2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions)

Name: 2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions)
Brand: Academic Documents Platform
Price: 4 USD
Availability: InStock
Author: Seller Steve

Study confidently with 2022-2023 HESI PN Child Care Exit Exam With Answers, a collection of carefully selected past exams.

Seller Steve

Contributor

4.5

13 days ago

Preview (16 of 60)

PN EXIT HESI Exam Questions And Answers Best Rated
A+ Guaranteed Success New Update 2022-2023
 The practical nurse (PN) is observing a client self-administering a dose
if subcutaneousinsulin. What step of the injection technique should
the practical nurse (PN) reteach?
a. Injects air into the insulin vial to displace the dose
b. Selects the same site that was used for the previous injection
c. Inserts the needle at a 90-degree angle to the skin surface
d. Uses a circular motion when applying an alcohol pad to the site
Rationale: The PN should reteach the client to rotate the NOON site to a site
other than the same one used for the AM dose. Different sites used throughout
the day may provide a varying rate of absorption related to activity. Intra-site
rotation is recommended for the doseused during one specific time of the day.
The other choices are acceptable techniques for subcutaneous injection of
insulin.

picture. Which action should the PNtake?
a. Confirm accuracy of the pulse rate obtained by the UAP
b. Instruct the UAP to report any abnormal findings
c. Remind the UAP to check the clients pulse volume
d. Demonstrate the correct pulse site to the UAP (follow the thumb for
the radial pulse,follow the pinky for the brachial)
Rationale: When checking the radial pulse, the index and middle finger should
be aligned withthe thumb, for brachial pulse assessment should be aligned with
the pinky finger.
 The birth weight of an infant delivered by a woman with gestational
diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a
heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes
after birth. Based on this information, which intervention should the
practical nurse (PN) implement first?
a. Repeat the heel stick for glucose in one hour
b. Offer nipple feedings of 10% dextrose
c. Begin frequent feedings of breast milk or formula
d. Assess for signs of hypocalcemia
Rationale: Providing frequent feedings will reduce the infants blood glucose; we
wouldn’twant to obtain another heel stick as we want to do less invasive as
possible.

 A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of
flavored gelatinand 1 banana. During the same shift, this client receives 1
liter of IV fluid and voids 700 mL. How many mL total oral and IV intake
should the PN document on the client’s medical record? (Enter numeric
value only).
8 oz x 30 mL = 240 mL
4 oz x 30 mL = 120 mL
4 oz x 30 mL = 120 mL
1 L = 1000 mL
Total intake = 1480 mL
 The nurse is very busy and running late with administering
medications and asks thepractical nurse (PN) to administer a
medication already drawn up in an unlabeled syringe. How should the
PN respond?
a. “You should know that I cannot administer the medication in this syringe”
b. “As long as the charge nurse checks the syringe, I can give the medication”
c. “Teamwork is the best approach. I will be glad to help you get caught up”
d. “I am not comfortable doing that. Is there something else I can do to
help you?”
Rationale: Explaining your comfortability is always okay because you don’t
want to jeopardizeyour license, so offering to help with the nurse’s other
workload is being. A team player.

Loading page 6...

urology medicalunit. Which client should the PN assign to the unlicensed
assistive personnel (UAP)? (Select all that apply.)
a. Irrigate an indwelling urinary catheter for a client with bladder suspension
b. Obtain a post-voided residual (PVR) volume
c. Empty beside drainage unit for a client with indwelling urinary catheter
d. Teach the client with fluid restrictions how to measure urine output
e. Transport a urine culture sample to the laboratory
Rationale: The scope of practice of UAP includes personal care such as bowel
and bladder careincluding intake and output measurements. Emptying urine
from bedside drainage units and transporting specimens are tasks that can be
assigned to the UAP.
 Which intervention should the practical nurse (PN) reinforce for a client with
pruritis?
a. Encourage a warm sleeping environment
b. Do not take any type of tub bath
c. Discourage use of skin lubricants
d. Keep fingernails trimmed short
Rationale: Keeping fingernails short with rough edges filed helps minimize
excoriation fromscratching the pruritic (itch) area.
 While administering prescription medications to an older resident in an
extended care facility, the practical nurse (PN) notices that the client is

Loading page 7...

having difficulty hearing. What action is most important for the PN to
take?
a. Speak louder so the client can hear the conversation
b. Encourage the client to read the practical nurse’s lips
c. Provide written instructions about how to take medications
d. Determine if the client has had difficulty in the past
Rationale: In the older population, presbycusis is common and results from
degenerative changes in the ear with again and is often a gradual progressive,
bilateral inability to hear,especially high frequency sounds. Most importantly,
the PN should determine if the clientshearing problem is new or gradual,
chronic condition.
 The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The
available vialis labeled, “Cefazolin 1 gram,” and the instructions for
reconstitution state, “For IM use, add 2.5 mL sterile water for injection to
provide a total volume of 3.0 mL.” After reconstitution, how many mL
should be administered to the client? (enter numeric valueonly. If rounding
is required, round to the nearest tenth.)
1.3 mL
Rationale: 1 g 1000 mg; 500 mg/ 1000 = 0.5; 0.5 x 2.5 mL =
1.25 rounded to nearesttenth = 1.3 mL

Loading page 8...

