{"id":132745,"date":"2024-07-29T10:12:02","date_gmt":"2024-07-29T10:12:02","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132745"},"modified":"2024-07-29T10:12:09","modified_gmt":"2024-07-29T10:12:09","slug":"hesi-pn-fundamentals-exit-exam-2024-bundle-pn-fundamentals-hesi-exit-exam-actual-exam-questions-and-correct-detailed-answers-with-rationales-verified-answers-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/29\/hesi-pn-fundamentals-exit-exam-2024-bundle-pn-fundamentals-hesi-exit-exam-actual-exam-questions-and-correct-detailed-answers-with-rationales-verified-answers-already-graded-a\/","title":{"rendered":"HESI PN FUNDAMENTALS EXIT EXAM 2024 BUNDLE PN FUNDAMENTALS HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+"},"content":{"rendered":"\n

HESI PN FUNDAMENTALS EXIT EXAM 2024 BUNDLE PN FUNDAMENTALS HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+<\/p>\n\n\n\n

lOMoAR cPSD|19500986
HESI PN FUNDAMENTALS EXIT EXAM 2023-2024 VERSION 4 \/
PN FUNDAMENTALS HESI EXIT EXAM VERSION 5 ACTUAL
EXAM ALL 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client is undergoing chemotherapy treatment and has a decreased neutrophil
count. The client is under protective (reverse, or neutropenic) precautions. While
the nurse is caring for the client, the client hands her cell phone to the nurse and
says, \u201cThis is my pastor, can you explain to him about this isolation stuff?\u201d
Which comments are most appropriate for the nurse to make?
(Select all that apply.)
a. \u201cHer white blood cells are dangerously low right now.\u201d
b. \u201cShe would probably enjoy visits from your preschool choir.\u201d
c. \u201cIf her white blood cells drop any further, she will be on isolation a long time.\u201d
d. \u201cI think she would benefit from members of the congregation phoning her.\u201d
e. \u201cShe can communicate with others via email or texting.\u201d
f. \u201cCould you send her flowers from your congregation?\u201d
D) \u201cI think she would benefit from members of the congregation phoning her.\u201d
E) \u201cShe can communicate with others via email or texting.\u201d
Rationale:
A client under protective (reverse or neutropenic) precautions due to an increased risk
of infection due to a low neutrophil count. The client can communicate with others via
phone, email or texting. The client cannot have visits from children, and cannot have
flowers or plants in the room, due to a risk of infection. It is a violation of client privacy
rights to discuss the client\u2019s white blood cells counts. The client asked the nurse to
provide information about the precautions in place, not her white blood cells.
Which client finding requires further action by the practical nurse (PN)?
a. A disoriented client\u2019s soft wrist restraints are tied to the bed frame.
b. The drainage tube of an indwelling catheter is looped below the client\u2019s bladder.
c. The aspirant of a client\u2019s nasogastric tube has a pH of 4.
d. Skin over the coccyx blanches when the client is repositioned to a lateral position.
B) The drainage tube of an indwelling catheter is looped below the client\u2019s bladder.
Rationale:
Urine collecting in a loop of tubing that is dependent will not drain properly and places
the client at risk for infection, so the (PN) should reposition the urinary drainage tube to
eliminate looping below the bladder.<\/p>\n\n\n\n

lOMoAR cPSD|19500986
An older adult client has been diagnosed with Clostridium difficile (C. Diff)\u2013
associated diarrhea. Which is the best method to prevent transmission ofthe
disease to other clients in the long-term care facility?
a. Adequate handwashing with soap and water
b. Conducting cultures of all the employees\u2019 stools
c. Asking staff members to stay home if they develop diarrhea
d. Installing alcohol based hand sanitizer inside each client\u2019s door
A) Adequate handwashing with soap and water
Rationale:
The organism that causes C. Diff\u2013associated diarrhea is not killed by alcohol-based
hand sanitizers. Adequate handwashing with soap and water is the best way to prevent
the spread of the disease since it helps remove most of the microorganism on the
hands of staff members. Employees should stay home if they develop diarrhea, but this
is not specific to C. Diff\u2013associated diarrhea. Collecting stool samples from employees
would not stop the spread of the disease.
The nurse is shopping at a mall when an individual with a large machete suddenly
starts stabbing other shoppers. Security police have captured the assailant.
Multiple shoppers and mall employees immediately left the premises. Which
victim should the nurse attend first until first responders arrive?
A) An individual whose head is completely severed.
B) An individual with a pulsating gash to the forearm.
C) An individual whose ankle was twisted running from the scene.
D) An individual who has no palpable pulse and no respiratory effort.
B) An individual with a pulsating gash to the forearm.
Rationale:
The nurse should attend to the individual with a pulsating gash to the forearm. It is likely
the nurse can slow the bleeding by applying direct pressure or a tourniquet to the arm.
The individual whose head is completely severed is dead. The individual who has no
pulse would require a great deal of resources while the individual whose arm is severed
could be attended to by one individual. The individual with a twisted ankle can be
treated at a later time.<\/p>\n\n\n\n

