PN Hesi Exit Review
Use glove finger to rub the suspension over the infected area ANS: in administer nystatin suspension to
the gums infant with candida infection. which approach should the PN use
Assess the skin daily for area of ecchymosis or other signs of bleeding ANS: the practical nurse (PN) is
assessing with the pain of care for a client pain of care receiving the nonsteriod antiinflammatory drug
for painful muscle spine of the back. which interveantion should the PN include in the client plan of
care?
give the medication and document the heart rate. ANS: prior to giving the digoxin the PN assess that a
two month old infant heart rate is 120bpm based on this finding what action should the PN take?
preventing heart loss and neinatal cold stress ANS: immediately after birth which nursing intervention
has the highest priorityfor the newborn infant?
send the client home and instruct to call the clinic when her contraction occured 5 mins apart for one
hour ANS: A client who is primigravida at term comes to the prenatal clinic and tells the PN that she
having contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor
and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with mild
intensitiy by palpation. which action should the nurse take.
obtain a full minute apical pulse assessment ANS: the online UAP report to the PN that an older client
haas a radius pulse of 55 bpm. which intervention should the PN implement first
Dehiscence ANS: an older client who has a cologne resection 8 days ago is straining at stool the PN
nurse observed sudden spillage of serosanguinous drainage from the client's wound followed by
appearance bowel on the skin. which implication has occurred?
determine the level of consciousness ANS: at 0800, a client apical pulse rate is 98 bpm 4 hours later the
apical pulse is 54 bpm which action should the PN take next.
, consult with the charge nurse about the catheter ANS: a charge nurse brings a #18 urinal catheter with
30 mL balloon to the PN who is preparing to insert a catheter in female client who weighs 50kg .which
action do the PN takes first?
provide the client a glass of milk ANS: the PN obtain a fingerstick glucoss for a client with a type one
mellitus who is conscious and demonstrating hand tremors and shaking .the PN reports the client result
of 55mg/dL to the nurse. which action should the PN prepare to implement next?
measure and document urinary output ANS: the client with acute kidney injury is admitted with
elevated pulse rate and blood pressure. which intervention should the PN implement?
Culture for sensitive organism ANS: while changing the dressing of client who is immobile. the PN
observes a red and swollen wound with moderate amount of yellow and green drainage and foul odor.
before reporting this finding to the HCP the PN should evaluate which client lab value ?
Quinipril ANS: a client with hypertension complains of persistence dry cough the PN should tell the
client that this a common side effect of which daily medication?
Sclera and muccus membrane ANS: when gathering data about a client with dark skin tone which site
should the PN observed?
provide gentle and meticulous care ANS: a client who is receiving chemotherapy has developed stomati
which instruction should the PN provides the UAP who is assessing with this client?
observe suture line for separation and hematoma formation ANS: the PN views the midline a
epistoinomy of client who reports pain in her stitches . which action should the PN take first?
maternal hypotension ANS: client receving a epidural anesthesia during labor. which observation is the
most important adverse effect that the PN assess for following the administration of the epidural ?
Use glove finger to rub the suspension over the infected area ANS: in administer nystatin suspension to
the gums infant with candida infection. which approach should the PN use
Assess the skin daily for area of ecchymosis or other signs of bleeding ANS: the practical nurse (PN) is
assessing with the pain of care for a client pain of care receiving the nonsteriod antiinflammatory drug
for painful muscle spine of the back. which interveantion should the PN include in the client plan of
care?
give the medication and document the heart rate. ANS: prior to giving the digoxin the PN assess that a
two month old infant heart rate is 120bpm based on this finding what action should the PN take?
preventing heart loss and neinatal cold stress ANS: immediately after birth which nursing intervention
has the highest priorityfor the newborn infant?
send the client home and instruct to call the clinic when her contraction occured 5 mins apart for one
hour ANS: A client who is primigravida at term comes to the prenatal clinic and tells the PN that she
having contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor
and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with mild
intensitiy by palpation. which action should the nurse take.
obtain a full minute apical pulse assessment ANS: the online UAP report to the PN that an older client
haas a radius pulse of 55 bpm. which intervention should the PN implement first
Dehiscence ANS: an older client who has a cologne resection 8 days ago is straining at stool the PN
nurse observed sudden spillage of serosanguinous drainage from the client's wound followed by
appearance bowel on the skin. which implication has occurred?
determine the level of consciousness ANS: at 0800, a client apical pulse rate is 98 bpm 4 hours later the
apical pulse is 54 bpm which action should the PN take next.
, consult with the charge nurse about the catheter ANS: a charge nurse brings a #18 urinal catheter with
30 mL balloon to the PN who is preparing to insert a catheter in female client who weighs 50kg .which
action do the PN takes first?
provide the client a glass of milk ANS: the PN obtain a fingerstick glucoss for a client with a type one
mellitus who is conscious and demonstrating hand tremors and shaking .the PN reports the client result
of 55mg/dL to the nurse. which action should the PN prepare to implement next?
measure and document urinary output ANS: the client with acute kidney injury is admitted with
elevated pulse rate and blood pressure. which intervention should the PN implement?
Culture for sensitive organism ANS: while changing the dressing of client who is immobile. the PN
observes a red and swollen wound with moderate amount of yellow and green drainage and foul odor.
before reporting this finding to the HCP the PN should evaluate which client lab value ?
Quinipril ANS: a client with hypertension complains of persistence dry cough the PN should tell the
client that this a common side effect of which daily medication?
Sclera and muccus membrane ANS: when gathering data about a client with dark skin tone which site
should the PN observed?
provide gentle and meticulous care ANS: a client who is receiving chemotherapy has developed stomati
which instruction should the PN provides the UAP who is assessing with this client?
observe suture line for separation and hematoma formation ANS: the PN views the midline a
epistoinomy of client who reports pain in her stitches . which action should the PN take first?
maternal hypotension ANS: client receving a epidural anesthesia during labor. which observation is the
most important adverse effect that the PN assess for following the administration of the epidural ?