 In caring for a client with Buck’s traction, the practical nurse (PN)
observes that the prescribed amount weights are hanging freely,
and
the traction rope is on the pulley.Which action should the PN
implement first?
a. Adjust the traction rope so it is free from the pulley
b. Place the weights on blocks to increase their stability
c. Contact the orthopedic technician to adjust the traction
d. Document that the Buck’s traction is being maintained
Rationale: Weights that hang freely with ropes in the pulleys indicate the
traction is correctlyapplied. The PN should document the Buck’s traction is
being maintained.
 When a small fire breaks out in the kitchen of a long-term care
facility, which task ismost important for the practical nurse (PN) to
perform instead of assigning to a unlicensed assistive personnel?
a. Provide blankets to each of the residents for use during evacuation
b. Identify the method for transporting and evacuating each resident
c. Close the doors to all of the residents’ rooms
d. Offer comfort care and reassurance to each resident
 The practical nurse (PN) is caring for a client with coronary artery disease
who is admitted with intermittent chest pain. The admission laboratory
results indicate elevations in troponin I and creatine phosphokinase

Loading page 9...

Loading page 10...

a. The lab results indicate myocardial damage, and the client is at
risk for cardiacdysrhythmias
b. The client is at risk for recurrent long-term angina pain and
subsequent myocardialinfarction
c. The client is at risk for pulmonary embolism, and
lifestyle modifications need to beimplemented
d. The lab results indicate risk factors for transient ischemic attack
(TIA), and neuro-vitalsigns should be monitored
Rationale: Elevations in serum troponin 1 and CK-MB indicate myocardial cell
damage whichcause an instability of the myocardial call membrane and can
precipitate life-threatening cardiac dysrhythmias that increase in the first 24-48
hours after a MI. Although the clients underlying pathology places the client at
risk for other complications, the incidence of dysrhythmias in the immediate
post-MI period is greatest.
 `The practical nurse (PN) observes hematuria in the urinary catheter
drainage tubing of aclient who is receiving intravenous heparin.
Which action should the PN implement first?
a. Obtain a urine specimen for urinalysis
b. Check the client’s gums for bleeding
c. Document the finding in the client’s medical record
d. Irrigate the urinary catheter with sterile normal saline
 The practical nurse (PN) explains the 2-week dosage prescription of
prednisone to a client who has poison ivy covering multiple skin
surfaces.

Loading page 11...

What should the PN emphasizeabout the dosing schedule?
a. Take the prednisone with meals
b. Monitor oral temperature daily
c. Return for blood glucose monitoring in one week
d. Decrease dosage daily as prescribed
 A client is receiving an anticonvulsant, diazepam, intravenously for
status epilepticus.Which intervention is most important for the practical
nurse (PN) to implement?
a. Monitor the client’s respiratory rate and effort
b. Observe the clients’ eyes for deviation to the side
c. Record hourly blood pressures for the next 4 hours
d. Measure hourly urinary output for the next 8 hours
 The practical nurse (PN) administers filgrastim to a client with
neutropenia. The clientlater complains of bone pain. Which action
should the PN take?
a. Reassure the client that neutropenia often causes bone pain
b. Plan to administer the next dose at an alternate injection site
c. Offer to administer a prescribed PRN analgesic to the client
d. Prepare a variance report about the onset of pain after injection
Rationale: Medullary bone pain is a side effect of filgrastim, and the PN should

Loading page 12...

offer toadminister an analgesic to provide pain relief.
 The practical nurse (PN) is caring for a client who has been taking
nonsteroidal anti- inflammatory drug ibuprofen for arthritic pain. Which
action will the PN include in thisclient plan of care?
a. Give the medication on an empty stomach
b. Observe for signs of gastrointestinal bleeding
c. Encourage the client to wear sunblock when outside
d. Monitor the blood pressure frequently
Rationale: A common side effect of NSAIDs is gastrointestinal (GI) distress. The
PN shouldobserve for any signs of GI bleeding, and these should be reported
immediately, and the client should quit taking the medication.
 The practical nurse (PN) reviews instructions for use of
polyethylene glycol, a laxative,with a client scheduled for a
colonoscopy. Which instruction should the PN include?
a. Report the onset of watery diarrhea to the healthcare provider
b. Dilute the liquid medication with fruit juice to mask the flavor
c. Drink each glass of solution rapidly at regular specified time intervals
d. Drink the solution with the evening meal before the scheduled exam
Rationale: to produce the best effect, the client should be instructed to drink
each glass (240ml) of polyethylene glycol solution rapidly and at regular
intervals

Loading page 13...

