HESI PN EXIT EXAM V3 LATEST
VERSION 2022-2024 ALL 110
QUESTIONS AND VERIFIED
ANSWERS PLUS RATIONALES/PN
HESI EXIT EXAM V3
- An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to
the emergency department (ED) with full thickness burns to all surfaces of both lower
extremities. What percentage of body surface area should the nurse document in the
electronic medical record (EMR)?
9 %
18 %
36 %
45 %
Rational: according to the rule of nines, the anterior and posterior surfaces of one
lower extremity is designated as 18 %of total body surface area (TBSA), so both
extremities equals 36% TBSA, other options are incorrect. - A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates that
the medication is having the desired effect?
Decrease in serum T4 levels
Increase in blood pressure
Decrease in pulse rate
Goiter no longer palpable - An older male client with type 2 diabetes mellitus reports that has experiences legs pain
when walking short distances, and that the pain is relieved by rest. Which client behavior
indicates an understanding of healthcare teaching to promote more effective arterial
circulation?
Consistently applies TED hose before getting dressed in the morning.
Frequently elevated legs thorough the day.
Inspect the leg frequently for any irritation or skin breakdown
Completely stop cigarette/ cigar smoking.
Rationale: Stopping cigarette smoking helps to decrease vasoconstriction and
improve arterial circulation to the extremity.
- A community health nurse is concerned about the spread of communicable diseases among
migrant farm workers in a rural community. What action should the nurse take to promote the
success of a healthcare program designed to address this problem?
Establish trust with community leaders and respect cultural and family
values - The nurse performs a prescribed neurological check at the beginning of the shift on a client
who was admitted to the hospital with a subarachnoid brain attack (stroke). The client’s
Glasgow Coma Scale (GCS) score is 9. What information is most important for the nurse to
determine?
The client’s previous GCS score
When the client’s stroke symptoms started
If the client is oriented to time
The client’s blood pressure and respiration rate
Rationale: The normal GCS is 15, and it is most important for the nurse to
determine if it abnormal score a sign of improvement or a deterioration in the
client’s condition - The charge nurse in a critical care unit is reviewing clients’ conditions to determine who is
stable enough to be transferred. Which client status report indicates readiness for transfer
from the critical care unit to a medical unit?
Chronic liver failure with a hemoglobin of 10.1 and slight bilirubin elevation - Based on principles of asepsis, the nurse should consider which circumstance to be sterile?
One inch- border around the edge of the sterile field set up in the operating room
A wrapped unopened, sterile 4×4 gauze placed on a damp table top.
An open sterile Foley catheter kit set up on a table at the nurse waist level
Sterile syringe is placed on sterile area as the nurse riches over the sterile field.
Rationale: A sterile package at or above the waist level is considered sterile. The
edge of sterile field is contaminated which include a 1-inch border (A). A sterile
objects become contaminated by capillary action when sterile objects become in
contact with a wet contaminated surface. - An unlicensed assistive personnel (UAP) reports that a client’s right hand and fingers spasms
when taking the blood pressure using the same arm. After confirming the presence of spams
what action should the nurse take?
Ask the UAP to take the blood pressure in the other arm
pg. 1
PN HESI EXIT V1 & V2 LATEST 2022-2023
EXAM/ HESI PN V1 & V2 LATEST EXAM
221 REAL EXAM QUESTIONS AND
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pg. 2
- The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client to
best tolerate the ambulation? - Provide the client with a walker.
- Remove the telemetry equipment.
- Encourage the client to cough and deep breathe.
- Premedicate the client with an analgesic before ambulating.
- A client is wearing a continuous cardiac monitor, which begins to alarm
at the nurse’s station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
a. Call a code blue.
b. Call the health care provider.
c. Check the client status and lead placement.
d. Press the recorder button on the ECG console. - 3) The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
and lung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which
interventions to be prescribed? Select all that apply.
a. Administering oxygen
b. Inserting a Foley catheter
c. Administering furosemide (Lasix)
d. Administering morphine sulfate intravenously
e. Transporting the client to the coronary care unit
f. Placing the client in a low-Fowler’s side-lying position - The nurse is monitoring a client following cardioversion.
