{"id":131028,"date":"2023-12-29T17:50:00","date_gmt":"2023-12-29T17:50:00","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=131028"},"modified":"2023-12-29T17:50:03","modified_gmt":"2023-12-29T17:50:03","slug":"hesi-pn-exit-2024-exam-new-latest-version-exam-best-studying-material-all-questions-and-100-correct-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/12\/29\/hesi-pn-exit-2024-exam-new-latest-version-exam-best-studying-material-all-questions-and-100-correct-answers\/","title":{"rendered":"HESI PN Exit 2024 Exam New Latest Version Exam Best Studying Material All Questions and 100% Correct Answers"},"content":{"rendered":"\n<p>HESI PN Exit 2024 Exam New Latest Version Exam Best Studying Material All Questions and 100% Correct Answers<\/p>\n\n\n\n<p>HESI PN Exit 2024 Exam New Latest Version Exam<br>Best Studying Material All Questions and 100%<br>Correct Answers<br>The practical nurse (PN) ia changing the abdominal dressing of a male client who was<br>discharged home<br>following a colon resection which information should the PN report to the health care<br>provider &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- The client reports the wound care is painful and<br>would like a prescription for an analgesic<br>When obtaining a capillary blood sample for glucose measure which intervention should<br>the practical<br>nurse (PN) implement &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- Determine what finger was used<br>previously<br>A practical nurse who is a member of the continued quality improvement committee of<br>an extended care facility<br>identifies that there has been an increase incidence of urinary infection (UTI) over the<br>last six months period which<br>intervention should the PN implement on decrease catheter &#8212;&#8212;&#8212; Correct Answer &#8212;&#8211;<br>&#8212;&#8211; Evaluate the UAP techniques for catheter care<br>in caring for a client following a below the knee amputation which task best for the<br>practical nurse (PN) to assign the<br>unlicensed assistive personal (UAP) who is assisting with the care of this client &#8212;&#8212;&#8212;<br>Correct Answer &#8212;&#8212;&#8212;- empty and measure the drainage in the suction device<br>A client diagnosed with cdiff which action should the practical nurse (Pn) implement to<br>prevent the<br>spread of the organism? &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- \u2022 Hand washing<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Don non sterile gloves when performing direct care<br>A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What<br>interventions should the nurse expect to implement to establish hydration in the<br>immediate postoperative period?<br>A. Diaper weights and urine specific gravity<br>B. Gastronomy feedings in supine position<br>C. Nipple feedings with glucose water<br>D. Gavage feedings with 15mL of formula &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- C. Nipple<br>feedings with glucose water<br>Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the nurse. After<br>withdrawing 5 mL of fluid from the balloon, the nurse begins to withdraw the catheter<\/li>\n<\/ul>\n\n\n\n<p>while the client is in a Semi-Fowler&#8217;s position. However, the nurse meets resistance and<br>the clients voices discomfort. What action should the nurse take next?<br>A. Attempt to withdraw additional fluid from the balloon<br>B. Assist the client in taking a series of deep breaths<br>C. Lower the head of the client&#8217;s bed so the client is supine<br>D. Allow the client to rest before continuing to remove the catheter &#8212;&#8212;&#8212; Correct<br>Answer &#8212;&#8212;&#8212;- B. Assist the client in taking a series of deep breaths<br>The home health nurse observes an elderly male client attempt to open a child- proof<br>medication container. When he is unsuccessful in opening the container, he throws it<br>across the room and curses loudly. What action should the nurse implement?<br>A. Transfer the medications to another bottle that is easier to open<br>B. Leave the client&#8217;s home immediately and plan to return later<br>C. Ignore the outburst and demonstrate how to open the bottle<br>D. Describe other types of medication containers that are available &#8212;&#8212;&#8212; Correct<br>Answer &#8212;&#8212;&#8212;- D. Describe other types of medication containers that are available<br>At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg\/dL. To<br>manage this client&#8217;s care effectively, what should the nurse administer?<br>A. Orange juice<br>B. Glucagon<br>C. 10 units of regular insulin<br>D. IV of 5% glucose in water at 100 mL\/hr &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- A. Orange<br>juice<br>A LPN\/LVN is caring for a client with Multiple Sclerosis (MS) who is receiving an<br>immunsupressant. Which action is most important for the nurse to implement to<br>evaluate for adverse effects from this particular medication?<br>A. Observe the client&#8217;s skin for bruising<br>B. Auscultate the client&#8217;s bowel sounds<br>C. Monitor the clients intake and output<br>D. Note changes in the client&#8217;s weight &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- D. Note changes<br>in the client&#8217;s weight<br>A male client with Hypercholesterolemia is being discharged with a new prescription for<br>simvastatin (Zocor). The client tells the nurse that he understands it is important to have<br>liver tests performed periodically. How should the nurse respond?<br>A. Instruct the client that the only regular testing needed is to monitor his cholesterol<br>level<br>B. Teach the client that liver test are usually only done if the client reports symptoms<br>C. Review with the client that renal function tests are needed, rather than liver tests<br>D. Confirm that the client correctly understands the need to monitor liver function<br>regularly &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- D. Confirm that the client correctly<br>understands the need to monitor liver function regularly<\/p>\n\n\n\n<p>An obese female client with a high serum cholesterol level comes to the clinic for a<br>follow-up evaluation. She tells the nurse that she is now walking 30 minutes three times<br>per week and is eating a carbohydrate free, high protein diet in order to lose weight.<br>What response is best for the nurse to provide?<br>A. Explain to the client that her diet choice is not helpful in lowering cholesterol levels<br>B. Discuss the importance of maintaining a target heart rate during each exercise period<br>C. Teach the client additional ways to lower cholesterol, including stress management<br>D. Praise the client for her exercise and dieting efforts and encourage her to continue<br>with this program &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- A. Explain to the client that her diet<br>choice is not helpful in lowering cholesterol levels<br>A child with Chronic Asthma is scheduled for Chest Physiotherapy. When should the<br>nurse administer the meter-dosed inhaler (MDI) puff of bronchodilator relative to<br>postural drainage treatments?<br>A. Before postural drainage<br>B. During postural drainage<br>C. After postural drainage<br>D. Between treatments &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- C. After postural drainage<br>A client has a prescription for lorazepam (ativan) 1 mg for anxiety. The medication is<br>supplied as 0.5mg tablets. How many tablets should the client take? (enter numeric<br>value only. &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- 2<br>The LPN\/LVN is caring for a middle-aged client who had a Myocardial infarction (MI) 3<br>days ago. Which finding is most important for the nurse to report?