HESI PN Comprehensive Exam
t t t
Whattinterventiontshouldtthetpracticaltnurset(PN)timplementttotmeettthetphysiologictintegritytoftatcli
enttduringtatmanictepisodetoftbipolartdisorder?
A. Providetthetclienttwithtfingertfoods.
B. Restricttthetclient'storaltfluidtintake.
C. Givetthetclienttlow-protein,tlow-calorietsnacks.
D. Interrupttthetclient'stperformancetoftrituals.
A.tProvidetthetclienttwithtfingertfoods.
Duringtthetmanictphasetoftbipolartdisorder,tatclienttistoftentunablettotsittstilltlongtenoughttoteat,tsotthetclie
nttshouldtbetprovidedtfingertfoodstthattcantbeteatentwhilethyperactive.
Atclienttwithtbipolartdisordertistbeingttreatedtwithtcognitivettherapy.tWhichtactionstshouldtthetpracticaltnu
rset(PN)timplementttotreenforcetthisttreatmenttstrategy?tSelecttalltthattapply.
A. Recommendtdailytphysicaltactivity.
B. Usetaffirmationstandtlimittsetting.
C. Allowtthetclientttottalktcontinuously.
D. Reporttclient'stsuicidaltexpressionsttotthettherapist.
E. Encouragetsubstitutingtpositivetthoughtstfortnegativetthoughts.
F. Reenforcetrelaxationttechniquestwhentexperiencingtnegativetthoughts.
B.tUsetaffirmationstandtlimittsetting.
D.tReporttclient'stsuicidaltexpressionsttotthettherapist.
E.tEncouragetsubstitutingtpositivetthoughtstfortnegativetthoughts.
Clientstdiagnosedtwithtbipolartdisordertmaytexperiencetdepressivetthoughtstand/ortattempttsuicide.tC
ognitivettherapytsometimestproducestrelieftfromttroublingtsymptomstexperiencedtbytclientstwithtbipo
lartdisorder.tCognitivettherapytallowstclientsttothandlet"thoughtterrors"tandtbehaviorsttotstoptnegative
tthoughts.
,Thetpracticaltnurset(PN)tistevaluatingtatclient'stselftmanagementtofttypet1tdiabetestmellitust(DM).tWhichtfin
dingstprovidetthetbesttparametertintthetclient'stgoalstfortthetpreventiontoftlong-termtcomplicationstoftDM?
A. Stricttadherencettotatdiabetictdiet.
B. Participationtintatregulartexercisetprogram.
C. Scheduledtadministrationtoftaccuratetinsulintdoses.
D. ConsistentthemoglobintA1ctlevelstnotgreatertthant7%.
D.tConsistentthemoglobintA1ctlevelstnotgreatertthant7%.
Fortoptimaltdiabetictcontrol,tevidence-
basedtguidelinestrecommendtantA1cttargettleveltnotgreatertthant7%tfortatclienttwithtDM,twhichtistthetprim
arytgoaltandtindicatortofteffectivettreatmenttandtdiabetestmanagement.
Whichtactiontshouldtthetpracticaltnurset(PN)timplementtfortatyoungtgirltwithtpulmonarytinfectiontwhotistrec
eivingtchesttphysiotherapy?
A. Encouragettotholdthertbreathtandtthentcough.
B. Administertbronchodilatorstaftertthetprocedure.
C. Allowtthetchildttotsittintatpositiontoftchoice.
D. Percusstthetchesttwalltintatrhythmictfashion.
D.tPercusstthetchesttwalltintatrhythmictfashion.
,Thicktsecretionstthattaretdifficultttotcoughtuptcantbetloosenedtbyttapping,tortpercussing,tandtvibratingtthet
chest.tPercussiontistcarriedtouttbytcuppingtthethandstandtlightlytstrikingtthetchesttwalltintatrhythmictfashio
ntovertthetlungtsegmentttotbetdrained
Thetpracticaltnurset(PN)tistpreparingttotadministerterythromycint(Ilotycin)t0.5%tophthalmictointmentttotat
newborn.tThetfathertaskstthetPNtthetpurposetoftthistmedication.tWhattrationaletshouldtthetPNtprovide?
A. Totallowtthetbaby'steyesttotfocus.
B. Totlubricatetthetbaby'steyes.
C. Totpreventtinfectiontintthetbaby'steyes.
D. Refertthetfatherttotthetpediatrician.
C.tTotpreventtinfectiontintthetbaby'steyes.
ErythromycintistprescribedtintthetprophylaxistoftophthalmiatneonatorumtcausedtbytNeisseriatgonorrheata
ndtChlamydiattrachomatis.tThetPNtshouldtexplaintthetointmenttistatprophylacticttreatmentttotpreventtinfe
ctiontintthetbaby'steyes.
