PN Exit Hesi
Which client information is most important for the PN to consider when providing instructions to the
unlicensed assistive personnel about providing morning care to a postoperative client? ANS: Urinary
output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is admitted with intermittent chest pain.
The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobin
isoenzyme (CK-MB) levels. What should the PN consider the most significant risk for this client on the
second day of admission? ANS: The lab results indicate myocardial damage, and the client is at risk for
cardiac dysrhythmias
The practical nurse explains to a client how to obtain a sputum specimen and the client indicates
understanding the procedure. After the PN leaves the room the client obtains the specimen and notifies
the PN. When the PN arrives to collect the specimen it appears as seen in the picture. Which action
should the PN take. ANS: The PN should teach the client to a client how to obtain a septum specimen
and if the client does not correctly collect the specimen the PN should assist the client in obtaining
another specimen coughed directly into a sterile cup
The practical nurse (PN) and unlicened assistive personal (UAP) are providing care for a client who
exhibits signs of neglect syndrome following a stroke affecting the right hemisphare. Which action
should the PN implement? ANS: Demonstrate to the UAP how to approach the client from the client's
left side
The practical nurse (PN) ask an unlicensed assistive personnel (UAP) for feedback about an assigned
client instead of responding, the UAP walks away from the PN, ignoring the question. What action is
best for the PN? ANS: Approach the UAP to discuss the behavior and obtain the information needed
about the client
While assisting the RN with the admission of a toddler, which intervention should the practical nurse
(PN) implement to make the experience least stressful for the child? ANS: Do a complete head-to-toe
exam in sequence
,An older adult female is admitted with syncope and laboratory findings indicate that her hemoglobin is
8.0 grams/dl. She has a recent history of headaches and frequent falls. Admission prescription orders
includes continuation of all home medication. Which medication should the practical nurse (PN)
withhold until consulting with the charge nurse? ANS: Aspirin
The spouse of a hospitalized client asked the practical nurse PN for acetaminophen for tension
headache. Which action should the PN take? ANS: Explain that medication can only be provided to
clients.
Prior to administering pain medication to an adult postoperative client, what information should the
practical nurse PN obtain? (Select all that apply) ANS: - Time of last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care provider about client information using the situation,
background, assessment, recommendation SBAR technique. Which information should the PM provide
first? ANS: Cholecystectomy 24 hours ago
The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car
door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention
should the PN include in the clients care? ANS: Implement ongoing assessments for signs of shallow or
slow breathing.
The practical nurse peeing and ministers an anticonvulsant That causes photosensitivity. Which action
should the PN take after administering the medication? ANS: Remind the client to protect skin from
sunlight
An order client with metastatic breast cancer is experiencing shortness of breath as a result of bilateral
pneumonia. The client has a living will, and the family is requesting Hospice care. Which information
should the practical nurse (PN) reinforce with the client and family regarding Hospice care? (select all
that apply) ANS: - Instructions for care should be included in the client's living will
- Care can be provided in the home where the client resides
, - Care focuses on comfort, dignity, and emotional support
The single mother of a child with a head injury is sitting at the child's bedside crying when the practical
nurse (PN) enters the room. The mother states, why did this happen to my child? I just can't cope with
this, what is the best initial response by the PN? ANS: This must appear devastating to you at this
moment
The practical nurse (PN) is working in a cancer detection mobile clinic. Four individuals come for
screening with a complaint of hoarseness, a dangerous sign for cancer of the larynx. Which client has the
highest risk for development of cancer of the larynx that the PN should refer to the healthcare provider?
ANS: An older male who drinks a six pack of beer nightly and smokes heavily
The practical nurse (PN) is giving medications to a client who was admitted to the hospital with a
diagnosis of diabetes mellitus. After checking the finger stick glucose at 1630, which dose of insulin
should the (PN) administer? ANS: 8 units
The practical nurse (PN) is obtaining fetal heart rates on four antepartum clients in their third trimester
of pregnancy. Which fetal heart rate should be reported to the registered nurse RN immediately? ANS:
180
A college student arrives at the clinic for a physical examination and asks the practical nurse (PN) how he
should perform testicle self-examination TSE. Which information should PN provide? ANS: Examine the
testicles during bathing
A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color
and size then the one the PN is trying to give him now. How should the PN respond? ANS: Tell the client
that the PN will verify that the dispense medication is the valid prescription
The Glasgow coma scale is being used to monitor a client who experience a traumatic brain injury. What
primary assessment should the practical nurse PN evaluate? ANS: Level of consciousness
Which client information is most important for the PN to consider when providing instructions to the
unlicensed assistive personnel about providing morning care to a postoperative client? ANS: Urinary
output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is admitted with intermittent chest pain.
