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Practical Nursing Exam Review: Questions and Answers for Nursing Students, Exams of Health sciences

Rasmussen College - FloridaHealth sciences

This resource features practical nursing questions and answers, covering medication administration, patient assessment, and interventions for medical conditions. It addresses fluid balance, skin integrity, pain management, and psychosocial care. It offers insights into nursing skills, providing review material for students preparing for exams. Scenarios and clinical situations promote critical thinking and decision-making, enhancing understanding of nursing principles. Designed to reinforce knowledge and improve test-taking, it covers patient safety, ethics, and cultural sensitivity, emphasizing holistic care. It's a comprehensive resource for nursing students seeking to improve their exam performance.

Typology: Exams

2024/2025

Available from 06/25/2025

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PN HESI EXIT EXAM 2025 LATEST
REAL QUESTIONS AND
CORRECT ANSWERS GRADE A
• a male client admitted the morning of his scheduled surgery tells the 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
• Before inserting medication into a client’s vagina, what instructions
should the pn...
urinate until bladder is empty
• An 18-year old female client with pelvic inflammatory disease (PID0
asks the pn..Which information is best for the PN to provide?
A history of untreated gonorrhea can lead to PID
• A new mother is bottle feeding instead of breastfeeding her newborn,
The PN...most effectively deal with breast engorgement and discomfort?
Wear a supportive bra at all times
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Download Practical Nursing Exam Review: Questions and Answers for Nursing Students and more Exams Health sciences in PDF only on Docsity!

PN HESI EXIT EXAM 2025 LATEST

REAL QUESTIONS AND

CORRECT ANSWERS GRADE A

  • a male client admitted the morning of his scheduled surgery tells the 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
  • Before inserting medication into a client’s vagina, what instructions should the pn... urinate until bladder is empty
  • An 18-year old female client with pelvic inflammatory disease (PID asks the pn..Which information is best for the PN to provide? A history of untreated gonorrhea can lead to PID
  • A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most effectively deal with breast engorgement and discomfort? Wear a supportive bra at all times
  • A young adult male tells the PN he has declared to change his hours at work so that he can...his community. Which stage of Maslow's development is this young adult attempting to achieve? Self-actualization
  • 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
  • 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
  • The pn determines that a client with cirrhosis is experiencing peripheral .....................................................................................................take? Protect the clients feet from injury
  • 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
  • Photo of chest and locating apical HR Just below the left nipple Implement complementary pain relief methods
  • A male client has been diagnosed with schizophrenia is withdrawn, solates himself in .... with one or two word responses. The morning the
  • A new mother is breastfeeding her newborn for the first time after delivery and complains of nipple pain...Based on the client complaint, what action should the PN take? Ensure that all the areolar tissue of the nipple is in the infants’ mouth.
  • 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
  • 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
  • Which site should the PN use when administering an injection of Rho (D) Immune negative postpartum client? Deltoid
  • female client arrives to the clinic for an annal physical examination. when reviewing...the PN that she takes herbs for high blood pressure instead of the prescribed..important for the PN to reinforce with the client? Explain risks associated with using herbs instead of the prescribed antihypertensives.
  • A female Native American client who is receiving chemotherapy places a native artifact...the health care provider removes the medicine wheel and tells the client "this type..hospital" what intervention should the PN implement? Act as the clients advocate when discussing the issue with the HCP
  • The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important to include in the nursing care plan? watch the client for abnormal bleeding
  • "it is better to obtain children acetaminophen to prevent possible side effects from the aspirin "
  • A client is transferred to the surgical unit from the intensive care unit after evacuation of bilateral..primary observation should the PN monitor? neuro-vital signs related to bleeding and intracranial pressure
  • The PN is working the day shift in a long term facility and is preparing..delegate to the UAP to perform during the change of.. total the clients PO intake, fill the water pitchers, empty urinals and catheter bags.
  • While taking the vital signs of a older male client who takes psychotropic

Toileting assistance for a client receiving therapy after a total hip replacement daily skin care for a client with a descending double barrel colostomy morning care for a client with a staph wound infection

