands his disease?
, A. "I will avoid taking any products with acetaminophen, such as
Tylenol."
B. "I will eliminate alcohol consumption until my infection subsides."
C. "I should eat a diet rich in dark green leafy vegetables."
D. "I understand that my other medications doses need to be
increased." - CORRECT ANSWER A. "I will avoid taking any products
with acetaminophen, such as Tylenol."
Rationale: Tylenol is metabolized in the liver and should be avoided
with clients with liver disease
Which action should the practical nurse perform first for a child who is
injured on the school grounds and has an obvious mis-alignment of the
lower forearm?
A. Remove the child's finger rings.
B. Assess and document the child's level of pain.
C. Evaluate the child's range of motion.
D. Place arm in a sling at level of the child's heart. - CORRECT ANSWER
A. Remove the child's finger rings.
Rationale: The child is a risk for swelling in the distal areas of the
affected arm and hand. Removal of finger rings (A) should be
implemented first to remove any potential constriction that may occur
after tissue injury or fracture of the lower arm