Which observations should be of highest priority to the nurse?
a. Blood pressure
b. Status of airway
c. Oxygen flow rate
d. Level of consciousness - The nurse is assisting in caring for the client immediately
after insertion of a permanent demand pacemaker via the right
pg. 3
subclavian vein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
a. Limiting movement and abduction of the left arm
b. Limiting movement and abduction of the right arm
c. Assisting the client to get out of bed and ambulate with a
walker 4. Having the physical therapist do active range of
motion to the right arm
- A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The LPN/LVN understands that a life-threatening
complication of this condition is which?
a. Pneumonia
b. Pulmonary edema
c. Pulmonary embolism
d. Myocardial infarction - A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client
for which next?
a. Smoking history
b. Recent exposure to allergens
c. History of recent insect bites
d. Familial tendency toward peripheral vascular disease - The nurse has reinforced instructions to the client with
Raynaud’s disease about self-management of the disease
process. The nurse determines that the client needs further
teaching if the client states which?
a. “Smoking cessation is very important.”
b. “Moving to a warmer climate should help.”
c. “Sources of caffeine should be eliminated from the diet.” - “Taking nifedipine (Procardia) as prescribed will
decrease vessel spasm.” - A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pinktinged sputum. The nurse listens to breath sounds, expecting to
hear which breath sounds bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 4
d. Diminished breath sounds
- The LPN/LVN is collecting data on a client with a diagnosis ofright
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation - The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing
an aortoiliac bypass graft. The affected leg is warm, andthe nurse
notes redness and edema. The pedal pulse is palpable and
unchanged from admission. The nurse interprets that the
neurovascular status is which?
a. Moderately impaired, and the surgeon should be called
b. Normal, caused by increased blood flow through the leg
c. Slightly deteriorating, and should be monitored for another
hour
d. Adequate from an arterial approach, but venous
complications are arising - A client with a diagnosis of rapid rate atrial fibrillation asks thenurse
why the health care provider is going to perform carotid massage.
The LPN/LVN responds that this procedure may stimulate which?
a. Vagus nerve to slow the heart rate
b. Vagus nerve to increase the heart rate
c. Diaphragmatic nerve to slow the heart rate
d. Diaphragmatic nerve to increase the heart rate - A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection?
a. Viral infection
b. Yeast infection
c. Streptococcal infection
d. Staphylococcal infection - A client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client’s toes are mottled,
HESI PN EXIT EXAM LATEST 2022-2024
ALL 180 REAL EXAM QUESTIONS &
ANSWERS|AGRADE
A client’s cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV
dose of atropine is given per protocol. Which finding should the practical nurse
(PN) identify as a therapeutic response?
(ANS – An increase in heart rate.
A client is admitted with a tumor of the hypothalamus. Which finding should the
practical nurse (PN) report to the charge nurse?
(ANS – An oral temperature of 101.8° F.
The practical nurse (PN) is reinforcing instructions to a client who is scheduled for
a bone marrow aspiration. The PN should prepare the client for the procedure at
which site?
(ANS – The posterior iliac crest.
Which discharge instructions should the practical nurse (PN) reinforce with a client
who has acute cholecystitis?
(ANS – Consume a low-fat diet in smaller, more frequent meals.
A client with bipolar disorder is being treated with cognitive therapy. Which
actions should the practical nurse (PN) implement to reenforce this treatment
strategy? Select all that apply.
(ANS –
B. Use affirmations and limit setting.
D. Report client’s suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
A male client draws back when the practical nurse (PN) reaches over the side rails
to take his blood pressure. To promote effective communication, what should the
PN do?
(ANS – Apologize for startling the client and explain the need for contact.
