HESI EXIT V1 SCREENSHOT QUESTIONS

HESI EXIT V1 SCREENSHOT QUESTIONS

15 studiers today 5.0 (1 review) Students also studied Terms in this set (89) George C Wallace State Community College-Selma NUR 211 Save Out This B!+ch PN Exit Hesi 203 terms Nurse-ishPreview EXIT HESI Comprehensive B Evolve ...100 terms Sam_Millwood Preview HESI Comprehensive Exit Exam 1 (A...125 terms K_Copeland5Preview Exit He 110 term hot "The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appearance, and has a foul odor. Which assessment should the PN complete next?"

• Ask the client about urinary frequency
• "The practical nurse (PN) is caring for a client with a

new prescription for fluticasone furoate nasal spray prescribed for the client's allergy symptoms. While reinforcing instructions about self-administration of the nasal spray, the PN should emphasize the need for the client to take which action before self-administration?"

• Gently blow the nose
• Check glucose level before and after administration
• Exhale through the mouth
• Deep breathe and cough
• Gently blow the nose
• "An older adult client who resides in a long-term care

facility has a friend of the opposite sex who often visits in the evenings. The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. Which action should the PN take?"

• Report the incident to the family
• Exit the room and quietly close the door.
• Ask when the nurse should return
• Request that the friend get up and leave
• Exit the room and quietly close the door.

• "Several residents of a long-term care facility are

receiving eye drops to treat glaucoma. The practical nurse (PN) should caution the unlicensed assistive personnel (UAPs) caring for these clients to observe for which effect because it places the clients at risk for falls?

• Pupillary constriction
• Increased heart rate
• Conjunctival redness
• Elevated blood pressure
• Pupillary constriction
• Which action by a practical nurse (PN) indicates the

best understanding of the principles related to medical asepsis and effective handwashing?"

• Dry the hands above the wrists first to dry from clean

to dirty

• Use antibacterial hand gel instead of handwashing

between clients

• Turn the water volume to a low level to decrease

splashing.

• Hold the hands lower than the elbows to promote

microbe removal

• Hold the hands lower than the elbows to promote microbe removal
• "The practical nurse (PN) is removing the personal

protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?"

• Disposable gloves
• gloves
• Face Mask
• Cap
• gloves
• "The practical nurse (PN) palpates a client's radial pulse

and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?"

• Palpate skin beats
• Measuring pulse
• Light preassure applied to pulse
• Thready pulse volume
• Thready pulse volume
• "The practical nurse (PN) is caring for a primigravida

five hours after a vaginal delivery. Which finding should the PN report immediately to the charge nurse?"

• Firm fundus between umbillicus and the symphysis
• Heart rate of 90 bpm
• Rubra lochia saturating three perineal pads per hour.
• Pelvical pain
• Rubra lochia saturating three perineal pads per hour.

• Following the dressing change of an abdominal

surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?"

• You can always wear clothing to cover the scar
• I have heard that rubbing cocoa butter on the scar can

help

• Tell me more about your concerns regarding an

abdominal scar

• I know you are frightened about how your scar will

appear

• Tell me more about your concerns regarding an abdominal scar
• The practical nurse (PN) is making a home visit to an

older adult client who was recently diagnosed with Herpes zoster. The client reports the onset of severe burning pain along the right side of the trunk. Which action should the PN take?"

• Administer a prescribed PRN dose of analgesic
• Notify the nursing supervisor of the uncontrolled pain
• Give the next prescribed dose of antiviral medication
• Obtain an oxygen tank for home administration
• Administer a prescribed PRN dose of analgesic
• "When preparing to change a client's sterile dressing,

the practical nurse (PN) opens a package of gauze pads as seen in the picture. Which action should the PN take next?"

• Apply a new pair of gloves
• Secure the gauze pads over the insicion
• Obtain more dressings from the supply room
• Pick up pads and place on a sterile field
• Pick up pads and place on a sterile field
• "A client experiences a muscle strain or sprain to the

ankle. Which intervention should the practical nurse (PN) implement for an acute soft tissue injury?"

• Provide passive range of motion excercises to the

ankle every 2 hours

• Apply ice to the injured site at 15-minute intervals for

the first 24 hours.

• Apply a continous heat source such as a heting pad
• Exert pressure proximal to the injury site for 15 minutes
• Apply ice to the injured site at 15-minute intervals for the first 24 hours.
• "The practical nurse (PN) is assisting the nurse with the

admission physical assessment of a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhibit? Select all that apply.

• Dyspnea.
• Bradycardia
• Lung crackles.
• Edema
• Painful cough.

A.Dyspnea.

• Lung crackles.
• Painful cough.

• "The practical nurse (PN) is working with a newly hired

PN on a medical-surgical unit. Which action performed by the newly hired PN requires intervention by the PN?"

• Requesting client to sign their na,e on a roster at the

front desk

• Posting client names and healthcare providers on

hospital room doors

• Infroming clergy that a church member has been

admitted to the facility

• Providing heathcare information by report to the

client's physical therapist

• Posting client names and healthcare providers on hospital room doors
• "The practical nurse (PN) is caring for a 9-month-old

infant with developmental dysplasia of the hip (DDH) after a closed reduction and hip spica cast application.After application of the cast, which is the most important intervention in caring for the infant?"

• Monitor the distal toes every 2 hours for movement,

sensation, and circulation.

• Use of the abduction bar as a turning fakrun for supine

to prone positioning

• Maintain a reverse trendelenburg position to elevate

the head

• Protect the cast at the perineal inlet from urine

contamination

• Monitor the distal toes every 2 hours for movement, sensation, and circulation.
• The practical nurse (PN) turns a client with right-sided

paralysis from a supine to a left lateral position. Which bony prominence is most likely to manifest signs of erythema when first turned?"

• Lateral malieoulous
• Ischial tuberculos
• Iliac crest
• Sacrum
• Sacrum
• "Which nursing intervention is most important to

include in the plan of care for a child with acute glomerulonephritis?"

• Weigh the child daily.
• Administer vitamin supplements
• Promote complete bedrest
• Encourage fluid intake
• Weigh the child daily.