Page 1 of 101 HESI PN EX IT EXAM 1-3 LATEST 2024 TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN) HESI PN EX IT EXAM 1 The practical nurse (PN) is mobi lizing a client with left hemiplegia after a cerebrovascular accident. The client demonstrates stability in weight bearing and transferring. While assisting the client with a pivot transfer out of the bed, at what location should a wheelchair be positioned ? Head of the bed, facing the foot, on the right side of the bed The practical nurse (PN) is caring for a child in a 90 -90 skeletal traction. Where should the PN monitor the child for signs of compartment syndrome? Select the correct location on the image. To change, click on a new location. Toes When the practical nurse (PN) attempts to assist an 18 year old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and yells at the PN, "Get out of here. I'll get up when I'm ready!" Which response is best for the PN to make? I will be back in 30 minutes to help you get out of bed and walk around the room today The practical nurse (PN) is preparing to administer a client prescribed 0900 dose of on e tablet of bisacodyl when the client states that he has recently expelled three large, semi -formed bowel movements. Which action should the practical nurse (PN) take? Alert the charge nurse about the diarrhea and hold the scheduled dose of bisacodyl until new orders are received from healthcare provider. Page 2 of 101 I highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assis t this client in diminishing his anxiety? Teach him to limit sugar and caffeine intake A client who is in Gravida 01, para 0, is transferred to the recovery room following a normal vaginal delivery of a healthy newborn. The practical nurse (PN) observes th e client is shaking uncontrollably and states she is cold. Which intervention should the PN perform? Apply light, warmed blankets and assure her that this is normal following delivery An adult with a history of cardiovascular disease comes to the clinic co mplaining of indigestion. Vital signs are heart rate 130 bpm, respirations 24 breaths per minute and blood pressure 180/90. Which finding show the practical nurse (PN) report immediately to the healthcare provider. Left jaw discomfort A male client attends a community support program for mentally impaired and chemical abusing clients. The client tells the practical nurse (PN) that his drugs of choice or cocaine and heroin. What is the greatest risk for this client? Hepatitis Four hours after administration of regular insulin 20 units subcutaneous (SUBQ), a client becomes shaky and diaphoretic. Which action should the practical nurse take? Give client crackers and milk During immediate postoperative period, which condition has the highest priority when planni ng Nursing care? respiratory obstruction Page 3 of 101 A mother brings her five children to the clinic for school physical examinations. Which assessment findings should alert the practical nurse that intergenerational violence may be occurring in the home? Select all t hat apply. The six -year -old son hits his younger sister during the interview The 10 -year -old daughter has circular burns on her trunk and legs The three year old has multiple bruises on the chest and both legs During a clinic visit, the practical nurse (PN ) observed that an infant is sucking on a pacifier that is made from a bottle nipple with stuffed cotton. What should the PN do? Encourage the mother to use a one piece pacifier An older adult female is admitted with syncope and laboratory findings indicat e that her hemoglobin is 8.0 g/ DL. She has a recent history of headaches and frequent falls. Admission prescriptions include continuation of all home medications. Which medication should the practical nurse (PN) with hold until consulting with the charge nurse? Aspirin A client with that pseudomonas aeruginosa infection is receiving gentamicin 5 mg IM every 12 hours. The pharmacy provides a vial labeled gentamicin sulfate 80 mg/2ML. How many ML's should the practical nurse (PN) administer? Enter numeric value only. If ro unding is required round to the nearest hundredth. 5mg/1 x 2ml/80mg= 0.125 or .13mL In obtaining a series of stool specimens for occult blood, which instructions should the practical nurse (PN) provide to the client? Defecate into the container separately from urinating in the toilet. The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate nasal spray, a glucocorticoid prescribed for the clients nasal allergy symptoms. In reinforcing Page 4 of 101 instructions about self administra tion of the nasal spray, the PN should emphasize the need for the client to take which action before self administration? Gently blow the nose The practical nurse (PN) is reinforcing discharge instructions with a client who is two days postpartum. Which in struction should the PN reinforce with a client about the lochia turning red again? Notify your healthcare provider and reduce your activity level A client with acute kidney injury (AKI) is admitted with an elevated pulse rate and an elevated blood pressur e. Which intervention should the practical nurse (PN) implement? Measure and document urinary output When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a mail client when his last bowel movement occurred. The client answers three days ago. Which action should the PN implement first? Determine the clients usual bowel pattern The practical nurse (PN) is caring for a client who is hospitalized due to a spousal assault. According to the cycle of violence model, which behavior sure the PN expect the spouse to exhibit 1st after assault. Verbal abuse consistent with the tension buil ding phase While assessing a client who has had a short leg cast applied two hours ago, the practical nurse (PN) notices that the capillary refill for the Castaic lake is five seconds. Which action is most important for the PN to take? Notify the healthcar e provider and charge nurse
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