HESI PN EXIT EXAM MADE EASY WITH KEY CONCEPTS AND LATEST A+ EXAM TIPS

HESI PN EXIT EXAM MADE EASY WITH KEY CONCEPTS AND LATEST A+ EXAM TIPS The practical nurse (PN) identifies an electrolyte imbalance, a generalized edema, and a weight gain of 4.4lbs(2kg) in 24hours for a client with chronic kidney disease. Which intervention in the plan of care should the PN implement? Discuss a low sodium diet The practical nurse (PN) evaluates a client 30 minutes after the Initial administration of a new anti infective what would be the immediate action by the PN? Pruritus (itching) and urticaria (hives) after receiving a broad-spectrum antibiotic An infant diagnosed with pyloric stenosis recently developed projectile vomiting. Which finding indicates to the practical nurse (PN) that the infant is becoming dehydrated? Weak cry without any tears When leaving a clients room the practical nurse (PN) realizes that the wrong medication was given to the patient. Which action should the PN take? Report the error to the pharmacy The practical nurse (PN) is assigned to care for a client that is unconscious and at risk for aspiration. The PN prepares to provide oral care to the client as seen in the picture. Which action should the PN take next? Place the client in a side-laying position. The practical nurse PN enters the room of a client who underwent a mastectomy eight hours ago. The PN observes the unlicensed assistive personnel (UAP) preparing to measure the clients blood pressure using an automated blood pressure device on the clients operative side. which action should the PN implement? Instruct the UAP to measure the client's blood pressure on the non-operative side. An older client with pernicious anemia uses hot packs to loosen psoriatic plaques. The PN who assists with home care twice weekly should refer to which finding to the home health care charge nurse? Erythema and edematous areas The practical nurse (PN) notice that a clients urine is pale, yellow, with a cloudy apperance and has a foul odor. Which assessment should the PN complete next? Ask the client about urinary frequency. The practical nurse is preparing a client for discharge after gastric bypass. Prior to discharge which information should the PN reinforce with the client to prevent dumping syndrome? Avoid drinking caffeinated beverages The practical nurse is caring for a client recovering from abdominal surgery. Which action should the PN take first? Monitor the cardiorespiratory status An older client is receiving an IV of 0.9% normal saline at 75 . Which indicates to the practical nurse that the client may be developing a complication from this therapy Fatigue and breathlessness upon exertion. Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel(UAP) assisting with the care of a client following a lumbar puncture? Be sure to keep the client supplied with plenty of fluids. The practical nurse (PN) notes that a client who is receiving continuous nonsteroidal antiinflammatory drug (NSAID) therapy has a new prescription for esomeprazole. The PN tells the client that the new medication should reduce the client's risk for which complication? Gastric ulceration. The practical nurse (PN) is observing a client self-administer the morning dose of subcutaneous insulin. For which component of the injection technique should the PN provide the client with additional information? Injects into the same site selected for the previous dose A client in the third trimester of pregnancy reports that she feels some lumpy places in her breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in twe weeks. which action should the practical nurse take? Explain that this normal secretion can be assessed at the next visit Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is prescribed for a client with severe chronic back pain. Thirty minutes after initiating the pea pump, the PN notes that the client becomes lethargic. What action should the PN take? measure the clients vital signs The practical nurse (PN) tells a pregnant client not to eat if she is in labor. Which is the most important reason for this nursing intervention? There is increased risk of aspiration of emesis The practical nurse is working with a newly hired PN on a medical surgical unit. Which action performed by the newly hired PN requries intervention by the PN? Posting clients names and healthcare providers on hospital room doors The practical nurse (PN) is monitoring a clients neurologic status following a closed headinjury. Which assessments should the PN include? (Select all that apply.) - Consciousness level. - Pupillary reactions - Vital sign measurement. The nurse is teaching a group of adults at a health fair about healthy life style choices. Which information is most important for the nurse to emphasize? Completely stop the use of cigarette and tobacco products A hospitalized pre-school boy recovering from surgery refuses to drink fluids. Which intervention is best for the practical nurse to implement? Ask the parents to participate in encouraging the child's fluid intake. Which intervention should the practical nurse implement when taking the rectal temperature of an adult client? Hold the thermometer the entire time while taking the temperature.