2025/2026 HESI PN EXIT V3 EXAM( 80 )QUESTION AND CORRECT ANSWERS

1. While providing oral care for a client who is
unconscious, the nurse positions the client laterally
and uses a basin to collect secretions. Which
intervention is best for the nurse to implement? -
ANSWER<>Provide a Yankauer tip for oral suction
(oral suction being placed on the buccal area).
2. At the patient's room the doctor tells the nurse to trim
the toenails of the DM patient's toes. What will you
do? - ANSWER<>Advise the doctor about the
facility's policy.
3. Mastectomy incision is healing well but patient
refuses to look at the incision site. What will be your
intervention? - ANSWER<>It is ok not to look at it, I
am available for you when you are ready for it.
4. A college student states that his roommate is hearing
voices that says "Kill, kill, kill", what should be the
intervention? - ANSWER<>Ask the client "are you
planning to obey the voices?"
5. Which task could the nurse safely delegate to a UAP?
- ANSWER<>Oral feeding of a two-year-old child after
the application of a hip spica cast.
6. In monitoring a child with Type 1 diabetes mellitus,
the nurse observes that the child is exhibiting