pg. 1 2025 New Exit Hesi PN Comprehensive Exam With 300 Prep Questions And Correct Answers (100% Correct Answers/ Hesi PN Exit Exam 2025 Test Bank/ PN Hesi Exit Exam 2025 (New!)
A client with bipolar disorder is being treated with cognitive therapy. Which actions should the practical nurse (PN) implement to reenforce this treatment strategy? Select all that apply.
- Recommend daily physical activity.
- Use affirmations and limit setting.
- Allow the client to talk continuously.
- Report client's suicidal expressions to the therapist.
- Encourage substituting positive thoughts for negative thoughts.
- Reenforce relaxation techniques when experiencing negative thoughts.
- Use affirmations and limit setting.
- Report client's suicidal expressions to the therapist.
- Encourage substituting positive thoughts for negative thoughts.
Rationale:
Clients diagnosed with bipolar disorder may experience depressive thoughts and/or attempt suicide. Cognitive therapy sometimes produces relief from troubling symptoms experienced by clients with bipolar disorder. Cognitive therapy allows clients to handle "thought errors" and behaviors to stop negative thoughts.The LPN/LVN is preparing to assist an elderly client to the bathroom. The nurse knows that an elderly adult's center of gravity changes from the hips to another area of the body. Which area of the body is the center of gravity for the elderly client?
- Upper torso
- Head
- Feet
- Upper extremities
- Upper torso 1 / 4
pg. 2 Which action should the practical nurse (PN) implement for a young girl with pulmonary infection who is receiving chest physiotherapy?
- Encourage to hold her breath and then cough.
- Administer bronchodilators after the procedure.
- Allow the child to sit in a position of choice.
- Percuss the chest wall in a rhythmic fashion.
- Percuss the chest wall in a rhythmic fashion.
Rationale:
Thick secretions that are difficult to cough up can be loosened by tapping, or percussing, and vibrating the chest. Percussion is carried out by cupping the hands and lightly striking the chest wall in a rhythmic fashion over the lung segment to be drained A client is admitted with a tumor of the hypothalamus. Which finding should the practical nurse (PN) report to the charge nurse?
- A pulse rate of 98 beats/min.
- Respirations of 20 breaths/min.
- An oral temperature of 101.8° F.
- A blood pressure of 130/80 mm Hg.
- An oral temperature of 101.8° F.
Rationale:
The hypothalamus controls body temperature, so variation in the temperature should be reported to determine if the elevation is related to infection or cerebral pathology.Which discharge instructions should the practical nurse (PN) reinforce with a client who has acute cholecystitis?
- Limit oral intake to three regular meals per day.
- Drink fluids between meals rather than with meals.
- Consume a low-fat diet in smaller, more frequent meals.
- Limit dietary fat intake to 35% of the daily calorie intake.
- Consume a low-fat diet in smaller, more frequent meals.
Rationale:
Clients with acute cholecystitis are placed on small, frequent low-fat meals to 2 / 4
pg. 3 decrease contraction of the gallbladder, thus decreasing pain, nausea, and vomiting.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.42 B.83 C.125 D.250 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.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.A nurse who has recently completed orientation is beginning work in the labor and delivery unit for the first time. When making assignments, which client should the charge nurse assign to this new nurse?A multiparous client who is dilated 5 cm and 50% effaced A client with human immunodeficiency virus (HIV) infection has white lesions in the oral cavity that resemble milk curds. Nystatin (Mycostatin) preparation is 3 / 4
pg. 4 prescribed as a swish and swallow. Which information is most important for the nurse to provide the client?Oral hygiene should be performed before the medication.A client who is admitted with emphysema is having difficulty breathing. In which position should the nurse place the client?Sitting upright and forward with both arms supported on an over the bed table A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochlorothiazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily.Today, at a routine clinic visit, the client's serum potassium level is 4 mEq/L. What is the most likely cause of this client's potassium level?The client's renal function has affected his potassium level.A registered nurse (RN) delivers telehealth services to clients via electronic communication. Which nursing action creates the greatest risk for professional liability and has the potential for a malpractice lawsuit?Sending medical records to health care providers via the Internet Which pathophysiologic response supports the contraindication for opioids, such as morphine, in clients with increased intracranial pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life when the ICP is elevated.B.Higher doses of opioids are required when cerebral blood flow is reduced by an elevated ICP.C.Dysphoria from opioids contributes to altered levels of consciousness with an elevated ICP.D.Opioids suppress respirations, which increases Pco2 and contributes to an elevated ICP.D The greatest risk associated with opioids such as morphine (D) is respiratory depression that causes an increase in Pco2, which increases ICP and masks the early signs of intracranial bleeding in head injury. (A, B, and C) do not support the risks associated with opioid use in a client with increased ICP.
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