Hesi PN Practice Exam and Questions
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A client with schizophrenia reports auditory hallucinations when admitted to the hospital. PN to
include in the assessment of this client? - ✔✔"what are the voices uttering?"
A young adult male tells the PN he has declared to change his hours at work so that he can...his
community. Which stage of Maslow's development is this young adult attempting to achieve? -
✔✔Self-actualiztion
A female client arrives to the clinic for an annal physical examination. when reviewing...the PN
that she takes herbs for high blood pressure instead of the prescribed..important for the PN to
reinforce with the client? - ✔✔Explain risks associated with using herbs instead of the
prescribed antihypertensives.
A female Native American client who is receiving chemotherapy places a native artifact...the
health care provider removes the medicine wheel and tells the client "this type..hospital"
what intervention should the PN implement ? - ✔✔Act as the clients advocate when
discussing the issue with the HCP
The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important
to include in the nursing care plan? - ✔✔watch the client for abnormal bleeding
,... - ✔✔"it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
A client is transferred to the surgical unit from the intensive care unit after evacuation of
bilateral..primary observation should the PN monitor? - ✔✔neuro-vital signs related to
bleeding and intracranial pressure
The PN is working the day shift in a long term facility and is preparing..delegate to the UAP to
perform during the change of.. - ✔✔total the clients PO intake, fill the water pitchers, empty
urinals and catheter bags.
While taking the vital signs of a older male client who takes psychotropic
medication...uncontrollable hand movements ad is excessively blinking his eyes,
which information.... - ✔✔screening for tardive dyskinesia
A female client tells the PN that her hemorrhoids are inflamed and hurt..the PN to implement to
complete a focused assessment? - ✔✔position client in left lateral position to inspect perianal
area for fissures or sacs
the PN is implementing the plan of care for a client who admits having...indicates the highest risk
for the client acting on these suicidal thoughts? - ✔✔Begins to show signs of improvement
... - ✔✔-Assess the condition of the IV site
-loosen tape that secures the existing tubing
,-remove existing tubing and spike new tubing into bag
-clamp the IV catheter and attach the new tubing
-unclamp the tubing and IV catheter and begin the infusion
The PN observes that a male clients urinary catheter drainage tubing is...the attached to the
bed frame. What action should the PN implement? - ✔✔observe the appearance of the urine in
the drainage tubing
A 150 pound adult client with Partial-thicknees burns over 40% of the body..hospital burn unit.
Which observation is most important for the Pn to report... - ✔✔urinary output of 20 mL/hr
The PN notes that an elderly client has developed nonproductive...the previous day. Vital signs
are temperature 99.8 F; pulse 94; respirations 22; and BP...important for the PN to implement? -
✔✔report the findings to the charge nurse
The PN is making shift assignment at an extended care rehabilitation...assign to the UAP. -
✔✔-Toileting assistance for a client receiving therapy after a total hip replacement
-daily skin care for a client with a descending double barrel colostomy
-morning care for a client with a staph wound infection
A client is complaining of a tightening sensation in the fingers, nose tip and ear lobes...24...PN
should be prepared to implement what measure first? - ✔✔Obtain prescribed calcium
gluconate for tetany
, A clients chief complaint is being able to swallow only small bites of solid food...PN should
assess for what additional information? - ✔✔History of alcohol and tobacco use
An adult female client with type 1 diabetes mellitus is receiving 35 units of NPH insulin...PN
document as evidence that the amount of insulin is inadequate... - ✔✔Consecutive evening
serum glucose readings of >260 mg/dl
The PN is assigned the care of four clients on a medical-surgical...prioritze client assessments -
✔✔-A client who is admitted with a suspected ruptured appendix
-A client who is post-lumbar puncture is reporting a severe headache
-An older male adult with Alzheimers who wanders out of his room
-A postoperative client who needs reinforcement of discharge instruction
...the partner refuses to go. The PN suspects the injuries may be the result of... - ✔✔Arrange
to take the client to the operating room holding area for privacy
The PN is caring for a client whose urine drug screen is positive for...exhibit during
cocaine withdraw - ✔✔powerful craving for more
The PN is with a client when the health care provider explains that the..tumor.Later in the
morning the client asks the PN "What do the letters T,N,M: star for? - ✔✔The letters stand for
tumor size, node involvement, and metastasis
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