<br>A. Frothy red-tinged sputum<br>B. Irregular heart rate<br>C. Two pound weight gain<br>D. Dependent edema &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- B. Irregular heart rate<br>A client is diagnosed with Clostridium Difficile (CDIFF). What action should the nurse<br>implement to prevent the spread of the organism?<br>A. Place a surgical mask on the client during transport<br>B. Don non-sterile gloves when performing direct care<br>C. Wear a particular respirator mask when in the room<br>D. Keep the door closed to the client&#8217;s room at all times &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;-<br>B. Don non-sterile gloves when performing direct care<br>A 67-year-old woman who lives alone tripped on a rug in her home and fractured her<br>right hip. The nurse knows that which predisposing factor contributes to the occurrence<br>of hip fractures among elderly women.<br>A. Urinary retention resulting in renal calculi formation<br>B. Failing eyesight resulting in an unsafe environment<br>C. Osteoporosis resulting from hormonal changes<br>D. Transient ischemic attacks (TIAs) which impair mental activity &#8212;&#8212;&#8212; Correct Answer<br>&#8212;&#8212;&#8212;- C. Osteoporosis resulting from hormonal changes<\/p>\n\n\n\n<p>A client who had orthopedic surgery 2 days ago complains of difficulty sleeping which<br>initial intervention<br>is best foe the practical nurse (PN) to implement &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;-<br>Reposition the client and provide a back rub<br>The practical nurse (PN) is planning evening shift rounds for a group of postoperative<br>client who all had<br>surgery earlier that day which client should the PN check first &#8212;&#8212;&#8212; Correct Answer &#8212;<br>&#8212;&#8212;- A preschooler who had an emergency appendectomy for appendicitis<br>The practical nurse (PN) plans to distraction technique while client undergoes a brief<br>painful procedure<br>which action should the PN implement during the procedure &#8212;&#8212;&#8212; Correct Answer &#8212;&#8211;<br>&#8212;&#8211; Encourage the client to reminisce about a favorite past family event<br>Which interventions is within the scope of practice for a practical nurse (PN) &#8212;&#8212;&#8212;<br>Correct Answer &#8212;&#8212;&#8212;- Demonstrating deep breathing and coughing to be a post<br>operative client<br>The practical nurse (PN) determines that a clients pupils constrict as they change focus<br>from a far object<br>to a near object how should the PN document this finding &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8211;<br>&#8212; Pupils reactive to accommodation<br>The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for<br>a tension<br>headache which action would you take? &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- Explain that<br>medication can only be provided to client<br>The practical nurse (PN) explains to a client how to clean a sputum and client indicates<br>understanding<br>the procedure after the PN leaves the room the client obtain the sputum and notifies the<br>PN when the<br>PN arrives to collect the sputum it appears as seen in the picture. What action should<br>the PN take? &#8212;&#8212;&#8212; Correct Answer &#8212;&#8212;&#8212;- The PN should teach the client how to<br>obtain a sputum specimen and the client does not<br>correctly collect the specimen the PN should assist the client is obtaining another<br>specimen<br>cough directly into a sterile cup<br>The practical nurse (PN) ask the UAP for feedback about assigned client instead the<br>UAP walks away<br>from the PN ignoring the question what action is best for the PN to take &#8212;&#8212;&#8212; Correct<br>Answer &#8212;&#8212;&#8212;- In a private setting ask the other nurses for feedback about UAP<br>behaviors<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n<p>An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral pneumonia the client<br>has a living will and the family is requesting hospice care which information should the practical nurse (PN) reinforce with the<br>client and family regarding hospice?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Instructions for care should be included in the clients living will<\/li>\n\n\n\n<li>Care can be provided in home where client resides<\/li>\n\n\n\n<li>Care focuses on comfort dignity and emotion support<\/li>\n<\/ul>\n\n\n\n<p>An older female client adult who has been admitted to long term facility yesterday is confused about what day of the week it is<br>her history does not include that she was confused prior to admission what action should the practical nurse (PN) take?<br>Remind the client what day of the week it is<\/p>\n\n\n\n<p>A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is having contractions every<br>5 minutes the PN monitors the clint for an hour using external fetal monitor and determines that the clients contractions are 7<br>to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by palpitation which actin should the PN take?<br>Send the client home<\/p>\n\n\n\n<p>A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of a healthy newborn<br>the practical nurse (PN) observes that the client is shaking uncontrollably and states she&#8217;s cold<br>Apply light warm blanket and assure her that this is normal following delivery<\/p>\n\n\n\n<p>The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most important for the PN<br>to implement<br>Auscultate all the lung fields<\/p>\n\n\n\n<p>While administering prescription medication to an older adult resident in a extended care facility the practical nurse notice that<br>the client is having difficulty hearing what action is most important for the PN to take?<br>Determine if client has had difficulty hearing in the past<\/p>\n\n\n\n<p>The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her that she<br>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<br>client the client tells the practical nurse she&#8217;s a vegetarian and does not eat bleeds what instructions should the PN give?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Add lenhl and black beans<\/li>\n\n\n\n<li>Increase green leafy vegetables in the diet<\/li>\n\n\n\n<li>Oatmeal is a good choice for breakfast<\/li>\n<\/ul>\n\n\n\n<p>A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate interventions should the<br>practical nurse (PN) take?<br>Turn the infant to the right side<\/p>\n\n\n\n<p>The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar action should the action<br>should the PN take first?<br>Observe suture line for separation and hematoma formation<\/p>\n\n\n\n<p>The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of pregnancy what fetal<br>heart rate should be reported to the registered nurse?<br>180 (NORMAL 110-160)<\/p>\n\n\n\n<p>An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes from the client<br>klound followed by appearance of bowel on the skin which complication has occurred?<br>Evisceration<\/p>\n\n\n\n<p>A female client with immune thrombocytopenic purpura is transported to a long term facility for physical therapy rehabilitation<br>to prevent injury the most important for the practical nurse (PN) to implement?<br>Ensure the client has minimum clutter in the room<\/p>\n\n\n\n<p>Which location should the practical nurse palpate to determine if a client submandibular lymph node are enlarged?