lOMoAR cPSD|19500986
The practical nurse (PN) is performing nasotracheal suctioning. After the client\u2019s
trachea is suctioned for 10 seconds, large amounts of thick yellow secretions
return. What action should the PN implement next?
a. Encourage the client to cough to help loosen secretions.
b. Advise the client to increase intake of oral fluids.
c. Rotate the suction catheter to obtain any remaining secretions.
d. Reoxygenate the client before attempting to suction again.
D) Reoxygenate the client before attempting to suction again.
Rationale:
Suctioning should not be continued for longer than 10 seconds because the client\u2019s
oxygenation is compromised during this time.
While performing colostomy care, the practical nurse (PN) observes skin irritation
around the stomal site. What action should the PN take when reapplying the
colostomy bag?
a. Ensure that the hydrocolloidal stomal wafer covers the peristomal skin.
b. Apply petroleum jelly around the stomal site and under the wafer.
c. Do not irrigate the colostomy for 7 to 10 days until irritation is gone.
d. Wash the area around the stomal site with povidone-iodine and leave open to the air.
A) Ensure that the hydrocolloidal stomal wafer covers the peristomal skin.
Rationale:
*Hydrocolloid stomal wafers should be measured precisely to ensure peristomal skin
coverage and protection from irritation and breakdown.
*The stomal site should be cleansed gently with a moist, soft cloth and mild soap and
another bag applied to prevent skin contact with fecal drainage.
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/em><\/p>\n\n\n\n

HESI PN FUNDAMENTALS EXIT EXAM LATEST
2023-2024 ACTUAL EXAM 55 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN
administer without delay? – ANSWER- Timed release capsule.
Which action should the practical nurse (PN) take when drawing
medication from an ampule? – ANSWER- Aspirate with a filter needle
and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder
for for IM administration. Which step should the PN implement first? –
ANSWER- Verify the drug with the medication administration record
(MAR).
Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs 325
pounds? – ANSWER- select a needle with a longer shaft.
Which finding indicates to the practical nurse (PN) that an older client
who is receiving intravenous therapy is experiencing fluid overload? –
ANSWER- Crackles in the lung fields.<\/p>\n\n\n\n

The practical nurse (PN) is checking the surgical dressing for a client
who arrived on the postoperative unit an hour ago. The dressing has an
increase in the accumulation of serosanguinous drainage. what nursing
action should the PN take? – ANSWER- Mark the outlined area of
drainage with date, time and initials.
The male client who is 2 days postoperative for exploratory abdominal
surgery is ambulating in the hall with the practical nurse (PN). The client
tells the PN, “I think something in my incision just let go.” which action
should the PN implement first? – ANSWER- Assist the client to a supine
position.
The practical nurse (PN) is applying a dry, sterile dressing to a client’s
abdominal wound. Which allergy should the PN verify with the client? –
ANSWER- tape.
The practical nurse (PN) is changing a postoperative dressing for a client
with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing? – ANSWER- Remove all four
sides by moving to the center of the incision.
Which action should the practical nurse (PN) follow when applying an
elasticized bandage to a client’s leg? – ANSWER- Overlap turns of the
bandage equally.
An older client who has been on bed rest in not eating well and is
exhibiting abdominal distension, cramping, and is passing small
amounts of liquid stool. Which prescribed action is most important for
get pdf at https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n

1 | P a g e
HESI PN FUNDAMENTALS VERSION 4 NEWEST 2024
ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The PN is adding tap water to several medication for
administration via feeding tube. Which preparation should the
PN administer without delay? – ANSWER- Time release capsule
Which action should the PN follow when applying an elasticize
bandage to a client’s leg? – ANSWER- Overlap turns of the
bandage equally
The PN obtains an elevated blood pressure reading for an older
male client is is alert. When the PN offer the client his morning
blood pressure medication, he refuses to take it. What action
should the PN take? – ANSWER- Explain the importance of
routine use of antihypertensives.
What position should the PN place client in who is receiving an
enteral tube feeding? – ANSWER- Supine with the head of bed
elevated to 30-45 degrees.<\/p>\n\n\n\n

2 | P a g e
The PN is preparing an intramuscular injection for a client who
is 5 feet tall and weighs 90 pounds. Which needle size should
the PN select for a 3 mL syringe when using the IM
ventrogluteal injection site? – ANSWER- 1 inch
An older male client tells the PN that his religion does not
permit him to bathe daily. How should the PN respond? –
ANSWER- Request that the client clarify his religious beliefs
about bathing.
The PN identifies several findings in an older female who is on
prolonged bed rest. Which finding requires prompt action by the
PN? – ANSWER- Bowel movements decreases to one every
third day.
A client is prescribed a medication that is labeled as a sustained
released (SR). What action should the PN implement when
administering this drug form? – ANSWER- Do not crush or
dissolve the table or capsule contents
The practical nurse is checking the surgical dressing for a client
who arrived on the postoperative unit an hour ago. The dressing
has an increase in the accumulation of serosanguinous drainage.
What nursing action should the PN take? – ANSWER- Mark the
outlined area of drainage with date, time and initials<\/p>\n\n\n\n

3 | P a g e
A client with gastroenteritis, nausea and vomiting is currently on
NPO status. The healthcare provider prescribed oral intake to be
advanced as towered. Which fluid should the PN offer first? –
ANSWER- Water
Which time frame should the PN res position a client? –
ANSWER- Every 2 hours
While taking an adult’s vital signs, the PN notes an irregular
radial pulse. What action should the PN implement to obtain the
most accurate assessment? – ANSWER- Perform an apicalradial pulse assessment with another nurse
The practical nurse is providing wound care for a client with a
stage III pressure ulcer on the left heel. To achieve the goal, “An
increase granulation tissue will develop within 2 weeks,” which
intervention should the PN implement.? – ANSWER- Irrigation
of the wound with sterile normal saline
A client receiving supplemental oxygen needs to be suctioned to
remove excess secretions from the airway. Which intervention
should the PN implement to maximize the client’s oxygenation?<\/p>\n\n\n\n