HESI PN EXIT 2023/ 2024 EXAM |ACTUAL QUESTIONS AND ANSWERS| GRADE A

HESI PN EXIT 2023/ 2024 EXAM |ACTUAL

QUESTIONS AND ANSWERS| GRADE A

Q: The parents with a one year old child with the diagnosis of hypospadias informed the

practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the

problem which information should the PN provide to these parents

Answer:

Ask the patents to explain what they understand about the child's diagnosis

Q: A child reviving chemotherapy develops a cough that productive of yellow tinged sputum

after determine that the client is afebrile which priority action for the practice nurse (PN) to take?

Answer:

Provide oral hygiene

Q: The Glasgow scale is being used to monitor a client who experienced a traumatic brain

injury what primary assessment should the PN evaluate

Answer:

Level of consciousness

Q: The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in

which a local anesthetic was sprayed on their throat which priority action should the PN include

in this care of plan?

Answer:

Assess the gag reflexes

Q: The practical nurse (PN) is providing care for a client who is NPO after small bowel

resection the client NG tube is connected to intermittent suction the client reports dizziness and

tingling in digits which assessment finding should the PN report to the healthcare provider

Answer:

Hypoactive bowel sounds on assessment

Q: The patents of a child with pre diabetic report to thr practical nurse (PN)

that the child wants to join the soccer team what is

the best action for the PN to implement

Answer:

Reassure the patents that increased physical activity reduces risk for diabetes

Q: While assisting the RN with the admission of a toddler which intervention should the

practical nurse (PN) implement to make

the experience lease stressful for the client

Answer:

Remove child's clothing down to the diaper

Q: A client with hypertension complains of a persistent dry cough the practi- cal nurse (PN)

should tell the client that this is a

common side effect with what medication

Answer:

Quinapril

Q: A practical nurse (Pn) is at the nurses station describing her social life sexual activities and

alcohol

drinking in a boisterous voice that might be heard by the client and visitors

Answer:

 -

Suggest going to the nurses lounge to discuss these topics

Q: The parents of a child with acute glomerulonephritis are describing to the practical nurse

(PN) that

originally motivated them to seek medical care which signs is the child most likely exhibiting

Answer:

Hematuria

Q: the chest xray for a client who is admitted for pneumonia shows pleural effusion what

should the PN

expect to hear when auscultating the upper lobe?

Answer:

A rubbing pleural sound

Q: A client receives ondansetron prior to chemotherapy treatment how should the practical

nurse evaluate

the effectiveness of the medication

Answer:

Monitor the client for nausea or vomiting following the treatment

Q: The practical nurse (PN) is assisting with the plan of care for a client with osteochondrosis

who is not

experiencing increased discomfort in breathing the client receives a prescrip- tion for tramadol

what

interventions should the PN include in the client plan of care

Answer:

On going assess- ment for signs of shallow or slowed breathing

Q: A male client with tuberculosis returns to the clinic for daily antibiotic injections for a UTI

the clients been taking antitubercular medication 10 weeks and states ringing in his ears which

medication should the nurse report

Answer:

Gen- tamycin 160mg IM daily

Q: A new protocol for fall prevention is being implemented on the medical unit during safety

rounds the

practical nurse (PN) identifies that the UAP had omitted a vital component of the protocol after

implementing the missing component which action should the nurse take?

Answer:

 -

Supervise the UAP after reviewing the protocol

Q: What standard of care is acceptable in a nursing malpractice case

Answer:

What would a responsible prudent nurse have done under similar circumstances

Q: At the beginning of a shift in which order of priority should the practical nurse assess their 4

patients

Answer:

• An older adult with dizziness whose o2 is 86%

• An older adult woman who's vomiting who's potassium is 2.8

• A young adult with a history of asthma who's arterial pit is 7.48

• An adult client with an ulcer who's hemoglobin's is 9.8

Q: The practical nurse (PN) administers a anticonvulsant that causes photo- sensitivity which

action should

the PN take after admitting the medication?

Answer: