Exit HESI PN LATEST 2023 EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
uterus is firm diverted and three finger breaths above umbilicus
what should be the first initial action - CORRECT ANSWER
Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery
disease who is admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine
phosphoicinase myoglobulin isoenzymes levels what should the
PN
consider the most significant risk is for this client on the second
day of admissions? - CORRECT ANSWER The labs results
indicate myocadiac damage and the client is at risk for cardiac
dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a
client with pruritis? - CORRECT ANSWER Keep finger nails
trimmed short
When gathering data about a client with dark skin tones which site
should the practical nurse (PN) observe - CORRECT ANSWER
Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery
following placement of a ventriculoperitoneal shunt which nursing
,intervention should the practical nurse (PN) implement during
postoperative care - CORRECT ANSWER • Document strict
intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
The birth weight of an infant delivered by a woman with
gestational diabetes is 10.1 pounds the infant is jittery and has a
heel
stick glucose level of 40 30 minuets after birth based on this
information which interventions should the PN implement first -
CORRECT ANSWER Offer nipple feedings of 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP)
enters a clients room and finds the client lying on the bed the
PN determines that the client is unresponsive which action should
the PN give the UAP first - CORRECT ANSWER obtain
emergency help
the practice nurse (PN ) is caring for a client with fractured
metatarsals after slamming a hand in the car door after
administering the prescribed hydrocodone/acetaminophen for
pain which intervention should the PN include in the client care? -
CORRECT ANSWER Implement ongoing assessments for
signs of shortness or slowed breathing
The practical nurse (PN) overhears the female client with crushing
syndrome tell her family in a very loud and anger voice to
leave her room and not come back the response by the PN is
based on recognizing which common manifestations of the
syndrome - CORRECT ANSWER Mood adherence
The parents with a one year old child with the diagnosis of
hypospadias informed the practical nurse (PN) that they plan to
,delay corrective surgery to see if the child will outgrow the
problem which information should the PN provide to these parents
- CORRECT ANSWER Ask the patents to explain what they
understand about the child's diagnosis
A child reviving chemotherapy develops a cough that productive
of yellow tinged sputum after determine that the client is
afebrile which priority action for the practice nurse (PN) to take? -
CORRECT ANSWER Provide oral hygiene
The Glasgow scale is being used to monitor a client who
experienced a traumatic brain injury what primary assessment
should
the PN evaluate - CORRECT ANSWER Level of
consciousness
The practical nurse (PN) is assigned to care for a client who had
an endoscopic procedure in which a local anesthetic was
sprayed on their throat which priority action should the PN include
in this care of plan? - CORRECT ANSWER Assess the gag
reflexes
The practical nurse (PN) is providing care for a client who is NPO
after small bowel resection the client NG tube is connected to
intermittent suction the client reports dizziness and tingling in
digits which assessment finding should the PN report to the
healthcare proiver - CORRECT ANSWER Hypoactive bowel
sounds on assessment
The patents of a child with pre diabetic report to thr practical
nurse (PN) that the child wants to join the soccer team what is
the best action for the PN to implement - CORRECT ANSWER
Reassure the patents that increased physical activity reduces risk
for diabetes
, While assisting the RN with the admission of a toddler which
intervention should the practical nurse (PN) implement to make
the experience lease stressful for the client - CORRECT
ANSWER Remove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the
practical nurse (PN) should tell the client that this is a
common side effect with what medication - CORRECT ANSWER
Quinapril
A practical nurse (Pn) is at the nurses station describing her
social life sexual activities and alcohol
drinking in a boisterous voice that might be heard by the client
and visitors - CORRECT ANSWER Suggest going to the
nurses lounge to discuss these topics
The parents of a child with acute glomerulonephritis are
describing to the practical nurse (PN) that
originally motivated them to seek medical care which signs is the
child most likely exhibiting - CORRECT ANSWER Hematuria
the chest xray for a client who is admitted for pneumonia shows
pleural effusion what should the PN
expect to hear when auscultating the upper lobe? - CORRECT
ANSWER A rubbing pleural sound
A client receives ondansetron prior to chemotherapy treatment
how should the practical nurse evaluate
the effectiveness of the medication - CORRECT ANSWER
Monitor the client for nausea or vomiting following the treatment
The practical nurse (PN) is assisting with the plan of care for a
client with osteochondrosis who is not
experiencing increased discomfort in breathing the client receives
a prescription for tramadol what
