HESI PN Exit 2024 Exam New Latest Version Exam Best Studying Material All Questions and 100% Correct Answers

HESI PN Exit 2024 Exam New Latest Version Exam Best Studying Material All Questions and 100% Correct Answers

HESI PN Exit 2024 Exam New Latest Version Exam
Best Studying Material All Questions and 100%
Correct Answers
The practical nurse (PN) ia changing the abdominal dressing of a male client who was
discharged home
following a colon resection which information should the PN report to the health care
provider ——— Correct Answer ———- The client reports the wound care is painful and
would like a prescription for an analgesic
When obtaining a capillary blood sample for glucose measure which intervention should
the practical
nurse (PN) implement ——— Correct Answer ———- Determine what finger was used
previously
A practical nurse who is a member of the continued quality improvement committee of
an extended care facility
identifies that there has been an increase incidence of urinary infection (UTI) over the
last six months period which
intervention should the PN implement on decrease catheter ——— Correct Answer —–
—– Evaluate the UAP techniques for catheter care
in caring for a client following a below the knee amputation which task best for the
practical nurse (PN) to assign the
unlicensed assistive personal (UAP) who is assisting with the care of this client ———
Correct Answer ———- empty and measure the drainage in the suction device
A client diagnosed with cdiff which action should the practical nurse (Pn) implement to
prevent the
spread of the organism? ——— Correct Answer ———- • Hand washing

• Don non sterile gloves when performing direct care
  A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
  interventions should the nurse expect to implement to establish hydration in the
  immediate postoperative period?
  A. Diaper weights and urine specific gravity
  B. Gastronomy feedings in supine position
  C. Nipple feedings with glucose water
  D. Gavage feedings with 15mL of formula ——— Correct Answer ———- C. Nipple
  feedings with glucose water
  Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the nurse. After
  withdrawing 5 mL of fluid from the balloon, the nurse begins to withdraw the catheter

while the client is in a Semi-Fowler’s position. However, the nurse meets resistance and
the clients voices discomfort. What action should the nurse take next?
A. Attempt to withdraw additional fluid from the balloon
B. Assist the client in taking a series of deep breaths
C. Lower the head of the client’s bed so the client is supine
D. Allow the client to rest before continuing to remove the catheter ——— Correct
Answer ———- B. Assist the client in taking a series of deep breaths
The home health nurse observes an elderly male client attempt to open a child- proof
medication container. When he is unsuccessful in opening the container, he throws it
across the room and curses loudly. What action should the nurse implement?
A. Transfer the medications to another bottle that is easier to open
B. Leave the client’s home immediately and plan to return later
C. Ignore the outburst and demonstrate how to open the bottle
D. Describe other types of medication containers that are available ——— Correct
Answer ———- D. Describe other types of medication containers that are available
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client’s care effectively, what should the nurse administer?
A. Orange juice
B. Glucagon
C. 10 units of regular insulin
D. IV of 5% glucose in water at 100 mL/hr ——— Correct Answer ———- A. Orange
juice
A LPN/LVN is caring for a client with Multiple Sclerosis (MS) who is receiving an
immunsupressant. Which action is most important for the nurse to implement to
evaluate for adverse effects from this particular medication?
A. Observe the client’s skin for bruising
B. Auscultate the client’s bowel sounds
C. Monitor the clients intake and output
D. Note changes in the client’s weight ——— Correct Answer ———- D. Note changes
in the client’s weight
A male client with Hypercholesterolemia is being discharged with a new prescription for
simvastatin (Zocor). The client tells the nurse that he understands it is important to have
liver tests performed periodically. How should the nurse respond?
A. Instruct the client that the only regular testing needed is to monitor his cholesterol
level
B. Teach the client that liver test are usually only done if the client reports symptoms
C. Review with the client that renal function tests are needed, rather than liver tests
D. Confirm that the client correctly understands the need to monitor liver function
regularly ——— Correct Answer ———- D. Confirm that the client correctly
understands the need to monitor liver function regularly

An obese female client with a high serum cholesterol level comes to the clinic for a
follow-up evaluation. She tells the nurse that she is now walking 30 minutes three times
per week and is eating a carbohydrate free, high protein diet in order to lose weight.
What response is best for the nurse to provide?
A. Explain to the client that her diet choice is not helpful in lowering cholesterol levels
B. Discuss the importance of maintaining a target heart rate during each exercise period
C. Teach the client additional ways to lower cholesterol, including stress management
D. Praise the client for her exercise and dieting efforts and encourage her to continue
with this program ——— Correct Answer ———- A. Explain to the client that her diet
choice is not helpful in lowering cholesterol levels
A child with Chronic Asthma is scheduled for Chest Physiotherapy. When should the
nurse administer the meter-dosed inhaler (MDI) puff of bronchodilator relative to
postural drainage treatments?
A. Before postural drainage
B. During postural drainage
C. After postural drainage
D. Between treatments ——— Correct Answer ———- C. After postural drainage
A client has a prescription for lorazepam (ativan) 1 mg for anxiety. The medication is
supplied as 0.5mg tablets. How many tablets should the client take? (enter numeric
value only. ——— Correct Answer ———- 2
The LPN/LVN is caring for a middle-aged client who had a Myocardial infarction (MI) 3
days ago. Which finding is most important for the nurse to report?
A. Frothy red-tinged sputum
B. Irregular heart rate
C. Two pound weight gain
D. Dependent edema ——— Correct Answer ———- B. Irregular heart rate
A client is diagnosed with Clostridium Difficile (CDIFF). What action should the nurse
implement to prevent the spread of the organism?
A. Place a surgical mask on the client during transport
B. Don non-sterile gloves when performing direct care
C. Wear a particular respirator mask when in the room
D. Keep the door closed to the client’s room at all times ——— Correct Answer ———-
B. Don non-sterile gloves when performing direct care
A 67-year-old woman who lives alone tripped on a rug in her home and fractured her
right hip. The nurse knows that which predisposing factor contributes to the occurrence
of hip fractures among elderly women.
A. Urinary retention resulting in renal calculi formation
B. Failing eyesight resulting in an unsafe environment
C. Osteoporosis resulting from hormonal changes
D. Transient ischemic attacks (TIAs) which impair mental activity ——— Correct Answer
———- C. Osteoporosis resulting from hormonal changes