A client with delirium is confused and disoriented to time and place. He states he is
experiencing visual illusions and tactile hallucinations. What actions in the plan of
care should the practical nurse (PN) implement? Select all that apply. (ANS –
C. Give simple explanations about nursing care to be given.
D. Remove unnecessary furniture and equipment from the room.
F. Identify oneself each time the client is approached.
Following a client’s bladder surgery, the practical nurse (PN) notes that the ureteral
catheter is no longer draining urine. What action should the PN implement?
(ANS – A. Notify the healthcare provider immediately.
A male client is being discharged after starting a new prescription of olanzapine
(Zyprexa) for paranoid schizophrenia. Which discharge instructions should the
practical nurse (PN) reinforce with the client? (ANS – B. Avoid the use of
antihistamines and alcohol.
In which position should the practical nurse (PN) place a client after the client has
a liver biopsy?
(ANS – D. Right-side lying.
The practical nurse is discussing glucose balance with a client who is newly
diagnosed with type 2 diabetes mellitus. Which physiological process supports the
movement of glucose into the cells?
(ANS – C. Insulin is needed to carry glucose into cells.
A mother who is a single parent of three children comes into the well-child clinic
and tells the nurse that she needs to start prenatal visits because she unexpectantly
is pregnant. To determine how well the client is coping with the pregnancy, which
information should the practical nurse obtain?
(ANS – C. The client’s support person during this pregnancy.
Which action should the practical nurse (PN) implement to improve delivery of
care by an unlicensed assistive personnel (UAP) who is providing less than optimal
hygienic care to older adult clients?
(ANS – C. Demonstrate to the UAP how to give a gentle bath to a client.
The practical nurse (PN) explains details of drawing up a dosage of insulin and
uses an insulin syringe and vial to show a client how to manipulate the equipment
while withdrawing the solution. To evaluate the client’s understanding, what action
should the PN implement next?
HESI PN EXIT Exam Questions And Answers Best Rated A
- a male client admitted the morning of his scheduled surgery tells the PN that he drank
water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken - A client receives ondansetron prior to chemotherapy treatment. How should the PN
evaluate this medication?
Monitor the client for nausea or vomiting following the treatment - The PN is caring for an older adult client who is confused and spends…factor contributes
to an increased risk for impaired skin integrity for this client?
Has increasing episodes of urinary incontinence - The pn determines that a client with cirrhosis is experiencing peripheral… take?
Protect the clients feet from injury - A client is admitted to the postoperative surgical unit after a left lobectomy with two
chest tubes….. observes the water-sealed chambers, set and prescribed suction of 20cm
water.. what action should the PN implement?
Maintain system integrity and to promote lung re-expansion - Photo of chest and locating apical HR
Just below the left nipple - At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What action
should the PN take next?
Note the most recent white blood count - Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
his pain…what action should the PN implement first?
Implement complementary pain relief methods
- A male client has been diagnosed with schizophrenia is withdrawn, isolates himself
in….with one or two word responses. The morning the PN observes that he…Which
intervention is most important for the PN to implement?
Measure appropriate vital signs - The PN is assisting a female client to obtain a voided specimen for uri…meatus. Which
intervention is performed next?
Initiate the urine stream? - An 8-year old is placed in 90-90 traction for a fractured femur that resulted from…further
action by the PN?
Weights are touching the foot of the bed - The PN is reviewing diet instructions with a female client who has hyper…she has
increased her intakes of protein and calories. What action should the PN take?
Encourage the client to continue the dietary changes she has made - A mother brings her 5-year old child to the clinic for school physical examinations.
Which assessment… PN that intergenerational violence may be occurring in the home?-
The 6-year old son hits his younger sister during the interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs - A client has a prescription to discontinue intravenous therapy when the liter that is
infusing at 150 mL per hour is…1200 the PN notes that there are 750 ml of solution
remaining. At what time should the nurse expect to discontinue the intravenous therapy?