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
uterus is firm diverted and three finger breaths above umbilicus
what should be the first initial action - CORRECT ANSWER
Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery
disease who is admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine
phosphoicinase myoglobulin isoenzymes levels what should the
PN
consider the most significant risk is for this client on the second
day of admissions? - CORRECT ANSWER The labs results
indicate myocadiac damage and the client is at risk for cardiac
dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a
client with pruritis? - CORRECT ANSWER Keep finger nails
trimmed short
When gathering data about a client with dark skin tones which site
should the practical nurse (PN) observe - CORRECT ANSWER
Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery
following placement of a ventriculoperitoneal shunt which nursing
,intervention should the practical nurse (PN) implement during
postoperative care - CORRECT ANSWER • Document strict
intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
The birth weight of an infant delivered by a woman with
gestational diabetes is 10.1 pounds the infant is jittery and has a
heel
stick glucose level of 40 30 minuets after birth based on this
information which interventions should the PN implement first -
CORRECT ANSWER Offer nipple feedings of 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP)
enters a clients room and finds the client lying on the bed the
PN determines that the client is unresponsive which action should
the PN give the UAP first - CORRECT ANSWER obtain
emergency help
the practice nurse (PN ) is caring for a client with fractured
metatarsals after slamming a hand in the car door after
administering the prescribed hydrocodone/acetaminophen for
pain which intervention should the PN include in the client care? -
CORRECT ANSWER Implement ongoing assessments for
signs of shortness or slowed breathing
The practical nurse (PN) overhears the female client with crushing
syndrome tell her family in a very loud and anger voice to
leave her room and not come back the response by the PN is
based on recognizing which common manifestations of the
syndrome - CORRECT ANSWER Mood adherence
The parents with a one year old child with the diagnosis of
hypospadias informed the practical nurse (PN) that they plan to
,delay corrective surgery to see if the child will outgrow the
problem which information should the PN provide to these parents
- CORRECT ANSWER Ask the patents to explain what they
understand about the child's diagnosis
A child reviving chemotherapy develops a cough that productive
of yellow tinged sputum after determine that the client is
afebrile which priority action for the practice nurse (PN) to take? -
CORRECT ANSWER Provide oral hygiene
The Glasgow scale is being used to monitor a client who
experienced a traumatic brain injury what primary assessment
should
the PN evaluate - CORRECT ANSWER Level of
consciousness
The practical nurse (PN) is assigned to care for a client who had
an endoscopic procedure in which a local anesthetic was
sprayed on their throat which priority action should the PN include
in this care of plan? - CORRECT ANSWER Assess the gag
reflexes
The practical nurse (PN) is providing care for a client who is NPO
after small bowel resection the client NG tube is connected to
intermittent suction the client reports dizziness and tingling in
digits which assessment finding should the PN report to the
healthcare proiver - CORRECT ANSWER Hypoactive bowel
sounds on assessment
The patents of a child with pre diabetic report to thr practical
nurse (PN) that the child wants to join the soccer team what is
the best action for the PN to implement - CORRECT ANSWER
Reassure the patents that increased physical activity reduces risk
for diabetes
, While assisting the RN with the admission of a toddler which
intervention should the practical nurse (PN) implement to make
the experience lease stressful for the client - CORRECT
ANSWER Remove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the
practical nurse (PN) should tell the client that this is a
common side effect with what medication - CORRECT ANSWER
Quinapril
A practical nurse (Pn) is at the nurses station describing her
social life sexual activities and alcohol
drinking in a boisterous voice that might be heard by the client
and visitors - CORRECT ANSWER Suggest going to the
nurses lounge to discuss these topics
The parents of a child with acute glomerulonephritis are
describing to the practical nurse (PN) that
originally motivated them to seek medical care which signs is the
child most likely exhibiting - CORRECT ANSWER Hematuria
the chest xray for a client who is admitted for pneumonia shows
pleural effusion what should the PN
expect to hear when auscultating the upper lobe? - CORRECT
ANSWER A rubbing pleural sound
A client receives ondansetron prior to chemotherapy treatment
how should the practical nurse evaluate
the effectiveness of the medication - CORRECT ANSWER
Monitor the client for nausea or vomiting following the treatment
The practical nurse (PN) is assisting with the plan of care for a
client with osteochondrosis who is not
experiencing increased discomfort in breathing the client receives
a prescription for tramadol what
