HESI PN COMPREHENSIVE PREDICTOR EXAM
VERSION 11
- 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.
- 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
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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.
- 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.
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- 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.
- 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. 3 / 4
- Insert a large-bore NG tube.
- Use a cold irrigation solution.
- Instruct the client to lie on his right side.
- A nurse is providing care for a client who is in the advance stage of
amyotrophic lateral sclerosis. (ALS).
Which of the following
referrals is the nurse‘s
priority? A. Psychologist.
- Social worker.
- Occupational therapist.
- Speech-language pathologist.
12.A nurse is reviewing the laboratory results of a client who
has rheumatoid arthritis. Which of the following findings
should the nurse report to the provider? A. WBC count
8,000/mm3. B. Platelets 150,000/mm3.
- Aspartate aminotransferase 10 units/L.
- Erythrocyte sedimentation rate 75 mm/hr
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