<br>Beneath the lower jaw<\/p>\n\n\n\n<p>A client is receiving an epidural anesthesia during labor which observation is the most important adverse effect that the<br>practical nurse (PN) should assess for following the administration of the epidural<br>Maternal hypotension<\/p>\n\n\n\n<p>The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening with a complaint of<br>hoarseness a danger sign for cancer of the larynx which client has the highest risk of development of cancer of the larynx that<br>the PN should refer to healthcare provider<br>A older male who drinks a 6 pack of beer nightly and smokes heavily<\/p>\n\n\n\n<p>A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt and has lost a lot of<br>weight which action should the PN take<br>Report suspected abuse to supervisor and protective services<\/p>\n\n\n\n<p>The practical nurse determines that a client who is one day postpartum has a moderate amount of lochia and rubra and the<br>uterus is firm diverted and three finger breaths above umbilicus what should be the first initial action<br>Massage the uterus to decrease atony<\/p>\n\n\n\n<p>The practical nurse is caring for a client with coronary artery disease who is admitted intermitted chest pain the admissions<br>lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin isoenzymes levels what should the PN<br>consider the most significant risk is for this client on the second day of admissions?<br>The labs results indicate myocadiac damage and the client is at risk for cardiac dysrhythmias<\/p>\n\n\n\n<p>Which interventions should thr practical nurse (PN) reinforce for a client with pruritis?<br>Keep finger nails trimmed short<\/p>\n\n\n\n<p>When gathering data about a client with dark skin tones which site should the practical nurse (PN) observe<br>Finger and toe nails<\/p>\n\n\n\n<p>A 2 day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt which nursing<br>intervention should the practical nurse (PN) implement during postoperative care<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Document strict intake and out take<\/li>\n\n\n\n<li>Measure head circumference<\/li>\n\n\n\n<li>Monitor body temperature every 4 hours<\/li>\n<\/ul>\n\n\n\n<p>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<br>stick glucose level of 40 30 minuets after birth based on this information which interventions should the PN implement first<br>Offer nipple feedings of 10% dextrose<\/p>\n\n\n\n<p>The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds the client lying on the bed the<br>PN determines that the client is unresponsive which action should the PN give the UAP first<br>obtain emergency help<\/p>\n\n\n\n<p>the practice nurse (PN ) is caring for a client with fractured metatarsals after slamming a hand in the car door after<br>administering the prescribed hydrocodone\/acetaminophen for pain which intervention should the PN include in the client care?<br>Implement ongoing assessments for signs of shortness or slowed breathing<\/p>\n\n\n\n<p>The practical nurse (PN) overhears the female client with crushing syndrome tell her family in a very loud and anger voice to<br>leave her room and not come back the response by the PN is based on recognizing which common manifestations of the<br>syndrome<br>Mood adherence<\/p>\n\n\n\n<p>The parents with a one year old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to<br>delay corrective surgery to see if the child will outgrow the problem which information should the PN provide to these parents<br>Ask the patents to explain what they understand about the child&#8217;s diagnosis<\/p>\n\n\n\n<p>A child reviving chemotherapy develops a cough that productive of yellow tinged sputum after determine that the client is<br>afebrile which priority action for the practice nurse (PN) to take?<br>Provide oral hygiene<\/p>\n\n\n\n<p>The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what primary assessment should<br>the PN evaluate<br>Level of consciousness<\/p>\n\n\n\n<p>The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a local anesthetic was<br>sprayed on their throat which priority action should the PN include in this care of plan?<br>Assess the gag reflexes<\/p>\n\n\n\n<p>The practical nurse (PN) is providing care for a client who is NPO after small bowel resection the client NG tube is connected to<br>intermittent suction the client reports dizziness and tingling in digits which assessment finding should the PN report to the<br>healthcare proiver<br>Hypoactive bowel sounds on assessment<\/p>\n\n\n\n<p>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<br>the best action for the PN to implement<br>Reassure the patents that increased physical activity reduces risk for diabetes<\/p>\n\n\n\n<p>While assisting the RN with the admission of a toddler which intervention should the practical nurse (PN) implement to make<br>the experience lease stressful for the client<br>Remove child&#8217;s clothing down to the diaper<\/p>\n\n\n\n<p>A client with hypertension complains of a persistent dry cough the practical nurse (PN) should tell the client that this is a<br>common side effect with what medication<br>Quinapril<\/p>\n\n\n\n<p>A practical nurse (Pn) is at the nurses station describing her social life sexual activities and alcohol<br>drinking in a boisterous voice that might be heard by the client and visitors<br>Suggest going to the nurses lounge to discuss these topics<\/p>\n\n\n\n<p>The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) that<br>originally motivated them to seek medical care which signs is the child most likely exhibiting<br>Hematuria<\/p>\n\n\n\n<p>the chest xray for a client who is admitted for pneumonia shows pleural effusion what should the PN<br>expect to hear when auscultating the upper lobe?<br>A rubbing pleural sound<\/p>\n\n\n\n<p>A client receives ondansetron prior to chemotherapy treatment how should the practical nurse evaluate<br>the effectiveness of the medication<br>Monitor the client for nausea or vomiting following the treatment<\/p>\n\n\n\n<p>The practical nurse (PN) is assisting with the plan of care for a client with osteochondrosis who is not<br>experiencing increased discomfort in breathing the client receives a prescription for tramadol what<br>interventions should the PN include in the client plan of care<br>On going assessment for signs of shallow or slowed breathing<\/p>\n\n\n\n<p>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<br>Gentamycin 160mg IM daily<\/p>\n\n\n\n<p>A new protocol for fall prevention is being implemented on the medical unit during safety rounds the<br>practical nurse (PN) identifies that the UAP had omitted a vital component of the protocol after<br>implementing the missing component which action should the nurse take?<br>Supervise the UAP after reviewing the protocol<\/p>\n\n\n\n<p>What standard of care is acceptable in a nursing malpractice case<br>What would a responsible prudent nurse have done under similar circumstances<\/p>\n\n\n\n<p>At the beginning of a shift in which order of priority should the practical nurse assess their 4 patients<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An older adult with dizziness whose o2 is 86%<\/li>\n\n\n\n<li>An older adult woman who&#8217;s vomiting who&#8217;s potassium is 2.8<\/li>\n\n\n\n<li>A young adult with a history of asthma who&#8217;s arterial pit is 7.48<\/li>\n\n\n\n<li>An adult client with an ulcer who&#8217;s hemoglobin&#8217;s is 9.8<\/li>\n<\/ul>\n\n\n\n<p>The practical nurse (PN) administers a anticonvulsant that causes photosensitivity which action should<br>the PN take after admitting the medication?