  • A client is complaining of a tightening sensation in the fingers, nose tip and ear lobes...24...PN should be prepared to implement what measure first? Obtain prescribed calcium gluconate for tetany
  • A clients chief complaint is being able to swallow only small bites of solid food...PN should assess for what additional information? History of alcohol and tobacco use
  • An adult female client with type 1 diabetes mellitus is receiving 35 units of NPH insulin...PN document as evidence that the amount of insulin is inadequate... Consecutive evening serum glucose readings of >260 mg/dl
  • The PN is assigned the care of four clients on a medical- surgical...prioritze client assessments - A client who is admitted with a suspected ruptured appendix
    • A client who is post-lumbar puncture is reporting a severe headache
    • An older male adult with Alzheimers who wanders out of his room
    • A postoperative client who needs reinforcement of discharge instruction
  • Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? Review with the client the need to avoid foods that are rich in milk and cream
  • An adolescent male with severe acne recently started treatment with isotretinoin, a form of Vitamin A. During a follow up clinic

appointment, which assessment is most important for the PN to complete? Ask about occurrence and frequency of nosebleeds

  • The PN is caring for a client who has silvery scaling plaques bilaterally on elbows, forearms, and palms. When scratched, the skin bleeds over these plaques. what is most important to reinforce in this clients plan of care? interventions to decrease emotional stress
  • An adult client is undergoing weekly external radiation treatments for breast cancer. Upon arrival at the outpatient clinic for a scheduled treatment, the client reports increasing fatigue to the the PN, who is taking the client the clients vital signs. What action should the PN implement? reinforce the need for extra rest periods and plenty of sleep
  • The PN is completing a focused assessment of a client with acute hepatitis A. The client reports a constant sense of fatigue. How should the PN respond? Affirm the importance of rest to promote liver healing
  • when the PN plans daily care for a group pf clients, which client should the PN see first due to the risk of complication? An older client with a stroke who is febrile and confused
  • which foot care instructions is most important for the PN to reinforce that minimizes a Long term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)? Report any food injury or sore that does not readily heal
  • during a clinic visit for a sore throat a clients basal metabolic panel reveals a serum potassium of 3.0bmL q/L. Which action should the PN recommend to the client based on this finding?
  • The PN administers an antibiotic to a client with a respiratory tract infection...evaluate the medications effectivesnn, which laboratory values should the PN monitor? b,d ABD
  • To obtain an estimate of a clients systolic blood pressure, what action should the PN take first? palpate the clients brachial pulse
  • A client reports feeling numbness and tingling in extremities. What action should the PN implement? review the clients serum electrolyte levels
  • Immediately after birth, which nursing intervention has the highest priority for the newborn infant? preventing heat loss and neonatal cold stress
  • A 0800 a clients apical pulse rate is 98 beats/minute> Four hours later the apical pulse rate is 54 beats/minute. What action should the PN take next? determine the level of consciousness
  • which client information is most important for the PN to consider when providing instructions to the UAP about providing morning care to a postoperative client? urinary output of 50 mL/hour
  • After report, the PN receives the laboratory values for four clients. Which client requires the PNs immediate intervention? a client who is trembling and has a glucose level of 50
  • Based on the nursing diagnosis of "risk for infection" which intervention should the PN implement when providing care for an elderly client with urinary incontinenece maintain standard precautions
  • During recovery after the delivery of a normal infant a client is receiving...ringers 1000 mL with oxytocin 20 units. The PN should evaluate the client for which therapeutic response? stimulation of uterine contractions
  • A 5-year old child is admitted with full thickness burns over 30% of the total body surface areas (TBSA). After fluid replacement therapy is initiated, which finding should the PN use to evaluate the effectiveness of the therapy? urine output
  • The PN enters the room of a client who is disoriented and has a wrist restraint secured as seen in the picture what action should the PN take? photo is of hospital bed and restraint Is on the bed frame in a bow tie use a full knot to secure the restraint line
  • A new mother asks the pn about an area of swelling on her baby head that lies across the suture line near the posterior fontanel. How should the PN respond? Caput succedaneum will be absorbed and causes no problem
  • The PN obtains a finger stick glucose for a client with type 1 diabetes mellitus who is conscious and demonstrating hand tremors and shaking. The PN reports the clients result of 55 mg/dL to the nurse. What action should the PN implement next? provide the client with a glass of milk and crackers
  • A client who is primigravida at term comes to the prenatal clinic and tells the PN that she is having contractions every 5 minutes. The PN monitors the client for 1 hour using a external fetal monitor and determines that the clients contractions are 7 to 15 minutes apart lasting 20-30 seconds with mild intensity by palpation. What action should the PN take?

