HESI exit exam version 1

The practical nurse (PN) performs a random blood glucose test
for a client with a history of hypoglycemia and complains of
dizziness. After test completion, which action should the PN
perform first?

Remove gloves and wash hands.
Document results and actions in the medical record.
Rationale
Disposal of the lancet and test strip (C) prevents the transmission of bloodborne
pathogens and is the priority. (A, B, and D) should follow, implementing sharps
precautions.
Regarding client confidentiality, what information represents
the correct understanding by the practical nurse of the
guidelines set forth by HIPAA (Health Insurance Portability and
Accountability Act)?

Which action should the practical nurse (PN) implement to
provide a sense of control to a toddler who is hospitalized?
Dispose of lancet and test strip in proper receptacle.
Discuss the test results with the client.
Only clients can pick up their prescriptions at a pharmacy.
Past medical records for clients should be stored in a secured place.
Computers that access client information cannot be in the public part
of a nursing station.
Whiteboards with a list of client names are prohibited in areas that the
public can see.
Put a cover over the child's crib.

Which interventions should the practical nurse (PN) implement
in the postoperative period for a client who had surgery for
cancer of the oral cavity? (Select all that apply.)
Select all that apply
.
Ask parents to stay with the child.
Assign the same nurses to care for the child.
Follow the child's usual routines for feeding and bedtime.
Provide meticulous oral hygiene.
Advise the client to avoid straining at stool.
Obtain daily weights to determine need for NGT feedings.
Observe for temporary or permanent loss of taste.
Monitor for gastric indigestion.
Which intervention is most important for the practical nurse to
implement when suctioning the nasopharyngeal airways for a
child after cardiac surgery?

A female client with terminal cancer is tearful and is becoming
increasingly withdrawn from her family and the nursing staff.
She refuses medications, treatments, food, and frequently says,
"Why is God doing this to me?" Which intervention should the
practical nurse implement?
Perform oropharyngeal suctioning PRN.
Suction for no longer than 5 seconds at a time.
Assess for symptoms of respiratory distress during suctioning.
Administer supplemental oxygen before and after suctioning.
Monitor for an increased suicide risk.
Implement measures to reduce her pain level.
Contact her religious advisor to help her face death.
.
Which pathophysiological findings are characteristic in children
with cystic fibrosis (CF)? (Select all that apply.)
Select all that apply