PN HESI EXIT EXAM 2021 TEST BANK 1. A male client admitted the morning of his scheduled surgery tells the
... [Show More] 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 client’s 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 re-expansion
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 client’s 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 A male client has been diagnosed with schizophrenia is withdrawn,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
13. A mother brings her 5-year old child to the clinic for school physical examinations.
Which assessment... PN that intergenerational violence may be occurring in the
home?-
The 6-year old son hits his younger sister during the interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs [Show Less]