A client who had orthopedic surgery 2 days ago complains of difficulty sleeping which
initial intervention
is best foe the practical nurse (PN) to implement ——— Correct Answer ———-
Reposition the client and provide a back rub
The practical nurse (PN) is planning evening shift rounds for a group of postoperative
client who all had
surgery earlier that day which client should the PN check first ——— Correct Answer —
——- A preschooler who had an emergency appendectomy for appendicitis
The practical nurse (PN) plans to distraction technique while client undergoes a brief
painful procedure
which action should the PN implement during the procedure ——— Correct Answer —–
—– Encourage the client to reminisce about a favorite past family event
Which interventions is within the scope of practice for a practical nurse (PN) ———
Correct Answer ———- Demonstrating deep breathing and coughing to be a post
operative client
The practical nurse (PN) determines that a clients pupils constrict as they change focus
from a far object
to a near object how should the PN document this finding ——— Correct Answer ——–
— Pupils reactive to accommodation
The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for
a tension
headache which action would you take? ——— Correct Answer ———- Explain that
medication can only be provided to client
The practical nurse (PN) explains to a client how to clean a sputum and client indicates
understanding
the procedure after the PN leaves the room the client obtain the sputum and notifies the
PN when the
PN arrives to collect the sputum it appears as seen in the picture. What action should
the PN take? ——— Correct Answer ———- The PN should teach the client how to
obtain a sputum specimen and the client does not
correctly collect the specimen the PN should assist the client is obtaining another
specimen
cough directly into a sterile cup
The practical nurse (PN) ask the UAP for feedback about assigned client instead the
UAP walks away
from the PN ignoring the question what action is best for the PN to take ——— Correct
Answer ———- In a private setting ask the other nurses for feedback about UAP
behaviors
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An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral pneumonia the client
has a living will and the family is requesting hospice care which information should the practical nurse (PN) reinforce with the
client and family regarding hospice?

• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support

An older female client adult who has been admitted to long term facility yesterday is confused about what day of the week it is
her history does not include that she was confused prior to admission what action should the practical nurse (PN) take?
Remind the client what day of the week it is

A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is having contractions every
5 minutes the PN monitors the clint for an hour using external fetal monitor and determines that the clients contractions are 7
to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by palpitation which actin should the PN take?
Send the client home

A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of a healthy newborn
the practical nurse (PN) observes that the client is shaking uncontrollably and states she’s cold
Apply light warm blanket and assure her that this is normal following delivery

The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most important for the PN
to implement
Auscultate all the lung fields

While administering prescription medication to an older adult resident in a extended care facility the practical nurse notice that
the client is having difficulty hearing what action is most important for the PN to take?
Determine if client has had difficulty hearing in the past

The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her that she
needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when a list of iron list foods is given to the
client the client tells the practical nurse she’s a vegetarian and does not eat bleeds what instructions should the PN give?

• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast

A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate interventions should the
practical nurse (PN) take?
Turn the infant to the right side

The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar action should the action
should the PN take first?
Observe suture line for separation and hematoma formation

The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of pregnancy what fetal
heart rate should be reported to the registered nurse?
180 (NORMAL 110-160)

An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes from the client
klound followed by appearance of bowel on the skin which complication has occurred?
Evisceration

A female client with immune thrombocytopenic purpura is transported to a long term facility for physical therapy rehabilitation
to prevent injury the most important for the practical nurse (PN) to implement?
Ensure the client has minimum clutter in the room

Which location should the practical nurse palpate to determine if a client submandibular lymph node are enlarged?
Beneath the lower jaw

A client is receiving an epidural anesthesia during labor which observation is the most important adverse effect that the
practical nurse (PN) should assess for following the administration of the epidural
Maternal hypotension

The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening with a complaint of
hoarseness a danger sign for cancer of the larynx which client has the highest risk of development of cancer of the larynx that
the PN should refer to healthcare provider
A older male who drinks a 6 pack of beer nightly and smokes heavily

A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt and has lost a lot of
weight which action should the PN take
Report suspected abuse to supervisor and protective services

The practical nurse determines that a client who is one day postpartum has a moderate amount of lochia and rubra and the
uterus is firm diverted and three finger breaths above umbilicus what should be the first initial action
Massage the uterus to decrease atony

