{"id":116998,"date":"2023-08-26T20:24:14","date_gmt":"2023-08-26T20:24:14","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116998"},"modified":"2023-08-26T20:26:21","modified_gmt":"2023-08-26T20:26:21","slug":"hesi-pn-exit-exam-bundle-7-latest-versions-2022-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/hesi-pn-exit-exam-bundle-7-latest-versions-2022-2023\/","title":{"rendered":"HESI PN EXIT EXAM BUNDLE 7 LATEST VERSIONS 2022-2023"},"content":{"rendered":"\n

HESI PN EXIT EXAM V3 LATEST
VERSION 2022-2024 ALL 110
QUESTIONS AND VERIFIED
ANSWERS PLUS RATIONALES\/PN
HESI EXIT EXAM V3<\/p>\n\n\n\n

    \n
  1. 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)?
    \uf0b7 9 %
    \uf0b7 18 %
    \uf0b7 36 %
    \uf0b7 45 %
    \uf0b7 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.<\/li>\n\n\n\n
  2. A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates that
    the medication is having the desired effect?
    \uf0b7 Decrease in serum T4 levels
    \uf0b7 Increase in blood pressure
    \uf0b7 Decrease in pulse rate
    \uf0b7 Goiter no longer palpable<\/li>\n\n\n\n
  3. 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?
    \uf0b7 Consistently applies TED hose before getting dressed in the morning.<\/li>\n<\/ol>\n\n\n\n

    \uf0b7 Frequently elevated legs thorough the day.
    \uf0b7 Inspect the leg frequently for any irritation or skin breakdown
    \uf0b7 Completely stop cigarette\/ cigar smoking.
    \uf0b7 Rationale: Stopping cigarette smoking helps to decrease vasoconstriction and
    improve arterial circulation to the extremity.<\/p>\n\n\n\n

      \n
    1. 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<\/li>\n\n\n\n
    2. 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\u2019s
      Glasgow Coma Scale (GCS) score is 9. What information is most important for the nurse to
      determine?
      \uf0b7 The client\u2019s previous GCS score
      \uf0b7 When the client\u2019s stroke symptoms started
      \uf0b7 If the client is oriented to time
      \uf0b7 The client\u2019s blood pressure and respiration rate
      \uf0b7 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\u2019s condition<\/li>\n\n\n\n
    3. The charge nurse in a critical care unit is reviewing clients\u2019 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<\/li>\n\n\n\n
    4. Based on principles of asepsis, the nurse should consider which circumstance to be sterile?
      \uf0b7 One inch- border around the edge of the sterile field set up in the operating room
      \uf0b7 A wrapped unopened, sterile 4×4 gauze placed on a damp table top.
      \uf0b7 An open sterile Foley catheter kit set up on a table at the nurse waist level
      \uf0b7 Sterile syringe is placed on sterile area as the nurse riches over the sterile field.
      \uf0b7 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.<\/li>\n\n\n\n
    5. An unlicensed assistive personnel (UAP) reports that a client\u2019s 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?
      \uf0b7 Ask the UAP to take the blood pressure in the other arm<\/li>\n<\/ol>\n\n\n\n

      pg. 1
      PN HESI EXIT V1 & V2 LATEST 2022-2023
      EXAM\/ HESI PN V1 & V2 LATEST EXAM
      221 REAL EXAM QUESTIONS AND
      CORRECT ANSWERS | VERIFIED
      ANSWERS AGRADE<\/p>\n\n\n\n

      pg. 2<\/p>\n\n\n\n

        \n
      1. 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?<\/li>\n\n\n\n
      2. Provide the client with a walker.<\/li>\n\n\n\n
      3. Remove the telemetry equipment.<\/li>\n\n\n\n
      4. Encourage the client to cough and deep breathe.<\/li>\n\n\n\n
      5. Premedicate the client with an analgesic before ambulating.<\/li>\n\n\n\n
      6. 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.<\/li>\n\n\n\n
      7. 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<\/li>\n\n\n\n
      8. 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<\/li>\n\n\n\n
      9. The nurse is assisting in caring for the client immediately
        after insertion of a permanent demand pacemaker via the right<\/li>\n<\/ol>\n\n\n\n

