HESI PN Multidisciplinary Practice Quiz

5. The practical nurse (PN) in a continuing care retirement community is planning assignments for next shift. The nursing team consists of one practical nurse (PN) and three unlicensed assistive personnel (UAP)Which client should be assigned to the PN?

A. A client who needs an evaluation using the Braden scale.

24. A client with impetigo receives a prescription for azithromycin (Zithromax) 500 mg PO on day 1, then 250mg / day. On days 2 through 5 for a total administration of 1.5 gram. The pharmacy has 250 mg tablets available. How many tablets total should the practical nurse give to the client for the duration of treatment? (Enter numeric value only)

Rational: 1.6 Using Desired/Have available formula: 500mg / 250 * m * g * 1 times a day = 2 tablets on Day 1. Days 2 to 5: 1 tablet each day = 4 tablets 2 + 4 = 6 = 6

4. An older male client with heart failure (HF) complains of chronic constipation and wants to retrain his bowel. Which information should the practical nurse (PN) offer the client in establishing regular bowel habits

A. Add whole grain foods and fibrous vegetables to diet

10. The unlicensed assistive personnel (UAP reports to the practical nurse (PN) that a client who delivered 6 hours ago has not voided. The PN palpates the fundus at the umbilicus and notes a moderate lochia on the peripad. Which task is most important for the PN to direct the UAP to do

A. Ambulate the client to the bathroom to void.

18. A female client arrives in the clinic carrying a duffle bag and is wearing torn and dirty clothes. She tells the practical nurse (PN) she has no place to go. The PN takes her vital signs and observes leg ulcers on both lower extremities. What additional information should the practical nurse obtain to determine if she is homeless?

A. Ask the client directly about her living arrangements.

9. A resident in an assisted living community has experienced an unusual incidentthat did not result in injury. When notifying the family, what action should the practical nurse (PN) implement to provide the best information to the family?

A. Call family as soon as possible after the incident to communicate current and accurate information

17. The healthcare provider prescribes an antibiotic for a male adolescent with an upper respiratory tract infection, who asks the practical nurse (PN) how long the prescribed antibiotics should be taken . What information should the PN provide ?

A. Continue the medication until all of the prescription is taken .

2. The practical nurse (PN) is caring for a 6-year-old who is hospitalized with asthma. Which developmentally correct activity should the PN provide the child ?

A. Crayons and a coloring book.

25. A 19-year-old calls the clinic and tells the practical nurse (PN) that since bringing her newborn infant home, she has felt apathetic, fatigued, and helpless. She states, don't know what's expected of me.What action is most important for the PN to take?

A. Tell the charge nurse to come to the phone and talk with the client.

8. The practical nurse (PN) discusses antihypertensive drug therapy with several clients diagnosed with high blood pressure. To improve client understanding, the PN should emphasize that which medication preserves renal function in a with diabetes ?

B. Captopril (Capoten)

16. A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client has a long history of smoking and still smokes a pack of cigarettes a dayWhich finding should the practical nurse (PN) report to the charge nurse?

B. Crackles and pulse oximetry level of 88%.

19. An older male client who is sedentary complains of not having a formed bowel movement in four days and tells the practical nurse (PN) that he feels rectal pressure and has a constant headache. The PN determines the client is having frequent small, liquid stools. Which nursing action should the PN take first?

B. Digitally assess for impacted stool.

23. The practical nurse (PN) observes the unlicensed assistive personnel (UAP) provide care at an assisted living community What facets of supervision does the PN perform when supervising the UAPs? (Select all that apply)

B. Guidance C. Monitor E. Reinforce

21. The practical nurse (PN) should emphasize the importance of monitoring for which side effect(s) in a client who takes a daily antilipemic agent?

B. Liver dysfunction

12. A male client with a crushing injury of the right lower leg from a tractor accident complains of numbness and tingling is his right leg and foot. The practical nurse (PN) determines the right leg is pale and he has a weak pedal pulse. What action should the PN take?

B. Notify the healthcare provider

11. The practical nurse (PN) should place a client in which position for a thoracentesis?

B. Sitting upright in a tripod position leaning on an overbed table.

20. The practical nurse (PN) determines that a client's nasogastric tube (NGT), which is attached to low intermittent suction , has a decreased amount of drainage in the collection unit. Gastric secretions have pooled in the tubing and do not move with the onset of intermittent suction . Which action should the PN implement ?

C. Assess the placement of the NGT

14. The practical nurse is caring for a client who is admitted with signs of possible acute brain attack (stroke ) three hours ago. The client's blood pressure is 170/96 , regular radial pulse 76 beats/minute , respirations are nonlabored at 11 breaths/minute , and a of 99%What action is most important for the PN to implement ?

C. Continue to monitor client's blood pressure

15. Which first-aid action should the practical nurse implement for a child who has sustained a second-degree therma burn?

C. Immerse the burned area in cold water.

3. A client receiving supplemental oxygen needs to be suctioned to remove excess secretions from the airway. Which intervention should the practical nurse implement to maximize the client's oxygenation?

C. Provide oxygen during rest periods between suctioning.

6. The practical nurse (PN) is irrigating a client's indwelling urinary catheter. After injecting sterile solution as prescribed what action should the PN implement?

C. Unclamp the tubing and lower the collection bag.

7. The practical nurse (PN) receives four new admissions in an assisted living community. After reviewing the clients medical histories, which client should the PN evaluate for a higher caloric diet?

D. A client with bacterial pneumonia.

13. A child who is admitted with acute abdominal pain and possible appendicitisWhich action should the practical nurse (PN) implement for the child's abdominal discomfort?

D. Assist the child to any position of comfort

22. The practical nurse (PN) reports that a client had a severe reaction to a medication that was recently prescribedWhen the healthcare provider tells the PN to continue the medication as prescribed, the PN refuses to give the medication. This nursing action represents which professional behavior by the PN?

A. Ethical advocacy

1. A child who weighs 32 pounds receives a prescription for a moxicillin with clavulanate (Augmentin) 194 mg PO every 8 hours. The recommended dose is 40 mg/kg/day, and the bottle contains 125 mg/5ml. How many mg should the child receive in a 24-hour period? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Rationale: The child's weight in kg (2.2 : 1 kg: 32 pounds X kg = 14.54 kg) is used to calculate the recommended dose (40 mg x 14.54 kg/day = 581.81 = 582 mg). The prescribed dose in 24 hours is 194 mg x 3 doses = 582 mg.