(Q&A) HESI PN EXIT 97-128 32 Questions

1. Twenty-four hours after receiving a telephone prescription for a client's medication, the practical nurse (PN) observes that the prescription has not been signed by the prescriber, which conflicts with agency policy. Which action should the PN take?
   A. Hold the next dose of medication and assess the client.
   B. Continue to administer the medication as initially prescribed.
   C. Contact the prescriber for a renewal of the prescription.
   D. Discontinue the medication immediately.
   Answer: C. Contact the prescriber for a renewal of the prescription.

2. An older adult female resident of a long-term care facility experiences frequent episodes of urinary incontinence. Which focused assessment is most important for the practical nurse (PN) to perform regularly in response to the resident's incontinence?
   A. Ability to perform Kegel exercises.
   B. Fluctuations in body weight.
   C. Appearance of skin in the perineal area.
   D. Sleep and rest patterns and routines.
   Answer: C. Appearance of skin in the perineal area.

3. Which is the first intervention for the practical nurse (PN) to implement when a client refuses to take a prescribed medication?
   A. Determine the client's reason for refusing the medication.
   B. Instruct the client about the purpose of the medication.
   C. Document the client's refusal on the medication record.
   D. Explain to the client the potential harm in not taking the medication.
   Answer: A. Determine the client's reason for refusing the medication.

4. The practical nurse (PN) is assisting a client who is multiparous in active labor with breathing techniques during contractions. The client's contractions are occurring every 2 minutes, with a duration of 80 seconds, when she suddenly wants to go to the bathroom to have a bowel movement. Which should the PN do first?
   A. Obtain fetal heart rate and maternal vital signs.
   B. Instruct the client to push with each contraction.
   C. Notify the registered nurse (RN) of the client's urge to push.
   D. Provide the client with a bedpan to have a bowel movement.
   Answer: C. Notify the registered nurse (RN) of the client's urge to push.

5. At the end of a 12-hour shift, the practical nurse (PN) observes the urine in a client's drainage bag as seen in the picture. Which action should the PN take next?
   A. Note the most recent white blood cell count.
   B. Obtain a fingerstick capillary glucose level.
   C. Determine if the client's bladder feels distended.
   D. Offer to administer a prescribed PRN analgesic.
   Answer: A. Note the most recent white blood cell count.