The practical nurse is caring for a client with coronary artery disease who is admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin isoenzymes levels what should the PN
consider the most significant risk is for this client on the second day of admissions?
The labs results indicate myocadiac damage and the client is at risk for cardiac dysrhythmias

Which interventions should thr practical nurse (PN) reinforce for a client with pruritis?
Keep finger nails trimmed short

When gathering data about a client with dark skin tones which site should the practical nurse (PN) observe
Finger and toe nails

A 2 day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative care

• Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours

The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds the infant is jittery and has a heel
stick glucose level of 40 30 minuets after birth based on this information which interventions should the PN implement first
Offer nipple feedings of 10% dextrose

The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds the client lying on the bed the
PN determines that the client is unresponsive which action should the PN give the UAP first
obtain emergency help

the practice nurse (PN ) is caring for a client with fractured metatarsals after slamming a hand in the car door after
administering the prescribed hydrocodone/acetaminophen for pain which intervention should the PN include in the client care?
Implement ongoing assessments for signs of shortness or slowed breathing

The practical nurse (PN) overhears the female client with crushing syndrome tell her family in a very loud and anger voice to
leave her room and not come back the response by the PN is based on recognizing which common manifestations of the
syndrome
Mood adherence

The parents with a one year old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to
delay corrective surgery to see if the child will outgrow the problem which information should the PN provide to these parents
Ask the patents to explain what they understand about the child’s diagnosis

A child reviving chemotherapy develops a cough that productive of yellow tinged sputum after determine that the client is
afebrile which priority action for the practice nurse (PN) to take?
Provide oral hygiene

The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what primary assessment should
the PN evaluate
Level of consciousness

The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a local anesthetic was
sprayed on their throat which priority action should the PN include in this care of plan?
Assess the gag reflexes

The practical nurse (PN) is providing care for a client who is NPO after small bowel resection the client NG tube is connected to
intermittent suction the client reports dizziness and tingling in digits which assessment finding should the PN report to the
healthcare proiver
Hypoactive bowel sounds on assessment

The patents of a child with pre diabetic report to thr practical nurse (PN) that the child wants to join the soccer team what is
the best action for the PN to implement
Reassure the patents that increased physical activity reduces risk for diabetes

While assisting the RN with the admission of a toddler which intervention should the practical nurse (PN) implement to make
the experience lease stressful for the client
Remove child’s clothing down to the diaper

A client with hypertension complains of a persistent dry cough the practical nurse (PN) should tell the client that this is a
common side effect with what medication
Quinapril

A practical nurse (Pn) is at the nurses station describing her social life sexual activities and alcohol
drinking in a boisterous voice that might be heard by the client and visitors
Suggest going to the nurses lounge to discuss these topics

The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) that
originally motivated them to seek medical care which signs is the child most likely exhibiting
Hematuria

the chest xray for a client who is admitted for pneumonia shows pleural effusion what should the PN
expect to hear when auscultating the upper lobe?
A rubbing pleural sound

A client receives ondansetron prior to chemotherapy treatment how should the practical nurse evaluate
the effectiveness of the medication
Monitor the client for nausea or vomiting following the treatment

The practical nurse (PN) is assisting with the plan of care for a client with osteochondrosis who is not
experiencing increased discomfort in breathing the client receives a prescription for tramadol what
interventions should the PN include in the client plan of care
On going assessment for signs of shallow or slowed breathing

A male client with tuberculosis returns to the clinic for daily antibiotic injections for a UTI the clients been taking antitubercular medication 10 weeks and states ringing in his ears which medication should the nurse report
Gentamycin 160mg IM daily

A new protocol for fall prevention is being implemented on the medical unit during safety rounds the
practical nurse (PN) identifies that the UAP had omitted a vital component of the protocol after
implementing the missing component which action should the nurse take?
Supervise the UAP after reviewing the protocol

What standard of care is acceptable in a nursing malpractice case
What would a responsible prudent nurse have done under similar circumstances

At the beginning of a shift in which order of priority should the practical nurse assess their 4 patients

• An older adult with dizziness whose o2 is 86%
• An older adult woman who’s vomiting who’s potassium is 2.8
• A young adult with a history of asthma who’s arterial pit is 7.48
• An adult client with an ulcer who’s hemoglobin’s is 9.8

The practical nurse (PN) administers a anticonvulsant that causes photosensitivity which action should
the PN take after admitting the medication?
Remind the client to protect skin rom sunlight

A 2 day old infant with hydrocephalus returns from surgery following placement of a
ventriculoperitoneal shunt which nursing interventions should the practical nurse (PN) implement
during postoperative care

• Document strict I & O
• Measure head circumference
• Monitor body temp

The practical nurse (PN) administers an antibiotic to a client with respiration tract infection to evaluate
the medication lab values

• White blood count
• Sputum culture and sensitivity

In caring for a client with buck traction the practical nurse (PN) observes thar the prescribed amount of
weight are hanging freely and traction is on pully which action should the PN implement next
Document the back traction is being maintained

While the practical nurse (PN) and unlicensed assistive personal (UAP) are turning a client with an
abdominal incision the incision eviscerates which task is best for the PN to assign the UAP
Gather supplies

The practical nurse (PN) ia changing the abdominal dressing of a male client who was discharged home
following a colon resection which information should the PN report to the health care provider
The client reports the wound care is painful and would like a prescription for an analgesic

When obtaining a capillary blood sample for glucose measure which intervention should the practical
nurse (PN) implement
Determine what finger was used previously

A client diagnosed with cdiff which action should the practical nurse (Pn) implement to prevent the
spread of the organism?

