, HESI EXIT EXAM PN 2020 TEST BANK
1. a male client admitted the morning of his scheduled surgery tells the PN that
he drank water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A client receives ondansetron prior to chemotherapy treatment.How should
the PN evaluate this medication? Monitor the client for nausea or
vomiting following the treatment
3. The PN is caring for an older adult client who is confused and
spends...factor contributes to an increased risk for impaired skin integrity for
this client? Has increasing episodes of urinary incontinence
4. The pn determines that a client with cirrhosis is experiencing
peripheral....take? Protect the clients feet from injury
5. A client is admitted to the postoperative surgical unit after a left lobectomy
with two chest tubes......observes the water-sealed chambers, set and
prescribed suction of 20cm water...what action should the PN implement?
Maintain system integrity and to promote lung reexpansion
6. photo of chest and locating apical HR just below the left nipple
7. At the end of a 12-hour shift the PN observes the urine in a clients
drainage..what action should the PN take next? note the most recent
white blood count
8. Thirty minutes after receiving IV morphine, a postoperative male client
continue to rate his pain...what action should the PN implement first?
implement complementary pain relief methods
9. A male client has been diagnosed with schizophrenia is withdrawn, isolates
himself in....with one or two word responses. the morning the PN observes
that he...Which intervention is most important for the PN to implement?
Measure appropriate vital signs
10.The PN is assisting a female client to obtain a voided specimen for
uri...meatus. Which intervention is performed next? initiate the urine
stream?
11.An 8-year old is placed in 90-90 traction for a fractured femur that resulted
from...further action by the PN? weights are touching the foot of the bed
12.The PN is reviewing diet instructions with a female client who has
hyper...she has increased her intakes of protein and calories. What action
should the PN take? Encourage the client to continue the dietary
changes she has made
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