HESI PN COMPREHENSIVE EXIT EXAM VERSION 14) (LATEST-2022) 100% CORRECT, SATISFACTIONS GUARANTEED 

HESI PN COMPREHENSIVE EXIT EXAM

VERSION 14

**A client is postoperative following a lumbar discectomy and is having difficulty voiding. The nurse

should recognize that which of the following medications place the client at risk for urinary retention?

Ketorolac

Hydromorphone (Dilaudid)

Bethanechol (Urecholine)

Tobramycin (Nebcin)

**A nurse is caring for an older adult client in a long-term care facility who is disoriented and

continues to get out of bed without assistance. Which of the following images indicates the nurse is

using an appropriate intervention to minimize the risk of injury due to a fall?

D

**A practical nurse (PN) on medical-surgical unit is beginning her shift and is working with a

registered nurse (RN) and an assistive personnel (AP). The PN should expect to be assigned which of

the following tasks?

Teach a client who has a new diagnosis of diabetes mellitus how to self-administer insulin.

Create a plan of care for a newly admitted client.

Obtain a stoolspecimen from a client who has ulcerative colitis----

Administer an NG tube feeding to a client who had a stroke

**A nurse on an acute mental health unit observes a client who begins to speak loudly in the common

room, saying that he can’t hear the TV. Which of the following is an appropriate response by the

nurse?

You will need to go to your room until you can calm down okay

The TV is loud enough for everyone to hear it

You are being inconsiderate. Please stop talking so loudly

Let’s go to another room to talk about what is upsetting you

**A client tells a nurse that he would like to observe kosher dietary laws. The nurse should recognize

which of the following?

A vegetarian diet is the preferred diet

Dairy products are served separately from meat

Fasting during daylight is required during a month-long holiday

Fish with scales and fins should not be eaten

**A nursing unit receives new glucose monitoring equipment from staff development with the

promise that in-service education will be given soon. Which of the following instructions should the

nurse give to the assistive personnel (AP) who is preforming glucose monitoring on the unit?

Contact the staff development department for instruction

Continue using the current glucose monitors

Check for accuracy and proper functioning of the new monitor

Read the instruction manual before attempting to use the new monitor

a)

619 of 622

**Which of the following should the nurse document as an indication of the IV infiltration in a client’s

forearm?

Redness along vein

Tissue sloughing at the site

Forearm that is warm to the touch

Pallorsurrounding the infusion site

**A client requests information about advanced directives. Which of the following is the appropriate

response by the nurse?

Advanced directives are written instructions regarding end of life care

Advanced directives provide education on palliative care issues

Advanced directivesrequire the provider’s approval before changes can be implemented

Advanced directives help determine legal competency

**A nurse is caring for a client who is on telemetry. Which of the following ECG findings should the

nurse report to the charge nurse?

One P wave prior to each QRS complex

PR interval 0.24 seconds

QRS duration 0.06 seconds

Ventricular rate 75/min

**A nurse is checking the reflexes of a newborn. Which of the following techniques should the nurse

use to elicit the Babinski reflex?

Startle the infant by clapping hands

Stroke the sole of the infant’s foot upward and toward the great toe

Hold the infant upright and allow one foot to touch the table’s surface

Place an object in the palm of the infant’s hand

**A charge nurse in a long-term care facility notices an assistive personnel’s (AP) repeated failure to

provide oral care for clients. Which of the following actions should the nurse take?

Provide oral care for clients after the AP has completed other care

Develop an educational session about the importance of oral care for all Aps

Discuss the unacceptable behavior with the AP while reinforcing expectations

Suspend the AP for 3 days pending disciplinary action

**A nurse is caring for a client who has terminal cancer. Which of the following statements by the

client’s family should indicate the nurse that they are coping with their situation?

Dad I remember the time we all went to the lake fishing

Dad I truly believe that it’s not your time to leave us

I feel like I don’t know what to do anymore

I think we need to concentrate on whose house we plan to meet at for our holiday get-together

**A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago. The

nurse notes organs protruding from the incision. Which of the following actions should the nurse

take?

Apply an abdominal binder

Have the client lie flat in bed.

Cover the exposed area with sterile, saline-soaked dressing

Place gentle pressure on the exposed organ with sterile gauze

**A nurse in a skilled nursing facility is caring for a client who is receiving warfarin (Coumadin)

therapy following a total hip replacement. An assistive personnel reports a positive guaiac. Which of

the following laboratory values should the nurse report to the provider?

Hematocrit 40%

International normalized ratio of 4.5

a)

620 of 622

Hemoglobin 15 g/dL--

Prothrombin time 18 seconds

** A nurse is reinforcing teaching with a client who has hypertension and is beginning medication

therapy with captopril (Capoten). Which of the following over-the-counter medications should the

nurse instruct the client to avoid?

Acetaminophen (Tylenol)

Diphenhydramine

Ibuprofen (Advil)

Guaifenesin (Robitussin)

**A nurse is reinforcing teaching for a client who is in her first trimester of pregnancy. Which of the

following physiological changes should the nurse instruct the client to expect during the first

trimester?

Leukorrhea

Shortness of breath

Pedal edema

Perineal pressure

** A nurse is collecting data from a client who has a peptic ulcer disease. Which of the following

should the nurse identify as the priority finding?

Gnawing epigastric pain

Heartburn

Regurgitation

Hematemesis

**A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD). Which of the

following behavioral indications should the nurse expect?

Dependence

Euphoria

Memory Loss

Hypervigilance