2024 NGN HESI PN EXIT V7 EXAM

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2024 NGN HESI PN EXIT V7 EXAM

with 75 Questions and Answers (Verified Revised Full Exam)

• 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?

• Administer Prescribed stool softener
• Administer prescribed PRN sleep medications.
• Encourage breastfeeding to promote uterine involution
• Encourage use of prescribed analgesic perineal sprays

ANS: A. Administer Pre- scribed stool softener

• The LPN/LVN is palpating the right upper hypochondriac region of the

abdomen of a client. What organ lies underneath this area.

• Duodenum
• Gastric Pylorus
• Liver
• Spleen

ANS: C. Liver

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• 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?

• Decreased sexual libido
• Amenorrhea
• Quickening
• Nocturia

ANS: B. Amenorrhea

• 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?

• Ask for a description of what happened during the night
• Tell the daughter to talk to the unit's nurse manager
• Reassure the daughter that the mother will get better care.
• Explain that all the staff are doing the best they can.

ANS: A. Ask for a description of what happened during the night

• 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 develop- ment, this child's behavior is a demonstration of which developmental stage?

• Autonomy vs. Shame and doubt.
• Industry vs. Inferiority
• intiative vs. Guilt
• Trust vs. Mistrust

ANS: A. Autonomy vs. Shame and doubt 2 / 4

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• Which action should the LPN/LVN implement in caring for a client following an

electroencephalogram (EEG)?

• Monitor the client's vital signs q4h
• Assess for sensation in the client's lower extremities 3 / 4

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• Instruct the client to maintain bed rest for eight hours
• Wash any paste from the client's hair and scalp

ANS: D. Wash any paste from the client's hair and scalp

• 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?

• Encourage the client to eat foods high in protein
• Assess the client with daily range of motion exercises
• Teach the family how to perform sterile wound care
• Ensure the IV fluids are administered as prescribed

ANS: A. Encourage the client to eat foods high in protein

• What is the homeostatic cellular transport mechanism that moves water from a

hypotonic to a hypertonic fluid space?

• Filtration
• Diffusion
• Osmosis
• Active transport

ANS: C. Osmosis

• 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?

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