ne
tz
sh
ne
la HESI PN EXIT EXAM
tz
sh
2020
Sp
ne
la
tz
1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What
sh
Sp
action should the PN take next?
ne
Note the most recent white blood count
la
tz
sh
Sp
2. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
ne
his pain...what action should the PN implement first?
la
Implement complementary pain relief methods
tz
sh
Sp
ne
3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus. Which
la
intervention is performed next?
tz
Initiate the urine stream
sh
Sp
ne
4. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from. .further
la
tz
action by the PN?
sh
Sp
Weights are touching the foot of the bed
ne
la
5. The PN is reviewing diet instructions with a female client who has hyper. .she has
tz
sh
increased her intakes of protein and calories. What action should the PN take?
Sp
ne
Encourage the client to continue the dietary changes she has made
la
tz
6. The PN reviews the procedure for measuring fluid intake and output glomerulonephritis
sh
Sp
and is
ne
Preparing for discharge from the hospital. What... -why the fluid measurements need
la
to be recoded
tz
sh
Sp
ne
7. The nurse is changing the dressing on a client’s wound. The nurse understands which of
la
the following symptoms indicate a wound infection?
tz
sh
Redness over 1 cm wide on per wound skin and tenderness
Sp
ne
8. The nurse is developing a teaching plan for a client who is going home with a
la
tz
tracheostomy tube. Which of the following is the MOST important part of the teaching
sh
Sp
plan?
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
The family of a client should know what to do in a case of emergency, i.e.: clogged
la
tracheostomy tube and how to suction the client.
tz
sh
Sp
9. A 64-year-old male client comes to the provider’s office and complains of both legs
ne
hurting him when he walks a few blocks in his neighborhood. He states “When I sit down
la
tz
for a while, the pain eases off, but if I start walking a few blocks more, the pain comes
sh
Sp
back. The nurse recognizes this symptom may be related to peripheral vascular disease
ne
and is called what?
la
Intermittent claudication
tz
sh
Sp
ne
10. A narrowing and hardening of the arteries is called:
la
Arteriosclerosis
tz
11. A client has clusters of small vesicles over the thoracic region and describes severe pain
sh
Sp
and itching of the affected areas. Herpes zoster is diagnosed, and the client will be
ne
treated with which of these medications?
la
tz
Acyclovir (Zorivax)
sh
Sp
ne
12. When administrating oxygen to clients with conditions such as emphysema, it is
la
important for the nurse to remember which one of the following facts as most
tz
sh
important
Sp
ne
The drive to breathe may be dependent on low levels of oxygen in the blood
la
tz
13. The nurse is preparing to instruct the client with pneumonia on managing the disease
sh
Sp
after discharge from the hospital. Which of the following is consistent with appropriate
ne
discharge planning for this client?
la
Take all medications until they are finished, as ordered by MD
tz
sh
Sp
ne
14. Immediately after sustaining severe burn wounds, the nurse would anticipate the
la
client’s initial nutritional needs would usually be met by which of these methods?
tz
sh
Total parenteral nutrition (TPN)
Sp
ne
la
15. Which of the following measures should the nurse take when care for a client with TB in
tz
an acute care facility?
sh
Sp
Double-bag and dispose of client secretions as infectious waste
ne
la
16. The most important nursing intervention for the nurse to remember in administrating
tz
sh
Sp
Digoxin to a client is to?
ne
Take apical pule and withhold med is pulse is <60
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
17. The nurse is performing a respiratory assessment on a new client who has come to the
tz
sh
clinic. On inspection of the anterior and posterior chest, she notices the symmetry of
Sp
the chest is equal from front to back and from shoulder to shoulder like the shape of a
ne
barrel. The nurse knows the most common lung disease process causing this change in
la
tz
chest symmetry is?
sh
Sp
COPD
ne
la
18. A nurse is reinforcing health teaching regarding skin cancer to a group of clients. Which
tz
sh
of the following should the nurse identify as the leading cause of skin cancer?
Sp
ne
Sun exposure
la
tz
19. Which of the following is potassium sparing diuretic?
sh
Sp
Aldactone
ne
la
tz
20. There are many types of wound dressings and therapies in evidence-based wound care.
sh
Sp
The wound vac has been around many years and is one of the best ways to heal a
ne
wound 60% faster than conventional dressings because? (select all that apply)
la
-Negative pressure increases epithelial cell multiplications forming granulation tissue
tz
sh
-Reduces edema in the wound and improves blood flow
Sp
ne
21. A nurse is collecting data from a client who present to the provider’s office for
la
evaluation pf multiple nevi. Which of the following findings should the nurse report to
tz
the provider as a possible sign of malignancy?
sh
Sp
Irregular borders
ne
la
tz
22. Which breath sounds are usually heard over the anterior third of the chest near the
sh
Sp
sternum and also scapular posteriorly, and have inspiration and expiration of equal
ne
duration?
la
Bronchovesicular
tz
sh
Sp
ne
23. Frank is a 4 year old paraplegic client with cerebral palsy who was admitted to the
la
hospital with complications from the H1N1 virus. The nurse who was admitting him
tz
noted that he had an area of redness on his right malleolus that was non-blanchable.
sh
Sp
The nurse correctly identified this area as what stage of a pressure ulcer?
ne
Stage 1
la
tz
sh
Sp
24. A client has a prescription to discontinue intravenous therapy when the liter that is
ne
infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of solution
la
sh
Sp
la
Sp
tz
sh
ne
la HESI PN EXIT EXAM
tz
sh
2020
Sp
ne
la
tz
1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What
sh
Sp
action should the PN take next?
ne
Note the most recent white blood count
la
tz
sh
Sp
2. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
ne
his pain...what action should the PN implement first?
la
Implement complementary pain relief methods
tz
sh
Sp
ne
3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus. Which
la
intervention is performed next?
tz
Initiate the urine stream
sh
Sp
ne
4. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from. .further
la
tz
action by the PN?
sh
Sp
Weights are touching the foot of the bed
ne
la
5. The PN is reviewing diet instructions with a female client who has hyper. .she has
tz
sh
increased her intakes of protein and calories. What action should the PN take?
