(Q&A) Hesi PN Exit1 Quizlet 96 Questions

1. The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appearance, and has a foul odor. Which assessment should the PN complete next?
   Answer: Ask the client about urinary frequency.

2. The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate nasal spray prescribed for the client's allergy symptoms. While reinforcing instructions about self-administration of the nasal spray, the PN should emphasize the need for the client to take which action before self-administration?
   Answer: Gently blow the nose.

3. An older adult client who resides in a long-term care facility has a friend of the opposite sex who often visits in the evenings. The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. Which action should the PN take?
   Answer: Exit the room and quietly close the door.

4. Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The practical nurse (PN) should caution the unlicensed assistive personnel (UAPs) caring for these clients to observe for which effect because it places the clients at risk for falls?
   Answer: Pupillary constriction.

5. Which action by a practical nurse (PN) indicates the best understanding of the principles related to medical asepsis and effective handwashing?
   Answer: Hold your hands lower than your elbows to promote microbe removal.

6. The practical nurse (PN) is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?
   Answer: Gloves.

7. The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?
   Answer: Thready pulse volume.

8. The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery. Which finding should the PN report immediately to the charge nurse?
   Answer: Rubra lochia saturating three perineal pads per hour.

9. Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?
   Answer: Tell me more about your concerns regarding an abdominal scar.

10. The practical nurse (PN) is making a home visit to an older adult client who was recently diagnosed with Herpes zoster. The client reports the onset of severe burning pain along the right side of the trunk. Which action should the PN take?
    Answer: Administer a prescribed PRN dose of analgesic.

11. When preparing to change a client's sterile dressing, the practical nurse (PN) opens a package of gauze pads as seen in the picture. Which action should the PN take next?
    Answer: Pick up pads and place them on a sterile field.

12. A client experiences a muscle strain or sprain to the ankle. Which intervention should the practical nurse (PN) implement for an acute soft tissue injury?
    Answer: Apply ice to the injured site at 15-minute intervals for the first 24 hours.

13. The practical nurse (PN) is assisting the nurse with the admission physical assessment of a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhibit?
    Answer:
    a. Dyspnea
    c. Lung crackles
    e. Painful cough

14. The practical nurse (PN) is working with a newly hired PN on a medical-surgical unit. Which action performed by the newly hired PN requires intervention by the PN?
    Answer: Posting client names and healthcare providers on hospital room doors.

15. The practical nurse (PN) is caring for a 9-month-old infant with developmental dysplasia of the hip (DDH) after a closed reduction and hip spica cast application. After application of the cast, which is the most important intervention in caring for the infant?
    Answer: Monitor the distal toes every 2 hours for movement, sensation, and circulation.

16. The practical nurse (PN) turns a client with right-sided paralysis from a supine to a left lateral position. Which bony prominence is most likely to manifest signs of erythema when first turned?
    Answer: Sacrum.

17. Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis?
    Answer: Weigh the child daily.

18. The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older adult client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPs need additional information about the turning procedure?
    Answer: The client is told to keep both legs straight and together while turning.

19. 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?
    Answer: Appearance of skin in the perineal area.

20. Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?
    Answer: Asks if the client understands the exam and why the consent form must be signed.

21. A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How should the PN respond?
    Answer: Tell me what is making you feel afraid.

22. The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. What follow-up action(s) should the PN implement? Select all that apply.
    Answer:

• Compress the drainage device before closing the tab.

• Report the appearance of the dressing to the charge nurse.

23. A client is being treated for chronic kidney disease (CKD). On examination, the client has an elevated blood pressure and is exhibiting changes in mental status. Which intervention in the plan of care should the practical nurse (PN) implement?
    Answer: Weigh every morning.

24. A client with a chronic medical condition tells the practical nurse (PN) of not wanting any heroics to prolong the client's life if anything should happen. Which action should the PN take?
    Answer: Notify the client's healthcare provider of the client's wishes as soon as possible.

25. The practical nurse (PN) is reviewing results of a client's urinalysis. What results indicate problems and should be reported by the PN to the healthcare provider? Select all that apply.
    Answer:

• Positive for albumin or protein.

• Bacteria present.

• Large count of red blood cells.

26. A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. While approaching the client, which intervention should the practical nurse (PN) implement first?
    Answer: Describe functions of the practical nurse (PN).

27. While performing morning care, the practical nurse (PN) notes that an older adult client has a dark tan on the arms and face. When questioned about it, the client reports pleasure from gardening. Which action is most important for the PN to encourage this client to take?
    Answer: Apply a sunscreen of at least a sun protection factor (SPF) of 165 while outdoors.

28. Which is the first intervention for the practical nurse (PN) to implement when a client refuses to take a prescribed medication?
    Answer: Determine the client's reason for refusing the medication.