HESI PN Comprehensive Exam 2 t t t t
A newborn with apnea is being discharged from the hospital with home monitoring.
t t t t t t t t t t t t t
What information concerning the infant's care should the practicalnurse review with t
t t t t t t t t t t t t
he parents? t
A. Cardiopulmonary resuscitation (CPR). t t
B. Administration of intravenous antibiotics. t t t
C. Reassurance that the infant cannot be electrocuted during monitoring. t t t t t t t t
D. Advise that the infant not be left with caretakers, such as babysitters.(A
t t t t t t t t t t t t
NS- A. Cardiopulmonary resuscitation (CPR).
t t t t
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation
t t t t t t t t t t t t t
of home monitoring presents additional emotional stress. When homemonitoring is requ
t t t t t t t t t t t
ired the parents should receive instructions that include cardiopulmonary resuscitation(
t t t t t t t t t
A). (B) does not indicate Apnea
t t t t t
Which protocol regarding standard policies about prescriptions should the practicalnur
t t t t t t t t t t
se (PN) question?
t t
A. All drug prescriptions should have the date, time, and prescriber's signature.
t t t t t t t t t t
B.Verbal orders are accepted from prescribers and should include signatures.
t t t t t t t t t
C. Prescribers may write specific times at which the medications are to be given. t t t t t t t t t t t t
D. Preoperative prescriptions should be resumed after a client returns from surgery(A t t t t t t t t t t t
NS-
D. Preoperative prescriptions should be resumed after a client returns from surgery.
t t t t t t t t t t t t
Rationale: A standard policy about preoperative medications that preoperativepre
t t t t t t t t t
scriptions are automatically canceled for surgery and should be rewritten, ifindicat
t t t t t t t t t t t
ed , in the postoperatively so the (PN) should question (D). (A,B,C) arecorrect state
t t t t t t t t t t t t t t
ments.
,When reviewing the safety precautions regarding newborns, what informationshould
t t t t t t t t t t
the practical nurse communicate to the parents?
t t t t t t
A. Position the infant to sleep on the baby's back. t t t t t t t t
B. Use a crib with slats no more than 4 inches apart.
t t t t t t t t t t
C. Propping a bottle can be done when the infant gets older. t t t t t t t t t t
D. Place the infant a front- t t t t
facing car seat in the automobile.(ANS- t t t t t t
tA. Position the infant to sleep on the baby's back.
t t t t t t t t t
Rationale: The incident of sudden infant death syndrome (SIDS) decline when infant
t t t t t t t t t t t
s are positioned on their backs (A), instead of prone for sleeping. Crib slats
t t t t t t t t t t t t t
(B) 2.375 inches apart to prevent the baby from slipping. (C) Never prop a babiesbottl
t t t t t t t t t t t t t t t
e. (D)Infant who weighs less than 30lbs should be placed in a rear facing carseat.
t t t t t t t t t t t t t t t
When monitoring a newborn, which observation should the practical nurse reportto th
t t t t t t t t t t t t
e healthcare provider?
t t
A. Rectal temperature of 37.6° C. t t t t
B. Axillary temperature of 37.1° C. t t t t
C. Heart rate of 110 beats per minute. Correct t t t t t t t
D. Respiration rate of 40 breaths per minute.( t t t t t t t
ANS- C. Heart rate of 110 beats per minute
t t t t t t t t
Rationale: The normal range for a heart beat for an infant is 120- t t t t t t t t t t t t
160 so a heart rateof 110 should be reported to the healthcare provider. Newborn temper
t t t t t t t t t t t t t t t
ature ranges from 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
t t t t t t t t t
After reviewing discharge instructions with a male client who has hepatitis C, whatstate
t t t t t t t t t t t t t
ment by the client indicates to the practical nurse that the client understands his disease?
t t t t t t t t t t t t t t
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
t t t t t t t t t t
B. "I will eliminate alcohol consumption until my infection subsides."
t t t t t t t t
C. "I should eat a diet rich in dark green leafy vegetables."
t t t t t t t t t t
,D. "I understand that my other medications doses need to be increased."