        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<\/p>\n\n\n\n

          \n
        1. 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<\/li>\n\n\n\n
        2. 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<\/li>\n\n\n\n
        3. 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.”<\/li>\n\n\n\n
        4. “Taking nifedipine (Procardia) as prescribed will
          decrease vessel spasm.”<\/li>\n\n\n\n
        5. 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<\/li>\n<\/ol>\n\n\n\n

          pg. 4
          d. Diminished breath sounds<\/p>\n\n\n\n

            \n
          1. 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<\/li>\n\n\n\n
          2. 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<\/li>\n\n\n\n
          3. 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<\/li>\n\n\n\n
          4. 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<\/li>\n\n\n\n
          5. 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,<\/li>\n<\/ol>\n\n\n\n

            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\u00b0 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 \u2013
            B. Use affirmations and limit setting.<\/p>\n\n\n\n

            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 \u2013
            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.<\/p>\n\n\n\n

            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?<\/p>\n\n\n\n

            HESI PN EXIT Exam Questions And Answers Best Rated A<\/p>\n\n\n\n

              \n
            1. 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<\/li>\n\n\n\n
            2. 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<\/li>\n\n\n\n
            3. The PN is caring for an older adult client who is confused and spends\u2026factor contributes
              to an increased risk for impaired skin integrity for this client?
              Has increasing episodes of urinary incontinence<\/li>\n\n\n\n
            4. The pn determines that a client with cirrhosis is experiencing peripheral\u2026 take?
              Protect the clients feet from injury<\/li>\n\n\n\n
            5. A client is admitted to the postoperative surgical unit after a left lobectomy with two
              chest tubes\u2026.. 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<\/li>\n\n\n\n
            6. Photo of chest and locating apical HR
              Just below the left nipple<\/li>\n\n\n\n
            7. At the end of a 12-hour shift the PN observes the urine in a client\u2019s drainage. What action
              should the PN take next?
              Note the most recent white blood count<\/li>\n\n\n\n
            8. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
              his pain\u2026what action should the PN implement first?<\/li>\n<\/ol>\n\n\n\n

              Implement complementary pain relief methods<\/p>\n\n\n\n

                \n
              1. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself
                in\u2026.with one or two word responses. The morning the PN observes that he\u2026Which
                intervention is most important for the PN to implement?
                Measure appropriate vital signs<\/li>\n\n\n\n
              2. The PN is assisting a female client to obtain a voided specimen for uri\u2026meatus. Which
                intervention is performed next?
                Initiate the urine stream?<\/li>\n\n\n\n
              3. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from\u2026further
                action by the PN?
                Weights are touching the foot of the bed<\/li>\n\n\n\n
              4. The PN is reviewing diet instructions with a female client who has hyper\u2026she 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<\/li>\n\n\n\n
              5. A mother brings her 5-year old child to the clinic for school physical examinations.
                Which assessment\u2026 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<\/li>\n\n\n\n
              6. A client has a prescription to discontinue intravenous therapy when the liter that is
                infusing at 150 mL per hour is\u20261200 the PN notes that there are 750 ml of solution
                remaining. At what time should the nurse expect to discontinue the intravenous therapy?
                1700<\/li>\n\n\n\n
              7. The PN is caring for a client who had a total laryngectomy, left radical neck dissection\u2026
                client is receiving nasogastric tube feedings via an internal pump. today the rate of the
                feeding was increased\u2026ml\/hr. What parameter should the PN use to evaluate the clients
                tolerate to the rate of the feeding?
                Gastric residual volumes<\/li>\n\n\n\n
              8. A new mother is breastfeeding her newborn for the first time after delivery and complains
                of nipple pain\u2026Based on the client complaint, what action should the PN take?
                Ensure that all the areolar tissue of the nipple is in the infants\u2019 mouth.<\/li>\n\n\n\n
              9. Which site should the PN use when administering an injection of Rho (D) Immune
                negative postpartum client?
                Deltoid<\/li>\n\n\n\n
              10. Before inserting medication into a client\u2019s vagina, what instructions should the pn\u2026
                urinate until bladder is empty<\/li>\n\n\n\n
              11. 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<\/li>\n\n\n\n
              12. A new mother is bottle feeding instead of breastfeeding her newborn, The PN\u2026most
                effectively deal with breast engorgement and discomfort?
                Wear a supportive bra at all times<\/li>\n\n\n\n
              13. A young adult male tells the PN he has declared to change his hours at work so that he
                can\u2026his community. Which stage of Maslow’s development is this young adult
                attempting to achieve?
                Self-actualization<\/li>\n<\/ol>\n\n\n\n

