HESI PN EXIT EXAM 2 2024 LATEST WITH
NEXT GENERATION NCLEX VERIFIED
QUESTIONS (NGN) COMPLETE 2 VERSIONS
An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral pneumonia the client has a living will and the family is requesting hospice care which information should the practical nurse (PN) reinforce with the client and family regarding hospice?• Instructions for care should be included in the clients living will • Care can be provided in home where client resides • Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility yesterday is confused about what day of the week it is her history does not include that she was confused prior to admission what action should the practical nurse (PN) take?Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is having contractions every
- minutes the PN monitors the clint for an hour using external fetal monitor
and determines that the clients contractions are 7 to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by palpitation which actin should the PN take?Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of a healthy newborn the practical nurse (PN) observes that the client is shaking uncontrollably and states she's cold Apply light warm blanket and assure her that this is normal following delivery The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most important for the PN to implement Auscultate all the lung fields
The practical nurse (PN) is planning evening shift rounds for a group of postoperative client who all had surgery earlier that day which client should the PN check first A preschooler who had an emergency appendectomy for appendicitis
The practical nurse (PN) plans to distraction technique while client undergoes a brief painful procedure which action should the PN implement during the procedure Encourage the client to reminisce about a favorite past family event
Which interventions is within the scope of practice for a practical nurse (PN) Demonstrating deep breathing and coughing to be a post operative client
The practical nurse (PN) determines that a clients pupils constrict as they change focus from a far object to a near object how should the PN document this finding Pupils reactive to accommodation
A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communication when approaching the client what intervention should the practical nurse PN( implement first?Describe function of the PN
A male client tells the practical nurse (PN) that is afraid of getting cancer so he plans to quit smoking cigarettes by switching to a smokeless tobacco product how should the PN respond Provide information to the client about risk associated with smokeless tobacco
The practical nurse (PN) administers an opioid analgesic to a client with pain with incisional pain thirty minutes later the client respirations decrease from 16 to 8 breaths/min what addition assessment should the pn compete before reporting the finding to the charge nurse (SELECT ALL THAT APPLY) • Cloud appearance • Oxygen saturation • Level of conscience
The practical nurse (PN) is listening to a client breath sounds which medication from the clients prescriptions will have the most positive effect on this respiratory finding (listen to auto) Albuterol
An older client is being discharged to home following a hip pinning procedure for a fractured hip the client uses crutches for ambulation which element should the
practical nurse (PN) emphasize when reinforcing precautions to prevent the risk of falls in the home?Scattered rugs The practical nurse (PN) observes a client using an incentive spirometer as seen in the video which should the PN emphasize on (the video of a man using incentive spirometer) Reinforce he needs to inhale slower and more deeply
When preparing to change a clients sterile dressing the practical Nurse (Pn) opens a package of gauze pads as seen in the picture which action should the PN take next? (picture question) Apply a new pair of sterile gloves
The practical nurse (PN) accompanies a healthcare provider when the client receives the diagnosis of stage 5 metastatic cancer the client's wife immediately responds "you must have made a mistake we want to get a second option" the PN should consider which stage of the grieving process in order to respond best to the wife's comments?Denial
The Practical Nurse (PN) is preforming a focused assessment for a male client with schizophrenia who is admitted to an acute care inpatient facility which behavior should the PN document as symptoms of schizophrenia?Voices telling the client to hurt himself