1700 - The PN is caring for a client who had a total laryngectomy, left radical neck dissection…
client is receiving nasogastric tube feedings via an internal pump. today the rate of the
feeding was increased…ml/hr. What parameter should the PN use to evaluate the clients
tolerate to the rate of the feeding?
Gastric residual volumes - A new mother is breastfeeding her newborn for the first time after delivery and complains
of nipple pain…Based on the client complaint, what action should the PN take?
Ensure that all the areolar tissue of the nipple is in the infants’ mouth. - Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client?
Deltoid - Before inserting medication into a client’s vagina, what instructions should the pn…
urinate until bladder is empty - An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which
information is best for the PN to provide?
A history of untreated gonorrhea can lead to PID - A new mother is bottle feeding instead of breastfeeding her newborn, The PN…most
effectively deal with breast engorgement and discomfort?
Wear a supportive bra at all times - A young adult male tells the PN he has declared to change his hours at work so that he
can…his community. Which stage of Maslow’s development is this young adult
attempting to achieve?
Self-actualization
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LOMOARCPSD|19500986
HESI PN MEDICAL SURGICAL 2023/MEDICAL
SURGICAL HESI EXIT 2023 TEST BANK REAL EXAMQUESTIONS AND CORRECT ANSWERS with
RATIONALES|AGRADE(BRAND NEW !!!)
Question 1
The nurse is providing care for a patient who is unhappy with the health care provider’s care.
The patient signs the Against Medical Advice (AMA) form and leaves the hospital against
medical advice. What should the nurse include in the documentation of this event in the
patient’s medical record or on the AMA form?
- Documentation that the patient was informed that he or she cannot come back to
the hospital - Documentation that the patient was informed that he or she was leaving against
medical advice - Documentation that the risks of leaving against medical advice were explained to
the patient - Documentation of any discharge instructions given to the patient
- Documentation indicating an incident report has been
completed Correct Answer: 2,3,4
Rationale 1: It should be clearly documented that the patient was advised and understands
that he or she can come back.
Rationale 2: It should be clearly documented in the patient’s record and on the AMA form
that the patient was advised that he or she was leaving against medical advice.
Rationale 3: It should be clearly documented that the patient understands the risks of leaving
against medical advice.
Rationale 4: The AMA form includes the name of the person accompanying the patient and
any discharge instructions given.
Rationale 5: Facility policy may require that an incident report be completed, but it must not
be referenced in the chart. The patient’s record is a legal document, so the nurse should never
document that he or she filed an incident report.
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Question 2
Page 1 of 103
lOMoAR cPSD|19500986
A nurse documents this statement in a patient’s medical record: “2/25/–, 2235. At 2015
patient awoke suddenly and complained ofshortness of air. Pulse oximetry reading was 82%
on room air and audible wheezes could be heard.” This documentation meets which
documentation guidelines?
Page 2 of 103
2
lOMoAR cPSD|19500986
- Documentation is timely
- Documentation is concise
- Documentation is objective
- Documentation includes date and time of entry
- Documentation is complete and accurate
Correct Answer: 2,3,4,5
Rationale 1: The nurse should document as soon as possible after an observation is made or
care is provided. The entry was made in the patient’s medical record at least 2 hours after the
patient complaint and should be labeled late entry.
Rationale 2: This entry describes the situation fully but is concise.
Rationale 3: The nurse describes factual events that can be seen, heard, smelled, or touched.
It is important to be objective and avoid vague statements that are subjective.
Rationale 4: Both the date and the time of the entry are documented.
Rationale 5: The nurse should document only facts: what he or she can see, hear, and do.
Question 3
A nurse documents the following in a patient’s medical record: “2/1/ , 1500. Patient appears
weak and faint. Patient’s skin is moist and cool, vomited bright red blood with clots. Health
care provider notified and order received to give 2 u of packed red blood cells if stat Hgb is <
8.0. Pain medication will be given.” This documentation meets which documentation
principle? - Document objectively.
