HESI PN MED SURG EXIT EXAM / MED SURG
HESI PN LATEST EXAM 2024-2025 ACTUAL EXAM
TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
Terms in this set (107)
A 70-year-old client status a. Braden Scale
post hip replacement is
transferred to a The Braden Scale is made up of six subscales: sensory
rehabilitation facility. Which perception, moisture, activity, mobility, nutrition, and
scale should the practical friction and shear. A hospitalized adult with a score 16 or
nurse (PN) identify as the below or an older adult with a score of 18 or below is at
best tool to predict the an increased risk for skin breakdown.
client's risk for developing
skin breakdown?
a. Braden Scale
b. Morse Scale
c. Aldrete Scale
d. Wong-Baker Face Scale
,An adult client is admitted a. Remove all the client's clothing, shoes, and jewelry.
to the emergency
department with partial- Rationale:
thickness and full-thickness Interventions for moderate to severe burns of deep
burns over 40% of the body partial-thickness and full-thickness, once an airway and
surface area resulting from circulation is established, then the next thing is to
a car collision fire. After the remove all the victims clothing, shoes, and jewelry
health care provider and before the edema sets in and they become constricting,
nurse have intubated the also it is possible to cause more severe burns by leaving
client, which intervention clothing on.
should the practical nurse
(PN) do first?
a. Remove all the client's
clothing, shoes, and jewelry.
b. Insert indwelling urinary
foley.
c. Initiate an intravenous
catheter line.
d. Obtain blood work and
urine sample
,The Centers for Disease b. Wear gloves when coming in contact with the blood
Control and Prevention or body fluids of a client.
(CDC) has issued guidelines
for health care workers in Rationale:
relation to protection from The CDC guidelines for standard precautions
HIV. The practical nurse recommend that health care workers use gloves when
(PN) who suspects they may coming in contact with blood or body fluids from any
be pregnant is assigned a client because HIV is infectious before the client
client who is HIV+. What becomes aware of symptoms. Pregnancy of a nurse
action should the PN should not inhibit the nurse for taking care of a HIV+
implement? client as long as standard precautions are observed.
a. Make the suspected
pregnancy known and
request a different client
assignment.
b. Wear gloves when
coming in contact with the
blood or body fluids of a
client.
c. Limit contact and
interaction with the client
and have another nurse
bathe the client.
d. Put on all the PPE to
include gown and mask
when entering the client's
room.
, A client comes to the clinic a. Ask the client if they have had unprotected sex.
and reports the presence of
a painful lesion in the Rationale:
genital area; they described These are typical signs and symptoms of herpes simplex
it as a blister 2 days earlier virus 2 (HSV2), a sexually transmitted disease (STD), so
that is now crusty. Which the PN should ask the client if they had unprotected sex
intervention should the and if the client has exposed others to the disease.
practical nurse (PN)
implement first?
a. Ask the client if they have
had unprotected sex.
b. Prepare the client for a
culture and sensitivity test
of the lesion.
c. Inform the client this
occurrence will have to be
reported to the public
health department.
d. Prepare to administer
penicillin intramuscularly
into the dorsogluteal area.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheAlphanurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