<br>Remind the client to protect skin rom sunlight<\/p>\n\n\n\n<p>A 2 day old infant with hydrocephalus returns from surgery following placement of a<br>ventriculoperitoneal shunt which nursing interventions should the practical nurse (PN) implement<br>during postoperative care<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Document strict I &amp; O<\/li>\n\n\n\n<li>Measure head circumference<\/li>\n\n\n\n<li>Monitor body temp<\/li>\n<\/ul>\n\n\n\n<p>The practical nurse (PN) administers an antibiotic to a client with respiration tract infection to evaluate<br>the medication lab values<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>White blood count<\/li>\n\n\n\n<li>Sputum culture and sensitivity<\/li>\n<\/ul>\n\n\n\n<p>In caring for a client with buck traction the practical nurse (PN) observes thar the prescribed amount of<br>weight are hanging freely and traction is on pully which action should the PN implement next<br>Document the back traction is being maintained<\/p>\n\n\n\n<p>While the practical nurse (PN) and unlicensed assistive personal (UAP) are turning a client with an<br>abdominal incision the incision eviscerates which task is best for the PN to assign the UAP<br>Gather supplies<\/p>\n\n\n\n<p>The practical nurse (PN) ia changing the abdominal dressing of a male client who was discharged home<br>following a colon resection which information should the PN report to the health care provider<br>The client reports the wound care is painful and would like a prescription for an analgesic<\/p>\n\n\n\n<p>When obtaining a capillary blood sample for glucose measure which intervention should the practical<br>nurse (PN) implement<br>Determine what finger was used previously<\/p>\n\n\n\n<p>A client diagnosed with cdiff which action should the practical nurse (Pn) implement to prevent the<br>spread of the organism?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hand washing<\/li>\n\n\n\n<li>Don non sterile gloves when performing direct care<\/li>\n<\/ul>\n\n\n\n<p>A client who had orthopedic surgery 2 days ago complains of difficulty sleeping which initial intervention<br>is best foe the practical nurse (PN) to implement<br>Reposition the client and provide a back rub<\/p>\n\n\n\n<p>The practical nurse (PN) is planning evening shift rounds for a group of postoperative client who all had<br>surgery earlier that day which client should the PN check first<br>A preschooler who had an emergency appendectomy for appendicitis<\/p>\n\n\n\n<p>The practical nurse (PN) plans to distraction technique while client undergoes a brief painful procedure<br>which action should the PN implement during the procedure<br>Encourage the client to reminisce about a favorite past family event<\/p>\n\n\n\n<p>Which interventions is within the scope of practice for a practical nurse (PN)<br>Demonstrating deep breathing and coughing to be a post operative client<\/p>\n\n\n\n<p>The practical nurse (PN) determines that a clients pupils constrict as they change focus from a far object<br>to a near object how should the PN document this finding<br>Pupils reactive to accommodation<\/p>\n\n\n\n<p>The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for a tension<br>headache which action would you take?<br>Explain that medication can only be provided to client<\/p>\n\n\n\n<p>The practical nurse (PN) explains to a client how to clean a sputum and client indicates understanding<br>the procedure after the PN leaves the room the client obtain the sputum and notifies the PN when the<br>PN arrives to collect the sputum it appears as seen in the picture. What action should the PN take?<br>The PN should teach the client how to obtain a sputum specimen and the client does not<br>correctly collect the specimen the PN should assist the client is obtaining another specimen<br>cough directly into a sterile cup<\/p>\n\n\n\n<p>The practical nurse (PN) ask the UAP for feedback about assigned client instead the UAP walks away<br>from the PN ignoring the question what action is best for the PN to take<br>In a private setting ask the other nurses for feedback about UAP behaviors<\/p>\n\n\n\n<p>A client who is being care for in her home has a lab serum sodium level of 125 to determine the cause of<br>this level which information should the PN request from the client<br>The amount of salt used in meal preparation<\/p>\n\n\n\n<p>The practical nurse (PN) observes a newly hired UAP who&#8217;s counting client radial pulse as seen in the<br>picture which action should the PN take?<br>Demonstrate the correct pulse side to the UAP<\/p>\n\n\n\n<p>The practical nurse (PN) is auscultating a clients lungs sounds which description should the PN use to<br>document this sounds (listen to the audio)<br>Wheezing<\/p>\n\n\n\n<p>Which foot care instruction is most important for the practical nurse (PN) to reinforce for a patient<br>newly diagnose with type 2 diabetes<br>Make sure the shoe size fits, minimizing rubbing and blisters<\/p>\n\n\n\n<p>A married woman comes to the clinic for her annual well woman physical examination during the<br>interview with the with the practical nurse (PN) observes a yellow bruise to the lower eye and<br>purple bruising on the clients upper arm which should the nurse ask?<br>Is anyone hurting you<\/p>\n\n\n\n<p>A male preop client who already signed the informed consent for a surgical procedure the client tells the<br>PN that he is really frightened and unsure about undergoing the surgery which priority action should you<br>take?<br>Notify the charge nurse of the clients concerns<\/p>\n\n\n\n<p>During the morning rounds a client who is admitted with obsessive compulsives disorder in the dayroom<br>repeatable is washing on top of the same table witch intervention should the PN implement when<br>approaching<br>Provide time for the behaviors then guide the client to other actives<\/p>\n\n\n\n<p>The practical nurse (PN) is caring for a client receiving a prescription for paroxetine who suddenly<br>exhibits restlessness tachycardia fever and elevated blood pressure which action should the PN<br>implement first<br>Withhold the next dose contact the health care provider<\/p>\n\n\n\n<p>A client with schizophrenia reports auditing hallucinations when admitted to the hospital what<br>questions is most important for the practical nurse (PN) to include in the assessment<br>What is the voices altering<\/p>\n\n\n\n<p>A female client with bipolar disorder reports to the practical nurse (PN) that he has not taken his<br>prescribed medication divalproex sodium of what parameter is most important for the PN to obtain<br>Frame of mind<\/p>\n\n\n\n<p>The practical nurse (PN) and the unlicensed asstive personnel (UAP) are providing care for a client who<br>exhibits signs of neglect syndrome following a stoke affecting the right hemisphere which client should<br>the PN implement<br>Demonstrate to the UAP how to approach the client from the left side<\/p>\n\n\n\n<p>Which statement by an older adult female client who lost her spouse 2 years ago should indicate to the<br>Practical Nurse (PN) that the client may need treatment counseling<br>I realized that life must go on but sometimes I wonder why<\/p>\n\n\n\n<p>The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine which<br>behavior should the PN document with cocaine withdrawal<br>Intense cravings<\/p>\n\n\n\n<p>The Practical Nurse (PN) is assigned to care for four children which should be assessed first<br>18 month old who has cystic fibrosis is wheezing<\/p>\n\n\n\n<p>An older client tells the home health care practical nurse (PN) about experiencing &#8212;&#8212;- whats most<br>important for the PN to obtain<br>Standing blood pressure<\/p>\n\n\n\n<p>The home health practical nurse (PN) visit a young male client with AIDS who has Kaposi sarcoma and peripheral neuropathies his\u2014who provides care for the client states that their son sleeps most of the<br>time the PN observes the client is semi-conscience with stable vitals&#8212; and cries out in pain when turned<br>or moved a fentanyl patch is in place and skin lesions are closed and dried which interventions should<br>the PN implement<br>Give a complete bed bath to further assess the client<\/p>\n\n\n\n<p>The practical nurse (PN) learns that the client whos receiving chemotherapy has developed stomatitis<br>which information should the PN obtain from the client during focused assessment<br>Ability to swallow<\/p>\n\n\n\n<p>The Practical nurse (PN) is caring for a client with obstructive sleep apnea the PN should recognize the<br>client is at greater risk for the development of what complication<br>Peptic ulcer disease<\/p>\n\n\n\n<p>Which finding for a client with an arteriovenous fistula (AV fistula) should the practical nurse report to<br>the health care provider<br>Radial pulse distal to AVF is absent and ulnar pulse is present<\/p>\n\n\n\n<p>The practical nurse is reinforcing teaching to a group of evacuees in a mass casualty center after a<br>natural flooding disaster which information should the PN include in the review?