HESI Exit Exam 3 Graded A+ 2023

1. in administer nystatin suspension to the gum’s infant with candida infection. which approach should the PN use? Use glove finger to rub the suspension over the infected area. 2. the practical nurse (PN) is assessing with the pain of care for a client pain of care receiving the non-steroid anti-inflammatory drug for painful muscle spine of the back. which intervention should the PN include in the client plan of care? Assess the skin daily for area of ecchymosis or other signs of bleeding. 3. prior to giving the digoxin the PN assess that a two-month-old infant heart rate is 120bpm based on this finding what action should the PN take? give the medication and document the heart rate. 4. immediately after birth which nursing intervention has the highest priority for the newborn infant? preventing heart loss and neonatal cold stress. 5. A client who is primigravida at term comes to the prenatal clinic and tells the PN that she is having contraction every 5 mins the PN monitors the client for 0ne hour using an external fetal monitor and determine that the client contractions are 7-15 mins apart lasting to 20-30 seconds with mild intensity by palpation. which action should the nurse take? send the client home and instruct to call the clinic when her contraction occurred 5 mins apart for one hour. 6. the online UAP report to the PN that an older client has a radius pulse of 55 bpm. which intervention should the PN implement first? obtain a full minute apical pulse assessment. 7. an older client who has a cologne resection 8 days ago is straining at stool the PN nurse observed sudden spillage of serosanguinous drainage from the client's wound followed by appearance bowel on the skin. which implication has occurred? Dehiscence 8. at 0800, a client apical pulse rate is 98 bpm 4 hours later the apical pulse is 54 bpm which action should the PN take next. determine the level of consciousness. 9. a charge nurse brings a #18 urinal catheter with 30 mL balloon to the PN who is preparing to insert a catheter in female client who weighs 50kg. which action do the PN takes first? consult with the charge nurse about the catheter. 10. the PN obtain a fingerstick glucose for a client with type one mellitus who is conscious and demonstrating hand tremors and shaking. the PN reports the client result of 55mg/dL to the nurse. which action should the PN prepare to implement next? provide the client a glass of milk. 11. the client with acute kidney injury is admitted with elevated pulse rate and blood pressure. which intervention should the PN implement? measure and document urinary output. 12. while changing the dressing of client who is immobile. the PN observes a red and swollen wound with moderate amount of yellow and green drainage and foul odor. before reporting this finding to the HCP, the PN should evaluate which client lab value? Culture for sensitive organism. 13. a client with hypertension complains of persistence dry cough the PN should tell the client that this a common side effect of which daily medication? Quinapril. 14. when gathering data about a client with dark skin tone which site should the PN observed? Sclera and mucous membrane. 15. a client who is receiving chemotherapy has developed stomate which instruction should the PN provides the UAP who is assessing with this client? provide gentle and meticulous care. 16. the PN views the midline a episiotomy of client who reports pain in her stitches. which action should the PN take first? observe suture line for separation and hematoma formation 17. client receiving an epidural anesthesia during labor. which observation is the most important adverse effect that the PN assess for following the administration of the epidural? maternal hypotension. 18. a client is using an intensive spirometer on the first postoperative day after inguinal herniorrhaphy. the PN should research the proper use of the spirometer when the client demonstrates which action? blowing forcefully into the mouthpiece. 19. the PN is preparing to assist an elderly client to the bathroom. the PN knows that an elderly adult center of gravity change from the... another area of the body. in planning to safely assist this client the PN knows that the center of gravity for the elderly client is in which area of the body? upper extremities. 20. the PN explains to a client hoe to obtain a septum specimen and the client indicate understanding the procedure after the PN leaves the room the client obtains the specimen and notifies the PN. when the PN arrives to collect it appears as seen in the picture what action should the PN takes. the PN should teach the client to a client how to obtain a septum specimen and if the client does not correctly collect the specimen the PN should assist the client in obtaining another specimen coughed directly into a sterile cup.