t t t t t t t t t t
(ANS- A. "I will avoid taking any products with acetaminophen, such as Tylenol."
t t t t t t t t t t t t
Rationale: Tylenol is metabolized in the liver and should be avoided with clientswith li
t t t t t t t t t t t t t t
ver disease t
Which action should the practical nurse perform first for a child who is injured onthe scho
t t t t t t t t t t t t t t t t
ol grounds and has an obvious mis-alignment of the lower forearm?
t t t t t t t t t t
A. Remove the child's finger rings. t t t t
B. Assess and document the child's level of pain. t t t t t t t
C. Evaluate the child's range of motion. t t t t t
D. Place arm in a sling at level of the child's heart.(A
t t t t t t t t t t t
NS- A. Remove the child's finger rings.
t t t t t t
Rationale: The child is a risk for swelling in the distal areas of the affected arm andhand. R
t t t t t t t t t t t t t t t t t t
emoval of finger rings (A) should be implemented first to remove any potential constricti
t t t t t t t t t t t t t
on that may occur after tissue injury or fracture of the lower arm
t t t t t t t t t t t t
The practical nurse (PN) is participating in a group interview of an applicant whowill wor
t t t t t t t t t t t t t t t
k in the clinic as a staff PN. Which question is best to ask the applicant?
t t t t t t t t t t t t t t t
A. "This position requires working on- t t t t
call every fourth weekend. Can you dothat?"
t t t t t t t
B. "Do you have child care arrangements for your children?"
t t t t t t t t
C. "Do you have any religious requirements that need schedulingac
t t t t t t t t t
commodation?"
D. "Are you going to be the sole supporter for your family?"
t t t t t t t t t t
(ANS- A. "This position requires working on-
t t t t t t
call every fourth weekend. Can youdo that?"
t t t t t t t
, Rationale: Job interview questions must be specifically job related (A)
t t t t t t t t t
A client in a nursing home becomes violent and verbally threatens an unlicensedassi
t t t t t t t t t t t t t
stive personnel (UAP). Which is the best way for the practical nurse (PN) incharge d
t t t t t t t t t t t t t t t
uring the shift to handle the staff's reaction to the incident?
t t t t t t t t t t
A. Encourage UAP to deal with it privately to prevent compromising clientcon t t t t t t t t t t t
fidentiality.
B. Offer a group discussion session so staff can share their thoughts and feelings.
t t t t t t t t t t t t
C. Invite staff out after hours to help distract them from the disturbing client event.
t t t t t t t t t t t t t
D. Refer the UAP to human resources department for a counseling session with ather
t t t t t t t t t t t t t
apist.
(ANS- B.Offer a group discussion session so staff can share their thoughts andfeelings
t t t t t t t t t t t t t
Rationale: A critical incident stress debriefing evolves expression of personal feelings,
t t t t t t t t t t
discussion, and working on unresolved emotional issues to minimize posttraumatic str
t t t t t t t t t t t t
ess for the staff member. A CISD is the best action for the PN in charge to take (B) in con
t t t t t t t t t t t t t t t t t t t t
junction with the guidance and assistance of the nursing supervisor in the facility
t t t t t t t t t t t t
A group of practical nurses (PNs) who work on a medical-
t t t t t t t t t t
surgical unit believethey are understaffed. Which data should the PNs consider wh
t t t t t t t t t t t t
en preparing thejustification for additional staff?
t t t t t t
A. Staffing ratios in other states. t t t t
B. Client acuity and census. t t t
C. Overtime payment and unfilled positions. t t t t
D. Number and frequency of client complaints.( t t t t t t
ANS- B. Client acuity and census.
t t t t t
Rationale: When presenting the need for increased staff, the PNs should present thereque
t t t t t t t t t t t t t
st using staffing guidelines that consider client acuity, number of clients, and length of st
t t t t t t t t t t t t t t
ay(B).