health nurse that the clients mood and sleep patterns are improved but there is no change in cognitive ability. How should the nurse respond to this information? confirm that the desired effect of the medication has been achieved

  • A client on bed rest refuses to wear the prescribed pneumatic compression device after surgery, what action should the PN implement in response to the clients refusal? emphasize the importance of active foot flexion
  • A client recovering from a stroke is learning how to use a cane. How should it be placed? on the stronger side of the body
  • A client with schizophrenia is withdrawn isolates himself in the day room and answers questions with one or two word responses which intervention is most important? measure appropriate vital signs
  • While performing the apical pulse of an adult male client the PN notes that the point of maximal impulse is located at the 4th intercostals space medial to the midclavicular line what is the assessment for? expected finding
  • A client with type 2 diabetes becomes unresponsive and says I'm not feeling right which action should the PN take? give 4 ounces of apple juice
  • A client with irritable bowel syndrome is receiving dicyclomine an anticholinergic drug? provide oral care
  • The PN is caring for a client in bucks tract what is the priority goal for the client in traction? maintain straight body alignment
  • Client with Hungtingtons disease starts jerking around while the family is there what should the PN do? offer emotional support to the family
  • Client voiding small amounts every 24 hours the catherterized volume determines the need to reinsert the indwelling catheter
  • A client with small bowel obstruction is experiencing frequent vomiting which instructions are most important for the PN to provide to the UAP who is completing morning care for this client? measure all emeisies accurately
  • Single mother of a child with head injury comes crying to the clinic what should the PN tell her? this must seem overwhelming to you right now
  • on admission to the medical unit a client who is homeless and has a history of HIV with persistent cough? erythema and indurations of 5mm at site
  • When preparing to administer medications to an older resident the PN notices that several medications that were supposed to be administered during the previous shift have not been entered as given In the computer. What action should the PN take? contact the medication nurse to clarify the findings
  • A client is admitted for observation after experiencing a TIA high risk for injury
  • Which picture of nailbeds indicate hypoxia? choose the one that has a bump right below the nail bed

increase the suction on the drainage system

  • The PN is caring for a client recovering from a transurethral resection of the bladder for prostate hypertrophy. The client has an indwelling urinary catheter and is receiving continuous bladder irigation of sterile normal saline at 100 mL per hour. the health care provider has prescribed to reduce the irrigation to 50 ml/hr if the clients output measurement is equal to 550 mL for 4 hours at which point would the PN reduce the clients bladder irrigation 1000 output measurement 550 Ml
  • While inserting an indwelling urinary catheter into a female client the catheter slips into the clients vagina. What would the PN do? keep the catheter in the vagina and insert a new catheter through the urethral meatus
  • Six hours after removing a clients indwelling urinary catheter the client has not voided ad is expressing discomfort from a distended bladder. What action would the PN take? obtain an order for intermittent urinary catheterization
  • During a health history the PN learns that an older client had the chickenpox virus as a child. Which immunization would be indicated for the client at this time? vaccination for shingles
  • The PN is reviewing the state nurse practice act. What information will be included within the document? legal requirements for PN
  • The PN observes a family member provide passive ROM to a client paralyzed upper extremity, The family member is supporting the client elbow by holding above and below the joint through ROM. Which action would the ON take after making this observation? encourage the family member to continue because the procedure is being done correctly
  • a client is diagnosed with respiratory acidosis. What blood pH value will the PN assess when reviewing the clients arterial blood gas results? 7.
  • A 16 year old client is preceded to receive 1.0 mL of an intramuscular injection. Which sites would the PN consider to administer this medication? deltoid 115. ventrogluteal the PN provides cold packs to the perineum of a postpartum client with perineal hematoma. What will the PN do to evaluate the effectiveness of this action? observe the hematoma for changes in size A client has sustained a burn affecting the clients adipose tissue and blood vessels. Which layer of the clients skin has been affected by the burn? subcutaneous layer During the assessment go a school age child the PN determines that the client is in Ericksons developmental stage of industry vs inferiority. Which behavior did the client demonstrate? sitting quietly reading a book