CramX Logo
RegisterLog in
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Document preview page 1

2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 1

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

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

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

Seller Steve
Contributor
4.3
0
12 months ago
Preview (16 of 60 Pages)
100%
Log in to unlock
Page 1 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 1 preview imagePN EXIT HESI Exam Questions And Answers Best RatedA+ Guaranteed Success New Update 2022-2023The practical nurse (PN) is observing a client self-administering a doseif subcutaneousinsulin. What step of the injection technique shouldthe practical nurse (PN) reteach?a. Injects air into the insulin vial to displace the doseb. Selects the same site that was used for the previous injectionc.Inserts the needle at a 90-degree angle to the skin surfaced. Uses a circular motion when applying an alcohol pad to the siteRationale: The PN should reteach the client to rotate the NOON site to a siteother than the same one used for the AM dose. Different sites used throughoutthe day may provide a varying rate of absorption related to activity. Intra-siterotation is recommended for the doseused during one specific time of the day.The other choices are acceptable techniques for subcutaneous injection ofinsulin.
Page 2 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 2 preview image
Page 3 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 3 preview imageThe practical nurse (PN) observes a newly hired unlicensed assistivepersonnel (UAP) who is counting a client’s radial pulse as seen inthe
Page 4 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 4 preview imagepicture. Which action should the PNtake?a. Confirm accuracy of the pulse rate obtained by the UAPb. Instruct the UAP to report any abnormal findingsc.Remind the UAP to check the clients pulse volumed. Demonstrate the correct pulse site to the UAP (follow the thumb forthe radial pulse,follow the pinky for the brachial)Rationale: When checking the radial pulse, the index and middle finger shouldbe aligned withthe thumb, for brachial pulse assessment should be aligned withthe pinky finger.The birth weight of an infant delivered by a woman with gestationaldiabetes is 10.1 pounds (4,581 grams). The infant is jittery and has aheel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutesafter birth. Based on this information, which intervention should thepractical nurse (PN) implement first?a. Repeat the heel stick for glucose in one hourb. Offer nipple feedings of 10% dextrosec.Begin frequent feedings of breast milk or formulad. Assess for signs of hypocalcemiaRationale: Providing frequent feedings will reduce the infants blood glucose; wewouldn’twant to obtain another heel stick as we want to do less invasive aspossible.
Page 5 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 5 preview imageA client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces offlavored gelatinand 1 banana. During the same shift, this client receives 1liter of IV fluid and voids 700 mL. How many mL total oral and IV intakeshould the PN document on the client’s medical record? (Enter numericvalue only).8 oz x 30 mL = 240 mL4 oz x 30 mL = 120 mL4 oz x 30 mL = 120 mL1 L = 1000 mLTotal intake = 1480 mLThe nurse is very busy and running late with administeringmedications and asks thepractical nurse (PN) to administer amedication already drawn up in an unlabeled syringe. How should thePN 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 tohelp you?”Rationale: Explaining your comfortability is always okay because you don’twant to jeopardizeyour license, so offering to help with the nurse’s otherworkload is being. A team player.
Page 6 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 6 preview imageThe practical nurse (PN) is assigning care for a group of clients on the
Page 7 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 7 preview imageurology medicalunit. Which client should the PN assign to the unlicensedassistive personnel (UAP)? (Select all that apply.)a. Irrigate an indwelling urinary catheter for a client with bladder suspensionb. Obtain a post-voided residual (PVR) volumec.Empty beside drainage unit for a client with indwelling urinary catheterd. Teach the client with fluid restrictions how to measure urine outpute. Transport a urine culture sample to the laboratoryRationale: The scope of practice of UAP includes personal care such as boweland bladder careincluding intake and output measurements. Emptying urinefrom bedside drainage units and transporting specimens are tasks that can beassigned to the UAP.Which intervention should the practical nurse (PN) reinforce for a client withpruritis?a. Encourage a warm sleeping environmentb. Do not take any type of tub bathc.Discourage use of skin lubricantsd. Keep fingernails trimmed shortRationale: Keeping fingernails short with rough edges filed helps minimizeexcoriation fromscratching the pruritic (itch) area.While administering prescription medications to an older resident in anextended care facility, the practical nurse (PN) notices that the client is
