Hondrosl HESIl PNl Comprehensivel Exitl Examl V2l (Latestl 2025/l 2026l Update)l |l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)
Q:l Al clientl inl al nursingl homel becomesl violentl andl verballyl threatensl anl unlicensedl assistivel personnell (UAP).l Whichl isl thel bestl wayl forl thel practicall nursel (PN)l inl chargel duringl thel shiftl tol handlel thel staff'sl reactionl tol thel incident?A.l Encouragel UAPl tol deall withl itl privatelyl tol preventl compromisingl clientl confidentiality.l B.l Offerl al groupl discussionl sessionl sol staffl canl sharel theirl thoughtsl andl feelings.l C.l Invitel staffl outl afterl hoursl tol helpl distractl theml froml thel disturbingl clientl event.l D.l Referl thel UAPl tol humanl resourcesl departmentl forl al counselingl sessionl withl al therapist.
Answer:
B.Offerl al groupl discussionl sessionl sol staffl canl sharel theirl thoughtsl andl feelings Rationale:l Al criticall incidentl stressl debriefingl evolvesl expressionl ofl personall feelings,l discussion,l andl workingl onl unresolvedl emotionall issuesl tol minimizel postl traumaticl stressl forl thel staffl member.l Al CISDl isl thel bestl actionl forl thel PNl inl chargel tol takel (B)l inl conjunctionl withl thel guidancel andl assistancel ofl thel nursingl supervisorl inl thel facility
Q:l Al groupl ofl practicall nursesl (PNs)l whol workl onl al medical-surgicall unitl believel theyl arel understaffed.l Whichl datal shouldl thel PNsl considerl whenl preparingl thel justificationl forl additionall staff?A.l Staffingl ratiosl inl otherl states.l B.l Clientl acuityl andl census.l C.l Overtimel paymentl andl unfilledl positions.l D.l Numberl andl frequencyl ofl clientl complaints.
Answer:
B.l Clientl acuityl andl census.l Rationale:l Whenl presentingl thel needl forl increasedl staff,l thel PNsl shouldl presentl thel requestl usingl staffingl guidelinesl thatl considerl clientl acuity,l numberl ofl clients,l andl lengthl ofl stay(B).
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Q:l Thel practicall nursel (PN)l assignsl carel ofl al clientl whol isl HIVl positivel tol al newlyl employedl PNl whol states,l Il can'tl takel carel ofl thatl client.l Howl shouldl thel PNl respond?A.l "Il don'tl understandl yourl response.l Pleasel explainl whatl youl mean."l B.l "Staffl cannotl pickl andl choosel assignmentsl basedl onl al client'sl diagnosis."l C.l "Thisl clientl willl providel al learningl opportunityl forl you,l andl I'ml herel tol help."l D.l "Il willl givel youl al differentl clientl sol youl willl bel morel comfortable."
Answer:
A.l "Il don'tl understandl yourl response.l Pleasel explainl whatl youl mean." Rationale:l Thel ethicall principlel ofl beneficencel guidesl decisionsl basedl onl thel clientsl welll beingl orl dignity.l Thel PNl shouldl firstl assessl thel rationalel supportingl thel responsel (A)l whichl mayl includel anl infectionl suchl asl al "Cold"l thatl placesl thel immunosuppressedl clientl atl risk
Q:l Al clientl withl typel 2l diabetesl mellitusl isl admittedl tol thel hospitall forl anl exacerbationl ofl asthma.l Thel practicall nursel (PN)l administersl hydrocortisonel (Solu- Cortef)l 60l mgl POl everyl 6l hours.l Whatl informationl shouldl thel PNl tol reviewl thel nextl day?A.l Seruml potassium.l B.l Seruml glucose.l C.l Respiratoryl rate.l D.l Bloodl pressure.
Answer:
B.l Seruml glucose.l Rationale:l Highl dosesl ofl glucocorticoidsteriodsl canl causel anl elevationl inl thel seruml glucosel level,l sol thel PNl shouldl reviewl thel clientsl seruml glucose(B)
Q:l Whichl informationl shouldl thel practicall nursel (PN)l providel tol anl unlicensedl assistivel personnell (UAP)l whol isl newlyl assignedl tol thel unit?A.l Keepl head-of-bedl elevatedl 45l degreesl forl clientsl withl anl infusingl enterall pump.l B.l Determinel ifl painl subsidesl 20l minutesl afterl al clientl receivesl anl injection.l C.l Reportl signsl ofl infectionl inl urinel thatl collectsl inl al bedsidel drainagel unit.l D.l Observel howl clientsl arel usingl anl incentivel spirometerl afterl surgery.