• Hand washing
• Don non sterile gloves when performing direct care

A client who had orthopedic surgery 2 days ago complains of difficulty sleeping which initial intervention
is best foe the practical nurse (PN) to implement
Reposition the client and provide a back rub

The practical nurse (PN) is planning evening shift rounds for a group of postoperative client who all had
surgery earlier that day which client should the PN check first
A preschooler who had an emergency appendectomy for appendicitis

The practical nurse (PN) plans to distraction technique while client undergoes a brief painful procedure
which action should the PN implement during the procedure
Encourage the client to reminisce about a favorite past family event

Which interventions is within the scope of practice for a practical nurse (PN)
Demonstrating deep breathing and coughing to be a post operative client

The practical nurse (PN) determines that a clients pupils constrict as they change focus from a far object
to a near object how should the PN document this finding
Pupils reactive to accommodation

The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for a tension
headache which action would you take?
Explain that medication can only be provided to client

The practical nurse (PN) explains to a client how to clean a sputum and client indicates understanding
the procedure after the PN leaves the room the client obtain the sputum and notifies the PN when the
PN arrives to collect the sputum it appears as seen in the picture. What action should the PN take?
The PN should teach the client how to obtain a sputum specimen and the client does not
correctly collect the specimen the PN should assist the client is obtaining another specimen
cough directly into a sterile cup

The practical nurse (PN) ask the UAP for feedback about assigned client instead the UAP walks away
from the PN ignoring the question what action is best for the PN to take
In a private setting ask the other nurses for feedback about UAP behaviors

A client who is being care for in her home has a lab serum sodium level of 125 to determine the cause of
this level which information should the PN request from the client
The amount of salt used in meal preparation

The practical nurse (PN) observes a newly hired UAP who’s counting client radial pulse as seen in the
picture which action should the PN take?
Demonstrate the correct pulse side to the UAP

The practical nurse (PN) is auscultating a clients lungs sounds which description should the PN use to
document this sounds (listen to the audio)
Wheezing

Which foot care instruction is most important for the practical nurse (PN) to reinforce for a patient
newly diagnose with type 2 diabetes
Make sure the shoe size fits, minimizing rubbing and blisters

A married woman comes to the clinic for her annual well woman physical examination during the
interview with the with the practical nurse (PN) observes a yellow bruise to the lower eye and
purple bruising on the clients upper arm which should the nurse ask?
Is anyone hurting you

A male preop client who already signed the informed consent for a surgical procedure the client tells the
PN that he is really frightened and unsure about undergoing the surgery which priority action should you
take?
Notify the charge nurse of the clients concerns

During the morning rounds a client who is admitted with obsessive compulsives disorder in the dayroom
repeatable is washing on top of the same table witch intervention should the PN implement when
approaching
Provide time for the behaviors then guide the client to other actives

The practical nurse (PN) is caring for a client receiving a prescription for paroxetine who suddenly
exhibits restlessness tachycardia fever and elevated blood pressure which action should the PN
implement first
Withhold the next dose contact the health care provider

A client with schizophrenia reports auditing hallucinations when admitted to the hospital what
questions is most important for the practical nurse (PN) to include in the assessment
What is the voices altering

A female client with bipolar disorder reports to the practical nurse (PN) that he has not taken his
prescribed medication divalproex sodium of what parameter is most important for the PN to obtain
Frame of mind

The practical nurse (PN) and the unlicensed asstive personnel (UAP) are providing care for a client who
exhibits signs of neglect syndrome following a stoke affecting the right hemisphere which client should
the PN implement
Demonstrate to the UAP how to approach the client from the left side

Which statement by an older adult female client who lost her spouse 2 years ago should indicate to the
Practical Nurse (PN) that the client may need treatment counseling
I realized that life must go on but sometimes I wonder why

The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine which
behavior should the PN document with cocaine withdrawal
Intense cravings

The Practical Nurse (PN) is assigned to care for four children which should be assessed first
18 month old who has cystic fibrosis is wheezing

An older client tells the home health care practical nurse (PN) about experiencing ——- whats most
important for the PN to obtain
Standing blood pressure

The home health practical nurse (PN) visit a young male client with AIDS who has Kaposi sarcoma and peripheral neuropathies his—who provides care for the client states that their son sleeps most of the
time the PN observes the client is semi-conscience with stable vitals— and cries out in pain when turned
or moved a fentanyl patch is in place and skin lesions are closed and dried which interventions should
the PN implement
Give a complete bed bath to further assess the client

The practical nurse (PN) learns that the client whos receiving chemotherapy has developed stomatitis
which information should the PN obtain from the client during focused assessment
Ability to swallow

The Practical nurse (PN) is caring for a client with obstructive sleep apnea the PN should recognize the
client is at greater risk for the development of what complication
Peptic ulcer disease

Which finding for a client with an arteriovenous fistula (AV fistula) should the practical nurse report to
the health care provider
Radial pulse distal to AVF is absent and ulnar pulse is present

The practical nurse is reinforcing teaching to a group of evacuees in a mass casualty center after a
natural flooding disaster which information should the PN include in the review?