Atclient'stcardiacttelemetrytrevealstsinustbradycardiatatt40tbeats/minute.tAntIVtdosetoftatropinetistgiventpe
rtprotocol.tWhichtfindingtshouldtthetpracticaltnurset(PN)tidentifytastattherapeutictresponse?
A. Atdecreasetintbloodtpressure.
B. Atdecreasetintprematuretcontractions.
C. Antincreasetinthearttrate.
D. Antincreasetintsensorium.
C.tAntincreasetinthearttrate.
Atropinetincreasesthearttratet(C)tbytitstanticholinergicteffectstontthetsinoatrialt(SA)tnode.
Atclienttistadmittedtwithtattumortoftthethypothalamus.tWhichtfindingtshouldtthetpracticaltnurset(PN)tre
portttotthetchargetnurse?
A. Atpulsetratetoft98tbeats/min.
, B. Respirationstoft20tbreaths/min.
C. Antoralttemperaturetoft101.8°tF.
D. Atbloodtpressuretoft130/80tmmtHg.
C.tAntoralttemperaturetoft101.8°tF.
Thethypothalamustcontrolstbodyttemperature,tsotvariationtintthettemperaturetshouldtbetreportedttotde
terminetiftthetelevationtistrelatedttotinfectiontortcerebraltpathology.
Thetpracticaltnurset(PN)tistreinforcingtinstructionsttotatclienttwhotistscheduledtfortatbonetmarrowtas
piration.tThetPNtshouldtpreparetthetclienttfortthetproceduretattwhichtsite?
A. Thetfemur.
B. Thetscapula.
C. Thetantecubitaltfossa.
D. Thetposteriortiliactcrest.
D.tThetposteriortiliactcrest.
Bonetmarrowtsamplestaretcommonlytaspiratedtfromtthetposteriortiliactcresttortsternum,twhichtaretre
adilytaccessibletobtainingtatspecimentoftbonetmarrowtviatthetbiopsytneedle.
Whichtdischargetinstructionstshouldtthetpracticaltnurset(PN)treinforcetwithtatclienttwhothastacutetch
olecystitis?
A. Limittoraltintakettotthreetregulartmealstpertday.
B. Drinktfluidstbetweentmealstrathertthantwithtmeals.
C. Consumetatlow-fattdiettintsmaller,tmoretfrequenttmeals.
D. Limittdietarytfattintakettot35%toftthetdailytcalorietintake.
t t t
Whattinterventiontshouldtthetpracticaltnurset(PN)timplementttotmeettthetphysiologictintegritytoftatcli
enttduringtatmanictepisodetoftbipolartdisorder?
A. Providetthetclienttwithtfingertfoods.
B. Restricttthetclient'storaltfluidtintake.
C. Givetthetclienttlow-protein,tlow-calorietsnacks.
D. Interrupttthetclient'stperformancetoftrituals.
A.tProvidetthetclienttwithtfingertfoods.
Duringtthetmanictphasetoftbipolartdisorder,tatclienttistoftentunablettotsittstilltlongtenoughttoteat,tsotthetclie
nttshouldtbetprovidedtfingertfoodstthattcantbeteatentwhilethyperactive.
Atclienttwithtbipolartdisordertistbeingttreatedtwithtcognitivettherapy.tWhichtactionstshouldtthetpracticaltnu
rset(PN)timplementttotreenforcetthisttreatmenttstrategy?tSelecttalltthattapply.
A. Recommendtdailytphysicaltactivity.
B. Usetaffirmationstandtlimittsetting.
C. Allowtthetclientttottalktcontinuously.
D. Reporttclient'stsuicidaltexpressionsttotthettherapist.
E. Encouragetsubstitutingtpositivetthoughtstfortnegativetthoughts.
F. Reenforcetrelaxationttechniquestwhentexperiencingtnegativetthoughts.
B.tUsetaffirmationstandtlimittsetting.
D.tReporttclient'stsuicidaltexpressionsttotthettherapist.
E.tEncouragetsubstitutingtpositivetthoughtstfortnegativetthoughts.
Clientstdiagnosedtwithtbipolartdisordertmaytexperiencetdepressivetthoughtstand/ortattempttsuicide.tC
ognitivettherapytsometimestproducestrelieftfromttroublingtsymptomstexperiencedtbytclientstwithtbipo
lartdisorder.tCognitivettherapytallowstclientsttothandlet"thoughtterrors"tandtbehaviorsttotstoptnegative
tthoughts.
,Thetpracticaltnurset(PN)tistevaluatingtatclient'stselftmanagementtofttypet1tdiabetestmellitust(DM).tWhichtfin
dingstprovidetthetbesttparametertintthetclient'stgoalstfortthetpreventiontoftlong-termtcomplicationstoftDM?
