PN HESI Review Questions Med Surge
with complete solutions | 100% pass
A practical nurse (PN) prepares to administer 5 units of Regular insulin and 15 units of NPH
insulin to a diabetic client. In which order should the actions be implemented when preparing the
injection? (Arrange from first on top to last on bottom). - ✔✔1.Perform hand hygiene according
to facility policy.
2.Inspect insulin vials for type and expiration dates.
3.Inject 15 units of air into NPH insulin vial.
4.Inject 5 units of air into Regular insulin vial.
5.Withdraw 5 units of Regular insulin from vial.
6.Withdraw 15 units of NPH insulin from vial.
Which action by the nurse is consistent with culturally competent care? - ✔✔Understanding
one's own world views in addition to the client's
The practical nurse receives a shift report that the client is experiencing fluid volume deficit.
Which findings that are consistent with fluid volume deficit should the nurse document?
(Select all that apply.) - ✔✔Tachycardia
Cool skin
Decreased urine output
Increased thirst
After a permanent pacemaker is inserted, a client's discharge teaching plan includes the client
goal of "The client will verbalize symptoms of pacemaker failure." Which symptoms are most
important for the practical nurse (PN) to reinforce with the client? - ✔✔Feelings of dizziness
The health care provider prescribes codeine USP 60 mg every 4 hours for a client who is 3 days
postoperative. The pharmacy has available codeine USP 30 mg/tablet. How many tablets should
, the practical nurse administer? Fill in the blank. (Type numbers only as your answer.) -
✔✔2 tabs
The practical nurse is caring for a client who is 3 days postoperative. Which intervention should the
nurse implement to decrease the possibility of the client developing hypercalcemia? (Select all that
apply.) - ✔✔Remind the client to ambulate around the room at least three times daily.
Increase fluid intake.
Which technique should the practical nurse (PN) include when reinforcing instruction with
a client about self-examination for melanoma? - ✔✔Observe skin moles for changes
Twelve hours after chest tube insertion for hemothorax, the practical nurse (PN) observes that
the client's drainage has decreased from 50 to 5 mL/hour. What is the best initial action for the
PN to take? - ✔✔Assess for kinks or dependent loops in the tubing.
A client is returning to the oncology unit after receiving radiation to the brain. The practical
nurse (PN) should observe this client for which problem during the early posttherapy days?
- ✔✔Headache
After attending a class on reducing cancer risk factors, a client selects bran flakes, 2% milk, and
orange slices from a breakfast menu. In evaluating the client's learning, the practical nurse (PN)
affirms that the client has made good choices and makes what additional recommendation? -
✔✔Switch to skim milk.
A male client asks the practical nurse to help choose dinner from the menu so that he eats a diet
that is rich in potassium. Which food should the nurse encourage the client to choose? (Select
all that apply.) - ✔✔Green beans
Milk
Flounder
Sweet potatoes
Cantaloupe
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