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Drink only boiled water or bottled oral rehydration solution<\/li>\n\n\n\n<li>Clean hands using soap clean water or waterless antibacterial solutions<\/li>\n\n\n\n<li>Wash all fruits and vegetables thoroughly in running tap water<\/li>\n<\/ul>\n\n\n\n<p>In administering nystatin suspension to the gums of an infant with candida infection which approach<br>should the practical nurse (PN) use<br>Use a gloved finger to suspension over the infected area<\/p>\n\n\n\n<p>Prior to administering pain medication to an older adult post operative client what information should<br>the practical nurse (PN) obtain<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clients pain rating 1-10 scale<\/li>\n\n\n\n<li>Time of last administration of pain medication<\/li>\n\n\n\n<li>Effectives of last pain8 medication administration<\/li>\n<\/ul>\n\n\n\n<p>A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500mg<br>by mouth twice a daily which action should the practical nurse (PN) take?<br>Monitor the client for a rash and hives<\/p>\n\n\n\n<p>When preforming of focused gastrointestinal system assessment thr practical nurse (PN) ask the male<br>client when his last bowel movement occurred the client answers three days ago which action should<br>the PN implement first<br>Determine the clients usual bowel patterns<\/p>\n\n\n\n<p>The practical nurse (PN) plans to reinforce the proper use of a cane to an older client who is recovering<br>from a stoke when providing information to the client how to correctly use assistive devices where<br>should the PN reinforce with the client to place the cane<br>Ineffective side<\/p>\n\n\n\n<p>The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with<br>urinary retention which information should PN include during the electronic documentation of a<br>procedure<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Appearance of urine obtained<\/li>\n\n\n\n<li>Size of urinary catheter<\/li>\n\n\n\n<li>Amount of urine obtained<\/li>\n<\/ul>\n\n\n\n<p>The practical nurse (PN) is caring for a client who is receiving intravenous fluids via a gravity infusion to<br>confirm that the client is receiving the correct amount of fluid volume what part of iv delivery system<br>should the PN monitor<br>Picture with hand dot picture on arm<\/p>\n\n\n\n<p>The practical nurse is caring for a client with influenza who requires droplet precautions which action<br>should the PN take after entering the room to provide care?<br>Close the door to the client&#8217;s room<\/p>\n\n\n\n<p>A male client tells the practical nurse (PN) that the pill he has been taking at home is different color and<br>size then the one the PN is trying to give him now how should the nurse respond<br>Explain that the pharmacy often substitutes generic for more expensive brands<\/p>\n\n\n\n<p>The practical nurse (PN) who is working on a skilled nursing unit delegates the 2 hour turning schedule a<br>group of bedridden clients to a UA[P to minimize lower back injury which strategies should the PN<br>implant while moving the client in bed<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Encourage the client to help<\/li>\n\n\n\n<li>Maintain a broad base of support<\/li>\n<\/ul>\n\n\n\n<p>What do you do before giving medication<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pain scare<\/li>\n\n\n\n<li>Effectiveness of pain<\/li>\n\n\n\n<li>Last given<\/li>\n<\/ul>\n\n\n\n<p>Clients blind how to communicate<br>Stand in front<\/p>\n\n\n\n<p>Risk to devolve breast cancer<br>32 year old whos mother had brest cancer<\/p>\n\n\n\n<p>Influenza precautions<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mask<\/li>\n\n\n\n<li>Gloves<\/li>\n\n\n\n<li>Private room<\/li>\n<\/ul>\n\n\n\n<p>Vitamin k diet<br>Green leafy vegetables<\/p>\n\n\n\n<p>Diabetes patient&#8217;s<br>Wash feet dry good<\/p>\n\n\n\n<p>Patient feels dizzy standing up<br>Check bp<\/p>\n\n\n\n<p>When preparing to change a clients sterile dressing the practical Nurse (Pn) opens a package of gauze pads as seen in<br>the picture which action should the PN take next? (picture question)<br>Apply a new pair of sterile gloves<\/p>\n\n\n\n<p>The practical nurse (PN) accompanies a healthcare provider when the client receives the diagnosis of stage 5<br>metastatic cancer the client&#8217;s wife immediately responds &#8220;you must have made a mistake we want to get a second<br>option&#8221; the PN should consider which stage of the grieving process in order to respond best to the wife&#8217;s comments?<br>Denial<\/p>\n\n\n\n<p>The Practical Nurse (PN) is preforming a focused assessment for a male client with schizophrenia who is admitted to<br>an acute care inpatient facility which behavior should the PN document as symptoms of schizophrenia?<br>Voices telling the client to hurt himself<\/p>\n\n\n\n<p>Based on the computer documentation the electronic medical record (EMR) which action should the practical nurse<br>(PN) implement cclicic on each chart tab for addition information<br>Give rubella vaccine subcutaneously<\/p>\n\n\n\n<p>A client is admitted with a hemothorax following a motor vehicle collision and surgeon inserts a chest tube that is<br>attached to a chest drainage system with suction at 20cm water pressure. The practical nurse (PN) fluid level is at<br>15cm which action should be implemented to ensure effectiveness suctioning of the chest drainage system?<br>Additional sterile water should be added to the suction chamber to the 20 ml level<\/p>\n\n\n\n<p>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<br>which assessment finding should the practical nurse (PN) note as the most significant indicator of possible child abuse<br>The story of the injured given by the mother differs from child&#8217;s<\/p>\n\n\n\n<p>A 15-year-old male who is mildly mentally disabled is admitted to the adolescent unit because he repeatedly refuses<br>to complete personal hygiene the health care provider prescribes that the client brushes his teeth 3 times day in the<br>psychiatric team conference a behavior modification program is recommended to engage the client participation<br>when implementing this technique which reinforcement is the best for the practical nurse (PN) to provide?<br>Candy for each successful hygiene task. Like brushing teeth<\/p>\n\n\n\n<p>A client who is 2 weeks post-partum presents with an inability to sleep feeling of irritability and server mood swings<br>she believes the infants going to die and is unable to care for the baby. The practical nurse (PN) recognizes the client<br>may be exhibiting symptoms of which conditions?<br>Post-partum blues<\/p>\n\n\n\n<p>A client who is admitted to the hospital for depression is escorted to a private room. Prior to leave the room which<br>intervention is the most important for the practical nurse (PN) to implement<br>Search all personal belongings<\/p>\n\n\n\n<p>The practical nurse (PN) is caring for q client with new prescription for fluticasone furoate nasal spray for<br>glucocorticoid prescribed for the client&#8217;s nasal allergy symptoms in reinforcing instructions about administration of<br>the nasal spray the PN should emphasize the need for the client to take what action before self-administration<br>Blow nose gently<\/p>\n\n\n\n<p>A client in a psychiatric unit&#8217;s dayroom is becoming agitated talking incessantly and starting o yell and swear at other<br>clients which action should the practical nurse (PN) implement first<br>Escort the client to a calm and quiet place<\/p>\n\n\n\n<p>A client with somatic symptom disorder reports experiencing chest pain to the practical nurse (PN) which action<br>should the PN take<br>Further assess the client&#8217;s pain and vital signs<\/p>\n\n\n\n<p>a home health practical nurse (PN) visits an older client living with offspring who exhibits fear. Appears unkempt and<br>has lost significant weight which action should the PN take<br>report suspected abuse to a supervisor and protective services<\/p>\n\n\n\n<p>a male client attends a community support program for mentally impaired and chemical abusing clients. The client tell<br>the practical nurse (PN) that drug of choice is cocaine and heroin what is the greatest health risk for this client?