HESI PN EXIT EXAM 2 LATEST 2024 TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN)

Page 1 of 76 1 HESI PN EX IT EXAM 2 LATEST 2024 TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN) RATED A client comes to that antepartum clinic and tells the practical nurse that she is six weeks pregnant. Which sign is she most likely to report? Amenorrhea The practical nurse finds a client who is assigned to another nurse bleeding from an intravenous site and the IV tubing and fluid are on the floor. The PN immediately applies a dressing to stop the bleeding. Which action should the PN take next? Enter comp uter documentation of the findings and the application of a dressing. Thirteen minutes after receiving IV morphine, a post operative client continues to rate pain at seven on 10 point scale. Which action should the practical nurse implement first? Observe dressing to determine presence of bleeding While observing a mother bottle feeding a four month old, the infant starts to choke. Which action should the practical nurse (PN) take first? Have the mother stop the feeding and sit the infant upright. Page 2 of 76 2 A client reports being able to swallow only small bites of solid food and liquids for the last three months. The practical nurse (PN) should assess the client for what additional information? History of alcohol and tobacco abuse A female client with Alzheimer's dis ease develops edema in both ankles. The healthcare provider examines the client and determines she is in relatively good health with no cardiac or renal health problems. Which action should the practical nurse (PN) take? Remind the client to sit upright wh ile awake Based on the computer documentation's in the electronic medical record (ER), which action should the nurse implement? (Click on each chart tab for additional information. Please be sure to scroll to the bottom right corner of each tab to view all information contained in the clients medical record) Give the rubella vaccine subcutaneously While monitoring a 12 year old child with type 1 diabetes mellitus, the practical nurse (PN) observes that a child is exhibiting Kussmaul respirations. Which additional symptom might the PN expect the child to exhibit? Breath with a fruity odor A female cl ient taking a liquid iron preparation expresses concern that her tooth color has darkened since starting the medication. Which action should the practical nurse (PN) implement? Teach the client to use a straw when taking the medication to reduce further to oth staining Page 3 of 76 3 At the end of a 12 hour shift, the practical nurse (PN) observed that the urine in a clients drainage bag as seen in the picture. Which action should the PN take next? Note the most recent white blood cell count A male client who has been diag nosed with schizophrenia is withdrawn, isolates himself in the day room, and answers questions with one or two word responses. This morning, the practical nurse (PN) observes that he is diaphoretic and is pacing in the hall. Which intervention is most impo rtant for the PN to implement? Measure appropriate vital signs At 0900, an older male client turns on the call light and tells the practical nurse (PN) that he's unable to fall asleep. Which priority action should the PN implement? Inspect the rooms enviro nmental aspects What skin care measure change of practical nurse (PN) implement for a client who underwent an external radiation treatment the previous day? Cleanse the radiant area with water and pat the skin dry An unlicensed assistive personnel (UAP) be gins to assist the practical nurse (PN) with cardio pulmonary resuscitation (CPR) on an adult client by performing external chest compressions. With the PN performing rescue breathing, the UAP depresses the clients sternum 1 inch with each compression. Whi ch action should the PN take? Advice increasing the depth of compassion for at least 2.0 inches Cardio pulmonary resuscitation (CPR), the sternum of an adult should be depressed to at least 2.0 inches if not more than 2.4 inches. Page 4 of 76 4 A client with schizophreni a reports auditory hallucinations when admitted to the hospital. What question is most important for the practical nurse (PN) to include in the assessment of this client? "what are the voices uttering?" A practical nurse (PN) refuses to perform a procedure because it is beyond the scope of the practice for PNs. Which resource best defines the PNs legal responsibility in regard to scope of practice? Code of ethics for licensed practical/vocational nurses A client who is in active labor is admitted with her cervix dilated to 3cm with 50% effacement and the presenting part at 0 Station. An hour later, she asks the practical nurse (PN) that she wants to go to the bathroom to empty her bladder. The nurse exams the client again and determine her vaginal exam is unchanged. Which action should the PN implement? Check perineum for changes in "show" or discharge I male pre -operative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and ensure about undergoing surgery. Which priority action should the PN take? Notify the charge nurse of the clients concerns about surgery The practical nurse (PN) is providing care for a client wh o is receiving intravenous antibiotic to treat an infection. Which assessment findings would require the most immediate action by the PN? Dry mouth with thirst When preparing to change a client sterile dressing, the practical nurse (PN) open the package of gauze pads as seen in the picture. Which action should the PN take next?