- Do not document procedures in advance.
- Use approved abbreviations.
- Document changes in patient condition.
Correct Answer: 4
Rationale 1: Documentation should be objective and avoid vague statements that are
subjective. Only factual occurrences that can be seen, heard, smelled, or touched should be
described. The use of the word “appears” is subjective and could be manipulated later should
the treatment or judgment be challenged.
Rationale 2: The nurse has documented that pain medication will be given. This is
documenting in advance.
Page 3 of 103
2)
HESI PN PHARMACOLOGY LATEST
2022-2023 EXAM 160 QUESTIONS AND
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A mother brings her 18-month-old child to the clinic because the child
has had “bad diarrhea” for the last 3 days. She states, “I bought some of
this liquid at the pharmacy and gave my daughter a half-ounce.” The
practical nurse (PN) sees that the bottle contains loperamide (Imodium
AD). What intervention is most important for the PN to implement
initially? – ANSWER- Ask the mother when the child last voided.
A client who received a prescription for cyclosporine ophthalmic
emulsion (Restasis) for dry eyes asks the practical nurse (PN) if it is safe
to continue using artificial tears. What information should the PN
provide? – ANSWER- Allow a 15-minute interval between the
administration of Restasis and artificial tears.
The health care provider prescribes morphine sulfate grain 1/8 IM stat.
Morphine is available in 8 mg/mL. How many milliliters should the
practical nurse (PN) administer? – ANSWER- 1 mL
A 74-year-old female client asks the practical nurse (PN) if she should
get a flu shot. Which response should the PN provide? – ANSWER-
“Yes. Normal aging decreases your immunity, making you more
susceptible to contagious diseases such as the flu.”
A 78-year-old client with congestive heart failure (CHF) receives the
cardiac glycoside digoxin (Lanoxin) 0.25 mg PO daily. Which
observation by the nurse indicates that the medication has been
effective? – ANSWER- Clear breath sounds bilaterally.
The healthcare provider orders 1000 mL of 0.5% normal saline to run
over 8 hours. The drop factor is 15 gtt/mL. The nurse plans to adjust the
flow rate to how many gtt/min? (Round to the nearest whole number.) –
ANSWER- 31
A client asks the practical nurse (PN) if glipizide (Glucotrol) is an oral
insulin. What answer should the PN provide? – ANSWER- “No, it is not
an oral insulin and can be used only when some beta cell function is
present.”
A female client who started taking an oral sulfonamide for a urinary
tract infection the previous day reports to the nurse that the medication is
causing slight anorexia. She also states that she continues to experience
urinary frequency, so she takes the medication with a small sip of
cranberry juice and limits her fluid intake. What information should the
practical nurse provide – ANSWER- Drink a full glass of water with the
medication and drink additional fluids throughout the day
A health care provider prescribes cefadroxil (Duricef) for a client with a
postoperative infection. It is most important for the practical nurse (PN)
to consider that a cross allergy is possible with what drug allergy? –
ANSWER- Penicillins
A client is receiving the antipsychotic medication haloperidol (Haldol).
In evaluating the effectiveness of this medication, which action provides
the practical nurse with the most reliable information? – ANSWERObserve the client for changes in behavior weekly.
A client is receiving benztropine (Cogentin) and olanzapine (Seroquel)
to control psychotic behavior. When reinforcing teaching to the client
and/or significant others about these medications, what should the
practical nurse (PN) explain about the use of benztropine (Cogentin)? –
ANSWER- The benztropine (Cogentin) is used to control
extrapyramidal symptoms.
Which question should the practical nurse (PN) ask an older client
before beginning treatment with gentamicin sulfate (Garamycin)? –
ANSWER- Are you hard of hearing?”