<br>Hepatitis<\/p>\n\n\n\n<p>An older adult client with cancer of the liver is in a hepatic coma and unresponsive. How should the practical nurse<br>(PN) respond to a family member who are inquiring about condition of their love one<br>Refer the family to the charge nurse to discuss the client&#8217;s condition in a family conference<\/p>\n\n\n\n<p>A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits<br>quietly without communication when approaching the client what intervention should the practical nurse PN(<br>implement first?<br>Describe function of the PN<\/p>\n\n\n\n<p>A male client tells the practical nurse (PN) that is afraid of getting cancer so he plans to quit smoking cigarettes by<br>switching to a smokeless tobacco product how should the PN respond<br>Provide information to the client about risk associated with smokeless tobacco<\/p>\n\n\n\n<p>The practical nurse (PN) administers an opioid analgesic to a client with pain with incisional pain thirty minutes later<br>the client respirations decrease from 16 to 8 breaths\/min what addition assessment should the pn compete before<br>reporting the finding to the charge nurse (SELECT ALL THAT APPLY)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cloud appearance<\/li>\n\n\n\n<li>Oxygen saturation<\/li>\n\n\n\n<li>Level of conscience<\/li>\n<\/ul>\n\n\n\n<p>The practical nurse (PN) is listening to a client breath sounds which medication from the clients prescriptions will have<br>the most positive effect on this respiratory finding (listen to auto)<br>Albuterol<\/p>\n\n\n\n<p>An older client is being discharged to home following a hip pinning procedure for a fractured hip the client uses<br>crutches for ambulation which element should the<br>practical nurse (PN) emphasize when reinforcing precautions to prevent the risk of falls in the home?<br>Scattered rugs<\/p>\n\n\n\n<p>The practical nurse (PN) observes a client using an incentive spirometer as seen in the video which should the PN<br>emphasize on (the video of a man using incentive spirometer)<br>Reinforce he needs to inhale slower and more deeply<\/p>\n\n\n\n<p>the practical nurse (PN) observed two unlicensed assistive personnel (UAP) turning an older client who had hip<br>arthroplasty with prothesis placement 4 hours ago witch observation by the PN indicates that the UAP needs<br>additional information about turning procedures?<br>The client is told to keep both legs straight and together while turning<\/p>\n\n\n\n<p>While changing a clients dressing with a leg ulcer the practical nurse (PN) observes a red tendon and swollen wound<br>at the site of the lesion before reporting this finding to the health care provider the PN should valuate which of the<br>laboratory values<br>Neutrophils count<\/p>\n\n\n\n<p>The practical nurse (PN) is reviewing results of a client urinalysis which results indicate problems and should be<br>reported by the PN to the health care provider (select all that apply)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bacteria present<\/li>\n\n\n\n<li>Positive for albumin or protein<\/li>\n\n\n\n<li>Slightly acidic PH<\/li>\n<\/ul>\n\n\n\n<p>The practical nurse (PN) is monitoring a client neurological status following a closed head injury witch assessment<br>finding should the PN include (select all that apply)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pupillary reaction<\/li>\n\n\n\n<li>Vital sign measures<\/li>\n\n\n\n<li>Conscience level<\/li>\n<\/ul>\n\n\n\n<p>A client has unconscious has a weak thready pulse cool moist skin cyanosis of the nails beds and Kussmaul<br>respirations which of the following actions should the practical nurse implement<br>Place client in semi fowlers position<\/p>\n\n\n\n<p>Prior to an invasive examination of a hospitalized client a consent form should be obtained which action best<br>describes the responsibility of the practical nurse?<br>Check the medical records for correct signed consent form prior to the examination<\/p>\n\n\n\n<p>An older male is returning to the surgical unit after a total right hip replacement which assessment finding are most<br>important to the practical nurse (PN) to document in the electronic medical record<br>Paresthesia paralysis pedal pulse pallor and pain<\/p>\n\n\n\n<p>93 East New England Ave<br>the client with current and previous sleep habits<\/p>\n\n\n\n<p>A practical nurse who is a member of the continued quality improvement committee of an extended care facility<br>identifies that there has been an increase incidence of urinary infection (UTI) over the last six months period which<br>intervention should the PN implement on decrease catheter<br>Evaluate the UAP techniques for catheter care<\/p>\n\n\n\n<p>in caring for a client following a below the knee amputation which task best for the practical nurse (PN) to assign the<br>unlicensed assistive personal (UAP) who is assisting with the care of this client<br>empty and measure the drainage in the suction device<\/p>\n\n\n\n<p>which action should the practical nurse (PN) include when assessing a client for signs and symptoms of fluid volume<br>excess (select all that apply)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>observe color and amount<\/li>\n\n\n\n<li>palpate the rate and volume of the pulse<\/li>\n\n\n\n<li>measure body weight at the same time daily<\/li>\n<\/ul>\n\n\n\n<p>an adult with a history of cardiovascular disease comes to the clinic complaining of indigestion vital signs are heart<br>rate 130beats\/min respirations 24 breaths\/min and BP 180\/90 which findings should the practical nurse (PN) report<br>immediately<br>Left jaw discomfort<\/p>\n\n\n\n<p>What is the first intervention for the practical nurse (PN) to implement when a client refuses to take prescribed<br>medication?<br>Determine the clients reasoning for refusing the medication<\/p>\n\n\n\n<p>The practical nurse (PN) finds a client who is assigned to another nurse bleeding from an intravenous (IV) site and the<br>IV tubing floor the PN immediately applies a dressing to stop the bleeding which action should the PN take next?<br>Enter computer documentation of the finding and the application of a dressing<\/p>\n\n\n\n<p>When applying a pulse oximeter which actions should the practical nurse (PN) take first?<br>Observe for finer nail polish<\/p>\n\n\n\n<p>For the past 6 hours a postoperative male client has refused pain medication because he believes that he could<br>&#8220;tough it out&#8221; when an opioid analgesic is administered the client has difficulty obtaining a satisfactory level of<br>comfort which action is best for the nurse to use in assisting this client to deal with his pain?