PN HESI Exit Exam
PN HESI Exit Exam Test Bank 1 for the HESI PN
Exit Exam Prep – 160 Past Real Exam Questions
and Correct Answers/ HESI PN Exit Exam Prep
|GRADED A+| (EXAM READY)
(Solved) SCORE A
Which assessment finding indicates that nystatin (Mycostatin) swish and swallow, prescribed for a
client with oral candidiasis, has been effective?
A+ TEST BANK 1
, PN HESI Exit Exam
A.The client denies dysphagia.
B.The client is afebrile with warm and dry skin.
C.The oral mucosa is pink and intact.
D.There is no reflux following food intake. –
Correct Answer :C
Mycostatin swish and swallow is prescribed for its local effect on the oral mucosa, reducing the white
curdlike lesions in the mouth and larynx (C). The ability to swallow (A) does not indicate that the
medication has been effective. (B and D) do not reflect effectiveness of the local medication.
Because of census overload, the charge nurse of an acute care medical unit must select a client who
can be transferred back to a residential facility. The client with which symptomology is the most
stable?
A.A stage 3 sacral pressure ulcer, with colonized methicillin-resistant Staphylococcus aureus (MRSA)
B.Pneumonia, with a sputum culture of gram-negative bacteria
C.Urinary tract infection, with positive blood cultures
D.Culture of a diabetic foot ulcer shows gram-positive cocci –
Correct Answer :A
The client with colonized MRSA (A) is the most stable client, because colonization does not cause
symptomatic disease. The gram-negative organisms causing pneumonia are typically resistant to drug
therapy (B), which makes recovery very difficult. Positive blood cultures (C) indicate a systemic
infection. Poor circulation places the diabetic with an infected ulcer (D) at high risk for poor healing
and bone infection.
An older client who resides in a long-term care facility is hearing-impaired. How should the nurse
modify interventions for this client?
A.Turn off the client's television and speak very loudly.
B.Communicate in writing whenever it is possible.
A+ TEST BANK 2
, PN HESI Exit Exam
C.Speak very slowly while exaggerating each word.
D.Face the client and speak in a normal tone of voice. –
Correct Answer :D
A hearing-impaired client frequently relies on lip reading and body language to determine what is
being said, so (D) should be implemented. (A and C) may distort the sounds and facial expressions,
which alters the client's ability to interpret the verbal message. Communicating in writing is another
option that could be used if verbal or body language is ineffective (B).
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis measures to help
reduce the pain associated with the disease. Which instruction should the nurse provide to these
parents?
A.Administer a nonsteroidal antiinflammatory drug (NSAID) to the child prior to getting the child out
of bed in the morning.
B.Apply ice packs to edematous or tender joints to reduce pain and swelling.
C.Warm the child with an electric blanket prior to getting the child out of bed.
D.Immobilize swollen joints during acute exacerbations until function returns. –
Correct Answer :C
Early morning stiffness and pain are common symptoms of rheumatoid arthritis. Warming the child (C) in
the morning helps reduce these symptoms. Although moist heat is best, an electric blanket could also be
used to help relieve early morning discomfort. (A) on an empty stomach is likely to cause gastric
discomfort. Warm (not cold) packs or baths are used to minimize joint inflammation and stiffness (B).
(D) is contraindicated, because joints should be exercised, not immobilized.
The health care provider prescribes 1000 mL of Ringer's lactate solution with 30 units of oxytocin
(Pitocin) to infuse over 4 hours for a client who has just delivered a 10-lb infant by cesarean section.
The tubing has been changed to a 20 gtt/mL administration set. The nurse should set the flow rate at
how many gtt/min?
A+ TEST BANK 3
, PN HESI Exit Exam
A.42
B.83
C.125
D.250 –
Correct Answer :B
Use the following calculation (B):
20 gtt/mL × (1000 mL/4 hr) × (1 hr/60 min) = 83 gtt/min
The RN is caring for a client who is in skeletal traction. Which activity should the RN assign to the PN?
A.Assess skeletal pins for infection.
B.Assist the client with toileting.
C.Establish thrombus prevention care.
D.Evaluate pain management plan. –
Correct Answer :B
The PN can implement nursing care, such as (B). The PN assists the RN in the development of a
teaching plan and reinforces information to the client according to the plan. (A, C, and D) are outside
the scope of PN practice, but the PN can assist the RN in gathering data, implementing nursing care,
and contributing to the plan of care under the supervision of the RN.
In conducting a routine assessment, which question should the nurse ask to determine a client's risk
for open-angle glaucoma?
A."Have you ever been told that you have hardening of the arteries?"
B."Do you frequently experience eye pain?"