• Drink only boiled water or bottled oral rehydration solution
• Clean hands using soap clean water or waterless antibacterial solutions
• Wash all fruits and vegetables thoroughly in running tap water

In administering nystatin suspension to the gums of an infant with candida infection which approach
should the practical nurse (PN) use
Use a gloved finger to suspension over the infected area

Prior to administering pain medication to an older adult post operative client what information should
the practical nurse (PN) obtain

• Clients pain rating 1-10 scale
• Time of last administration of pain medication
• Effectives of last pain8 medication administration

A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500mg
by mouth twice a daily which action should the practical nurse (PN) take?
Monitor the client for a rash and hives

When preforming of focused gastrointestinal system assessment thr practical nurse (PN) ask the male
client when his last bowel movement occurred the client answers three days ago which action should
the PN implement first
Determine the clients usual bowel patterns

The practical nurse (PN) plans to reinforce the proper use of a cane to an older client who is recovering
from a stoke when providing information to the client how to correctly use assistive devices where
should the PN reinforce with the client to place the cane
Ineffective side

The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with
urinary retention which information should PN include during the electronic documentation of a
procedure

• Appearance of urine obtained
• Size of urinary catheter
• Amount of urine obtained

The practical nurse (PN) is caring for a client who is receiving intravenous fluids via a gravity infusion to
confirm that the client is receiving the correct amount of fluid volume what part of iv delivery system
should the PN monitor
Picture with hand dot picture on arm

The practical nurse is caring for a client with influenza who requires droplet precautions which action
should the PN take after entering the room to provide care?
Close the door to the client’s room

A male client tells the practical nurse (PN) that the pill he has been taking at home is different color and
size then the one the PN is trying to give him now how should the nurse respond
Explain that the pharmacy often substitutes generic for more expensive brands

The practical nurse (PN) who is working on a skilled nursing unit delegates the 2 hour turning schedule a
group of bedridden clients to a UA[P to minimize lower back injury which strategies should the PN
implant while moving the client in bed

• Encourage the client to help
• Maintain a broad base of support

What do you do before giving medication

• Pain scare
• Effectiveness of pain
• Last given

Clients blind how to communicate
Stand in front

Risk to devolve breast cancer
32 year old whos mother had brest cancer

Influenza precautions

• Mask
• Gloves
• Private room

Vitamin k diet
Green leafy vegetables

Diabetes patient’s
Wash feet dry good

Patient feels dizzy standing up
Check bp

When preparing to change a clients sterile dressing the practical Nurse (Pn) opens a package of gauze pads as seen in
the picture which action should the PN take next? (picture question)
Apply a new pair of sterile gloves

The practical nurse (PN) accompanies a healthcare provider when the client receives the diagnosis of stage 5
metastatic cancer the client’s wife immediately responds “you must have made a mistake we want to get a second
option” the PN should consider which stage of the grieving process in order to respond best to the wife’s comments?
Denial

The Practical Nurse (PN) is preforming a focused assessment for a male client with schizophrenia who is admitted to
an acute care inpatient facility which behavior should the PN document as symptoms of schizophrenia?
Voices telling the client to hurt himself

Based on the computer documentation the electronic medical record (EMR) which action should the practical nurse
(PN) implement cclicic on each chart tab for addition information
Give rubella vaccine subcutaneously

A client is admitted with a hemothorax following a motor vehicle collision and surgeon inserts a chest tube that is
attached to a chest drainage system with suction at 20cm water pressure. The practical nurse (PN) fluid level is at
15cm which action should be implemented to ensure effectiveness suctioning of the chest drainage system?
Additional sterile water should be added to the suction chamber to the 20 ml level

The mother of an 8-year-old boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder
which assessment finding should the practical nurse (PN) note as the most significant indicator of possible child abuse
The story of the injured given by the mother differs from child’s

A 15-year-old male who is mildly mentally disabled is admitted to the adolescent unit because he repeatedly refuses
to complete personal hygiene the health care provider prescribes that the client brushes his teeth 3 times day in the
psychiatric team conference a behavior modification program is recommended to engage the client participation
when implementing this technique which reinforcement is the best for the practical nurse (PN) to provide?
Candy for each successful hygiene task. Like brushing teeth

A client who is 2 weeks post-partum presents with an inability to sleep feeling of irritability and server mood swings
she believes the infants going to die and is unable to care for the baby. The practical nurse (PN) recognizes the client
may be exhibiting symptoms of which conditions?
Post-partum blues

A client who is admitted to the hospital for depression is escorted to a private room. Prior to leave the room which
intervention is the most important for the practical nurse (PN) to implement
Search all personal belongings

The practical nurse (PN) is caring for q client with new prescription for fluticasone furoate nasal spray for
glucocorticoid prescribed for the client’s nasal allergy symptoms in reinforcing instructions about administration of
the nasal spray the PN should emphasize the need for the client to take what action before self-administration
Blow nose gently

A client in a psychiatric unit’s dayroom is becoming agitated talking incessantly and starting o yell and swear at other
clients which action should the practical nurse (PN) implement first
Escort the client to a calm and quiet place

A client with somatic symptom disorder reports experiencing chest pain to the practical nurse (PN) which action
should the PN take
Further assess the client’s pain and vital signs

a home health practical nurse (PN) visits an older client living with offspring who exhibits fear. Appears unkempt and
has lost significant weight which action should the PN take
report suspected abuse to a supervisor and protective services

a male client attends a community support program for mentally impaired and chemical abusing clients. The client tell
the practical nurse (PN) that drug of choice is cocaine and heroin what is the greatest health risk for this client?
Hepatitis

