HESI PN EXIT V1 AND V2 EXAM LATEST 2024- 2025 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI PN EXIT V1 AND V2 EXAM LATEST 2024-
2025 WITH
UPDATED QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
A client who has undergone closed-appendectomy is prescribed to begin
ambulation the next day. The next day when the practical nurse (PN) goes to
assist the client with ambulation, the client yells they are watching the
television and they do not feel like getting out of bed. Which response should
the PN provide?
"Your health care provider has prescribed ambulation on the first
postoperative day."
"You must ambulate to avoid serious complications that are much more
painful."
"I know how you feel—you're angry about having to do this, but it is
required."
"I'll be back in 30 minutes to help you get out of bed and walk around the
room." - ANSWER-d. "I'll be back in 30 minutes to help you get out of bed
2 | P a g e
and walk around the room."
Rationale:
Returning within 30 minutes provides a "cooling off" period, is firm,
direct, and nonthreatening, and avoids arguing with the client
A client diagnosed with duodenal ulcers is admitted to the hospital. The client
was administered ranitidine hydrochloride 150 mg PO at bedtime. Which
finding would indicate a therapeutic response of the medication?
Gastric secretions pH level below 3.
Hemoccult testing is positive on two different occasions.
No difficulty falling asleep reported.
No complaints of abdominal pain or heartburn verbalized. - ANSWER-d. No
complaints of abdominal pain or heartburn verbalized.
Rationale:
Lack of abdominal pain within 4 hours after meals indicates decreased
duodenal irritation, a positive outcome in the treatment of duodenal
ulcer.
The health care provider informed a client diagnosed with stage 4 liver
cancer that the cancer has spread to their spine. The client states to the
practical nurse, "I have a cancer, but it is not malignant." What is the best
initial nursing action?
3 | P a g e
Encourage the client to attend
4 | P a g e
a cancer education program.
Perform a complete history and physical assessment.
Ask the client to explain his understanding of the term malignancy.
Offer the client emotional support to deal with the diagnosis. - ANSWER-c.
Ask the client to explain his understanding of the term malignancy.
A client diagnosed with epilepsy is admitted to the unit. What intervention
should the practical nurse (PN) implement if the client experiences a
seizure?
Observe the length and activity of the seizure.
Insert an oral airway.
Gently restrain the client to prevent harm.
Call the code team. - ANSWER-a. Observe the length and activity of the
seizure.
Rationale:
The PN should observe the client as they have their seizure. The length
of time and movement by the client needs to be observed and then
documented once the client is stable. The client should be placed on
their side to help prevent aspiration.