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2024 PN HESI EXIT-HESI EXIT PN EXAM LATEST
CONTAINING 140 QUESTIONS AND CORRECT
ANSWERS AGRADE (COMPLETE VERSION )
The LPN/LVN plans to administer the rubella vaccine to a postpartum client whose titer is < 1:8 and who is breastfeeding? what information should the nurse provide this client?
- The client should bottle feed and pump her breast for 3 days following
- The vaccine is given to produce maternal antibodies before lactation occurs
- The infant will receive immunization through the mother's breast milk
- The client should not get pregnant for 3 months after immunization
- The vaccine is given to produce maternal antibodies before lactation occurs
- Palpate the radial pulse for thirty seconds and double the rate
- Count the apical pulse rate for sixty seconds
- Compare the radial pulse rate bilaterally and record the higher rate.
- Count the apical pulse rate for sixty seconds
- Sebaceous and sweat glands
- Melanin and Keratin
- Sensory receptors and hair follicles
- Adipose cells and blood vessels
- Adipose cells and blood vessels 1 / 4
immunization
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and irregular. To record the most accurate heart rate, what should the nurse take? A.Recheck the radial pulse in thirty minutes
Which structures are located in the subcutaneous layer of the skin?
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2 The LPN/LVN in charge of a Nursing unit in a long term care facility. Which task is best for the nurse to assign to an unlicensed assistive personnel (UAP) who is helping with the care of several clients?
- Measure the amount of a client's residual urine after voiding
- Cleanse the perineal area of a client with urinary incontinence
- Insert a straight catheter to obtain a urine specimen for culture
- Provide catheter care for a client with a suprapubic catheter
- Cleanse the perineal area of a client with urinary incontinence
- Across the eye from the bridge of the nose to the right temple
- Longitudinally from the right forehead to the right cheek
- From the mid-forehead over to the right zygomatic process
- From the right lateral forehead surface to the medial nasal crease
- Longitudinally from the right forehead to the right cheek
- Palpate the bladder for distention
- Ask the client when her last bowel movement occurred
- Catheterize the client and record the amount
- Assess the amount of lochia
- Palpate the bladder for distention
- Assess site of sting and remove stinger if present
- Perform mini-mental status exam to assess level of consciousness 2 / 4
A client requires application of an eye shield to the right eye. What should the nurse do in order to apply tape in which direction to anchor the shield most effectively?
36 hours after delivery, the nurse determines a client's fundus is just above the umbilicus and displaced to the right of midline. What action should the nurse take first?
A client presents in the clinic because of generalized swelling after a bee sting.What intervention should the nurse implement first?
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- Determine respiratory status and apply a pulse oximeter
- Attach electrodes to monitor cardiac rhythm
- Determine respiratory status and apply a pulse oximeter
- Cumulative serum drug levels and toxicity
- Synergistic actions due to simultaneous administration
- Tolerance to drugs that have been taken for long periods of time
- Antagonist actions of multiple medications
- Cumulative serum drug levels and toxicity
- Count the client's radial pulse
- Apply a blood pressure cuff
- Instruct the client to lie supine
- Assist the client to stand upright
- Instruct the client to lie supine
- Diaper weights and urine specific gravity
- Gastronomy feedings in supine position
- Nipple feedings with glucose water
- Gavage feedings with 15mL of formula
- Nipple feedings with glucose water 3 / 4
The LPN/LVN is administering multiple medications to a 78-year-old client because of problems related to polypharmacy. At this client's age, which assessment is most important for the nurse to make?
In obtaining an orthostatic vital sign measurement, what action should the nurse take first?
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What interventions should the nurse expect to implement to establish hydration in the immediate postoperative period?
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4 Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the nurse. After withdrawing 5 mL of fluid from the balloon, the nurse begins to withdraw the catheter while the client is in a Semi-Fowler's position. However, the nurse meets resistance and the clients voices discomfort. What action should the nurse take next?
- Attempt to withdraw additional fluid from the balloon
- Assist the client in taking a series of deep breaths
- Lower the head of the client's bed so the client is supine
- Allow the client to rest before continuing to remove the catheter
- Assist the client in taking a series of deep breaths
- Transfer the medications to another bottle that is easier to open
- Leave the client's home immediately and plan to return later
- Ignore the outburst and demonstrate how to open the bottle
- Describe other types of medication containers that are available
- Describe other types of medication containers that are available
- Orange juice
- Glucagon
- 10 units of regular insulin
- IV of 5% glucose in water at 100 mL/hr
- Orange juice
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The home health nurse observes an elderly male client attempt to open a child- proof medication container. When he is unsuccessful in opening the container, he throws it across the room and curses loudly. What action should the nurse implement?
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To manage this client's care effectively, what should the nurse administer?
A LPN/LVN is caring for a client with Multiple Sclerosis (MS) who is receiving an immunsupressant. Which action is most important for the nurse to implement to