                lOMoAR cPSD|19500986
                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\u2019s 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\u2019s medical record or on the AMA form?<\/p>\n\n\n\n

                  \n
                1. Documentation that the patient was informed that he or she cannot come back to
                  the hospital<\/li>\n\n\n\n
                2. Documentation that the patient was informed that he or she was leaving against
                  medical advice<\/li>\n\n\n\n
                3. Documentation that the risks of leaving against medical advice were explained to
                  the patient<\/li>\n\n\n\n
                4. Documentation of any discharge instructions given to the patient<\/li>\n\n\n\n
                5. 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\u2019s 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\u2019s record is a legal document, so the nurse should never
                  document that he or she filed an incident report.<\/li>\n<\/ol>\n\n\n\n

                  lOMoAR cPSD|19500986
                  Question 2
                  Page 1 of 103<\/p>\n\n\n\n

                  lOMoAR cPSD|19500986
                  A nurse documents this statement in a patient\u2019s medical record: \u201c2\/25\/\u2013, 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.\u201d This documentation meets which
                  documentation guidelines?
                  Page 2 of 103
                  2<\/p>\n\n\n\n

                  lOMoAR cPSD|19500986<\/p>\n\n\n\n

                    \n
                  1. Documentation is timely<\/li>\n\n\n\n
                  2. Documentation is concise<\/li>\n\n\n\n
                  3. Documentation is objective<\/li>\n\n\n\n
                  4. Documentation includes date and time of entry<\/li>\n\n\n\n
                  5. 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\u2019s 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\u2019s medical record: \u201c2\/1\/ , 1500. Patient appears
                    weak and faint. Patient\u2019s 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.\u201d This documentation meets which documentation
                    principle?<\/li>\n\n\n\n
                  6. Document objectively.<\/li>\n\n\n\n
                  7. Do not document procedures in advance.<\/li>\n\n\n\n
                  8. Use approved abbreviations.<\/li>\n\n\n\n
                  9. 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 \u201cappears\u201d 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)<\/li>\n<\/ol>\n\n\n\n

                    HESI PN PHARMACOLOGY LATEST
                    2022-2023 EXAM 160 QUESTIONS AND
                    CORRECT ANSWERS(DETAILED
                    ANSWERS)|AGRADE
                    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.<\/p>\n\n\n\n

                    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.<\/p>\n\n\n\n

                    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
                    <\/p>\n\n\n\n

                    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<\/p>\n\n\n\n

                    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<\/p>\n\n\n\n

                    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<\/p>\n\n\n\n

                    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)<\/p>\n","protected":false},"excerpt":{"rendered":"

                    HESI PN EXIT EXAM V3 LATESTVERSION 2022-2024 ALL 110QUESTIONS AND VERIFIEDANSWERS PLUS RATIONALES\/PNHESI EXIT EXAM V3 \uf0b7 Frequently elevated legs thorough the day.\uf0b7 Inspect the leg frequently for any irritation or skin breakdown\uf0b7 Completely stop cigarette\/ cigar smoking.\uf0b7 Rationale: Stopping cigarette smoking helps to decrease vasoconstriction andimprove arterial circulation to the extremity. pg. 1PN HESI […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116998","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116998","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116998"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116998\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116998"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116998"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116998"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}