{"id":118439,"date":"2023-09-03T09:14:55","date_gmt":"2023-09-03T09:14:55","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118439"},"modified":"2023-09-03T09:14:56","modified_gmt":"2023-09-03T09:14:56","slug":"hesi-pn-exit-exam-v3-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/03\/hesi-pn-exit-exam-v3-questions-and-answers\/","title":{"rendered":"HESI Pn Exit Exam V3 &#8211; Questions and Answers"},"content":{"rendered":"\n<p>HESI PN EXIT EXAM V3 110 QUESTIONS<br>AND ANSWERS .<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to<br>the emergency department (ED) with full thickness burns to all surfaces of both lower<br>extremities. What percentage of body surface area should the nurse document in the<br>electronic medical record (EMR)?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>9 %<\/li>\n\n\n\n<li>18 %<\/li>\n\n\n\n<li>36 %<\/li>\n\n\n\n<li>45 %<\/li>\n\n\n\n<li>Rational: according to the rule of nines, the anterior and posterior surfaces of one<br>lower extremity is designated as 18 %of total body surface area (TBSA), so both<br>extremities equals 36% TBSA, other options are incorrect.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates that<br>the medication is having the desired effect?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Decrease in serum T4 levels<\/li>\n\n\n\n<li>Increase in blood pressure<\/li>\n\n\n\n<li>Decrease in pulse rate<\/li>\n\n\n\n<li>Goiter no longer palpable<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>An older male client with type 2 diabetes mellitus reports that has experiences legs pain<br>when walking short distances, and that the pain is relieved by rest. Which client behavior<br>indicates an understanding of healthcare teaching to promote more effective arterial<br>circulation?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consistently applies TED hose before getting dressed in the morning.<\/li>\n\n\n\n<li>Frequently elevated legs thorough the day.<\/li>\n\n\n\n<li>Inspect the leg frequently for any irritation or skin breakdown<\/li>\n\n\n\n<li>Completely stop cigarette\/ cigar smoking.<\/li>\n\n\n\n<li>Rationale: Stopping cigarette smoking helps to decrease vasoconstriction and<br>improve arterial circulation to the extremity.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A community health nurse is concerned about the spread of communicable diseases among<br>migrant farm workers in a rural community. What action should the nurse take to promote the<br>success of a healthcare program designed to address this problem?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Establish trust with community leaders and respect cultural and family<br>values<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse performs a prescribed neurological check at the beginning of the shift on a client<br>who was admitted to the hospital with a subarachnoid brain attack (stroke). The client\u2019s<br>Glasgow Coma Scale (GCS) score is 9. What information is most important for the nurse to<br>determine?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The client\u2019s previous GCS score<\/li>\n\n\n\n<li>When the client\u2019s stroke symptoms started<\/li>\n\n\n\n<li>If the client is oriented to time<\/li>\n\n\n\n<li>The client\u2019s blood pressure and respiration rate<\/li>\n\n\n\n<li>Rationale: The normal GCS is 15, and it is most important for the nurse to<br>determine if it abnormal score a sign of improvement or a deterioration in the<br>client\u2019s condition<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The charge nurse in a critical care unit is reviewing clients\u2019 conditions to determine who is<br>stable enough to be transferred. Which client status report indicates readiness for transfer<br>from the critical care unit to a medical unit?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chronic liver failure with a hemoglobin of 10.1 and slight bilirubin elevation<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Based on principles of asepsis, the nurse should consider which circumstance to be sterile?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>One inch- border around the edge of the sterile field set up in the operating room<\/li>\n\n\n\n<li>A wrapped unopened, sterile 4&#215;4 gauze placed on a damp table top.<\/li>\n\n\n\n<li>An open sterile Foley catheter kit set up on a table at the nurse waist level<\/li>\n\n\n\n<li>Sterile syringe is placed on sterile area as the nurse riches over the sterile field.<\/li>\n\n\n\n<li>Rationale: A sterile package at or above the waist level is considered sterile. The<br>edge of sterile field is contaminated which include a 1-inch border (A). A sterile<br>objects become contaminated by capillary action when sterile objects become in<br>contact with a wet contaminated surface.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>An unlicensed assistive personnel (UAP) reports that a client\u2019s right hand and fingers spasms<br>when taking the blood pressure using the same arm. After confirming the presence of spams<br>what action should the nurse take?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ask the UAP to take the blood pressure in the other arm<\/li>\n\n\n\n<li>Tell the UAP to use a different sphygmomanometer.<\/li>\n\n\n\n<li>Review the client\u2019s serum calcium level<\/li>\n\n\n\n<li>Administer PRN antianxiety medication.<\/li>\n\n\n\n<li>Rationale: Trousseau\u2019s sign is indicated by spasms in the distal portion of an<br>extremity that is being used to measure blood pressure and is caused by<br>hypocalcemia (normal level 9.0-10.5 mg\/dl, so C should be implemented.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 56-years-old man shares with the nurse that he is having difficulty making decision about<br>terminating life support for his wife. What is the best initial action by the nurse?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Provide an opportunity for him to clarify his values related to the decision<\/li>\n\n\n\n<li>Encourage him to share memories about his life with his wife and family<\/li>\n\n\n\n<li>Advise him to seek several opinions before making decision<\/li>\n\n\n\n<li>Offer to contact the hospital chaplain or social worker to offer support.<\/li>\n\n\n\n<li>Rationale: When a client is faced with a decisional conflict, the nurse should first<br>provide opportunities for the client to clarify values important in the decision. The<br>rest may also be beneficial once the client as clarified the values that are<br>important to him in the decision-making process.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client is being discharged home after being treated for heart failure (HF). What instruction<br>should the nurse include in this client\u2019s discharge teaching plan?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Weigh every morning<\/li>\n\n\n\n<li>Eat a high protein diet<\/li>\n\n\n\n<li>Perform range of motion exercises<\/li>\n\n\n\n<li>Limit fluid intake to 1,500 ml daily<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A woman just learned that she was infected with Heliobacter pylori. Based on this finding,<br>which health promotion practice should the nurse suggest?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Encourage screening for a peptic ulcer<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A client who recently underwear a tracheostomy is being prepared for discharge to home.<br>Which instructions is most important for the nurse to include in the discharge plan?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Teach tracheal suctioning techniques<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A child with heart failure is receiving the diuretic furosemide (Lasix) and has serum<br>potassium level 3.0 mEq\/L. Which assessment is most important for the nurse to obtain?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cardiac rhythm and heart rate.<\/li>\n\n\n\n<li>Daily intake of foods rich in potassium.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>HESI PN EXIT EXAM V3 110 QUESTIONSAND ANSWERS .<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118439","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118439"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118439\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}