HESI 2023 PN EXIT EXAM MADE EASY WITH KEY CONCEPTS AND
LATEST A+ EXAM TIPS
An unlicensed assistive personnel (UAP) reports that a client's right hand and
fingers spasms when taking the blood pressure using the same arm. After
confirming the presence of spams what action should the nurse take?
Review the client's serum calcium level.
A community health nurse is concerned about the spread of communicable
disease among migrant farm workers in a rural community. What action should
the nurse take to promote the success of a healthcare program designed to
address this problem?
Establish trust with community leaders and respect cultural and family values.
The nurse performs a prescribed neurological check at the beginning of the shift
on a client who was admitted to the hospital with subarachnoid brain
attack(stroke). The client Glascow coma scale (gcs) is 9. What information is
most important for the nurse to determine?
The client previous GCS score
The charge nurse in a critical care unit is reviewing client's conditions to
determine who is stable enough to be transferred. Which client status report
indicate readiness for transfer from the critical care unit to a medical unit.
Chronic liver failure with hemoglobin of 10.1 and slight bilirubin elevation.
Based on principle of asepsis, the nurse should consider which circumstance to
be sterile?
An open sterile foley catheter kit set up on a table at the nurse waist level.
A 56-year old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial action
by the nurse?
Provide an opportunity for him to clarify his values related to the decision.
A client is being discharged home after being treated for heart failure (HF). What
instruction should the nurse include in this client's discharge teaching plan?
, Weigh every morning.
A client who recently underwent a tracheostomy is being prepared for discharge
to home. Which instructions is most important for the nurse to include in the
discharge plan?
Teach tracheal suctioning techniques.
A woman just learned that she was infected with Heliobacter pylori. Based on the
finding, which health promotion practice should the nurse suggest?
Encourage screening for a peptic ulcers
A child with heart failure is receiving the diuretic furosemide (Lasix) and has
serum potassium level 3.0 mEq/L. Which assessment is most important for the
nurse to obtain?
Cardiac rhythm and heart rate.
The nurse notes a depressed female client has been more withdrawn and non-
communicative
during the past two weeks. Which intervention is most important to include in the
updated
plan of care for this client?
Engage the client in a non thereating conversation
A client with rheumatoid arthritis (RA) starts a new prescription of etanercept
(Enbrel) subcutaneously once weekly. The nurse should emphasize the
importance of reporting problem to the healthcare provider?
Persistent fever
The nurse is assessing an older adult with type 2 diabetes mellitus. Which
assessment finding indicates that the client understands long-term control of
diabetes?
The hemoglobin A1c was 6.5g/100 ml last week
An older male client is admitted with the medical diagnosis of possible cerebral
vascular accident (CVA). He has facial paralysis and cannot move his left side.
When entering the room, the nurse finds the client's wife tearful and trying
unsuccessfully to give him a drink of water. What action should the nurse take?
Ask the wife to stop and assess the client's swallowing reflex.
LATEST A+ EXAM TIPS
An unlicensed assistive personnel (UAP) reports that a client's right hand and
fingers spasms when taking the blood pressure using the same arm. After
confirming the presence of spams what action should the nurse take?
Review the client's serum calcium level.
A community health nurse is concerned about the spread of communicable
disease among migrant farm workers in a rural community. What action should
the nurse take to promote the success of a healthcare program designed to
address this problem?
Establish trust with community leaders and respect cultural and family values.
The nurse performs a prescribed neurological check at the beginning of the shift
on a client who was admitted to the hospital with subarachnoid brain
attack(stroke). The client Glascow coma scale (gcs) is 9. What information is
most important for the nurse to determine?
The client previous GCS score
The charge nurse in a critical care unit is reviewing client's conditions to
determine who is stable enough to be transferred. Which client status report
indicate readiness for transfer from the critical care unit to a medical unit.
Chronic liver failure with hemoglobin of 10.1 and slight bilirubin elevation.
Based on principle of asepsis, the nurse should consider which circumstance to
be sterile?
An open sterile foley catheter kit set up on a table at the nurse waist level.
A 56-year old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial action
by the nurse?
Provide an opportunity for him to clarify his values related to the decision.
A client is being discharged home after being treated for heart failure (HF). What
instruction should the nurse include in this client's discharge teaching plan?
, Weigh every morning.
A client who recently underwent a tracheostomy is being prepared for discharge
to home. Which instructions is most important for the nurse to include in the
discharge plan?
Teach tracheal suctioning techniques.
A woman just learned that she was infected with Heliobacter pylori. Based on the
finding, which health promotion practice should the nurse suggest?
Encourage screening for a peptic ulcers
A child with heart failure is receiving the diuretic furosemide (Lasix) and has
serum potassium level 3.0 mEq/L. Which assessment is most important for the
nurse to obtain?
Cardiac rhythm and heart rate.
The nurse notes a depressed female client has been more withdrawn and non-
communicative
during the past two weeks. Which intervention is most important to include in the
updated
plan of care for this client?
Engage the client in a non thereating conversation
A client with rheumatoid arthritis (RA) starts a new prescription of etanercept
(Enbrel) subcutaneously once weekly. The nurse should emphasize the
importance of reporting problem to the healthcare provider?
Persistent fever
The nurse is assessing an older adult with type 2 diabetes mellitus. Which
assessment finding indicates that the client understands long-term control of
diabetes?
The hemoglobin A1c was 6.5g/100 ml last week
An older male client is admitted with the medical diagnosis of possible cerebral
vascular accident (CVA). He has facial paralysis and cannot move his left side.
When entering the room, the nurse finds the client's wife tearful and trying
unsuccessfully to give him a drink of water. What action should the nurse take?
Ask the wife to stop and assess the client's swallowing reflex.
