HESI PN COMPREHENSIVE EXIT EXAM

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HESI PN COMPREHENSIVE EXIT EXAM

VERSION 11

• A nurse in a long term care facility notices a client who has alzheimers

disease standing at the exit doors at the end of the hallway. The clients appears to be anxious and agitated. Which of the following actions should the nurse take?Escort the client to a quiet area on the nursing unit

• A nurse is assisting with the plan of care for a client who has a continent urinary division. Which of

the following interventions should the nurse plan to implement to facilitate urinary elimination?Use intermittent urinary catheterization for a client at regular intervals

• A nurse is assisting with a educational program about car restraint safety for a group of parents.

Which of the following statements by a parent indicates an understanding of the instructions?My 12 year old child should place the shoulder lap belt low across his hips

• A nurse is reinforcing teaching about strategies to promote eating with a client who has COPD.

Which of the following instructions should the nurse include in the teaching?Drink high protein and high calorie nutritional supplements

• A nurse is supervising an assistive personnel who is preparing to remove her personal protective

equipment after providing direct care to a client who requires airborne and contact precautions. The nurse should recognize that the AP understands the procedure when she removes which of the following PPE first?Gloves

• A nurse is caring for a client who is crying and states that his provider informed him that he has a

tumor and will need a biopsy. Which of the following responses should the nurse make?What have you done in the past to help yourself get through stressful situations before?

• A nurse is inspecting the skin of a newborn. Which of the following findings should the nurse report

to the provider Generalized petechiae

• A nurse is contributing to a teaching plan for a group of male adolescents about the adverse effects

of anabolic steroid use. Which of the following manifestations should the nurse include Reduced height potential

• A nurse is reinforcing teaching with an older adult client who has a severe left sided heart failure.

Which of the following statements should the nurse make Rest 15 minutes between activities

• A nurse in a long term care facility is documenting the care of an older client. Which of the

following information should the nurse include in the weekly nursing care summary Hydration status

• A nurse is caring for a client who has a head injury. Using the gasgow coma scale collection data,

the nurse should obtain which of the following information Motor response

• A home health nurse is reinforcing teaching with a client about the use of elastic stockings to

decrease peripheral edema. Which of the following instructions should the nurse include?Apply stockings in the morning

• A nurse in a providers office is obtaining a health history from a client who is scheduled to

undergo a cardiac catheterization in 2 days. Which of the following questions is the Do you know if your allergic to iodine

• A nurse is planning to administer nystatin oral suspension to a client who has oral candiasis.

Which of the following instructions should the nurse give to the client Hold the medication in your mouth for several minutes prior to swallowing

• A nurse is preparing to care for the assigned clients on her upcoming shift. Which of the following

time management strategies should the nurse plan to use? 1 / 2

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Prepare a priority list of client needs for the shift

• A nurse is preparing to witness a client who is scheduled for surgery sign a informed consent.

Which of the following actions should the nurse take?Ask the client if he understands the procedure

• A nurse in an inpatient mental health clinic is caring for a newly admitted client who has alcohol

use disorder. During a therapy session, the client asks about alcoholics anonymous. Which of the following responses should the nurse make?What is your current understanding about the purpose of AA

• A nurse is assisting with the care of a client who is 2 days postop following a total knee

arthroplasty. Which of the following tasks should the nurse assign to an assistive personnel?Reapply antiembolic stockings to the client following a shower

• A client in a mental health facility unjustly accuses a nurse of stealing money from his room.

Which of the following therapeutic responses should the nurse make?Tell me how you decided who took your money

• A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the

larynx. Which of the following statements made by the client indicates understanding of the teaching?I will wear a soft scarf around my neck when I am outside

• A nurse is using the FLACC scale to determine the level of pain for an 11 month old infant who is

postop. Which of the following factors should the nurse consider when using this pain scale Level of activity

• A nurse is reviewing the techniques for transferring a client from bed to chair with a group of

assistive personnel. Which of the following instructions should the nurse include Use lower body strength

• A nurse is reinforcing taching with a client who is to self administer epoetin alfa. Which of the

following instructions should the nurse include Administer the medication subcutaneously

• A nurse is collecting data from a 5 year old child at a well child visit. The parents reports that the

child is having frequent nightmares. Which of the following statements by the parent indicates to the nurse that the child is experiencing sleep terrors rather than nightmares My child goes back to sleep right away

• A nurse assisting with the care of a school age child immediately following surgery. The child

weighs 21.8kg and has a chest tube applied to suction. Which of the following findings should the nurse report to the provider 250ml of sanguineous drainage over the last 3hr

• A nurse is reinforcing teaching about advanced directives with a client. Which of the following

statements by the client indicates an understanding of the teaching I can change my health care decisions even if I have advanced directives

• A nurse is assisting with the admission of a client who has rubeola. Which of the following

transmission-based precautions should the nurse plan to initiate for this client Airbourne

• A nurse is administering morning medications to clients on the unit. A client questions the nurse

regarding a medication that she does not recognize. Which of the following actions should the nurse take first Verify the prescription in the clients medical record

• A nurse in an urgent care clinic is collecting data from four clients. Which of the following clients

should the nurse recommend for treatment A client who is experiencing shortness of breath after taking amoxicillin

• A nurse enters a clients room and sees smoke coming from a wastebasket next to the bed. Which

of the following actions should the nurse take first Assist the client to a nearby waiting area

• A nurse is caring for a client who is in the final stages of cancer. Which of the following situations

should the nurse identify as an ethical dilemma The client asks the nurse to help her die peacefully in her sleep

• A nurse is reinforcing teaching with an older adult client who has osteoarthritis. Which of the

following instructions should the nurse includes

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