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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Document preview page 1

2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 1

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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions)

2019 HESI PN Prenatal Exit Exam VI With Answers improves your retention and problem-solving skills with past exams.

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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 1 preview image2019PNHesiExitV1Question1A school-age client with diabetes is placed on an intermediate-acting insulin and regular insulin before breakfast and beforedinner. She will receive a snack of milk and cereal at bedtime.What does the nurse tell the client the snack is intended to do?You Selected:Prevent late night hypoglycemia.Correct response:Prevent late night hypoglycemia.Question2A well-known public official of a small community is admitted tothe emergency department following an episode of chest pain.Several nurses from the medical unit are aware of the admission andaccess the official’s electronic medical record to obtain a statusupdate. What is the best response for the nurse manager to make tothe nurses regarding this situation?You Selected:“Assessing the official’s medical record is a breach ofconfidentiality.”Correct response:“Assessing the official’s medical record is a breach ofconfidentiality.”Question3A four-year-old child is diagnosed as having acute lymphocyticleukemia. The white blood cell (WBC) count, especially theneutrophil count, is low. What is the most important intervention the
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 2 preview image
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 3 preview imagenurse should teach the parents?You Selected:Protect your child from infections because his resistance toinfection is decreasedCorrect response:Protect your child from infections because his resistance toinfection is decreasedQuestion4The nurse is caring for a client with influenza. Themosteffectiveway to decrease the spread of microorganisms is:You Selected:placing the client in isolation.Correct response:washing the hands frequently.Question5A client with a history of hypertension has been prescribed a newantihypertensive medication and is reporting dizziness. Which isthebestway for the nurse to assess blood pressure?You Selected:in the supine, sitting, and standing positionsCorrect response:in the supine, sitting, and standing positionsQuestion6A client has a soft wrist-safety device. Which assessment findingshould the nurse investigate further?You Selected:
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 4 preview imagecool, pale fingersCorrect response:cool, pale fingersQuestion7A nurse is caring for a female client before surgery. The client statesthat she is glad that she will not be going through menopause as aresult of her surgery and is only having her uterus removed. Thenurse reviews the consent form and notes that the surgery is for atotal abdominal hysterectomy with a salpingo-oophorectomy. Whatshould the nurse do in this situation?You Selected:Contact the surgeon to explain that the client needs furtherclarification regarding surgery.Correct response:Contact the surgeon to explain that the client needs furtherclarification regarding surgery.Question8A young client diagnosed with schizophrenia is talking with thenurse and says, "You know, when I thought everyone was out to getme, I was staying in my apartment all the time. Now, I would like toget out and do things again." What is thebestinitial response by thenurse?You Selected:"What activities did you enjoy in the past?"Correct response:"What activities did you enjoy in the past?"
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 5 preview imageQuestion9A client with anemia has been admitted to the medical-surgical unit.Which assessment findings are characteristic of iron deficiencyanemia?You Selected:nausea, vomiting, and anorexiaCorrect response:dyspnea, tachycardia, and pallorQuestion10The nurse is discontinuing an intravenous catheter on a 10-year-oldclient with hemophilia. What would be the most importantintervention for this client?You Selected:Apply firm pressure on the site for 5 minutes after removal.Correct response:Apply firm pressure on the site for 5 minutes after removal.Question11When a client returns from the recovery room postmastectomy, aninitial postoperative assessment is performed by the nurse. What isthe nurse’spriorityassessment?You Selected:checking the dressing, drain, and amount of drainageCorrect response:assessing the vital signs and oxygen saturation levelsQuestion12
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 6 preview imageA client with an uncomplicated term pregnancy arrives at the labor-and-delivery unit in early labor saying that she thinks her water hasbroken. What is the nurse’sbestaction?You Selected:Ask what time this happened and note the color, amount, andodor of the fluid.Correct response:Ask what time this happened and note the color, amount, andodor of the fluid.Question13When documenting the care of a client, the nurse is aware of theneed to use abbreviations conscientiously and safely. This includesYou Selected:ensuring the abbreviations are understandable to clients whomay seek access to their health recordsCorrect response:limiting abbreviations to those approved for use by theinstitutionQuestion14During routine prenatal screening, a nurse tells a client that herblood sample will be used for alpha fetoprotein (AFP) testing.Which statementbestdescribes what AFP testing indicates?You Selected:"This screening indicates if your baby's lungs are mature."Correct response:"This test will screen for spina bifida, Down syndrome, orother genetic defects."
