PN HESI EXIT EXAM TEST BANK

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PN HESI EXIT EXAM TEST BANK

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A terminally ill male client and his family are requesting hospice care after discharge from the hospital and ask the LPN/LVN to explain what kind of care they should expect. The nurse should indicate that hospice philosophy focuses on what aspect of health care?

• Enhance symptom management to improve end of life quality
• facilitates assisted suicide with the client's consent
• Offers ways to postpone the death experience at home
• Provide training for family members to care for the client.
• Enhance symptom management to improve end of life quality

The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the skin taut and shaving in the direction of the hair growth . What action should the nurse take?

• Advise the wife to shave against the hair growth
• Teach the wife to keep the skin loose to avoid cuts
• Encourage the wife to continue shaving her husband
• Demonstrate the correct procedure to the wife
• Encourage the wife to continue shaving her husband

To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)

• Posterior tibialis artery
• Politeal artery
• External femoral artery
• Dorsalis pedis artery

E Radial artery 1 / 4

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• Posterior tibialis artery,
• Dorsalis pedis artery

The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating factor in this client's history is likely to be related to the anginal pain?

• Smokes one pack of cigarettes daily
• Drinks two beers daily
• Works in a job that requires exposure to the sun
• Eats while lying in bed
• Smokes one pack of cigarettes daily

The LPN/LVN is assessing an older resident of a long-term care facility who has a history of Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The healthcare provider prescribes post-voided residual catheterization over the next 24 hours and placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the nurse take?

• Stand the client to void and run tap water within hearing distance before

catheterizing the client.

• Straight catheterize and if the residual using volume is greater than 100 mL,

clamp catheter

• Catheterize q2H and place in an indwelling catheter at the end of the prescribed

24hr period.

• Catheterize with an indwelling catheter and if the residual volume is greater

than 100 mL. Inflate the balloon.

• Catheterize with an indwelling catheter and if the residual volume is greater

than 100 mL. Inflate the balloon A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse recognize as Cushionoid side effects?

• Moon face, Slow wound healing, muscle wasting sodium and water retention
• Tachycardia hypertension, weight loss, heat intolerance, nervousness,

restlessness, tremor

• Bradycardia, weight gain, cold intolerance, myxedema facies and periobarbital

edema

• Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
• Moon face, Slow wound healing, muscle wasting sodium and water retention 2 / 4

pg. 3 The cervix is the opening into the uterine cavity. What is its function in reproduction?

• Accepts and interprets signals of sexual stimuli
• Secretes mucus to facilitate sperm transport
• Serves as the site for union of ovum and sperm
• Receives the penis during intercourse
• Secretes mucus to facilitate sperm transport

The LPN/LVN is working in a community health setting and assisting the charge nurse in performing health screenings. Which individual is at highest risk for contracting an HIV infection?

• 17-year-old who is sexually active simultaneously with numerous partners
• 34-year old homosexual who is in a monogamous relationship
• 30-year-old cocaine user who inhales and smokes drugs
• 45-year-old who has received two blood transfusions in the past 6 months
• 17-year-old who is sexually active simultaneously with numerous partners

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
• Administer Prescribed 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
• Liver

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 3 / 4

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• Amenorrhea
• Quickening
• Nocturia
• 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.
• 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 development, 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
• Autonomy vs. Shame and doubt

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

Based on the documentation in the medical record, which action should the LPN/LVN implement next?

• Give the rubella vaccine subcutaneously
• Observe the mother breastfeeding her infant
• Call the nursery for the infant's blood type result
• Administer Vicodin one tablet for pain

Give the rubella vaccine subcutaneously

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