Answer:
A.l Keepl head-of-bedl elevatedl 45l degreesl forl clientsl withl anl infusingl enterall pump.Rationale:l Informationl aboutl thel basicl carel clientsl suchl asl positioningl (A)l shouldl bel specificl tol al commonl interventionl orl treatmentl andl shouldl focusl onl taskl withinl thel scopel ofl thel UAP'sl assignment
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Q:l Al womanl whol isl 32-weeksl gestationl arrivesl atl thel prenatall clinicl andl reportsl painlessl contractionsl andl mucoidl vaginall discharge.l Thel fetall heartl ratel isl 150l beats/minutes.l Whatl actionl shouldl thel practicall nursel (PN)l implementl first?A.l Placel inl thel leftl laterall recumbentl position.l B.l Askl aboutl recentl sexuall intercourse.l C.l Encouragel anl increasel inl orall fluidl intake.l D.l Determinel whenl thel contractionsl began.
Answer:
A.l Placel inl thel leftl laterall recumbentl position.l Rationale:l Preterml laborsl symptomsl includel contractionsl andl mucoidl vaginall dischargel sol thel PNl shouldl placel thel clientl inl thel leftl laterall position
Q:l Al 14-year-oldl femalel arrivesl inl thel schooll nurse'sl officel seekingl informationl aboutl healthcarel agenciesl inl thel community.l Thel practicall nursel (PN)l understandsl thel clientl canl makel anl autonomousl healthcarel decisionl ifl shel hasl whichl circumstance?A.l Pregnancy.l B.l Fundsl tol payl forl herl ownl care.l C.l Homelessness.l D.l Al life-threateningl condition.
Answer:
A.l Pregnancy.l Rationale:l Accordingl tol thel supremel courtl al minorl whol isl pregnantl (A)l canl makel anl autonomousl healthcarel decision
Q:l Thel practicall nursel (PN)l stopsl tol helpl anl unconsciousl victiml atl thel sitel ofl al motorl vehiclel collision.l Afterl Emergencyl Medicall Servicesl (EMS)l arrive,l thel PNl reportsl thatl firstl aidl wasl renderedl andl thenl leaves.l Thel victiml diesl onl thel scenel froml thel injuriesl sustained.l Whatl isl thel PN'sl liability?A.l Criminall assaultl andl battery.l B.l Negligentl actsl ofl omission.l C.l Goodl Samaritanl immunity.l D.l Clientl abandonment.
Answer:
C.l Goodl Samaritanl immunity.Rationale:l Basedl onl thel goodl Samaritanl actl (C)l thel PNl renderedl emergencyl carel inl goodl faithl atl thel scenel ofl thel accidentl andl isl immunel froml civill liabilityl forl actionsl whilel providingl care.l Thel PNl didl notl violatel thel statusl ofl Nursel practicel act
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Q:l Al childl isl admittedl forl severel abdominall painl andl possiblel appendicitis.l Laboratoryl andl x-rayl studiesl arel prescribed.l Duringl thel diagnosticl period,l thel practicall nursel shouldl implementl whichl nursingl actions?l (Checkl alll thatl apply.) A.l Maintainl child'sl comfort.l B.l Relievel parentl andl child'sl anxiety.l C.l Preparel forl surgery.l D.l Givel orall homel medications.l E.l Encouragel ambulation.
Answer:
A.l Maintainl child'sl comfort.l B.l Relievel parentl andl child'sl anxiety.l C.l Preparel forl surgery.
Q:l Whichl actionl shouldl thel practicall nursel implementl whenl administeringl anl 8l ouncel canl ofl al concentratedl nutritionall formulal vial al client'sl gastrostomyl tubel (GT)?
A.l Determinel thel gastricl residual'sl pHl beforel startingl thel feedingl atl prescribedl rate.l B.l Obtainl stooll specimenl forl culturel ofl diarrheal stooll thatl occurredl afterl firstl feeding.l C.l Discardsl 60l mll ofl gastricl residuall beforel givingl formula.l D.l Givel 30l mll ofl tapl waterl afterl administrationl ofl formula.
Answer:
D.l Givel 30l mll ofl tapl waterl afterl administrationl ofl formula.Rationale:l Afterl administeringl formulal additionall waterl shouldl bel givenl tol preventl obstructionl ofl thel GTl andl providel thel clientl withl additionall hydration
Q:l Al clientl isl beingl dischargedl afterl repairl ofl al retinall detachment.l Thel practicall nursel (PN)l reviewsl thel writtenl dischargel informationl withl thel clientl andl family.l Whichl instructionl shouldl thel PNl emphasizel tol thel clientl whenl arrivingl atl home?A.l Limitl readingl orl writingl forl 3l weeks.l B.l Takel al PRNl antiemeticl withl earlyl signsl ofl nausea.l C.l Keepl thel headl flatl andl centeredl whenl lyingl down.l D.l Selfl administerl eyel medications.
Answer:
B.l Takel al PRNl antiemeticl withl earlyl signsl ofl nausea.Rationale:l Tol minimizel increasedl intraocularl pressure,l itl isl mostl importantl thatl thel clientl takel anl antiemeticl asl soonl asl nauseal isl experiencedl (B)l tol preventl vomitingl thatl canl causel displacementl ofl thel retinall repair
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