<br>Guide the client through slow rhythm breathing<\/p>\n\n\n\n<p>In implementing the plan of care what date should the practical nurse (PN) obtain first for a client with a sleep pattern<br>disturbance<br>Sleep routines that the client practices regularly<\/p>\n\n\n\n<p>The practical nurse (PN) is preparing for shift change which task has the highest priority and should be completed<br>first<br>Verify completion of all new prescriptions<\/p>\n\n\n\n<p>the practical nurse (PN) palpates the clients radial pulse disappears when light pressure is applied how should the<br>PN document this finding<br>Thready pulse volume<\/p>\n\n\n\n<p>Under which condition do all state nurse practice act provide the revocation of the license of practical nursing (PN)<br>Practicing under the influence of drug and alcohol<\/p>\n\n\n\n<p>The client expresses concern about receiving proper in in accordance with the client religion which action is the best<br>for the practical nurse (PN) to take<br>Ask the client about individual care preference<\/p>\n\n\n\n<p>After administering pantoprazole to a client with gastroesophageal reflex disorder (GERD) which statement by the<br>client indicates to the practical nurse (PN) that the medication is providing the desired effect<br>I did not experience any heartburn after eating lunch<\/p>\n\n\n\n<p>The practical nurse (PN) overhears a conversation between a unlicensed assistive personal (UAP) and another staff<br>member in the hospital caf\u00e9 line concerning a clients reaction to being given a diagnosis of terminal cancer what is<br>the best nursing action?<br>Write incident report and give to unit manager<\/p>\n\n\n\n<p>Which instruction should the practical nurse (PN) provide the unlicensed assistive personal (UAP) assisting with grace<br>of a client following a lumbar puncture<br>It is important to monitor the appearance of the punctured site<\/p>\n\n\n\n<p>A male client with chronic medical conditions tells the practical nurse (PN) that he wants no heroics to prolong his life<br>if anything should happen to him which action should the PN take<br>Notify the clients health care provider of the clients wishes as soon as possible<\/p>\n\n\n\n<p>The practical nurse (PN) prepares to administer morphine IM to a postoperative client before administering morphine<br>the PN should recognize the necessary more monitoring which parameter<br>Dyspnea respiratory depth and respiratory rate<\/p>\n\n\n\n<p>The practical nurse (PN) administers a skeletal muscle relaxant to a client with left keg pain which assessment<br>provides data related to the effectiveness of the medication<br>Pain level decreased<\/p>\n\n\n\n<p>A 5 year old with diabetes is NPO die a diagnostic procedure which action should the practical nurse (PN) take since<br>the child received regular insulin at 0700 each morning<br>Give the 0700 insulin as received everyday<\/p>\n\n\n\n<p>Which nursing intervention is most important to include to the plan of care for a child with acute glomerulonephritis<br>Encourage fluid intake<\/p>\n\n\n\n<p>An older adult female is admitted with syncope and laboratory finding indicate that her hemoglobin is 8.0 grans ldi<br>she has recent history of headaches and frequent falls admission prescription include continuation of all home<br>medication which medication should the practical nurse (PN) withhold until consulting with charge nurse<br>Aspirin<\/p>\n\n\n\n<p>The practical nurse is providing care for a client who is receiving an intravenous antibiotic to tract an infection which<br>assessment finding require the most immediate action by the PN<br>Hives with pruritis<\/p>\n\n\n\n<p>The patents of 4 week old male infant reports that je eats well but vomits after each meal which finding should the<br>practical nurse (PN identify if the baby is reeving inadequate nutrition<br>Sunken fontanelle<\/p>\n\n\n\n<p>The practical nurse (PN) is caring for a 9month old female infant with developmental dysplasia of the hip after a<br>closed reduction and hip spinal cast application after application of the cast what is the most important intervention<br>in caring for the infant<br>Protect cast all the perineal from urine contamination<\/p>\n\n\n\n<p>When caring for a child with sickle cell disease the practical nurse (PN( expects the child will most likely describe<br>which symptoms when experiencing a sickle cell crisis<br>Joint pain<\/p>\n\n\n\n<p>A hospitalized 5year old boy recovering from surgery refuses to drain fluid which interventions is best for the practical<br>nurse (PN) to implement<br>Offer the child popsicle and allow him to pick the flavor he prefers<\/p>\n\n\n\n<p>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<br>been in a sustained vegetative state for 5 months since the accident which intervention should the PN implement<br>Talk directly to the adolescent when providing care<\/p>\n\n\n\n<p>The practical nurse (PN) assists a post op client with an incentive spirometer the client experiences wound<br>Call for help immediately<\/p>\n\n\n\n<p>The practical nurse is feeding a 2-month-old infant with heart failure due to ventricular septal defect which<br>intervention should the PN implement<br>Allow the infant to rest before feedings<\/p>\n\n\n\n<p>While assessing a client who had a short leg cast applied two hours ago the practical nurse notices that the capillary<br>refill for the casted leg is &#8212; seconds which action should the PN implement<br>Notify the healthcare provider and charge nurse<\/p>\n\n\n\n<p>The practical nurse (PN) is caring for a client following a carotid endarterectomy to the assess for possible<br>hemorrhage what action is most important for the PN to implement<br>Observe area under the neck and shoulder<\/p>\n\n\n\n<p>At 4 hours post operatively the practical nurse (PN) inspects the surgical wound dressing of a client who had a right<br>total knee replacement and observes it is saturated with serosanguineous drainage the hemovac drainage unit is<br>empty and not compressed and the stopper is open to air after taking the client vital signs which action should the PN<br>implement<br>Compress the hemovac unit and replace its stopper<\/p>\n\n\n\n<p>The practical nurse (PN) is assisting in the care for a client with acute chest pain who is being monitored for a<br>suspected myocardia infraction which elevated lab result should the PN immediately report to the healthcare<br>provider<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B Type natriuretic peptide (BUN)<\/li>\n\n\n\n<li>Creatine<\/li>\n\n\n\n<li>Tropine 1<\/li>\n\n\n\n<li>Creatine kinase<\/li>\n<\/ul>\n\n\n\n<p>The practical nurse is providing care for an older male who has pitting edema of the feet and ankles and is receiving<br>spironolactone which instructions is most important to provide the UAP assisting with the care of the client<br>Maintain accurate intake and output<\/p>\n\n\n\n<p>After change in shift report the practical nurse (PN) makes rounds on a postoperative unit which client finding needs<br>immediate attention<br>A client who has brown, green bile draining from a t-tube after cholecystectomy for cholelithiasis<\/p>\n\n\n\n<p>The practical nurse is preparing a client for a bone marrow aspiration which erythropoietic site is most likely to be<br>used to obtain specimen<br>The practical nurse is preparing a client for a bone marrow aspiration which erythropoietic site is most likely to be<br>used to obtain specimen<\/p>\n\n\n\n<p>An older female resident of a long term facility experiences frequent episodes of urinary &#8212; what is important for the<br>practical nurse to perform regularly in response to the resident<br>Appearance of skin on perineal area<\/p>\n\n\n\n<p>A newborn infant is prescribed an immunization prior to discharge what action should the practical nurse take?