HESI PN COMPREHENSIVE EXIT EXAM

a) 518 of 622

HESI PN COMPREHENSIVE EXIT EXAM

VERSION 10

• A nurse is providing teaching about the gastrostomy tube

feedings to the parents of a school age child.Which of the following instructions should the nurse take?

• Administer the feeding over 30 min.
• Place the child in as supine position after the feeding.
• Charge the feeding bag and tubing every 3 days.
• Warm the formula in the microwave prior to

administration.

• A nurse is administering digoxin 0.125 mg Po to an adult

client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B.Apical pulse 58/min.

• Digoxin level 1 ng/ml.
• Constipation for 2 days. 1 / 4

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• A nurse is caring for a client who is comatose and has

advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following action should the nurse take?

• Arrange for an ethics committee meeting to address the

family’s concerns.

• Support the family’s decision and initiate life-sustaining

measures.

• Complete an incident report.
• Encourage the family to contact an attorney.

• A nurse is caring for a client who wears glasses. Which of

the following actions should the nurse take? A. Store the

glasses in a labeled case.

• Clean the glasses with hot water.
• Clean the glasses with a paper towel.
• Store the glasses on the bedside table.

• A nurse is teaching a group of newly licensed nurses about

measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching?

• Remove the protective gown after the client’s room. 2 / 4

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• Place the client in a room with negative pressure.
• Wear gloves when providing care to the client.
• Wear a mask when changing the linens in the client’s room.

6.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include? A. Perform an ECG every 12 hr. B. Place the client in a supine position while resting.

• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation.

• The nurse is reviewing the medical record of a client who is

requesting combination oral contraceptives.Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives? A.Hyperthyroidism.

• Thrombophlebitis.
• Diverticulosis. 3 / 4

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Hypocalcemia.

• A nurse is caring for a client who request the creation of a

living will. Which of the following actions should the nurse take?

• Schedule a meeting between the hospital ethics committee

and the client.

• Evaluate the client’s understanding of life-sustaining

measures.

• Determine the client’s preferences about post mortem

care.

• Request a conference with the client’s family.

9.A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions.

• Hematuria.
• Temperature 37.9 C (100.2 F).
• Sneezing.

10.A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take?

• Instill 500 ml of solution through the NG tube.
• Insert a large-bore NG tube.
• Use a cold irrigation solution.
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