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 7 preview imageQuestion15A client is recovering from an infected abdominal wound. Whichfoods should the nurse encourage the client to eat to support woundhealing and recovery from the infection?You Selected:chicken and orange slicesCorrect response:chicken and orange slicesQuestion16A nurse suspects that the laboring client may have been physicallyabused by her partner. What is themostappropriate intervention bythe nurse?You Selected:Collaborate with the interprofessional team to make a referralto social services.Correct response:Collaborate with the interprofessional team to make a referralto social services.Question17A client is newly diagnosed with asthma. While learning to use ametered dose inhaler (MDI) for delivery of a short-term betaagonist, the client asks if a spacer is appropriate to use with thisdevice. What is the nurse’s best response?You Selected:“No, a spacer is not recommended because it can increase therisk of developing oropharyngeal candidiasis.”Correct response:“Yes, a spacer is recommended because it increases the
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 8 preview imageamount of medication that is delivered to the lungs.”Question18The nurse is planning care for a client who had surgery forabdominal aortic aneurysm repair 2 days ago. The pain medicationand the use of relaxation and imagery techniques are not relievingthe client’s pain, and the client refuses to get out of bed to ambulateas prescribed. The nurse contacts the health care provider (HCP),explains the situation, and provides information about drug dose,frequency of administration, the client’s vital signs, and the client’sscore on the pain scale. The nurse requests a prescription for adifferent, or stronger, pain medication. The HCP tells the nurse thatthe current prescription for pain medication is sufficient for thisclient and that the client will feel better in several days. What shouldthe nurse donext?You Selected:Explain to the HCP that the current pain medication and otherstrategies are not helping the client and it is making it difficultfor the client to ambulate as prescribed.Correct response:Explain to the HCP that the current pain medication and otherstrategies are not helping the client and it is making it difficultfor the client to ambulate as prescribed.Question19The nurse is making a room assignment for a client whoselaboratory test result indicate pancytopenia. Which client should thenurse put into the same room with the client with pancytopenia?You Selected:a client with digoxin toxicityCorrect response:a client with digoxin toxicity
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 9 preview imageQuestion20A community health nurse provides a client with information abouta local support group for those with multiple sclerosis. Providingthis information is an example of which of the following?You Selected:A referral.Correct response:A referral.Question21A nurse working on a neurologic floor has received reports on fourclients. After identifying priority assessment data for each client,which client should the nurse investigatefirst?You Selected:the client admitted after a head injury in a motor vehicle whoreports nauseaCorrect response:the client admitted after a head injury in a motor vehicle whoreports nauseaQuestion22The mother of an adolescent client who is diagnosed withoppositional defiant disorder tells the nurse that she has readextensively on this disorder and does not believe the diagnosis iscorrect for her daughter. Which response by the nurse isappropriate?You Selected:“Tell me what you’ve found in your reading that’s leading
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 10 preview imageyou to that conclusion.”Correct response:“Tell me what you’ve found in your reading that’s leadingyou to that conclusion.”Question23A nurse prepares a client's medication by reconstituting a multi-dosevial of medication. What other nursing interventions should thenurse take? Select all that apply.You Selected:Label the vial with the strength of the medication.Store the multi-dose vial in a secure place.Initial the vial as the person reconstituting the medication.Correct response:Label the vial with the strength of the medication.Store the multi-dose vial in a secure place.Initial the vial as the person reconstituting the medication.Question24Because of religious beliefs, a client, who is an Orthodox Jew,refuses to eat hospital food. Hospital policy discourages food fromoutside the hospital. The nurse should next:You Selected:discuss the situation and possible courses of action with thedietitian and the client.Correct response:discuss the situation and possible courses of action with thedietitian and the client.
