2024 NGN HESI PN EXIT V3 EXAM
with 75 Questions and Answers (Verified Revised Full Exam)
1. • The practical nurse ( PN ) is observing a client self - administering a
dose if subcutaneousinsulin . What step of the injection technique should the
practical nurse ( PN ) reteach ?
a . Injects air into the insulin vial to displace the dose
Selects the same site that was used for the previous injection
Inserts the needle at a 90 - degree angle to the skin surface .
Uses a circular motion when applying an alcohol pad to the site
ANS: Selects the same site that was used for the previous injection
2. The birth weight of an infant delivered by a woman with gestational petes is
10.1 pounds 4,581 grams ) . The infant is jittery and has a heel stick glucose
level of 40 mg / dL ( 2.2 mmol / L or Sl units ) 30 minutes after birth . Based
on this information , which intervention should the practical nurse ( PN )
implement first ?
a . Repeat the heel stick for glucose in one hour
b . Offer nipple feedings of 10 % dextrose
c . Begin frequent feedings of breast milk or formula
d . Assess for signs hypocalcemia
ANS: c . Begin frequent feedings of breast milk or formula
,3. • The nurse is very busy and running late with administering medications
and asks thepractical nurse ( PN ) to administer a medication already drawn
up in an unlabeled syringe . How should the PN respond ?
a . " You should know that I cannot administer the medication in this syringe
"
b . " As long as the charge nurse checks the syringe , I can give the medication
"
c . " Teamwork is the best approach . I will be glad to help you get caught up "
d . " I am not comfortable doing that . Is there something else I can do to help
you ? "
ANS: d . " I am not comfortable doing that . Is there something else I can do to
help you ? "
4. Which intervention should the practical nurse ( PN ) reinforce for a client
with pruritis ?
a Encourage a warm sleeping environment
b . Do not take any type of tub bath .
C. Discourage use skin lubricants
D. Keep fingernails trimmed short
ANS: D. Keep fingernails trimmed short
5. • While administering prescription medications to an older resident in an
extended care facility , the practical nurse ( PN ) notices that the client is
having difficulty hearing . What action is most important for the PN to take
,?
, a . Speak louder so the client can hear the conversation
b . Encourage the client to read the practical nurse's lipst
c . Provide written instructions about how to take medications
d . Determine if the client has had difficulty in the past
ANS: d . Determine if the client has had difficulty in the past
6. • In caring for a client with Buck's traction , the practical nurse ( PN observes
that the prescribed amount weights are hanging freely , and the traction rope
is on the pulley.Which action should the PN implement first ?
a . Adjust the traction rope so it is free from the pulley
. b . Place the weights on blocks to increase their stability
c . Contact the orthopedic technician to adjust the traction
E. Document that the Buck's traction is being maintained
ANS: D. Document that the Buck's traction is being maintained
7. The practical nurse ( PN ) observes hematuria in the urinary catheter
drainage tubing of aclient who is receiving intravenous heparin Which action
should the PN implement first ?
a . Obtain a urine specimen for urinalysis
b . Check the client's gums for bleeding
c . Document the finding in the client's medical record
d . Irrigate the urinary catheter with sterile normal saline
ANS: b . Check the client's gums for bleeding
8. ÏThe practical nurse ( PN ) explains the 2 - week dosage prescription of
with 75 Questions and Answers (Verified Revised Full Exam)
1. • The practical nurse ( PN ) is observing a client self - administering a
dose if subcutaneousinsulin . What step of the injection technique should the
practical nurse ( PN ) reteach ?
a . Injects air into the insulin vial to displace the dose
Selects the same site that was used for the previous injection
Inserts the needle at a 90 - degree angle to the skin surface .
Uses a circular motion when applying an alcohol pad to the site
ANS: Selects the same site that was used for the previous injection
2. The birth weight of an infant delivered by a woman with gestational petes is
10.1 pounds 4,581 grams ) . The infant is jittery and has a heel stick glucose
level of 40 mg / dL ( 2.2 mmol / L or Sl units ) 30 minutes after birth . Based
on this information , which intervention should the practical nurse ( PN )
implement first ?
a . Repeat the heel stick for glucose in one hour
b . Offer nipple feedings of 10 % dextrose
c . Begin frequent feedings of breast milk or formula
d . Assess for signs hypocalcemia
ANS: c . Begin frequent feedings of breast milk or formula
,3. • The nurse is very busy and running late with administering medications
and asks thepractical nurse ( PN ) to administer a medication already drawn
up in an unlabeled syringe . How should the PN respond ?
a . " You should know that I cannot administer the medication in this syringe
"
b . " As long as the charge nurse checks the syringe , I can give the medication
"
c . " Teamwork is the best approach . I will be glad to help you get caught up "
d . " I am not comfortable doing that . Is there something else I can do to help
you ? "
ANS: d . " I am not comfortable doing that . Is there something else I can do to
help you ? "
4. Which intervention should the practical nurse ( PN ) reinforce for a client
with pruritis ?
a Encourage a warm sleeping environment
b . Do not take any type of tub bath .
C. Discourage use skin lubricants
D. Keep fingernails trimmed short
ANS: D. Keep fingernails trimmed short
5. • While administering prescription medications to an older resident in an
extended care facility , the practical nurse ( PN ) notices that the client is
having difficulty hearing . What action is most important for the PN to take
,?
, a . Speak louder so the client can hear the conversation
b . Encourage the client to read the practical nurse's lipst
c . Provide written instructions about how to take medications
d . Determine if the client has had difficulty in the past
ANS: d . Determine if the client has had difficulty in the past
6. • In caring for a client with Buck's traction , the practical nurse ( PN observes
that the prescribed amount weights are hanging freely , and the traction rope
is on the pulley.Which action should the PN implement first ?
a . Adjust the traction rope so it is free from the pulley
. b . Place the weights on blocks to increase their stability
c . Contact the orthopedic technician to adjust the traction
E. Document that the Buck's traction is being maintained
ANS: D. Document that the Buck's traction is being maintained
7. The practical nurse ( PN ) observes hematuria in the urinary catheter
drainage tubing of aclient who is receiving intravenous heparin Which action
should the PN implement first ?
a . Obtain a urine specimen for urinalysis
b . Check the client's gums for bleeding
c . Document the finding in the client's medical record
d . Irrigate the urinary catheter with sterile normal saline
ANS: b . Check the client's gums for bleeding
8. ÏThe practical nurse ( PN ) explains the 2 - week dosage prescription of
