Exam (elaborations)
HESI PN PRACTICE EXAM AND QUESTIONS 2024/2025 FULLY UPDATED.
HESI PN PRACTICE EXAM AND
QUESTIONS 2024/2025 FULLY
UPDATED.
Theknursekiskplanningkcarekforkthekakclientkwhokhaskfourthkdegreekmidlineklacerationkthatko
ccurredkduringkvaginalkdeliverykofkank8kpoundk10kouncekinfant.kWhatkinterventionkhaskthek
highestkpriority?
A.kAdministerkPrescribedkstool...
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HESI PN PRACTICE EXAM AND
QUESTIONS 2024/2025 FULLY
UPDATED.
Theknursekiskplanningkcarekforkthekakclientkwhokhaskfourthkdegreekmidlineklacerationkthatko
ccurredkduringkvaginalkdeliverykofkank8kpoundk10kouncekinfant.kWhatkinterventionkhaskthek
highestkpriority?
A.kAdministerkPrescribedkstoolksoftnerk
B.kAdministerkprescribedkPRNksleepkmedications.k
C.kEncouragekbreastfeedingktokpromotekuterinekinvolution
D.kEncouragekusekofkprescribedkanalgesickperinealksprays.k-kCORRECTkANSWER-
A.kAdministerkPrescribedkstoolksoftner
Theknursekiskpalpatingkthekrightkupperkhypochondriackregionkofkthekabdomenkofkakclient.k
Whatkorganklieskunderneathkthiskarea.k
A.kDuodenum
B.kGastrickPylorus
C.kLiver
D.kSpleenk-kCORRECTkANSWER-C.kLiver
Akclientkcomesktokthekantepartalkclinickandktellsktheknursekthatkshekisk6kweekskpregnant.kW
hichksignkiskshekmostklikelyktokreport?
A.kDecreasedksexualklibido
B.kAmenorrhea
C.kQuickening
D.kNocturiak-kCORRECTkANSWER-BkAmenorrhea
Akclient'skdaughterkphoneskthekchargeknursektokreportkthatktheknightknursekdidknotkprovide
kgoodkcarekforkherkmother.kWhatkresponsekshouldktheknursekmake?
A.kAskkforkakdescriptionkofkwhatkhappenedkduringktheknight
B.kTellkthekdaughterktoktalkktokthekunit'sknursekmanager
C.kReassurekthekdaughterkthatkthekmotherkwillkgetkbetterkcare.
D.kExplainkthatkallkthekstaffkarekdoingkthekbestktheykcan.k-kCORRECTkANSWER-
A.kAskkforkakdescriptionkofkwhatkhappenedkduringktheknight
,Akhosptitalizedktoddlerkwhokiskrecoveringkfromkaksicklekcellkcrisiskholdskaktoykandksay'sk"mi
ne".kAccordingktokErikson'sktheorykofkpsychosocialkdevelopment,kthiskchild'skbehaviorkiska
kdemonstrationkofkwhichkdevelopmentalkstage?
A.kAutonomykvs.kShamekandkdoubt.
B.kIndustrykvs.kInferiority
C.kintiativekvs.kGuilt
D.kTrustkvs.kMistrustk-kCORRECTkANSWER-A.kAutonomykvs.kShamekandkdoubt.
Whichkactionkshouldktheknursekimplementkinkcaringkforkakclientkfollowingkankelectroenceph
alogramk(EEG)?
A.kMonitorkthekclient'skvitalksignskq4h
B.kAssesskforksensationkinkthekclient'sklowerkextremities
C.kInstructkthekclientktokmaintainkbedkrestkforkeightkhours
D.kWashkanykpastekfromkthekclient'skhairkandkscalpk-kCORRECTkANSWER-
D.kWashkanykpastekfromkthekclient'skhairkandkscalp
Theknursekiskcaringkforkak75-kyear-
oldkmalekclientkwhokiskbeginningktokformkakdecubituskulcerkatkthekcoccyx.kWhichkinterventi
onkwillkbekmostkhelpfullkinkpreventingkfurtherkdevelopmentkofkthekdecubitus?
A.kEncouragekthekclientktokeatkfoodskhighkinkprotein
B.kAssesskthekclientkwithkdailykrangekofkmotionkexercises
C.kTeachkthekfamilykhowktokperformksterilekwoundkcare
D.kEnsurekthekIVkfluidskarekadministeredkaskprescribedk-kCORRECTkANSWER-
A.kEncouragekthekclientktokeatkfoodskhighkinkprotein
Whatkiskthekhomeostatickcellularktransportkmechanismkthatkmoveskwaterkfromkakhypotonic
ktokakhypertonickfluidkspace?
A.kFiltration
B.kDiffusion
C.kOsmosis
D.kActivektransportk-kCORRECTkANSWER-C.kOsmosis
Theknursekisktakingkbloodkpresurekofkakclientkadmittedkwithkakpossiblekmyocardialkinfarctio
n.kWhenktakingkthekclient'skBPkatkthekbrachialkartery,ktheknursekshouldkplacekthekclient'skar
mkinkwhichkposition?
A.kSlightlykabovektheklevelkofkthekheart
B.kAtktheklevelkofkthekheart
C.kAtktheklevelkofkcomfortkforkthekclient
D.kBelowktheklevelkofkthekheartk-kCORRECTkANSWER-B.kAtktheklevelkofkthekheart
Whatkarekthekfinalkparameterskthatkproducekbloodkpressure?k(selectkallkthatkapply)
,A.kHeartkrate
B.kStrokekvolume
C.kPeripheralkresistance
D.kNeuroendocringkhormones
E.kMusclektonek-kCORRECTkANSWER-A.kHeartkrate
B.kStrokekvolume
C.kPeripheralkresistance
Akclientkbeginskankantidepressantkdrugkduringktheksecondkdaykofkhospitalization.kWhichka
ssessmentkiskmostkimportantkforktheknursektokincludekinkthiskclient'skplankofkcarekwhilekthek
clientkisktakingkthekantidepressant?
