HESI PN EXIT EXAM QUESTIONS AND
ANSWERS 2023 GUIDE
- / 4
1) The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach?
- Injects air into the insulin vial to displace the dose
- Selects the same site that was used for the previous injection
- Inserts the needle at a 90-degree angle to the skin surface
- Uses a circular motion when applying an alcohol pad to the site
Rationale: The PN should reteach the client to rotate the NOON site to a site
other than the same one used for the AM dose. Different sites used throughout the day may provide a varying rate of absorption related to activity. Intra-site rotation is recommended for the dose used during one specific time of the day.The other choices are acceptable techniques for subcutaneous injection of insulin.
- / 4
2) 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?
- Confirm accuracy of the pulse rate obtained by the UAP
- Instruct the UAP to report any abnormal findings
- Remind the UAP to check the clients pulse volume
- Demonstrate the correct pulse site to the UAP (follow the thumb for
the radial pulse, follow the pinky for the brachial)
Rationale: When checking the radial pulse, the index and middle finger should
be aligned with the thumb, for brachial pulse assessment should be aligned with the pinky finger. 3 / 4
3) The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first?
- Repeat the heel stick for glucose in one hour
- Offer nipple feedings of 10% dextrose
- Begin frequent feedings of breast milk or formula
- Assess for signs of hypocalcemia
Rationale: Providing frequent feedings will reduce the infants blood glucose; we wouldn’t want to obtain another heel stick as we want to do less invasive as possible.
- / 4