HESI PN Practice Exam
The nurse is planning care for the client who has fourth degree midline laceration
that occurred during vaginal delivery of an 8
... [Show More] pound 10 ounce infant. What
intervention has the highest priority?
A. Administer Prescribed stool softner
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
(ANS- A. Administer Prescribed stool softner
The nurse is palpating the right upper hypochondriac region of the abdomen of a
client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
(ANS- C. Liver
A client comes to the antepartal clinic and tells the nurse that she is 6 weeks
pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
(ANS- B Amenorrhea
A client's daughter phones the charge nurse to report that the night nurse did not
provide good care for her mother. What response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
(ANS- A. Ask for a description of what happened during the night
A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy and
say's "mine". According to Erikson's theory of psychosocial development, this
child's behavior is a demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
(ANS- A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for a client following an
electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
(ANS- D. Wash any paste from the client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning to form a
decubitus ulcer at the coccyx. Which intervention will be most helpfull in
preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
(ANS- A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a
hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
(ANS- C. Osmosis
The nurse is taking blood presure of a client admitted with a possible myocardial
infarction. When taking the client's BP at the brachial artery, the nurse should place
the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
(ANS- B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
(ANSA. Heart rate
B. Stroke volume
C. Peripheral resistance [Show Less]