An older adult client with cancer of the liver is in a hepatic coma and unresponsive. How should the practical nurse
(PN) respond to a family member who are inquiring about condition of their love one
Refer the family to the charge nurse to discuss the client’s condition in a family conference

A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits
quietly without communication when approaching the client what intervention should the practical nurse PN(
implement first?
Describe function of the PN

A male client tells the practical nurse (PN) that is afraid of getting cancer so he plans to quit smoking cigarettes by
switching to a smokeless tobacco product how should the PN respond
Provide information to the client about risk associated with smokeless tobacco

The practical nurse (PN) administers an opioid analgesic to a client with pain with incisional pain thirty minutes later
the client respirations decrease from 16 to 8 breaths/min what addition assessment should the pn compete before
reporting the finding to the charge nurse (SELECT ALL THAT APPLY)

• Cloud appearance
• Oxygen saturation
• Level of conscience

The practical nurse (PN) is listening to a client breath sounds which medication from the clients prescriptions will have
the most positive effect on this respiratory finding (listen to auto)
Albuterol

An older client is being discharged to home following a hip pinning procedure for a fractured hip the client uses
crutches for ambulation which element should the
practical nurse (PN) emphasize when reinforcing precautions to prevent the risk of falls in the home?
Scattered rugs

The practical nurse (PN) observes a client using an incentive spirometer as seen in the video which should the PN
emphasize on (the video of a man using incentive spirometer)
Reinforce he needs to inhale slower and more deeply

the practical nurse (PN) observed two unlicensed assistive personnel (UAP) turning an older client who had hip
arthroplasty with prothesis placement 4 hours ago witch observation by the PN indicates that the UAP needs
additional information about turning procedures?
The client is told to keep both legs straight and together while turning

While changing a clients dressing with a leg ulcer the practical nurse (PN) observes a red tendon and swollen wound
at the site of the lesion before reporting this finding to the health care provider the PN should valuate which of the
laboratory values
Neutrophils count

The practical nurse (PN) is reviewing results of a client urinalysis which results indicate problems and should be
reported by the PN to the health care provider (select all that apply)

• Bacteria present
• Positive for albumin or protein
• Slightly acidic PH

The practical nurse (PN) is monitoring a client neurological status following a closed head injury witch assessment
finding should the PN include (select all that apply)

• Pupillary reaction
• Vital sign measures
• Conscience level

A client has unconscious has a weak thready pulse cool moist skin cyanosis of the nails beds and Kussmaul
respirations which of the following actions should the practical nurse implement
Place client in semi fowlers position

Prior to an invasive examination of a hospitalized client a consent form should be obtained which action best
describes the responsibility of the practical nurse?
Check the medical records for correct signed consent form prior to the examination

An older male is returning to the surgical unit after a total right hip replacement which assessment finding are most
important to the practical nurse (PN) to document in the electronic medical record
Paresthesia paralysis pedal pulse pallor and pain

93 East New England Ave
the client with current and previous sleep habits

A practical nurse who is a member of the continued quality improvement committee of an extended care facility
identifies that there has been an increase incidence of urinary infection (UTI) over the last six months period which
intervention should the PN implement on decrease catheter
Evaluate the UAP techniques for catheter care

in caring for a client following a below the knee amputation which task best for the practical nurse (PN) to assign the
unlicensed assistive personal (UAP) who is assisting with the care of this client
empty and measure the drainage in the suction device

which action should the practical nurse (PN) include when assessing a client for signs and symptoms of fluid volume
excess (select all that apply)

• observe color and amount
• palpate the rate and volume of the pulse
• measure body weight at the same time daily

an adult with a history of cardiovascular disease comes to the clinic complaining of indigestion vital signs are heart
rate 130beats/min respirations 24 breaths/min and BP 180/90 which findings should the practical nurse (PN) report
immediately
Left jaw discomfort

What is the first intervention for the practical nurse (PN) to implement when a client refuses to take prescribed
medication?
Determine the clients reasoning for refusing the medication

The practical nurse (PN) finds a client who is assigned to another nurse bleeding from an intravenous (IV) site and the
IV tubing floor the PN immediately applies a dressing to stop the bleeding which action should the PN take next?
Enter computer documentation of the finding and the application of a dressing

When applying a pulse oximeter which actions should the practical nurse (PN) take first?
Observe for finer nail polish

For the past 6 hours a postoperative male client has refused pain medication because he believes that he could
“tough it out” when an opioid analgesic is administered the client has difficulty obtaining a satisfactory level of
comfort which action is best for the nurse to use in assisting this client to deal with his pain?
Guide the client through slow rhythm breathing

In implementing the plan of care what date should the practical nurse (PN) obtain first for a client with a sleep pattern
disturbance
Sleep routines that the client practices regularly

The practical nurse (PN) is preparing for shift change which task has the highest priority and should be completed
first
Verify completion of all new prescriptions

the practical nurse (PN) palpates the clients radial pulse disappears when light pressure is applied how should the
PN document this finding
Thready pulse volume

Under which condition do all state nurse practice act provide the revocation of the license of practical nursing (PN)
Practicing under the influence of drug and alcohol