A.kAppetite
B.kMood
C.kWithdrawl
D.kEnergyklevelk-kCORRECTkANSWER-B.kMood
Basedkonkthekdocumentationkinkthekmedicalkrecord,kwhichkactionkshouldktheknursekimple
mentknext?
A.kGivekthekrubellakvaccineksubcutaneously
B.kObservekthekmotherkbreastfeedingkherkinfant
C.kCallktheknurserykforkthekinfant'skbloddktypekresult
D.kAdministerkVicodinkonektabletkforkpaink-kCORRECTkANSWER-
A.kGivekthekrubellakvaccineksubcutaneously
AkclientkiskadminittedktokthekhosptialkwithkakdiagnosiskofkPneumonia.kWhichkintervetionksh
ouldktheknursekimplementktokpreventkcomplicationskassociatedkwithkPneumonia?
A.kEnouragekmobilizationkandkambulation
B.kEncouragekenergykconservationkwithkcompletekbedkrest
C.kProvidekhumidifiedkoxygenkperknasalkcannulak
D.kRestrictkPOkandkintravenouskfluidsk-kCORRECTkANSWER-
A.kEnouragekmobilizationkandkambulation
Thekpracticalknursekiskpreparingktokadministerkakprescriptionkforkcefazolink(kefzol)k600kmg
kIMkeveryk6khours.kThekavailablekvialkisklabeled,k"Cefazolink(Kefzol)k1kgramkandkthekinstrut
ionskforkreconsittution,k"ForkIMkusekaddk2mlksterilekwaterkforkinjection.kTotalkvolumekafterkr
econstructionk=k2.5kml.k"whenkreconstituded,khowkmanykmilligramskarekinkeachkmilkofksolu
tionsk(Enterknumerickvaluekonly)k-kCORRECTkANSWER-15
Whichknursingkactivitykiskwithinkthekscopekofkpracticekforkthekpracticalknurse?
A.kCompletekankadmissionkassessmentkinktheknormalknewbornknursery.
B.kDiscontinuekakcentralkvenouskcatheterkthatkhaskbecomekdislodged
, C.kObservekakclientkrotatektheksubcutaneousksitekforkankinsulinkpump
D.kMonitorkakcontinousknarcotickepiduralkforkakpostoperativekclientk-
kCORRECTkANSWER-
C.kObservekakclientkrotatektheksubcutaneousksitekforkankinsulinkpump
Afterkmorningkdressingkchangeskarekcompleted,kakmalekclientkwhokhaskparaplegiakconta
minateskhiskischialkdecubitikdressingkwithkakdiarrhealkstool.kWhatkactivitykiskbestkforktheknu
rsektokassignktokthekunlicensedkassistivekpersonnel?
A.kIdentifykthekneedkforkadditionalksuppliesktokprovidekankextrakdressingkchange
B.kProvidekperianalkcarekandkcollectkcleanklinenskforkthekdressingkchange
C.kDocumentkthekdiarrheakthatknecessitateskankadditionalkdressingkchange
D.kPositionkthekclientkforkaccessktokthekdecubitikstieskandkremovekdressingsk-
kCORRECTkANSWER-
B.kProvidekperianalkcarekandkcollectkcleanklinenskforkthekdressingkchange
Theknursekiskplanningktokevaluatekthekeffectivenesskofkseveralkdrugskadministeredkbykdiff
erentkroutes.kArragekthekrouteskofkadministrationkinkthekorderkfromkfastestktokslowestkratek
ofkabsorption.
Subcutaenous
Intravenousk
Intramuscular
Sublingual
Oralk-kCORRECTkANSWER-Intravenous,ksublingual,kintramuscular,ksubcutaneous,koral.
Ak26-year-
oldkgravidak4,kparak0khadkakspontaneouskabortionkatk9kweekskgestation.kAtkone-
housekpostkdilationkandkcurettagek(D&C)ktheknursekassesskthekvitalksignskandkvaginalkble
eding.kThekclientkbeginsktokcryksoftly.kHowkshouldktheknursekintervene?
A.kOfferktokcallktheksocialkworkerktokdiscusskthekpossiblitykofkabortion
B.kReassurekthekclientkthatkthekinfertilitykspecialistkcankhelp
C.kExpressksorrowkforkthekclient'skgriefkandkofferktoksitkwithkher
D.kChartkthekvitalksignskandkamountkofkvaginalkbleedingk-kCORRECTkANSWER-
C.kExpressksorrowkforkthekclient'skgriefkandkofferktoksitkwithkher
Akterminallykillkmalekclientkandkhiskfamilykarekrequestingkhospicekcarekafterkdischargekfro
mkthekhosptialkandkaskktheknursektokexplainkwhatkkindkofkcarektheykshouldkexpect.kTheknur
sekshouldkindicatekthatkhospicekphilosophykfocuseskonkwhatkaspectkofkhealthkcare?
A.kEnhanceksymptomkmanagementktokimprovekendkofklifekqualityk
B.kfacilitateskassistedksuicidekwithkthekclient'skconsent
C.kOfferskwaysktokpostponekthekdeathkexperiencekatkhome
D.kProvidektrainingkforkfamilykmembersktokcarekforkthekclient.k-kCORRECTkANSWER-
A.kEnhanceksymptomkmanagementktokimprovekendkofklifekquality