HESI PN Comprehensive Exam 2 Questions f f f f f f
and Answers 2023 (Verified) f f f
1. A newborn with apnea is being discharged from the hospital with home monit
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oring.What information concerning the infant's care should the practicalnurse re
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view with the parents?
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A. Cardiopulmonary resuscitation (CPR). f f
B. Administration of intravenous antibiotics. f f f
C. Reassurance that the infant cannot be electrocuted during monitoring. f f f f f f f f
D. Advise that the infant not be left with caretakers, such as babysitters Answer
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: A.Cardiopulmonary resuscitation (CPR).
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Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation o
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f home monitoring presents additional emotional stress. When home monitoringisrequi
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edtheparentsshouldreceiveinstructionsthatincludecardiopul-
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monary resuscitation(A). (B) does not indicate Apnea
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2. Which protocol regarding standard policies about prescriptions should thepr
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actical nurse (PN) question? f f f
A. All drug prescriptions should have the date, time, and prescriber's signa-
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,ture.
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B.Verbal orders are accepted from prescribers and should include signatures.
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C. Prescribers may write specific times at which the medications are to begiv
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en.
D. Preoperative prescriptions should be resumed after a client returns from surg
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ery: D.Preoperativeprescriptionsshouldberesumedafteraclientreturnsfromsurgery.
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Rationale: A standard policy about preoperative medications that preoperative prescrip
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ions are automatically canceled for surgery and should be rewritten, if indicated,inthepo
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stoperativelysothe (PN)shouldquestion(D).(A,B,C)arecorrectstatements.
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3. When reviewing the safety precautions regarding newborns, what informa-
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tion should the practical nurse communicate to the parents?
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A. Position the infant to sleep on the baby's back.
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B. Use a crib with slats no more than 4 inches apart.
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C. Propping a bottle can be done when the infant gets older.
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D. Place the infant a front-
f f f f
facing car seat in the automobile Answer: A.Position theinfant to sleep on the bab
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y's back.
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,Rationale: The incident of sudden infant death syndrome (SIDS) decline when infant
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s are positioned on their backs (A), instead of prone for sleeping.Crib slats
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(B) 2.375 inches apart to prevent the baby from slipping.(C) Never prop a babiesbottle
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.(D)Infant who weighs less than 30lbs should be placed in a rear facing carseat.
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4. When monitoring a newborn, which observation should the practical nurserep
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ort to the healthcare provider?
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A. Rectal temperature of 37.6° C. f f f f
B. Axillary temperature of 37.1° C. f f f f
C. Heart rate of 110 beats per minute. Correct
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D. Respiration rate of 40 breaths per minute Answer: C. Heart rate of 110 beats f f f f f f f f f f f f f f
perminute f
Rationale:The normal range for a heart beat for an infant is 120-
f f f f f f f f f f f f
160 so a heart rateof 110 should be reported to the healthcare provider.Newborn temper
f f f f f f f f f f f f f f f
ature rangesfrom 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
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5. After reviewing discharge instructions with a male client who has hepatitisC,
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what statement by the client indicates to the practical nurse that the clientunders
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tands his disease? f f
A. "I will avoid taking any products with acetaminophen, such asTylenol."
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B. "I will eliminate alcohol consumption until my infection subsides."
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C. "I should eat a diet rich in dark green leafy vegetables."
f f f f f f f f f f
D. "I understand that my other medications doses need to be increased.": A."I wil
f f f f f f f f f f f f f
l avoid taking any products with acetaminophen, such as Tylenol."
f f f f f f f f f
3f/f38
, Rationale:Tylenol is metabolized in the liver and should be avoided with clients withliver d
f f f f f f f f f f f f f f f
isease
6. Which action should the practical nurse perform first for a child who is injured
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on the school grounds and has an obvious mis-alignment of the lowerforearm?
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A. Remove the child's finger rings. f f f f
B. Assess and document the child's level of pain.
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C. Evaluate the child's range of motion. f f f f f
D. Place arm in a sling at level of the child's heart Answer: A.Remove the child's fing
f f f f f f f f f f f f f f f f
errings. f
4f/f38
and Answers 2023 (Verified) f f f
1. A newborn with apnea is being discharged from the hospital with home monit
f f f f f f f f f f f f
oring.What information concerning the infant's care should the practicalnurse re
f f f f f f f f f f f
view with the parents?
f f f
A. Cardiopulmonary resuscitation (CPR). f f
B. Administration of intravenous antibiotics. f f f
C. Reassurance that the infant cannot be electrocuted during monitoring. f f f f f f f f
D. Advise that the infant not be left with caretakers, such as babysitters Answer
f f f f f f f f f f f f
: A.Cardiopulmonary resuscitation (CPR).