The client expresses concern about receiving proper in in accordance with the client religion which action is the best
for the practical nurse (PN) to take
Ask the client about individual care preference

After administering pantoprazole to a client with gastroesophageal reflex disorder (GERD) which statement by the
client indicates to the practical nurse (PN) that the medication is providing the desired effect
I did not experience any heartburn after eating lunch

The practical nurse (PN) overhears a conversation between a unlicensed assistive personal (UAP) and another staff
member in the hospital café line concerning a clients reaction to being given a diagnosis of terminal cancer what is
the best nursing action?
Write incident report and give to unit manager

Which instruction should the practical nurse (PN) provide the unlicensed assistive personal (UAP) assisting with grace
of a client following a lumbar puncture
It is important to monitor the appearance of the punctured site

A male client with chronic medical conditions tells the practical nurse (PN) that he wants no heroics to prolong his life
if anything should happen to him which action should the PN take
Notify the clients health care provider of the clients wishes as soon as possible

The practical nurse (PN) prepares to administer morphine IM to a postoperative client before administering morphine
the PN should recognize the necessary more monitoring which parameter
Dyspnea respiratory depth and respiratory rate

The practical nurse (PN) administers a skeletal muscle relaxant to a client with left keg pain which assessment
provides data related to the effectiveness of the medication
Pain level decreased

A 5 year old with diabetes is NPO die a diagnostic procedure which action should the practical nurse (PN) take since
the child received regular insulin at 0700 each morning
Give the 0700 insulin as received everyday

Which nursing intervention is most important to include to the plan of care for a child with acute glomerulonephritis
Encourage fluid intake

An older adult female is admitted with syncope and laboratory finding indicate that her hemoglobin is 8.0 grans ldi
she has recent history of headaches and frequent falls admission prescription include continuation of all home
medication which medication should the practical nurse (PN) withhold until consulting with charge nurse
Aspirin

The practical nurse is providing care for a client who is receiving an intravenous antibiotic to tract an infection which
assessment finding require the most immediate action by the PN
Hives with pruritis

The patents of 4 week old male infant reports that je eats well but vomits after each meal which finding should the
practical nurse (PN identify if the baby is reeving inadequate nutrition
Sunken fontanelle

The practical nurse (PN) is caring for a 9month old female infant with developmental dysplasia of the hip after a
closed reduction and hip spinal cast application after application of the cast what is the most important intervention
in caring for the infant
Protect cast all the perineal from urine contamination

When caring for a child with sickle cell disease the practical nurse (PN( expects the child will most likely describe
which symptoms when experiencing a sickle cell crisis
Joint pain

A hospitalized 5year old boy recovering from surgery refuses to drain fluid which interventions is best for the practical
nurse (PN) to implement
Offer the child popsicle and allow him to pick the flavor he prefers

The practical nurse (PN) is caring for a 17-year-old male who fell 20 feet while climbing on a side of a cliff and has
been in a sustained vegetative state for 5 months since the accident which intervention should the PN implement
Talk directly to the adolescent when providing care

The practical nurse (PN) assists a post op client with an incentive spirometer the client experiences wound
Call for help immediately

The practical nurse is feeding a 2-month-old infant with heart failure due to ventricular septal defect which
intervention should the PN implement
Allow the infant to rest before feedings

While assessing a client who had a short leg cast applied two hours ago the practical nurse notices that the capillary
refill for the casted leg is — seconds which action should the PN implement
Notify the healthcare provider and charge nurse

The practical nurse (PN) is caring for a client following a carotid endarterectomy to the assess for possible
hemorrhage what action is most important for the PN to implement
Observe area under the neck and shoulder

At 4 hours post operatively the practical nurse (PN) inspects the surgical wound dressing of a client who had a right
total knee replacement and observes it is saturated with serosanguineous drainage the hemovac drainage unit is
empty and not compressed and the stopper is open to air after taking the client vital signs which action should the PN
implement
Compress the hemovac unit and replace its stopper

The practical nurse (PN) is assisting in the care for a client with acute chest pain who is being monitored for a
suspected myocardia infraction which elevated lab result should the PN immediately report to the healthcare
provider

• B Type natriuretic peptide (BUN)
• Creatine
• Tropine 1
• Creatine kinase

The practical nurse is providing care for an older male who has pitting edema of the feet and ankles and is receiving
spironolactone which instructions is most important to provide the UAP assisting with the care of the client
Maintain accurate intake and output

After change in shift report the practical nurse (PN) makes rounds on a postoperative unit which client finding needs
immediate attention
A client who has brown, green bile draining from a t-tube after cholecystectomy for cholelithiasis

The practical nurse is preparing a client for a bone marrow aspiration which erythropoietic site is most likely to be
used to obtain specimen
The practical nurse is preparing a client for a bone marrow aspiration which erythropoietic site is most likely to be
used to obtain specimen

An older female resident of a long term facility experiences frequent episodes of urinary — what is important for the
practical nurse to perform regularly in response to the resident
Appearance of skin on perineal area

A newborn infant is prescribed an immunization prior to discharge what action should the practical nurse take?
Contain signed consent from mother for administration of hepatitis B vaccine

A practical nurse (PN) is caring for a client newly diagnose with diabetes mellitus what finding is early signs of
hypoglycemia
Tremors

