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HESI PN EXIT EXAM V3 210 QUESTIONS AND
ANSWERS AGRADE
An older client at an adult daycare center with type 2 diabetes mellitus (DM) becomes unresponsive verbally with the other daycare participants and tells the practical nurse (PN), "I just don't feel right." Which initial action should the PN take?A Assess temperature.B Evaluate deep tendon reflexes.C Give 4 ounces (120 mL) of apple juice.D Administer glucagon 0.5 mg intramuscularly - ANSWER✅✅C Give 4 ounces (120 mL) of apple juice.The practical nurse (PN) prepares to administer an intramuscular injection. The PN uses a filter needle to obtain the prescribed medication from an ampule as seen in the video. What should the PN do next?A Clean the ampule with an alcohol swab.B Change the needle on the syringe.C Discard the medication because it is contaminated.D Administer the intramuscular injection to the client. - ANSWER✅✅B Change the needle on the syringe.A married woman comes to the clinic for her annual well-woman physical examination. During the interview with the practical nurse (PN), the client makes minimal eye contact. The PN observes yellow bruising to the lower eye and purple bruising on the client's upper arm, which look like fingerprints. Which question is best for the PN to ask the client? 1 / 4
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2 A Is anyone hurting you?B Do you want to see a social worker?C How is your marital relationship?D Is there something you want to tell me? - ANSWER✅✅A Is anyone hurting you?The practical nurse (P) is assigned to care for a client who had a left nephrectomy yesterday.Which finding should the PN report to the charge nurse immediately?A Complaints of nausea within 5 minutes after taking sips of water.B Oral temperature 100° F (37.7°C) 30 minutes after taking an analgesic.C Total urinary output of 20 mL for the past 2 consecutive hours.D Pain in left flank surgical site described as 6 on a 10 point scale. - ANSWER✅✅C Total urinary output of 20 mL for the past 2 consecutive hours.The practical nurse (P) is assisting with screening examinations at a community clinic where a toddler is brought by a parent for scheduled vaccines. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the PN?A Small bruises on the lower extremities.B Refusal to answer simple questions.C One-inch laceration across center of forehead.D Several dime-sized circular burns on the back. - ANSWER✅✅D Several dime-sized circular burns on the back. 2 / 4
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3 The practical nurse (P) is assigned to care for an older male client who is recovering from a stroke. When assisting this client to ambulate with the use of a cane, where should the PN place the cane in relation to the client's body?A On the same side as the affected extremity.B Approximately one foot away from the body to stabilize balance.C On the opposite side of the affected extremity D In front of the body to lean on while stepping forward - ANSWER✅✅C On the opposite side of the affected extremity A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for this client?A Gravida 2, Para 1.B Gravida 2, Para 0.С Gravida 1, Para 1.D Gravida 1, Para 0. - ANSWER✅✅A Gravida 2, Para 1.The practical nurse (P) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?A Check for changes in vision.B Monitor the client's hearing.C Observe the skin for a rash.D Measure the urinary output. - ANSWER✅✅B Monitor the client's hearing. 3 / 4
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4 A client has a prescription for a transcutaneous electrical nerve stimulator (TENS) unit for pain management during the postoperative period following a lumbar laminectomy. Which information should the practical nurse (P) reinforce about the action of this adjuvant pain modality?A Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus.B An infusion of medication in the spinal canal will block pain perception.C A mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe pain.D The discharge of electricity will distract the client's focus on the pain. - ANSWER✅✅D The discharge of electricity will distract the client's focus on the pain.A client is seen in the clinic after a failed in-vitro fertilization. Which nursing problem has the highest priority?A Ineffective individual coping.B Altered sexuality patterns.C Impaired social isolation.D Impaired verbal communication. - ANSWER✅✅A Ineffective individual coping.Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?A Hemoglobin and Hematocrit.B Serum calcium.C Serum creatinine.
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