HESI PN Exit Exam 2024 Quizlet

HESI PN Exit Exam 2024 Quizlet Related

Review HESI PN Exit Exam 2024 Quizlet related questions and content

The PN notes that a UAP is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?

  • A. Instruct the UAP to walk on the client's affected side
  • B. Take over the ambulation and provide guidance to the UAP immediately
  • C. Provide the client with an assistive device, such as a cane or walker
  • D. Tell the UAP to take the client back to his room
Correct Answer: A

Rationale: The correct action for the PN to take is to instruct the UAP to walk on the client's affected side. This is essential to provide the necessary support and prevent falls, especially when the client has weakness on one side due to a stroke. Walking on the affected side helps provide stability and assistance to the weaker side. Choice B is incorrect because it would be more appropriate for the PN to provide immediate guidance and correct the UAP's positioning rather than taking over the task completely. Choice C is incorrect because while assistive devices may be beneficial, the immediate concern is the UAP's positioning during ambulation, not providing the client with an assistive device. Choice D is incorrect as there is no indication to return the client to his room unless it is necessary for his safety or well-being.

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Which hormone is primarily responsible for the regulation of calcium and phosphate in the blood?

  • A. Parathyroid hormone
  • B. Insulin
  • C. Cortisol
  • D. Thyroxine
Correct Answer: A

Rationale: Parathyroid hormone is the correct answer. It regulates calcium and phosphate levels in the blood by increasing calcium reabsorption in the kidneys and releasing calcium from bones. Insulin is involved in glucose metabolism, not calcium and phosphate regulation. Cortisol is a stress hormone and is not primarily responsible for regulating calcium and phosphate levels. Thyroxine is a thyroid hormone that primarily regulates metabolism, not calcium and phosphate in the blood.

A client with a recent total knee replacement is scheduled for physical therapy. The client refuses to participate, stating that the pain is too intense. What should the nurse do first?

  • A. Administer the prescribed analgesic and encourage participation after it takes effect.
  • B. Reschedule the physical therapy session for later in the day.
  • C. Explain the importance of physical therapy for recovery.
  • D. Notify the physical therapist of the client's refusal.
Correct Answer: A

Rationale: Administering pain medication before physical therapy helps manage the pain, making it easier for the client to participate in the necessary exercises to improve recovery and prevent complications such as joint stiffness. Choice B is not the first step as addressing the pain should take precedence. Choice C is important but should come after managing the pain to facilitate participation. Choice D involves another healthcare provider and is not the immediate action needed in this situation.

The nurse and UAP enter a client's room and find the client lying on the bed. The nurse determines that the client is unresponsive. Which instruction should the nurse give the UAP first?

  • A. Obtain emergency help
  • B. Feel for a carotid pulse
  • C. Bring a glucometer to the room
  • D. Check the blood pressure
Correct Answer: A

Rationale: The correct answer is to instruct the UAP to obtain emergency help first. In a situation where a client is unresponsive, the priority is to ensure that help is summoned promptly. This allows for the availability of necessary resources and assistance for resuscitation or other emergency interventions. Feeling for a carotid pulse or checking the blood pressure can be important assessments but are secondary to obtaining immediate help. Bringing a glucometer to the room, while relevant in certain situations, is not the priority when the client's unresponsiveness indicates a need for urgent intervention.

What disorder closely matches Suzy's symptoms?

  • A. Antisocial personality disorder
  • B. Borderline personality disorder
  • C. Schizoid personality disorder
  • D. Dissociative Identity Disorder
Correct Answer: B

Rationale: Suzy's symptoms are characteristic of Borderline Personality Disorder (BPD). BPD includes instability in relationships, self-image, and emotions, as well as impulsivity and self-harm. Choice A, Antisocial personality disorder, is characterized by a disregard for others' rights and lack of empathy, which does not align with Suzy's symptoms. Schizoid personality disorder, choice C, is characterized by a lack of interest in social relationships, which is not a prominent feature in Suzy's case. Dissociative Identity Disorder, choice D, involves the presence of two or more distinct identities or personality states, which is not reflected in Suzy's symptoms.

Which is the most important safety measure when administering a medication through a patient's central venous catheter (CVC)?

  • A. Using a sterile technique
  • B. Ensuring correct placement of the CVC
  • C. Flushing the CVC with saline after administration
  • D. Monitoring for signs of infection
Correct Answer: B

Rationale: The most important safety measure when administering a medication through a patient's central venous catheter (CVC) is ensuring the correct placement of the CVC. This is crucial to prevent complications such as extravasation, infection, or improper drug delivery. While using a sterile technique, flushing the CVC with saline after administration, and monitoring for signs of infection are all important aspects of CVC care, ensuring the correct placement of the catheter takes precedence as it directly impacts patient safety during medication administration.

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