On the first day after a cesarean section a client is a primipara is being assisted to—- gush of vaginal blood and notices
that severe blood clots are in the toilet which action should the PN take
Check fundal consistency and continue to monitor the lochia flow amount

The practical nurse is making a home visit to an older male adult who was recently diagnosed onset of severe burning
pain along the right side of his trunck what action should the PN take
Administer a prescribed PRN does of analgesic

The practical nurse (PN) is assisting a client who is multiparous in active labor with —- are occurring every 2 minunites
with a duration of 80 seconds she suddenly wants to have a bowel movement what will the PN do first
Instruct the client to push with every contraction

The practical nurse is preparing to insert an older clients hearing aids after determining check batteries to be sure
they’re working properly in what order should the PN implement from FIRST TO LAST

• Turn the hearing aid off and set the volume at low
• Line up the ear mold with the clients external auditory opening
• Gently press ear mold into ear while rotating backwards
• Rotate the ear mold slightly forward and insert in the ear canal
• Turn hearing aids on and adjust the volume for the client

An older female client who resides in a long term care facility has a male friend who often visits her in the facility the
pn went to the clients room to administer medication and finds the couple in bed together what action should the PN
take?
Exit the room and quiet close the door

A primigravida client confines in the practical nurse (PN) that her sister told her the she – because it will eliminate
fluid retention and swelling how should the PN respond
Salt foods lightly during cooking but add additional salt at the table

Upon entering the room of an older cardiac client the practical nurse (PN) finds the client slumped in the chair with no
visible sign— which first action the PN should take?
Extend the client head open airway

The practical nurse (PN) is caring for a group of clients on a postpartum unit after shift—–
Gravida 3 para 3 who delivered vaginally 3 hours ago

The practical nurse (PN) is removing the personal protective equipment which equipment should the PN remove first
Gloves

A clients whose first child was delivered by C-section is 20 weeks pregnant with— (VBAC) what information is most
important for the practical nurse to obtain?
History of contracting herps simplex virus

The practical nurse notice that a client urine is pale yellow —- complete next?
Ask the client about urinary frequency

A female client returns to her room following her initial external ra— observes the unlicensed assistive personal (UAP)
who has just —- dry what action should the PN take
Document complete of post procedure skin care

The practical nurse (PN) is assisting the recreational director —– residents who are mentally alert which activity
should the PN implement
An outdoor concert

A client whose 39 weeks gestation is admitted in early labor during the focused assessment — client who states that
she has been pregnant 5 times but only have 2 living children — miscarried during the fist trimester which parity
should PN document
TERM 3 PREMATTURE 0 ABORTION 3 LIVING 2

a female client retunes to her room following her initial external radiation —- observes the UAP who just finished —
dry what action should the PN take
document completion of post procedure skin care

which action by the practical nurse indicates the best understanding of the principles related to—- the question is not
clear
hold the hands lower than the elbows to promote microbe removal

the practical nurse enters a clients hospital room and seers smoke and flames in the wastebasket which sequence

• move client in immediate danger
• archive fire alarm
• get fire extinguisher
• shut the doors to all clients room

the practical nurse is providing instructions to the UAP preparing to give a total bed bath to an immediate —- has a
continues feeding gastrostomy tube which instructions is most important for the PN to emphasize
keep the head of the bed raised while the feeding infusing

a client receives a new prescription at 1000 that includes discontinuing IV fluids and IV antibiotics which prescription
should the PN
ampicillin 500 mg po q8h

immediately after a log rolling a client to a lateral position which interventions should the pn implement
place pillow to maintain alignment

the practical nurse is offering fluids to a client whose has been NPO which intervention is most important
moisten oral membranes by providing mouth care

the health care provider prescribes epinephrine 0.3mg sub q STAT for a child whos having an allergic reaction to a bee
sting the medication is labeled 1mg /ml how many ml should the PN administer
0.3ml

A client who has a gangrenous left lower extremity is to begin wound care that includes the prescription for cleaning
with sterile water and pyrrolidone-iodine scrubs what should the PN consider first before implementing the
procedure
Clients allergies

In obtaining a series if stool specimens for occult blood which instructions should the practical nurse provide to the
client
Defecate into container separately from urine in the toilet

A client receiving statin medication reports the onset of muscle soreness and fatigue the practical nurse notes that
the client skin is warm to touch what action is priority
Report findings to the charge nurse

A client is admitted for treatment for Addison’s crisis which finding is most important for the PN to report to the
charge nurse
IV infusion suite is impetrated

The practical nurse (PN) is assigning task to the UAP who’s giving basic care to a group od residents in a long term
care facility which client task should the completed by the PN rather than the UAP
A client with continuous urinary bladder irrigation with a 3 way catheter

What information should the practical nurse review with a client who has symptoms of orthostatic hypotension
Raise slowly from sitting or lying position

The practical nurse should perform oral suctioning for a client with what problem?
Dysphagia

A client who is primigravida tells the practical nurse my baby seems to be sleeping but look at the funny move —
notices that the infant is making hand to had movements smacking his ups and turning his head which is the best—
These movements indicate that the infant is hungry

A client is admitted with lower gastrointestinal (GI) bleeding and scrum hemoglobin of 6.8 gm/dl is receiving a unit of
packed red blood cells the client current vitals are temp 99.6 pulse 90beats/min respiratory rate 20 breaths/min bp
108/60 what action should you implement
Notify charge nurse about the vital signs