Oral metronidazole (Flagyl) is prescribed for a client diagnosed with
vaginal trichomoniasis, a protozoan infection. What precautions should
the practical nurse (PN) instruct the client to follow while taking this
medication? – ANSWER- Avoid ingesting any alcoholic (ethanol)
beverage.
Which finding indicates that the desired effect of phenazopyridine
(Pyridium), used in the management of urinary tract infections (UTIs),
has been achieved? – ANSWER- Client denies pain when voiding.
The practical nurse (PN) is evaluating a client in the immediate
postoperative period who is receiving morphine via a patient-controlled
analgesia (PCA) pump. What finding should the PN consider the highest
priority in this client? – ANSWER- The rate and depth of the client’s
respirations
The nurse prepares to administer ophthalmic drops to a client before
cataract surgery. List the steps in the order they should be implemented
from first step to final step. – ANSWER- Wash hands and apply clean
gloves.
Place the dominant hand on the client’s forehead.
Drop prescribed number of drops into the conjunctival sac.
Ask the client to close the eye gently.
Which change in data indicates to the practical nurse (PN) that the
desired effect of the angiotensin II receptor antagonist losartan (Cozaar)
is achieved? – ANSWER- Blood pressure reduced from 160/90 to
130/80 mmm Hg
A client with angina pectoris is instructed to take sublingual
nitroglycerin tablets PRN for chest pain. Which information should the
HESI PN EXIT EXAM LATEST 2022-
2023/PN HESI EXIT COMPLETE EXAM
REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
1) The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery of an
8 pound 10 ounce infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
Correct Answer: A. Administer Prescribed stool softener
2) The LPN/LVN is palpating the right upper hypochondriac region of
the abdomen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
Correct Answer: C. Liver
3) A client comes to the antepartal clinic and tells the LPN/LVN that
she is 6 weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Correct Answer: B. Amenorrhea
4) A client’s daughter phones the charge nurse to report that the night
LPN/ LVN did not provide good care for her mother. What response
should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit’s nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
Correct Answer: A. Ask for a description of what happened during the
night
5) A hosptitalized toddler who is recovering from a sickle cell crisis
holds a toy and say’s “mine”. According to Erikson’s theory of
psychosocial development, this child’s behavior is a demonstration of
which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: A. Autonomy vs. Shame and doubt.
6) Which action should the LPN/LVN implement in caring
for a client following an electroencephalogram (EEG)?
A. Monitor the client’s vital signs q4h
B. Assess for sensation in the client’s lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client’s hair and scalp
Correct Answer: D. Wash any paste from the client’s hair and scalp
7) The LPN/LVN is caring for a 75- year-old male client who is beginning
to form a decubitus ulcer at the coccyx. Which intervention will be most
helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
Correct Answer: A. Encourage the client to eat foods high in protein
8) What is the homeostatic cellular transport mechanism that
moves water from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
Correct Answer: C. Osmosis
9) The LPN/LVN is taking blood pressure of a client admitted with a
possible myocardial infarction. When taking the client’s BP at the
brachial artery, the nurse should place the client’s arm in which
position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
Correct Answer: B. At the level of the heart
10)What are the final parameters that produce blood pressure?
(select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
Correct Answer:
A. Heart rate
B. Stroke volume
C. Peripheral resistance
11)A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the LPN/LVN
to include in this client’s plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
Correct Answer: B. Mood
12)Based on the documentation in the medical record, which
action should the LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant’s blood type result
D. Administer Vicodin one tablet for pain
Correct Answer: Give the rubella vaccine subcutaneously
13)A client is admitted to the hospital with a diagnosis of
Pneumonia. Which intervention should the LPN/LVN implement
to prevent complications associated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
Correct Answer: Enourage mobilization and ambulation
14)The practical nurse is preparing to administer a prescription for
cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is
labeled, “Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution,”For IM use add 2ml sterile water for injection. Total
volume after reconstruction =
2.5 ml.”when reconstituded, how many milligrams are in each mil of
solutions (Enter numeric value only)