Page 8 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 8 preview imagehaving difficulty hearing. What action ismostimportant for the PN totake?a. Speak louder so the client can hear the conversationb. Encourage the client to read the practical nurse’s lipsc.Provide written instructions about how to take medicationsd. Determine if the client has had difficulty in the pastRationale: In the older population, presbycusis is common and results fromdegenerative 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. Theavailable vialis labeled, “Cefazolin 1 gram,” and the instructions forreconstitution state, “For IM use, add 2.5 mL sterile water for injection toprovide a total volume of 3.0 mL.” After reconstitution, how many mLshould be administered to the client? (enter numeric valueonly. If roundingis required, round to the nearest tenth.)1.3 mLRationale: 1 g1000 mg; 500 mg/ 1000 = 0.5; 0.5 x 2.5 mL =1.25 rounded to nearesttenth = 1.3 mL
Page 9 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 9 preview imageIn caring for a client with Buck’s traction, the practical nurse (PN)observes that the prescribed amount weights are hanging freely,andthe traction rope is on the pulley.Which action should the PNimplement first?a. Adjust the traction rope so it is free from the pulleyb. Place the weights on blocks to increase their stabilityc.Contact the orthopedic technician to adjust the tractiond. Document that the Buck’s traction is being maintainedRationale: Weights that hang freely with ropes in the pulleys indicate thetraction is correctlyapplied. The PN should document the Buck’s traction isbeing maintained.When a small fire breaks out in the kitchen of a long-term carefacility, which task ismost important for the practical nurse (PN) toperforminsteadof assigning to a unlicensed assistive personnel?a. Provide blankets to each of the residents for use during evacuationb. Identify the method for transporting and evacuating each residentc.Close the doors to all of the residents’ roomsd. Offer comfort care and reassurance to each residentThe practical nurse (PN) is caring for a client with coronary artery diseasewho is admitted with intermittent chest pain. The admission laboratoryresults indicate elevations in troponin I and creatine phosphokinase
Page 10 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 10 preview imagemyoglobulin isoenzyme (CK-MB) levels. What should the PN consider themostsignificant risk for this client on the secondday of admission?
Page 11 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 11 preview imagea. The lab results indicate myocardial damage, and the client is atrisk for cardiacdysrhythmiasb.The client is at risk for recurrent long-term angina pain andsubsequent myocardialinfarctionc.The client is at risk for pulmonary embolism, andlifestyle modifications need to beimplementedd.The lab results indicate risk factors for transient ischemic attack(TIA), and neuro-vitalsigns should be monitoredRationale: Elevations in serum troponin 1 and CK-MB indicate myocardial celldamage whichcause an instability of the myocardial call membrane and canprecipitate life-threatening cardiac dysrhythmias that increase in the first 24-48hours after a MI. Although the clients underlying pathology places the client atrisk for other complications, the incidence of dysrhythmias in the immediatepost-MI period is greatest.`The practical nurse (PN) observes hematuria in the urinary catheterdrainage tubing of aclient who is receiving intravenous heparin.Which action should the PN implement first?a. Obtain a urine specimen for urinalysisb. Check the client’s gums for bleedingc.Document the finding in the client’s medical recordd. Irrigate the urinary catheter with sterile normal salineThe practical nurse (PN) explains the 2-week dosage prescription ofprednisone to a client who has poison ivy covering multiple skinsurfaces.
Page 12 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 12 preview imageWhat should the PN emphasizeabout the dosing schedule?a. Take the prednisone with mealsb. Monitor oral temperature dailyc.Return for blood glucose monitoring in one weekd. Decrease dosage daily as prescribedA client is receiving an anticonvulsant, diazepam, intravenously forstatus epilepticus.Which intervention is most important for the practicalnurse (PN) to implement?a. Monitor the client’s respiratory rate and effortb.Observe the clients’ eyes for deviation to the sidec.Record hourly blood pressures for the next 4 hoursd.Measure hourly urinary output for the next 8 hoursThe practical nurse (PN) administers filgrastim to a client withneutropenia. The clientlater complains of bone pain. Which actionshould the PN take?a. Reassure the client that neutropenia often causes bone painb. Plan to administer the next dose at an alternate injection sitec.Offer to administer a prescribed PRN analgesic to the clientd. Prepare a variance report about the onset of pain after injectionRationale: Medullary bone pain is a side effect of filgrastim, and the PN should
