HESI LPN Comprehensive Exit Exam Updated Latest 2023 with CORRECT VERIFIED ANSWERS GRADED A+

The practical nurse (PN) is using bag-mask device to administer artificial ventilation for a three-year-old child. Which method is best to use to create a seal while holding the mask in place? A. Perform a head-tilt, chin-lift maneuver when spinal trauma is suspected. B. Place the mask over nose and mouth using a c-e one-hand technique. C. Measure the mask size from the supraorbital rim to the mandible tip. D. Position a rolled-up towel under the head to aid positioning of the airway. B. Place the mask over nose and mouth using a c-e one-hand technique. Rationale: When using one hand to secure the mask snugly against the skin, the rescuer should place the thumb and first finger on top of the mask to create a "c" and place the 3 other fingers (the "e") underneath the chin (B). The jaw thrust maneuver, not (A), should be used when spinal trauma is suspected. The mask should be measured from the bridge of the nose to the chin, not (C) which applies pressure on the eyeballs. (D) causes hyperflexion of the neck, which closes the airway A male client with recurrent angina is receiving oxygen at 2 liters/minute and begins to complain that he feels funny in his chest. The telemetry monitor reveals a rapid narrow QRS complex at 170 beats/minute. Which action is most important for the practical nurse to implement? A. Report the findings to the charge nurse. B. Tell the client to remain on bedrest. C. Obtain the client's pulse oximetry reading. D. Call the rapid response team. A. Report the findings to the charge nurse. Rationale: The client is likely experiencing supraventricular tachycardia (SVT), which should be reported to the charge nurse (A) and healthcare provider for immediate treatment. Bedrest (B) minimizes myocardial demand for oxygen, but rest does not change the rate of SVT. (C) may be indicated, but the first action is to report the findings. (D) is indicated if the client's rhythm progresses to ventricular tachycardia (VT) or ventricular fibrillation A female client reports to the practical nurse (PN) that she has had 10 watery diarrhea stools in the last 24 hours and is feeling dizzy. Which intervention should the PN implement first? A. Review the client's white blood cell count. B. Ask if she has recently traveled to foreign country. C. Collect a stool sample for culture for C. difficile. D. Obtain her vital signs lying and standing. D. Obtain her vital signs lying and standing. Rationale: The client is experiencing fluid volume deficit related to diarrhea and dehydration evidenced by feeling dizzy, so the client's lying and standing vital signs (D) should be implemented first to identify orthostatic changes that require additional intervention. Although (A, B, and C) should be implemented, assessment of the client's status should be determined first to provide safe care. A male child who hit his face on the sidewalk after falling off his bike presents in the school nurse's office with noticeable swelling around the mouth and nose and is carrying his front teeth in a tissue. Which action should the practical nurse (PN) take first? A. Call the parent for permission to treat. B. Obtain the respiratory rate and effort. C. Place the teeth in a cup of sterile water. D. Assess the level of pain and apply ice. B. Obtain the respiratory rate and effort. Rationale: Adequacy of breathing (B) is always an initial priority, especially with facial trauma and swelling (B), which could cause aspiration of a tooth. (A, C, and D) should be implemented after ensuring the child airway is open and his breathing is stable