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 11 preview imageQuestion25After a plaster cast has been applied to the arm of a child with afractured right humerus, the nurse completes discharge teaching.The nurse should evaluate the teaching as successful when themother agrees to seek medical advice if the child experiences whichsymptom?You Selected:fussiness and reports that the cast is heavyCorrect response:inability to extend the fingers on the right handQuestion26While shopping, a nurse meets a neighbor who asks about a friendreceiving treatment at the nurse's clinic. What is thenurse'smostappropriate response?You Selected:"I'm sorry, I can't disclose client information."Correct response:"I'm sorry, I can't disclose client information."Question27When assessing an 18-year-old primipara who gave birth underepidural anesthesia 24 hours ago, the nurse determines that thefundus is firm but to the right of midline. Based on this finding, thenurse should further assess for which complication?You Selected:urinary retentionCorrect response:urinary retention
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 12 preview imageQuestion28Which situation demonstrates correct principles of confidentiality?You Selected:Two nurses alone in an elevator are discussing a client'sstatus.Correct response:An emergency department nurse reports suspected childabuse.Question29The nurse in a psychiatric unit has formed a therapeutic relationshipwith a client with a borderline personality disorder. When the clientis readmitted to the unit for a suicide attempt, the nurse exclaims toanother staff nurse, “Why? Everything was going well. How couldthey do this to me?” What response by the staff nurse reflects anunderstanding of the client’s borderline disorder?You Selected:“Clients with borderline disorder act out to relieve anxiety,and something must have provoked a great deal of anxiety.”Correct response:“Clients with borderline disorder act out to relieve anxiety,and something must have provoked a great deal of anxiety.”Question30A child is receiving total parenteral nutrition (TPN). During TPNtherapy, the most important nursing action is:You Selected:monitoring the blood glucose level closely.Correct response:
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 13 preview imagemonitoring the blood glucose level closely.Question31A 9-year-old client is brought to the emergency department with asutured wound with purulent drainage. The area around the woundis red and warm to the touch, and the child is febrile. The parentswant to know the significance of the purulent drainage. What isthebestresponse by the nurse?You Selected:“The drainage is an indication that the sutures were not tightenough.”Correct response:“If a wound heals on the surface but infection remains, it willopen and drain.”Question32A 19-year-old primigravid client at 38 weeks' gestation is 7 cmdilated, and the presenting part is at +1 station. The client tells thenurse, "I need to push!" What should the nurse donext?You Selected:Instruct the client to use a pant-blow pattern of breathing.Correct response:Instruct the client to use a pant-blow pattern of breathing.Question33A client with cystic fibrosis develops pneumonia. To decrease theviscosity of respiratory secretions, the physician ordersacetylcysteine. Before administering the first dose, the nurse checksthe client's history for asthma. Acetylcysteine must be used
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 14 preview imagecautiously in a client with asthma because itYou Selected:may induce bronchospasm.Correct response:may induce bronchospasm.Question34Bone resorption is a possible complication of Cushing’s disease. Tohelp the client prevent this complication, what should the nurserecommend to the client?You Selected:Maintain a regular program of weight-bearing exercise.Correct response:Maintain a regular program of weight-bearing exercise.Question35A client rates the pain level of a migraine an 8 on a scale of 1-10.How would the nurse administer the medication to give the clientthe quickest relief?You Selected:intravenous (IV)Correct response:intravenous (IV)Question36A client with Parkinson’s disease who is scheduled forphysiotherapy is experiencing nausea and weakness. What isthemostappropriate action by the nurse?
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 15 preview imageYou Selected:Assess the nausea and weakness and call physiotherapy tocancel or reschedule the appointment.Correct response:Assess the nausea and weakness and call physiotherapy tocancel or reschedule the appointment.Question37Which intervention should the nurse include in the plan of care toensure adequate nutrition for a very active, talkative, and easilydistractible client who is unable to sit through meals?You Selected:Offer the client nutritious finger foods.Correct response:Offer the client nutritious finger foods.Question38Which activity should the nurse recommend to the client on aninpatient unit when thoughts of suicide occur?You Selected:playing a card game with other clientsCorrect response:talking with the nurseQuestion39A nurse is teaching a client with multiple sclerosis (MS). Whenteaching the client how to reduce fatigue, the nurse should tell theclient to
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2019 HESI PN Prenatal Exit Exam VI With Answers (160 Solved Questions) - Page 16 preview imageYou Selected:rest in an air-conditioned room.Correct response:rest in an air-conditioned room.Question40An apartment fire spreads to seven apartment units. Victims sufferburns, minor injuries, and broken bones from jumping fromwindows. Which client should be transportedfirst?You Selected:a 10-year-old with a simple fracture of the humerus who is insevere painCorrect response:a middle-aged man with no injuries who has rapid respirationsand coughsQuestion41A 26-year-old primigravida visiting the prenatal clinic for herregular visit at 34 weeks’ gestation tells the nurse that she takesmineral oil for occasional constipation. What should the nurseshould instruct the client to do?You Selected:Avoid mineral oil because it interferes with the absorption offat-soluble vitamins.Correct response:Avoid mineral oil because it interferes with the absorption offat-soluble vitamins.Question42
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