A newborn with apnea is being discharged from the hospital with home monitoring.
t t t t t t t t t t t t t
What information concerning the infant's care should the practicalnurse review with t
t t t t t t t t t t t t
he parents? t
A. Cardiopulmonary resuscitation (CPR). t t
B. Administration of intravenous antibiotics. t t t
C. Reassurance that the infant cannot be electrocuted during monitoring. t t t t t t t t
D. Advise that the infant not be left with caretakers, such as babysitters.(A
t t t t t t t t t t t t
NS- A. Cardiopulmonary resuscitation (CPR).
t t t t
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation
t t t t t t t t t t t t t
of home monitoring presents additional emotional stress. When homemonitoring is requ
t t t t t t t t t t t
ired the parents should receive instructions that include cardiopulmonary resuscitation(
t t t t t t t t t
A). (B) does not indicate Apnea
t t t t t
Which protocol regarding standard policies about prescriptions should the practicalnur
t t t t t t t t t t
se (PN) question?
t t
A. All drug prescriptions should have the date, time, and prescriber's signature.
t t t t t t t t t t
B.Verbal orders are accepted from prescribers and should include signatures.
t t t t t t t t t
C. Prescribers may write specific times at which the medications are to be given. t t t t t t t t t t t t
D. Preoperative prescriptions should be resumed after a client returns from surgery(A t t t t t t t t t t t
NS-
D. Preoperative prescriptions should be resumed after a client returns from surgery.
t t t t t t t t t t t t
Rationale: A standard policy about preoperative medications that preoperativepre
t t t t t t t t t
scriptions are automatically canceled for surgery and should be rewritten, ifindicat
t t t t t t t t t t t
ed , in the postoperatively so the (PN) should question (D). (A,B,C) arecorrect state
t t t t t t t t t t t t t t
ments.
,When reviewing the safety precautions regarding newborns, what informationshould
t t t t t t t t t t
the practical nurse communicate to the parents?
t t t t t t
A. Position the infant to sleep on the baby's back. t t t t t t t t
B. Use a crib with slats no more than 4 inches apart.
t t t t t t t t t t
C. Propping a bottle can be done when the infant gets older. t t t t t t t t t t
D. Place the infant a front- t t t t
facing car seat in the automobile.(ANS- t t t t t t
tA. Position the infant to sleep on the baby's back.
t t t t t t t t t
Rationale: The incident of sudden infant death syndrome (SIDS) decline when infant
t t t t t t t t t t t
s are positioned on their backs (A), instead of prone for sleeping. Crib slats
t t t t t t t t t t t t t
(B) 2.375 inches apart to prevent the baby from slipping. (C) Never prop a babiesbottl
t t t t t t t t t t t t t t t
e. (D)Infant who weighs less than 30lbs should be placed in a rear facing carseat.
t t t t t t t t t t t t t t t
When monitoring a newborn, which observation should the practical nurse reportto th
t t t t t t t t t t t t
e healthcare provider?
t t
A. Rectal temperature of 37.6° C. t t t t
B. Axillary temperature of 37.1° C. t t t t
C. Heart rate of 110 beats per minute. Correct t t t t t t t
D. Respiration rate of 40 breaths per minute.( t t t t t t t
ANS- C. Heart rate of 110 beats per minute
t t t t t t t t
Rationale: The normal range for a heart beat for an infant is 120- t t t t t t t t t t t t
160 so a heart rateof 110 should be reported to the healthcare provider. Newborn temper
t t t t t t t t t t t t t t t
ature ranges from 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
t t t t t t t t t
After reviewing discharge instructions with a male client who has hepatitis C, whatstate
t t t t t t t t t t t t t
ment by the client indicates to the practical nurse that the client understands his disease?
t t t t t t t t t t t t t t
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
t t t t t t t t t t
B. "I will eliminate alcohol consumption until my infection subsides."
t t t t t t t t
C. "I should eat a diet rich in dark green leafy vegetables."
t t t t t t t t t t
,D. "I understand that my other medications doses need to be increased."
