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HESI PN Comprehensive Exam 2 Questions
and Answers 2023 (Verified Answers)
- A newborn with apnea is being discharged from the hospital with home
monitoring. What information concerning the infant’s care should the
practical nurse review with the parents?
A. Cardiopulmonary resuscitation (CPR).
B. Administration of intravenous antibiotics.
C. Reassurance that the infant cannot be electrocuted during monitoring.
D. Advise that the infant not be left with caretakers, such as babysitters
Answer: A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents,
and the initiation of home monitoring presents additional emotional
stress. When home monitoring is required the parents should receive
instructions that include cardiopul- monary resuscitation(A). (B) does notindicate Apnea - Which protocol regarding standard policies about prescriptions should
the practical nurse (PN) question?
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A. All drug prescriptions should have the date, time, and prescriber’s
signa- ture.
B.Verbal orders are accepted from prescribers and should include
signatures.
C. Prescribers may write specific times at which the medications are to
be given.
D. Preoperative prescriptions should be resumed after a client returns from
surgery: D. Preoperative prescriptions should be resumed after a client
returns from surgery.
Rationale: A standard policy about preoperative medications that
preoperative prescriptions are automatically canceled for surgery and
should be rewritten, if indicated , in the postoperatively so the (PN)
should question (D). (A,B,C) are correct statements.
- When reviewing the safety precautions regarding newborns, what
informa- tion should the practical nurse communicate to the parents?
A. Position the infant to sleep on the baby’s back.
B. Use a crib with slats no more than 4 inches apart.
C. Propping a bottle can be done when the infant gets older.
D. Place the infant a front-facing car seat in the automobile Answer: A.
Position the infant to sleep on the baby’s back.
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Rationale: The incident of sudden infant death syndrome (SIDS)
decline when infants are positioned on their backs (A), instead of
prone for sleeping. Crib slats
(B)2.375 inches apart to prevent the baby from slipping. (C) Never
prop a babies bottle. (D)Infant who weighs less than 30lbs should be
placed in a rear facing car seat.
- When monitoring a newborn, which observation should the practical
nurse report to the healthcare provider?
A. Rectal temperature of 37.6° C.
B. Axillary temperature of 37.1° C.
C. Heart rate of 110 beats per minute. Correct
D. Respiration rate of 40 breaths per minute Answer: C. Heart rate of
110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-160 soa heart rate of 110 should be reported to the healthcare providerNewborn temperature ranges from 97.7,99.4,36.5,37.5 and normarespiratory rate is 30-60 - After reviewing discharge instructions with a male client who hashepatitis C, what statement by the client indicates to the practical nurse thatthe client understands his disease?
A. “I will avoid taking any products with acetaminophen, such as Tylenol.”
B. “I will eliminate alcohol consumption until my infection subsides.”
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C. “I should eat a diet rich in dark green leafy vegetables.”
D. “I understand that my other medications doses need to be increased.”:
A. “I will avoid taking any products with acetaminophen, such as
Tylenol.”
Rationale: Tylenol is metabolized in the liver and should be avoided withclients with liver disease
- Which action should the practical nurse perform first for a child who is
injured on the school grounds and has an obvious mis-alignment of the
lower forearm?
A. Remove the child’s finger rings.
B. Assess and document the child’s level of pain.
C. Evaluate the child’s range of motion.
D. Place arm in a sling at level of the child’s heart Answer: A. Remove the
child’s finger rings.
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HESI PN Comprehensive Exam 3 Questions
and Answers 2023 (Verified Answers)
- What intervention should the practical nurse (PN) implement to meet
the physiologic integrity of a client during a manic episode of bipolar
disorder?
A. Provide the client with finger foods.
B. Restrict the client’s oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client’s performance of rituals Answer: A. Provide the
client with finger foods.
During the manic phase of bipolar disorder, a client is often unable to sitstill long enough to eat, so the client should be provided finger foods
that can be eaten while hyperactive. - A client with bipolar disorder is being treated with cognitive therapy.Which actions should the practical nurse (PN) implement to reenforce thistreatment strategy? Select all that apply.
A. Recommend daily physical activity.
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B. Use affirmations and limit setting.
C. Allow the client to talk continuously.
D. Report client’s suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F.Reenforce relaxation techniques when experiencing negative thoughtsAnswer: B. Use affirmations and limit setting.
D. Report client’s suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive
thoughts and/or attempt suicide. Cognitive therapy sometimes producesrelief from troubling symp- toms experienced by clients with bipolar
disorder. Cognitive therapy allows clients to handle “thought errors” andbehaviors to stop negative thoughts.
- The practical nurse (PN) is evaluating a client’s self management of
type 1 diabetes mellitus (DM). Which findings provide the best parameter
in the
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client’s goals for the prevention of long-term complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
D. Consistent hemoglobin A1c levels no greater than 7% Answer: D.Consistent hemo- globin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend an
A1c target level no greater than 7% for a client with DM, which is the
primary goal and indicator of effective treatment and diabetes
management.
- Which action should the practical nurse (PN) implement for a young girlwith pulmonary infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion Answer: D. Percuss the
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chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by
tapping, or percussing, and vibrating the chest. Percussion is carried outby cupping the hands and lightly striking the chest wall in a rhythmic
fashion over the lung segment to be drained
- The practical nurse (PN) is preparing to administer erythromycin
(Ilotycin) 0.5% ophthalmic ointment to a newborn. The father asks the PN
the purpose of this medication. What rationale should the PN provide?
A.To allow the baby’s eyes to focus.
B.To lubricate the baby’s eyes.
C.To prevent infection in the baby’s eyes.
D. Refer the father to the pediatrician Answer: C. To prevent infection in thbaby’s eyes.