Sp
ne
Encourage the client to continue the dietary changes she has made
la
tz
6. The PN reviews the procedure for measuring fluid intake and output glomerulonephritis
sh
Sp
and is
ne
Preparing for discharge from the hospital. What... -why the fluid measurements need
la
to be recoded
tz
sh
Sp
ne
7. The nurse is changing the dressing on a client’s wound. The nurse understands which of
la
the following symptoms indicate a wound infection?
tz
sh
Redness over 1 cm wide on per wound skin and tenderness
Sp
ne
8. The nurse is developing a teaching plan for a client who is going home with a
la
tz
tracheostomy tube. Which of the following is the MOST important part of the teaching
sh
Sp
plan?
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
The family of a client should know what to do in a case of emergency, i.e.: clogged
la
tracheostomy tube and how to suction the client.
tz
sh
Sp
9. A 64-year-old male client comes to the provider’s office and complains of both legs
ne
hurting him when he walks a few blocks in his neighborhood. He states “When I sit down
la
tz
for a while, the pain eases off, but if I start walking a few blocks more, the pain comes
sh
Sp
back. The nurse recognizes this symptom may be related to peripheral vascular disease
ne
and is called what?
la
Intermittent claudication
tz
sh
Sp
ne
10. A narrowing and hardening of the arteries is called:
la
Arteriosclerosis
tz
11. A client has clusters of small vesicles over the thoracic region and describes severe pain
sh
Sp
and itching of the affected areas. Herpes zoster is diagnosed, and the client will be
ne
treated with which of these medications?
la
tz
Acyclovir (Zorivax)
sh
Sp
ne
12. When administrating oxygen to clients with conditions such as emphysema, it is
la
important for the nurse to remember which one of the following facts as most
tz
sh
important
Sp
ne
The drive to breathe may be dependent on low levels of oxygen in the blood
la
tz
13. The nurse is preparing to instruct the client with pneumonia on managing the disease
sh
Sp
after discharge from the hospital. Which of the following is consistent with appropriate
ne
discharge planning for this client?
la
Take all medications until they are finished, as ordered by MD
tz
sh
Sp
ne
14. Immediately after sustaining severe burn wounds, the nurse would anticipate the
la
client’s initial nutritional needs would usually be met by which of these methods?
tz
sh
Total parenteral nutrition (TPN)
Sp
ne
la
15. Which of the following measures should the nurse take when care for a client with TB in
tz
an acute care facility?
sh
Sp
Double-bag and dispose of client secretions as infectious waste
ne
la
16. The most important nursing intervention for the nurse to remember in administrating
tz
sh
Sp
Digoxin to a client is to?
ne
Take apical pule and withhold med is pulse is <60
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
17. The nurse is performing a respiratory assessment on a new client who has come to the
tz
sh
clinic. On inspection of the anterior and posterior chest, she notices the symmetry of
Sp
the chest is equal from front to back and from shoulder to shoulder like the shape of a
ne
barrel. The nurse knows the most common lung disease process causing this change in
la
tz
chest symmetry is?
sh
Sp
COPD
ne
la
18. A nurse is reinforcing health teaching regarding skin cancer to a group of clients. Which
tz
sh
of the following should the nurse identify as the leading cause of skin cancer?
Sp
ne
Sun exposure
la
tz
19. Which of the following is potassium sparing diuretic?
sh
Sp
Aldactone
ne
la
tz
20. There are many types of wound dressings and therapies in evidence-based wound care.
sh
Sp
The wound vac has been around many years and is one of the best ways to heal a
ne
wound 60% faster than conventional dressings because? (select all that apply)
la
-Negative pressure increases epithelial cell multiplications forming granulation tissue
tz
sh
-Reduces edema in the wound and improves blood flow
Sp
ne
21. A nurse is collecting data from a client who present to the provider’s office for
la
evaluation pf multiple nevi. Which of the following findings should the nurse report to
tz
the provider as a possible sign of malignancy?
sh
Sp
Irregular borders
ne
la
tz
22. Which breath sounds are usually heard over the anterior third of the chest near the
sh
Sp
sternum and also scapular posteriorly, and have inspiration and expiration of equal
ne
duration?
la
Bronchovesicular
tz
sh
Sp
ne
23. Frank is a 4 year old paraplegic client with cerebral palsy who was admitted to the
la
hospital with complications from the H1N1 virus. The nurse who was admitting him
tz
noted that he had an area of redness on his right malleolus that was non-blanchable.
sh
Sp
The nurse correctly identified this area as what stage of a pressure ulcer?
ne
Stage 1
la
tz
sh
Sp
24. A client has a prescription to discontinue intravenous therapy when the liter that is
ne
infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of solution
la
sh
Sp
la
Sp
