PN Exit Hesi / Rationales LATEST 2023 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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PN Exit Hesi /
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PN Exit Hesi /
PN Exit Hesi / Rationales LATEST 2023
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A person who is only oriented to one of these elements is at risk for injury. The PN
should provide instructions to the UAP about additional support to th...
PN Exit Hesi / Rationales LATEST 2023
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A person who is only oriented to one of these elements is at risk for injury. The PN
should provide instructions to the UAP about additional support to the client. -
CORRECT ANSWER A fully oriented person is
The client should be encouraged to increase her intake of green leafy vegetables such
as Spinach, Broccoli, Kale and other vegetarian sources of iron, such as oatmeal, lentils
and black beans. - CORRECT ANSWER Which food options would you offer a
vegetarian client in need of foods high in iron?
Maternal Vasomotor instability after delivery is usually manifested by uncomfortable
shaking and reports of being cold. The PN should apply warmed blankets to provide
external warmth. - CORRECT ANSWER A postpartum client is shaking and states
that she is cold. Which action should the PN take?
For a newborn who is exhibiting signs of hypoglycemia (Normal Glucose 70-110 mg/Dl
or less than 6.1mmol/l or SI units) which is common in infants born to mothers with
gestational diabetes, early and prompt feeding should begin to alleviate hypoglycemia. -
CORRECT ANSWER What interventions should be used for a newborn with signs of
hypoglycemia?
A fundus that is dextroverted (Up to the right) and elevated above the umbilicus is
indicative of bladder distension and urine retention. The PN should ensure that the
client empties her bladder before the post-partum exam. - CORRECT ANSWER A Commented [u1]:
postpartum clients fundus is elevated above the umbilicus. What action should the PN
take?
Epidural anesthesia can cause peripheral vasodilation. Maternal hypotension is the
most serious adverse effect of epidural anesthesia during labor, which can reduce both
maternal and fetal oxygenation. - CORRECT ANSWER What should the PN monitor
in a pregnant client who received an epidural?
, Keeping fingernails short with rough edges filed help minimize excoriation from
scratching the pruritic (Itch area). - CORRECT ANSWER Minimizing damage to the
skin
Since the client has other symptoms of an infection: Cough and yellow tinged sputum.
The priority action is to notify the charge nurse of the findings so that the health care
provider can be contacted and medical treatment can be initiated. - CORRECT
ANSWER An immunocompromised client is displaying multiple symptoms suggesting
an infection is occurring. What action should the PN take?
When a client is found unresponsive, the PN should first obtain emergency help, a task
that can be assigned to the UAP. - CORRECT ANSWER A client is found
unresponsive. What should the PN do?
The purpose of the Glasgow coma scale is to determine the level of consciousness.
Although the status of the cranial nerves and the ability to respond verbally is evaluated
using this scale. The primary assessment is to determine the level of consciousness. -
CORRECT ANSWER What is the purpose of the Glasgow coma scale?
The submandibular nodes are found beneath the mandible or lower jaw. - CORRECT
ANSWER Where are the submandibular nodes located?
Elevations in the serum troponin 1 and Ck-MD indicated Myocardial cell damage which
can cause and instability of the Myocardial cell membrane and can be precipitate life.
The incidence of dysthymias in the immediate post-MI period is the greatest
complication.
Troponin 1, CK, CK-MB, and myoglobin. - CORRECT ANSWER What is an indication
that a myocardial infarction occurred?
Evisceration is the complete separation of a wound with protrusion of the viscera, which
usually occurs 7-10 days Post Operative. - CORRECT ANSWER Evisceration
Insertion of a pin into bone places the client at risk for infection of the bone and
surrounding tissues. It is most important for the PN to asses the area surrounding the
skeletal pin insertion for signs of inflammation. - CORRECT ANSWER A client is in
buck's skin traction, where should the PN assess for infection?
The effectiveness of the shunt is determined by monitoring the daily head
circumference, body temperature and intake and output. - CORRECT ANSWER What
should be monitored in a client with hydrocephalus?
Presents with urine color changes due to hematuria, proteinuria and renal dysfunction
that causes fluid retention edema and hypertension without or without oliguria. The
typical motivator for the parents to seek medical help for a child is hematuria. -
CORRECT ANSWER Glomerulonephritis and hematuria
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