 The practical nurse (PN) notifies the healthcare provider about client
information usingSituation, Background, Assessment, Recommendation
(SBAR) technique. Which information should the PN provide first?
a. A 26-year-old client
b. Intravenous fluids infusing at 75 mL/hr
c. Blood pressure is 80/48 mmHg
d. Cholecystectomy 24 hours ago
 In administering nystatin suspension to the gums of an infant with
candida infection,which approach should the practical nurse (PN) use?
a. Irrigate the infected area medicated solution after applying sterile gloves
b. Draw up the medication in a needle-less syringe which the infant can suck
c. Use a gloved finger to rub the suspension over the infected area
d. Measure the prescribed amount of solution into the infant’s bottle
 When obtaining a capillary blood sample for glucose measurement,
which interventionshould the practical nurse (PN) implement?
a. Grasp the subcutaneous tissue and pull upward
b. Remove any nail polish from the fingernails
c. Determine which finger was used previously
d. Apply a tourniquet above the antecubital fossa
Rationale: Using another site than a previously accessed finger pad reduces
repeated traumato the tissue and capillary supply in the distal finger where the
blood sample is taken.

Loading page 14...

 The practical nurse (PN) is assisting a client to cough and deep breathe
following surgery.To facilitate effective coughing, the PN should assist the
client to assume which position?
a. Lying prone with the head turned to one side
b. Leaning forward over the bedside table
c. Left-lateral with pillow between flexed knees
d. Sitting on the side of bed with feet flat on the floor
Rationale: Sitting upright facilitates diaphragm excursion and enhances thoracic
andabdominal expansion.
 An older female adult who was admitted to a long-term care facility
yesterday is confused about what day of the week it is. Her history
does not indicate that she wasconfused prior to admission. What
action should the practical nurse (PN) take?
a. Remind the client what day of the week it is
b. Document the client’s loss of memory in the record
c. Notify the family of the changes in the client’s condition
d. Encourage the client to rest during the day
Rationale: Relocation often results in confusion among elderly clients during
times of adjustment to new surroundings. The PN should remind the client
which day of the week it iswhen she forgets or becomes confused. The other
actions are not indicated at this time for relocation or stress.

Loading page 15...

 The practical nurse (PN) learns that a client who is receiving
chemotherapy has developed stomatitis. Which information should the
PN obtain from the client during afocused assessment?
a. Frequency of bowel movements
b. Blood pressure while standing
c. Ability to swallow
d. Urinary output
Rationale: Stomatitis or inflammation of the oral mucosa can cause pain and
result in difficulty in swallowing. The PN should gather information related to
the client’s ability toswallow.
 The practical nurse (PN) is assigned to care for a client who had an
endoscopic procedure in which the local anesthetic was sprayed on the
throat. Which priority actionshould the PN include in the clients plan of
care?
a. Instruct the client to speak
b. Inquire about a sore throat
c. Observe for belching
d. Assess the gag reflex

Loading page 16...

15 more pages available. Scroll down to load them.

Preview Mode

100%

Study Now!

XY-Copilot AI

Unlimited Access

Secure Payment

Instant Access

24/7 Support

Document Chat

Document Details

Subject

Health Education Systems, Inc.

2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions)

Study Now!

Document Details

Related Documents

Nursing School Entrance Exams: HESI A2 / NLN PAX-RN / PSB-RN / RNEE / TEAS, 6th Edition (2020)

HESI Comprehensive Medical Surgical Exit Exam with Answers (839 Solved Questions)

HESI Evolve Leadership/Management Practice Exam with Answers (114 Solved Questions)

HESI Mental Health Exit Exam With Answers (58 Solved Questions)

2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)

HESI Pharmacology Practice Exam With Answers (102 Solved Questions)

2024 HESI Mental Health Actual Exam With Answers (151 Solved Questions)

HESI Pharmacology Evolve Exam With Answers (125 Solved Questions)

HESI Mathematics Practice Exam With Answers (55 Solved Questions)

2022 HESI Mathematics A2 Exam With Answers (48 Solved Questions)

Company

Explore

Study Tools