f f f f
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation o
f f f f f f f f f f f f f
f home monitoring presents additional emotional stress. When home monitoringisrequi
f f f f f f f f f f f
edtheparentsshouldreceiveinstructionsthatincludecardiopul-
f f f f f f f f
monary resuscitation(A). (B) does not indicate Apnea
f f f f f f f
2. Which protocol regarding standard policies about prescriptions should thepr
f f f f f f f f f
actical nurse (PN) question? f f f
A. All drug prescriptions should have the date, time, and prescriber's signa-
f f f f f f f f f f
1f/f38
,ture.
f
B.Verbal orders are accepted from prescribers and should include signatures.
f f f f f f f f f
C. Prescribers may write specific times at which the medications are to begiv
f f f f f f f f f f f f
en.
D. Preoperative prescriptions should be resumed after a client returns from surg
f f f f f f f f f f
ery: D.Preoperativeprescriptionsshouldberesumedafteraclientreturnsfromsurgery.
f f f f f f f f f f f f
Rationale: A standard policy about preoperative medications that preoperative prescrip
f f f f f f f f f
ions are automatically canceled for surgery and should be rewritten, if indicated,inthepo
f f f f f f f f f f f f f f f
stoperativelysothe (PN)shouldquestion(D).(A,B,C)arecorrectstatements.
f f f f f f f f f f
3. When reviewing the safety precautions regarding newborns, what informa-
f f f f f f f f
tion should the practical nurse communicate to the parents?
f f f f f f f f f
A. Position the infant to sleep on the baby's back.
f f f f f f f f
B. Use a crib with slats no more than 4 inches apart.
f f f f f f f f f f
C. Propping a bottle can be done when the infant gets older.
f f f f f f f f f f
D. Place the infant a front-
f f f f
facing car seat in the automobile Answer: A.Position theinfant to sleep on the bab
f f f f f f f f f f f f f f f
y's back.
f
2f/f38
,Rationale: The incident of sudden infant death syndrome (SIDS) decline when infant
f f f f f f f f f f f
s are positioned on their backs (A), instead of prone for sleeping.Crib slats
f f f f f f f f f f f f f
(B) 2.375 inches apart to prevent the baby from slipping.(C) Never prop a babiesbottle
f f f f f f f f f f f f f f
.(D)Infant who weighs less than 30lbs should be placed in a rear facing carseat.
f f f f f f f f f f f f f f f
4. When monitoring a newborn, which observation should the practical nurserep
f f f f f f f f f f
ort to the healthcare provider?
f f f f
A. Rectal temperature of 37.6° C. f f f f
B. Axillary temperature of 37.1° C. f f f f
C. Heart rate of 110 beats per minute. Correct
f f f f f f f
D. Respiration rate of 40 breaths per minute Answer: C. Heart rate of 110 beats f f f f f f f f f f f f f f
perminute f
Rationale:The normal range for a heart beat for an infant is 120-
f f f f f f f f f f f f
160 so a heart rateof 110 should be reported to the healthcare provider.Newborn temper
f f f f f f f f f f f f f f f
ature rangesfrom 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
f f f f f f f f f
5. After reviewing discharge instructions with a male client who has hepatitisC,
f f f f f f f f f f f f
what statement by the client indicates to the practical nurse that the clientunders
f f f f f f f f f f f f f
tands his disease? f f
A. "I will avoid taking any products with acetaminophen, such asTylenol."
f f f f f f f f f f
B. "I will eliminate alcohol consumption until my infection subsides."
f f f f f f f f
C. "I should eat a diet rich in dark green leafy vegetables."
f f f f f f f f f f
D. "I understand that my other medications doses need to be increased.": A."I wil
f f f f f f f f f f f f f
l avoid taking any products with acetaminophen, such as Tylenol."
f f f f f f f f f
3f/f38
, Rationale:Tylenol is metabolized in the liver and should be avoided with clients withliver d
f f f f f f f f f f f f f f f
isease
6. Which action should the practical nurse perform first for a child who is injured
f f f f f f f f f f f f f f
on the school grounds and has an obvious mis-alignment of the lowerforearm?
f f f f f f f f f f f f
A. Remove the child's finger rings. f f f f
B. Assess and document the child's level of pain.
f f f f f f f
C. Evaluate the child's range of motion. f f f f f
D. Place arm in a sling at level of the child's heart Answer: A.Remove the child's fing
f f f f f f f f f f f f f f f f
errings. f
4f/f38