A+ TEST BANK 4
PN HESI Exit Exam Test Bank 1 for the HESI PN
Exit Exam Prep – 160 Past Real Exam Questions
and Correct Answers/ HESI PN Exit Exam Prep
|GRADED A+| (EXAM READY)
(Solved) SCORE A
Which assessment finding indicates that nystatin (Mycostatin) swish and swallow, prescribed for a
client with oral candidiasis, has been effective?
A+ TEST BANK 1
, PN HESI Exit Exam
A.The client denies dysphagia.
B.The client is afebrile with warm and dry skin.
C.The oral mucosa is pink and intact.
D.There is no reflux following food intake. –
Correct Answer :C
Mycostatin swish and swallow is prescribed for its local effect on the oral mucosa, reducing the white
curdlike lesions in the mouth and larynx (C). The ability to swallow (A) does not indicate that the
medication has been effective. (B and D) do not reflect effectiveness of the local medication.
Because of census overload, the charge nurse of an acute care medical unit must select a client who
can be transferred back to a residential facility. The client with which symptomology is the most
stable?
A.A stage 3 sacral pressure ulcer, with colonized methicillin-resistant Staphylococcus aureus (MRSA)
B.Pneumonia, with a sputum culture of gram-negative bacteria
C.Urinary tract infection, with positive blood cultures
D.Culture of a diabetic foot ulcer shows gram-positive cocci –
Correct Answer :A
The client with colonized MRSA (A) is the most stable client, because colonization does not cause
symptomatic disease. The gram-negative organisms causing pneumonia are typically resistant to drug
therapy (B), which makes recovery very difficult. Positive blood cultures (C) indicate a systemic
infection. Poor circulation places the diabetic with an infected ulcer (D) at high risk for poor healing
and bone infection.
An older client who resides in a long-term care facility is hearing-impaired. How should the nurse
modify interventions for this client?
A.Turn off the client's television and speak very loudly.
B.Communicate in writing whenever it is possible.
A+ TEST BANK 2
, PN HESI Exit Exam
C.Speak very slowly while exaggerating each word.
D.Face the client and speak in a normal tone of voice. –
Correct Answer :D
A hearing-impaired client frequently relies on lip reading and body language to determine what is
being said, so (D) should be implemented. (A and C) may distort the sounds and facial expressions,
which alters the client's ability to interpret the verbal message. Communicating in writing is another
option that could be used if verbal or body language is ineffective (B).
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis measures to help
reduce the pain associated with the disease. Which instruction should the nurse provide to these
parents?
A.Administer a nonsteroidal antiinflammatory drug (NSAID) to the child prior to getting the child out
of bed in the morning.
B.Apply ice packs to edematous or tender joints to reduce pain and swelling.
C.Warm the child with an electric blanket prior to getting the child out of bed.
D.Immobilize swollen joints during acute exacerbations until function returns. –
Correct Answer :C
Early morning stiffness and pain are common symptoms of rheumatoid arthritis. Warming the child (C) in
the morning helps reduce these symptoms. Although moist heat is best, an electric blanket could also be
used to help relieve early morning discomfort. (A) on an empty stomach is likely to cause gastric
discomfort. Warm (not cold) packs or baths are used to minimize joint inflammation and stiffness (B).
(D) is contraindicated, because joints should be exercised, not immobilized.
The health care provider prescribes 1000 mL of Ringer's lactate solution with 30 units of oxytocin
(Pitocin) to infuse over 4 hours for a client who has just delivered a 10-lb infant by cesarean section.
The tubing has been changed to a 20 gtt/mL administration set. The nurse should set the flow rate at
how many gtt/min?
A+ TEST BANK 3
, PN HESI Exit Exam
A.42
B.83
C.125
D.250 –
Correct Answer :B
Use the following calculation (B):
20 gtt/mL × (1000 mL/4 hr) × (1 hr/60 min) = 83 gtt/min
The RN is caring for a client who is in skeletal traction. Which activity should the RN assign to the PN?
A.Assess skeletal pins for infection.
B.Assist the client with toileting.
C.Establish thrombus prevention care.
D.Evaluate pain management plan. –
Correct Answer :B
The PN can implement nursing care, such as (B). The PN assists the RN in the development of a
teaching plan and reinforces information to the client according to the plan. (A, C, and D) are outside
the scope of PN practice, but the PN can assist the RN in gathering data, implementing nursing care,
and contributing to the plan of care under the supervision of the RN.
In conducting a routine assessment, which question should the nurse ask to determine a client's risk
for open-angle glaucoma?
A."Have you ever been told that you have hardening of the arteries?"
B."Do you frequently experience eye pain?"
A+ TEST BANK 4
