Description

HESI NP121 PN FUNDAMENTALS.

Question 1

When a client with diarrhea becomes diaphoretic, the practical nurse (PN) measures the client’s vital signs and finds that the client is febrile with a rapid pulse and respiratory rate and a slightly decreased blood pressure. Which additional assessment finding is this client likely to exhibit? HESI NP121 PN FUNDAMENTALS

• A. Poor skin turgor

• B. Polyuria

• C. Bounding pulse

• D. Peripheral edema

Question 2

A small, round raised area appears under the client’s skin as the practical nurse (PN) administers an intradermal medication. Which action should the PN take?

• A. Document the site where the medication was given

• B. Elevate the area and apply light pressure over the site

• C. Notify the healthcare provider of the allergic response

• D. Apply a cold pack to the area for twenty minutes

Question 4

The practical nurse (PN) is changing the abdominal dressing of a client who was discharged home following a colon resection. Which information should the PN report to the healthcare provider?

• A. The wound edges are approximated and the skin edges are dry and without inflammation

• B. The client reports the wound care is painful and would like a prescription for an analgesic

• C. The client’s spouse is interested in learning about foods that will promote wound healing  HESI NP121 PN FUNDAMENTALS

• D. After the dressing change, the client insists on changing the gown and cleansing their hands

Question 5

The practical nurse (PN) is preparing medications for administration on a busy unit. Which situation places the client at the greatest risk for a medication error?  HESI NP121 PN FUNDAMENTALS

• A. Failure to administer all the medications

• B. Clients refusing to take medications

• C. Untimely access to a pharmacist

• D. Distractions during medication preparation

Question 6

The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that a resident of the long-term care facility being treated for Clostridium difficile infection is incontinent of stool. When passing by the client’s room, the PN observes the UAP removing soiled gloves outside of the room. Which action should the PN take?

• A. Clarify contact precaution guidelines

• B. Discuss aseptic technique guidelines for client care

• C. Demonstrate protective transmission precautions  HESI NP121 PN FUNDAMENTALS

• D. Recommend using a non-alcohol foam for cleaning