A. Stricttadherencettotatdiabetictdiet.
B. Participationtintatregulartexercisetprogram.
C. Scheduledtadministrationtoftaccuratetinsulintdoses.
D. ConsistentthemoglobintA1ctlevelstnotgreatertthant7%.
D.tConsistentthemoglobintA1ctlevelstnotgreatertthant7%.
Fortoptimaltdiabetictcontrol,tevidence-
basedtguidelinestrecommendtantA1cttargettleveltnotgreatertthant7%tfortatclienttwithtDM,twhichtistthetprim
arytgoaltandtindicatortofteffectivettreatmenttandtdiabetestmanagement.
Whichtactiontshouldtthetpracticaltnurset(PN)timplementtfortatyoungtgirltwithtpulmonarytinfectiontwhotistrec
eivingtchesttphysiotherapy?
A. Encouragettotholdthertbreathtandtthentcough.
B. Administertbronchodilatorstaftertthetprocedure.
C. Allowtthetchildttotsittintatpositiontoftchoice.
D. Percusstthetchesttwalltintatrhythmictfashion.
D.tPercusstthetchesttwalltintatrhythmictfashion.
,Thicktsecretionstthattaretdifficultttotcoughtuptcantbetloosenedtbyttapping,tortpercussing,tandtvibratingtthet
chest.tPercussiontistcarriedtouttbytcuppingtthethandstandtlightlytstrikingtthetchesttwalltintatrhythmictfashio
ntovertthetlungtsegmentttotbetdrained
Thetpracticaltnurset(PN)tistpreparingttotadministerterythromycint(Ilotycin)t0.5%tophthalmictointmentttotat
newborn.tThetfathertaskstthetPNtthetpurposetoftthistmedication.tWhattrationaletshouldtthetPNtprovide?
A. Totallowtthetbaby'steyesttotfocus.
B. Totlubricatetthetbaby'steyes.
C. Totpreventtinfectiontintthetbaby'steyes.
D. Refertthetfatherttotthetpediatrician.
C.tTotpreventtinfectiontintthetbaby'steyes.
ErythromycintistprescribedtintthetprophylaxistoftophthalmiatneonatorumtcausedtbytNeisseriatgonorrheata
ndtChlamydiattrachomatis.tThetPNtshouldtexplaintthetointmenttistatprophylacticttreatmentttotpreventtinfe
ctiontintthetbaby'steyes.
Atclient'stcardiacttelemetrytrevealstsinustbradycardiatatt40tbeats/minute.tAntIVtdosetoftatropinetistgiventpe
rtprotocol.tWhichtfindingtshouldtthetpracticaltnurset(PN)tidentifytastattherapeutictresponse?
A. Atdecreasetintbloodtpressure.
B. Atdecreasetintprematuretcontractions.
C. Antincreasetinthearttrate.
D. Antincreasetintsensorium.
C.tAntincreasetinthearttrate.
Atropinetincreasesthearttratet(C)tbytitstanticholinergicteffectstontthetsinoatrialt(SA)tnode.
Atclienttistadmittedtwithtattumortoftthethypothalamus.tWhichtfindingtshouldtthetpracticaltnurset(PN)tre
portttotthetchargetnurse?
A. Atpulsetratetoft98tbeats/min.
, B. Respirationstoft20tbreaths/min.
C. Antoralttemperaturetoft101.8°tF.
D. Atbloodtpressuretoft130/80tmmtHg.
C.tAntoralttemperaturetoft101.8°tF.
Thethypothalamustcontrolstbodyttemperature,tsotvariationtintthettemperaturetshouldtbetreportedttotde
terminetiftthetelevationtistrelatedttotinfectiontortcerebraltpathology.
Thetpracticaltnurset(PN)tistreinforcingtinstructionsttotatclienttwhotistscheduledtfortatbonetmarrowtas
piration.tThetPNtshouldtpreparetthetclienttfortthetproceduretattwhichtsite?
A. Thetfemur.
B. Thetscapula.
C. Thetantecubitaltfossa.
D. Thetposteriortiliactcrest.
D.tThetposteriortiliactcrest.
Bonetmarrowtsamplestaretcommonlytaspiratedtfromtthetposteriortiliactcresttortsternum,twhichtaretre
adilytaccessibletobtainingtatspecimentoftbonetmarrowtviatthetbiopsytneedle.
Whichtdischargetinstructionstshouldtthetpracticaltnurset(PN)treinforcetwithtatclienttwhothastacutetch
olecystitis?
A. Limittoraltintakettotthreetregulartmealstpertday.
B. Drinktfluidstbetweentmealstrathertthantwithtmeals.
C. Consumetatlow-fattdiettintsmaller,tmoretfrequenttmeals.
D. Limittdietarytfattintakettot35%toftthetdailytcalorietintake.
