PN HESI EXIT HESI EXIT PN EXAM LATEST

Page 1 of 43

1

PN HESI EXIT /HESI EXIT PN EXAM LATEST

CONTAINING 140 QUESTIONS AND CORRECT

ANSWERS AGRADE (COMPLETE VERSION )

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
• Amenorrhea
• Quickening
• Nocturia
• Amenorrhea 1 / 4

Page 2 of 43

2 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

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 2 / 4

Page 3 of 43

3

• Teach the family how to perform sterile wound care
• Ensure the IV fluids are administered as prescribed
• 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
• 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?

• Slightly above the level of the heart
• At the level of the heart
• At the level of comfort for the client
• Below the level of the heart
• At the level of the heart

What are the final parameters that produce blood pressure? (select all that apply)

• Heart rate
• Stroke volume
• Peripheral resistance
• Neuroendocrine hormones
• Muscle tone
• Heart rate
• Stroke volume
• Peripheral resistance 3 / 4

Page 4 of 43

4 A client begins an antidepressant drug during the second day of hospitalization.Which assessment is most important for the LPN/LVN to include in this client's plan of care while the client is taking the antidepressant?

• Appetite
• Mood
• Withdrawal
• Energy level
• Mood

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 A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the LPN/LVN implement to prevent complications associated with Pneumonia?

• Encourage mobilization and ambulation
• Encourage energy conservation with complete bed rest
• Provide humidified oxygen per nasal cannula
• Restrict PO and intravenous fluids

Encourage mobilization and ambulation The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for reconsittution, "For IM use add 2ml sterile water for injection. Total volume after reconstruction = 2.5 ml. "when reconstituded, how many milligrams are in each mil of solutions (Enter numeric value only)

• / 4