HESI PN EXIT EXAM VERSION 3 EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI PN EXIT EXAM VERSION 3 EXAM LATEST 2024
WITH UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
In assisting a client to obtain a sputum specimen, the LPN/LVN
observes the client cough and spit a large amount of frothy saliva in
the specimen collection cup. What action should the nurse
implement next - ANSWER-Re-instruct the client in coughing
techniques to obtain another specimen
After report, the LPN/LVN receives the laboratory values for 4
clients. Which client requires the nurse's immediate intervention?
The client who is..... - ANSWER-Trembling and has a glucose level
of 50 mg/dL
4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. What action should the nurse take
- ANSWER-. Give the client crackers and milk
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The LPN/LVN is changing the colostomy bag for a client who is
complaining of leakage of diarrheal stool under the disposable
ostomy bag. What action should the nurse implement to prevent
leakage - ANSWER-Cut the bag opening to the measurement of
the stoma size
Prior to administering morphine sulfate (Morphine), the LPN/LVN
takes the client's vital signs. Based on which finding should the
nurse withhold administration of the medication until the charge
nurse is notified - ANSWER-Temperature of 100.8F
Following an open reduction of the tibian, the LPN/LVN notes fresh
bleeding on the client's cast. Which intervention should the nurse
implement? - ANSWER-Outline the area with ink and check it q15
minutes to see if the area has increased
The is with a client when the healthcare provider explains that the
biopsy classifies the results as a T1N0M0 tumor. Later in the
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morning, the client asks the nurse, "what do these letters T1N0M0,
stand for?" which response should the nurse provide first? -
ANSWER-The letters stand for tumor size, node involvement and
metastasis."
The client should bottle feed and pump her breast for 3 days
following immunization - ANSWER-The vaccine is given to produce
maternal antibodies before lactation occur
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? - ANSWER-. Count the apical pulse rate for
sixty seconds
Which structures are located in the subcutaneous layer of the skin?
- ANSWER-Adipose cells and blood vessels
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
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assistive personnel (UAP) who is helping with the care of several
clients? - ANSWER-Cleanse the perineal area of a client with
urinary incontinence
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? - ANSWER-. Longitudinally
from the right forehead to the right cheek
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? - ANSWER-Palpate the
bladder for distention
A client presents in the clinic because of generalized swelling after
a bee sting. What intervention should the nurse implement first? -
ANSWER-Determine respiratory status and apply a pulse oximeter
The LPN/LVN is administering multiple medications to a 78-year-
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old client because of problems related to polypharmacy. At this
client's age, which assessment is most important for the nurse to
make? - ANSWER-Cumulative serum drug levels and toxicity