Page 13 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 13 preview imageoffer toadminister an analgesic to provide pain relief.The practical nurse (PN) is caring for a client who has been takingnonsteroidal anti- inflammatory drug ibuprofen for arthritic pain. Whichaction will the PN include in thisclient plan of care?a. Give the medication on an empty stomachb. Observe for signs of gastrointestinal bleedingc.Encourage the client to wear sunblock when outsided. Monitor the blood pressure frequentlyRationale: A common side effect of NSAIDs is gastrointestinal (GI) distress. ThePN shouldobserve for any signs of GI bleeding, and these should be reportedimmediately, and the client should quit taking the medication.The practical nurse (PN) reviews instructions for use ofpolyethylene glycol, a laxative,with a client scheduled for acolonoscopy. Which instruction should the PN include?a. Report the onset of watery diarrhea to the healthcare providerb. Dilute the liquid medication with fruit juice to mask the flavorc.Drink each glass of solution rapidly at regular specified time intervalsd. Drink the solution with the evening meal before the scheduled examRationale: to produce the best effect, the client should be instructed to drinkeach glass (240ml) of polyethylene glycol solution rapidly and at regularintervals
Page 14 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 14 preview imageThe practical nurse (PN) notifies the healthcare provider about clientinformation usingSituation, Background, Assessment, Recommendation(SBAR) technique. Which information should the PN provide first?a. A 26-year-old clientb. Intravenous fluids infusing at 75 mL/hrc.Blood pressure is 80/48 mmHgd. Cholecystectomy 24 hours agoIn administering nystatin suspension to the gums of an infant withcandida infection,which approach should the practical nurse (PN) use?a. Irrigate the infected area medicated solution after applying sterile glovesb. Draw up the medication in a needle-less syringe which the infant can suckc.Use a gloved finger to rub the suspension over the infected aread. Measure the prescribed amount of solution into the infant’s bottleWhen obtaining a capillary blood sample for glucose measurement,which interventionshould the practical nurse (PN) implement?a. Grasp the subcutaneous tissue and pull upwardb. Remove any nail polish from the fingernailsc.Determine which finger was used previouslyd. Apply a tourniquet above the antecubital fossaRationale: Using another site than a previously accessed finger pad reducesrepeated traumato the tissue and capillary supply in the distal finger where theblood sample is taken.
Page 15 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 15 preview imageThe practical nurse (PN) is assisting a client to cough and deep breathefollowing surgery.To facilitate effective coughing, the PN should assist theclient to assume which position?a. Lying prone with the head turned to one sideb. Leaning forward over the bedside tablec.Left-lateral with pillow between flexed kneesd. Sitting on the side of bed with feet flat on the floorRationale: Sitting upright facilitates diaphragm excursion and enhances thoracicandabdominal expansion.An older female adult who was admitted to a long-term care facilityyesterday is confused about what day of the week it is. Her historydoes not indicate that she wasconfused prior to admission. Whataction should the practical nurse (PN) take?a. Remind the client what day of the week it isb.Document the client’s loss of memory in the recordc.Notify the family of the changes in the client’s conditiond.Encourage the client to rest during the dayRationale: Relocation often results in confusion among elderly clients duringtimes of adjustment to new surroundings. The PN should remind the clientwhich day of the week it iswhen she forgets or becomes confused. The otheractions are not indicated at this time for relocation or stress.
Page 16 of 16
2022-2023 HESI PN Child Care Exit Exam With Answers (109 Solved Questions) - Page 16 preview imageThe practical nurse (PN) learns that a client who is receivingchemotherapy has developed stomatitis. Which information should thePN obtain from the client during afocused assessment?a. Frequency of bowel movementsb. Blood pressure while standingc.Ability to swallowd. Urinary outputRationale: Stomatitis or inflammation of the oral mucosa can cause pain andresult in difficulty in swallowing. The PN should gather information related tothe client’s ability toswallow.The practical nurse (PN) is assigned to care for a client who had anendoscopic procedure in which the local anesthetic was sprayed on thethroat. Which priority actionshould the PN include in the clients plan ofcare?a. Instruct the client to speakb. Inquire about a sore throatc.Observe for belchingd. Assess the gag reflex
Preview Mode

This document has 60 pages. Sign in to access the full document!

Study Now!

X-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

Subject
Health Education Systems, Inc.

Related Documents

View all
Certification Guides

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

5.0
00
Past Exams

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

4.8
00
Past Exams

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

4.7
00
Past Exams

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

4.0
00
Past Exams

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

4.1
00
Past Exams

HESI Pharmacology Practice Exam With Answers (102 Solved Questions)

4.7
00
Past Exams

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

4.1
00
Past Exams

HESI Fundamentals Proctored Exam With Answers (6 Solved Questions)

4.7
00
Past Exams

2023 HESI Grammer A2 Exam With Answers (41 Solved Questions)

4.6
00
Past Exams

HESI Grammar A2 Exam Testbank With Answers (50 Solved Questions)

4.6
00