The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobin
isoenzyme (CK-MB) levels. What should the PN consider the most significant risk for this client on the
second day of admission? ANS: The lab results indicate myocardial damage, and the client is at risk for
cardiac dysrhythmias
The practical nurse explains to a client how to obtain a sputum specimen and the client indicates
understanding the procedure. After the PN leaves the room the client obtains the specimen and notifies
the PN. When the PN arrives to collect the specimen it appears as seen in the picture. Which action
should the PN take. ANS: The PN should teach the client to a client how to obtain a septum specimen
and if the client does not correctly collect the specimen the PN should assist the client in obtaining
another specimen coughed directly into a sterile cup
The practical nurse (PN) and unlicened assistive personal (UAP) are providing care for a client who
exhibits signs of neglect syndrome following a stroke affecting the right hemisphare. Which action
should the PN implement? ANS: Demonstrate to the UAP how to approach the client from the client's
left side
The practical nurse (PN) ask an unlicensed assistive personnel (UAP) for feedback about an assigned
client instead of responding, the UAP walks away from the PN, ignoring the question. What action is
best for the PN? ANS: Approach the UAP to discuss the behavior and obtain the information needed
about the client
While assisting the RN with the admission of a toddler, which intervention should the practical nurse
(PN) implement to make the experience least stressful for the child? ANS: Do a complete head-to-toe
exam in sequence
,An older adult female is admitted with syncope and laboratory findings indicate that her hemoglobin is
8.0 grams/dl. She has a recent history of headaches and frequent falls. Admission prescription orders
includes continuation of all home medication. Which medication should the practical nurse (PN)
withhold until consulting with the charge nurse? ANS: Aspirin
The spouse of a hospitalized client asked the practical nurse PN for acetaminophen for tension
headache. Which action should the PN take? ANS: Explain that medication can only be provided to
clients.
Prior to administering pain medication to an adult postoperative client, what information should the
practical nurse PN obtain? (Select all that apply) ANS: - Time of last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care provider about client information using the situation,
background, assessment, recommendation SBAR technique. Which information should the PM provide
first? ANS: Cholecystectomy 24 hours ago
The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car
door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention
should the PN include in the clients care? ANS: Implement ongoing assessments for signs of shallow or
slow breathing.
The practical nurse peeing and ministers an anticonvulsant That causes photosensitivity. Which action
should the PN take after administering the medication? ANS: Remind the client to protect skin from
sunlight
An order client with metastatic breast cancer is experiencing shortness of breath as a result of bilateral
pneumonia. The client has a living will, and the family is requesting Hospice care. Which information
should the practical nurse (PN) reinforce with the client and family regarding Hospice care? (select all
that apply) ANS: - Instructions for care should be included in the client's living will
- Care can be provided in the home where the client resides
, - Care focuses on comfort, dignity, and emotional support
The single mother of a child with a head injury is sitting at the child's bedside crying when the practical
nurse (PN) enters the room. The mother states, why did this happen to my child? I just can't cope with
this, what is the best initial response by the PN? ANS: This must appear devastating to you at this
moment
The practical nurse (PN) is working in a cancer detection mobile clinic. Four individuals come for
screening with a complaint of hoarseness, a dangerous sign for cancer of the larynx. Which client has the
highest risk for development of cancer of the larynx that the PN should refer to the healthcare provider?
ANS: An older male who drinks a six pack of beer nightly and smokes heavily
The practical nurse (PN) is giving medications to a client who was admitted to the hospital with a
diagnosis of diabetes mellitus. After checking the finger stick glucose at 1630, which dose of insulin
should the (PN) administer? ANS: 8 units
The practical nurse (PN) is obtaining fetal heart rates on four antepartum clients in their third trimester
of pregnancy. Which fetal heart rate should be reported to the registered nurse RN immediately? ANS:
180
A college student arrives at the clinic for a physical examination and asks the practical nurse (PN) how he
should perform testicle self-examination TSE. Which information should PN provide? ANS: Examine the
testicles during bathing
A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color
and size then the one the PN is trying to give him now. How should the PN respond? ANS: Tell the client
that the PN will verify that the dispense medication is the valid prescription
The Glasgow coma scale is being used to monitor a client who experience a traumatic brain injury. What
primary assessment should the practical nurse PN evaluate? ANS: Level of consciousness