<br>Contain signed consent from mother for administration of hepatitis B vaccine<\/p>\n\n\n\n<p>A practical nurse (PN) is caring for a client newly diagnose with diabetes mellitus what finding is early signs of<br>hypoglycemia<br>Tremors<\/p>\n\n\n\n<p>On the first day after a cesarean section a client is a primipara is being assisted to&#8212;- gush of vaginal blood and notices<br>that severe blood clots are in the toilet which action should the PN take<br>Check fundal consistency and continue to monitor the lochia flow amount<\/p>\n\n\n\n<p>The practical nurse is making a home visit to an older male adult who was recently diagnosed onset of severe burning<br>pain along the right side of his trunck what action should the PN take<br>Administer a prescribed PRN does of analgesic<\/p>\n\n\n\n<p>The practical nurse (PN) is assisting a client who is multiparous in active labor with &#8212;- are occurring every 2 minunites<br>with a duration of 80 seconds she suddenly wants to have a bowel movement what will the PN do first<br>Instruct the client to push with every contraction<\/p>\n\n\n\n<p>The practical nurse is preparing to insert an older clients hearing aids after determining check batteries to be sure<br>they&#8217;re working properly in what order should the PN implement from FIRST TO LAST<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Turn the hearing aid off and set the volume at low<\/li>\n\n\n\n<li>Line up the ear mold with the clients external auditory opening<\/li>\n\n\n\n<li>Gently press ear mold into ear while rotating backwards<\/li>\n\n\n\n<li>Rotate the ear mold slightly forward and insert in the ear canal<\/li>\n\n\n\n<li>Turn hearing aids on and adjust the volume for the client<\/li>\n<\/ul>\n\n\n\n<p>An older female client who resides in a long term care facility has a male friend who often visits her in the facility the<br>pn went to the clients room to administer medication and finds the couple in bed together what action should the PN<br>take?<br>Exit the room and quiet close the door<\/p>\n\n\n\n<p>A primigravida client confines in the practical nurse (PN) that her sister told her the she &#8211; because it will eliminate<br>fluid retention and swelling how should the PN respond<br>Salt foods lightly during cooking but add additional salt at the table<\/p>\n\n\n\n<p>Upon entering the room of an older cardiac client the practical nurse (PN) finds the client slumped in the chair with no<br>visible sign&#8212; which first action the PN should take?<br>Extend the client head open airway<\/p>\n\n\n\n<p>The practical nurse (PN) is caring for a group of clients on a postpartum unit after shift&#8212;&#8211;<br>Gravida 3 para 3 who delivered vaginally 3 hours ago<\/p>\n\n\n\n<p>The practical nurse (PN) is removing the personal protective equipment which equipment should the PN remove first<br>Gloves<\/p>\n\n\n\n<p>A clients whose first child was delivered by C-section is 20 weeks pregnant with&#8212; (VBAC) what information is most<br>important for the practical nurse to obtain?<br>History of contracting herps simplex virus<\/p>\n\n\n\n<p>The practical nurse notice that a client urine is pale yellow &#8212;- complete next?<br>Ask the client about urinary frequency<\/p>\n\n\n\n<p>A female client returns to her room following her initial external ra&#8212; observes the unlicensed assistive personal (UAP)<br>who has just &#8212;- dry what action should the PN take<br>Document complete of post procedure skin care<\/p>\n\n\n\n<p>The practical nurse (PN) is assisting the recreational director &#8212;&#8211; residents who are mentally alert which activity<br>should the PN implement<br>An outdoor concert<\/p>\n\n\n\n<p>A client whose 39 weeks gestation is admitted in early labor during the focused assessment &#8212; client who states that<br>she has been pregnant 5 times but only have 2 living children &#8212; miscarried during the fist trimester which parity<br>should PN document<br>TERM 3 PREMATTURE 0 ABORTION 3 LIVING 2<\/p>\n\n\n\n<p>a female client retunes to her room following her initial external radiation &#8212;- observes the UAP who just finished &#8212;<br>dry what action should the PN take<br>document completion of post procedure skin care<\/p>\n\n\n\n<p>which action by the practical nurse indicates the best understanding of the principles related to&#8212;- the question is not<br>clear<br>hold the hands lower than the elbows to promote microbe removal<\/p>\n\n\n\n<p>the practical nurse enters a clients hospital room and seers smoke and flames in the wastebasket which sequence<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>move client in immediate danger<\/li>\n\n\n\n<li>archive fire alarm<\/li>\n\n\n\n<li>get fire extinguisher<\/li>\n\n\n\n<li>shut the doors to all clients room<\/li>\n<\/ul>\n\n\n\n<p>the practical nurse is providing instructions to the UAP preparing to give a total bed bath to an immediate &#8212;- has a<br>continues feeding gastrostomy tube which instructions is most important for the PN to emphasize<br>keep the head of the bed raised while the feeding infusing<\/p>\n\n\n\n<p>a client receives a new prescription at 1000 that includes discontinuing IV fluids and IV antibiotics which prescription<br>should the PN<br>ampicillin 500 mg po q8h<\/p>\n\n\n\n<p>immediately after a log rolling a client to a lateral position which interventions should the pn implement<br>place pillow to maintain alignment<\/p>\n\n\n\n<p>the practical nurse is offering fluids to a client whose has been NPO which intervention is most important<br>moisten oral membranes by providing mouth care<\/p>\n\n\n\n<p>the health care provider prescribes epinephrine 0.3mg sub q STAT for a child whos having an allergic reaction to a bee<br>sting the medication is labeled 1mg \/ml how many ml should the PN administer<br>0.3ml<\/p>\n\n\n\n<p>A client who has a gangrenous left lower extremity is to begin wound care that includes the prescription for cleaning<br>with sterile water and pyrrolidone-iodine scrubs what should the PN consider first before implementing the<br>procedure<br>Clients allergies<\/p>\n\n\n\n<p>In obtaining a series if stool specimens for occult blood which instructions should the practical nurse provide to the<br>client<br>Defecate into container separately from urine in the toilet<\/p>\n\n\n\n<p>A client receiving statin medication reports the onset of muscle soreness and fatigue the practical nurse notes that<br>the client skin is warm to touch what action is priority<br>Report findings to the charge nurse<\/p>\n\n\n\n<p>A client is admitted for treatment for Addison&#8217;s crisis which finding is most important for the PN to report to the<br>charge nurse<br>IV infusion suite is impetrated<\/p>\n\n\n\n<p>The practical nurse (PN) is assigning task to the UAP who&#8217;s giving basic care to a group od residents in a long term<br>care facility which client task should the completed by the PN rather than the UAP<br>A client with continuous urinary bladder irrigation with a 3 way catheter<\/p>\n\n\n\n<p>What information should the practical nurse review with a client who has symptoms of orthostatic hypotension<br>Raise slowly from sitting or lying position<\/p>\n\n\n\n<p>The practical nurse should perform oral suctioning for a client with what problem?<br>Dysphagia<\/p>\n\n\n\n<p>A client who is primigravida tells the practical nurse my baby seems to be sleeping but look at the funny move &#8212;<br>notices that the infant is making hand to had movements smacking his ups and turning his head which is the best&#8212;<br>These movements indicate that the infant is hungry<\/p>\n\n\n\n<p>A client is admitted with lower gastrointestinal (GI) bleeding and scrum hemoglobin of 6.8 gm\/dl is receiving a unit of<br>packed red blood cells the client current vitals are temp 99.6 pulse 90beats\/min respiratory rate 20 breaths\/min bp<br>108\/60 what action should you implement<br>Notify charge nurse about the vital signs<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 ExamBest Studying Material All Questions and 100%Correct AnswersThe practical nurse (PN) ia changing the abdominal dressing of a male client who wasdischarged homefollowing a colon resection which information should [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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 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