t t t t t t t t t t
(ANS- A. "I will avoid taking any products with acetaminophen, such as Tylenol."
t t t t t t t t t t t t
Rationale: Tylenol is metabolized in the liver and should be avoided with clientswith li
t t t t t t t t t t t t t t
ver disease t
Which action should the practical nurse perform first for a child who is injured onthe scho
t t t t t t t t t t t t t t t t
ol grounds and has an obvious mis-alignment of the lower forearm?
t t t t t t t t t t
A. Remove the child's finger rings. t t t t
B. Assess and document the child's level of pain. t t t t t t t
C. Evaluate the child's range of motion. t t t t t
D. Place arm in a sling at level of the child's heart.(A
t t t t t t t t t t t
NS- A. Remove the child's finger rings.
t t t t t t
Rationale: The child is a risk for swelling in the distal areas of the affected arm andhand. R
t t t t t t t t t t t t t t t t t t
emoval of finger rings (A) should be implemented first to remove any potential constricti
t t t t t t t t t t t t t
on that may occur after tissue injury or fracture of the lower arm
t t t t t t t t t t t t
The practical nurse (PN) is participating in a group interview of an applicant whowill wor
t t t t t t t t t t t t t t t
k in the clinic as a staff PN. Which question is best to ask the applicant?
t t t t t t t t t t t t t t t
A. "This position requires working on- t t t t
call every fourth weekend. Can you dothat?"
t t t t t t t
B. "Do you have child care arrangements for your children?"
t t t t t t t t
C. "Do you have any religious requirements that need schedulingac
t t t t t t t t t
commodation?"
D. "Are you going to be the sole supporter for your family?"
t t t t t t t t t t
(ANS- A. "This position requires working on-
t t t t t t
call every fourth weekend. Can youdo that?"
t t t t t t t
, Rationale: Job interview questions must be specifically job related (A)
t t t t t t t t t
A client in a nursing home becomes violent and verbally threatens an unlicensedassi
t t t t t t t t t t t t t
stive personnel (UAP). Which is the best way for the practical nurse (PN) incharge d
t t t t t t t t t t t t t t t
uring the shift to handle the staff's reaction to the incident?
t t t t t t t t t t
A. Encourage UAP to deal with it privately to prevent compromising clientcon t t t t t t t t t t t
fidentiality.
B. Offer a group discussion session so staff can share their thoughts and feelings.
t t t t t t t t t t t t
C. Invite staff out after hours to help distract them from the disturbing client event.
t t t t t t t t t t t t t
D. Refer the UAP to human resources department for a counseling session with ather
t t t t t t t t t t t t t
apist.
(ANS- B.Offer a group discussion session so staff can share their thoughts andfeelings
t t t t t t t t t t t t t
Rationale: A critical incident stress debriefing evolves expression of personal feelings,
t t t t t t t t t t
discussion, and working on unresolved emotional issues to minimize posttraumatic str
t t t t t t t t t t t t
ess for the staff member. A CISD is the best action for the PN in charge to take (B) in con
t t t t t t t t t t t t t t t t t t t t
junction with the guidance and assistance of the nursing supervisor in the facility
t t t t t t t t t t t t
A group of practical nurses (PNs) who work on a medical-
t t t t t t t t t t
surgical unit believethey are understaffed. Which data should the PNs consider wh
t t t t t t t t t t t t
en preparing thejustification for additional staff?
t t t t t t
A. Staffing ratios in other states. t t t t
B. Client acuity and census. t t t
C. Overtime payment and unfilled positions. t t t t
D. Number and frequency of client complaints.( t t t t t t
ANS- B. Client acuity and census.
t t t t t
Rationale: When presenting the need for increased staff, the PNs should present thereque
t t t t t t t t t t t t t
st using staffing guidelines that consider client acuity, number of clients, and length of st
t t t t t t t t t t t t t t
ay(B).
