Hesi 1 full .pdf - Nursing Hero (2024)

1) The practical nurse (PN) assesses a child in 90-90 skeletal traction. It ismostimportant for the PN to assess for signs of inflammation at what location? (Select the correct location on the image) 2) The parents of a 0ne-year-ols child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will the problem. Which information should the PN provide to these parents? A. Whatever the parents decide, the staff will be available to support the decision. B. The child's prognosis will not develop complication if surgery is delayed. C. Some children do outgrow this type of problem and waiting may be beneficial. D. Ask the parent to explain what they understand about the child's diagnosis 3) When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a client when his last bowel movement occurred. The client's answers, "Three days ago." Which action should the PN implementfirst? A. Encourage clients to ambulate more frequently, B. Administer a prescribed PRN stool softener. C. Determine the client's usual bowel pattern. D. Recommend increasing high fiber food daily. 4) Which client information ismost importantfor the ractical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client? A. Oxygen saturation measurement of 95 to 96%. B. Urinary output of 50 mL/hour. C. Blood pressure of 144/84. D. Oriented to person only. 5) During a home visit, the home health practical nurse (PN) observes an older client attempting to ambulate to the bathroom and notes that the client is unsteady and holds on to furniture while refusing any assistance. Which action should the PN implement? A. Maintain the client's privacy while in the bathroom. B. Recommend that the client a walker. C. Encourage the client to obtain a medical alert device. D. Determine home navigational safety hazards. 6) The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take? A. Monitor the client's hearing. B. Measure the urinary output. C. observe the skin for a rash. D. Check for changes in vision.

7) The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take? A. remind the UAP to check the client's pulse volume. B. Instruct the UAP to report any abnormal findings. C. Demonstrate the correct pulse rate site to the UAP. D. Confirm accuracy of the pulse rate obtained by the UAP. 8) The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow up actions should the PN implement? (Select all that apply.) A. Clamp the drainage tubing for the next four hours. B. Document the appearance of the wound as inflamed. C. Compress the drainage device before closing the tab. D. Report the appearance of the dressing to the charge nurse. E. remove the drainage device and apply a pressure dressing. 9) A client with schizophrenia reports auditory hallucinations when admitted to the hospital. What question ismost importantfor the practical nurse (PN) to include in the assessment of the client? A. How does the client t cope with the voices? B. Which medication works best? C. What are the voices uttering? D. When are the voices most disturbing? 10) A 9-month-old infant is choking. The practical nurse (PN) administers back blows and then prepares to administer chest thrusts as seen in the picture. What action should the PN take next? A. Measure oxygen saturation. B. Lower the infant's head. C. Places fingers at the umbilicus. D. Provide thirty compressions. 11) The practical nurse (PN) is reinforcing dietary instructions with a client who has renal disease regarding the need to limit salt intake. Which selections for a lunch meal indicate to the PN that the client is following the diet plan? (Select all that apply.) A. Canned tomato soup, ½ cup. B. Boiled brown rice, ½ cup. C. Fresh orange slices, 1 small. D Vegetables topped with cheddar cheese. E. Grilled chicken, 3 ounces.

12) A male college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The client tells the practical nurse (PN) that the voices are saying, "Kill kill," What questions should the PN ask the clientnext? A. "Do you believe the voices are real?" B. "When did the voice begin?" C. "Have you taken any hallucinogens?" D. "Are you planning to obey the voices?" 13) The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN get stuck in the finger with the used needle. Which action should the PN takefirst? A. Cleanse the finger with soap and water. B. Call the charge nurse to the room. C. Explain the occurrence to the client. D. Observe the appearance of the injection site. 14) A client with obstructive sleep apnea is preparing for sleep. Which action should the practical nurse (PN) implement? A. Place a cool air humidifier in the room/ B. Assist in turning the client to one side . C. Offer to bring the client a sleeping pill. D. Keep oral suction equipment nearby. 15) A practical nurse (PN) who works in the nursery is attending the vagin*l delivery of a term infant. Which action should the PN complete prior to transporting the baby to the nursery? A. Administer vitamin K injection. B. Obtain the infant's vital signs. C. Place the ID band on the infant and mother. D. Observe the infant latching onto the breast. 16) On the first day after a cesarean section, a client who is primipara is being assigned to the bathroom for the first time. The client experiences a certain gush of vagin*l blood and notices that several blood clots are in the toilet. Which action should the practical nurse (PN) take? A. Insert an indwelling catheter to empty the bladder and contract the fundus. B. Check fundal consistency and continue to monitor the lochial flow amount. C. Return the client to bed and maintain bedrest until the lochial flow slows. D. Massage the fundus and avoid direct pressure to the cesarean incision. 17) A client tells the practical nurse (PN) that she has a family history of cancer and has increased the amount of dairy products in her diet to reduce the risk of her getting cancer. How should the PM respond? A. Provide written information about the seven warning signs of cancer. B. Suggest that an increase in fruit and vegetables is more beneficial. C. Encourage the client to get plenty of exercise as well as dietary change. D. Remind the client to make sure the dairy products are forfeited with vitamin D. 18) A 16-year-old client is asking the practical nurse (PN) what can be done about acne. Which accommodation should the PN provide? A. Express blackheads and follow with an exfoliating scrub. B. Refer to the dermatologist for prescribed long term therapy. C. Wash the hair and skin daily with mild soap and warm water. D. Omit chocolate, carbonated drinks, and fried foods from the diet.

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