2024 NGN HESI PN EXIT V5 EXAM QUESTIONS AND ANSWERS
RATED A+
An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral
pneumonia the client has a living will and the family is requesting hospice care which information should the
practical nurse (PN) reinforce with the client and family regarding hospice?
• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility yesterday is confused about what day of
the week it is her history does not include that she was confused prior to admission what action should the
practical nurse (PN) take?
• Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is having
contractions every 5 minutes the PN monitors the clint for an hour using external fetal monitor and determines
that the clients contractions are 7 to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by
palpitation which actin should the PN take?
• Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of a
healthy newborn the practical nurse (PN) observes that the client is shaking uncontrollably and states she’s cold
• Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most
important for the PN to implement
• Auscultate all the lung fields
While administering prescription medication to an older adult resident in a extended care facility the practical
nurse notice that the client is having difficulty hearing what action is most important for the PN to take?
• Determine if client has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells
her that she needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when a list of
iron list foods is given to the client the client tells the practical nurse she’s a vegetarian and does not eat bleeds
what instructions should the PN give?
• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the practical nurse (PN) take?
• Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar action
should the action should the PN take first?
• Observe suture line for separation and hematoma formation
,The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse?
• 180 (NORMAL 110-160)
An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes from
the client klound followed by appearance of bowel on the skin which complication has occurred?
• Evisceration
A female client with immune thrombocytopenic purpura is transported to a long term facility for physical
therapy rehabilitation to prevent injury the most important for the practical nurse (PN) to implement?
• Ensure the client has minimum clutter in the room
Which location should the practical nurse palpate to determine if a client submandibular lymph node are
enlarged?
• Beneath the lower jaw
A client is receiving an epidural anesthesia during labor which observation is the most important adverse effect
that the practical nurse (PN) should assess for following the administration of the epidural
• Maternal hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening with a
complaint of hoarseness a danger sign for cancer of the larynx which client has the highest risk of development
of cancer of the larynx that the PN should refer to healthcare provider
• A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt and has
lost a lot of weight which action should the PN take>
• Report suspected abuse to supervisor and protective services
The practical nurse determines that a client who is one day postpartum has a moderate amount of lochia and
rubra and the uterus is firm diverted and three finger breaths above umbilicus what should be the first initial
action
• Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery disease who is admitted intermitted chest pain the
admissions lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin isoenzymes
levels what should the PN consider the most significant risk is for this client on the second day of admissions?
• The labs results indicate myocadiac damage and the client is at risk for cardiac dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a client with pruritis?
• Jeep finger nails trimmed short
When gathering dara about a client with dark skin tones whitch site should the practical nurse (PN) observe
• Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt
which nursing intervention should the practical nurse (PN) implement during postoperative care
• Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
, The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds the infant is jittery
and has a heel stick glucose level of 40 30 minuets after birth based on this information which interventions
should the PN implement first
• Offer nipple feedings of 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds the client lying
on the bed the PN determines that the client is unresponsive which action should the PN give the UAP first
• obtain emergency help
the practice nurse (PN ) is caring for a client with fractured metatarsals after slamming a hand in the car door
after administering the prescribed hydrocodone/acetaminophen for pain which intervention should the PN
include in the client care?
• Implement ongoing assessments for signs of shortness or slowed breathing
The practical nurse (PN) overhears the female client with crushing syndrome tell her family in a very loud and
anger voice to leave her room and not come back the response by the PN is based on recognizing which
common manifestations of the syndrome
• Mood adherence
The parents with a one year old child with the diagnosis of hypospadias informed the practical nurse (PN) that
they plan to delay corrective surgery to see if the child will outgrow the problem which information should the
PN provide to these parents
• Ask the patents to explain what they understand about the child’s diagnosis
A child reviving chemotherapy develops a cough that productive of yellow tinged sputum after determine that
the client is afebrile which priority action for the practice nurse (PN) to take?
• Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what primary
assessment should the PN evaluate
• Level of consciousness
The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a local
anesthetic was sprayed on their throat which priority action should the PN include in this care of plan?
• Assess the gag reflexes
The practical nurse (PN) is providing care for a client who is NPO after small bowel resection the client NG tube is
connected to intermittent suction the client reports dizziness and tingling in digits which assessment finding
should the PN report to the healthcare proiver
• Hypoactive bowel sounds on assessment
The patents of a child with pre diabetic report to thr practical nurse (PN) that the child wants to join the soccer
team what is the best action for the PN to implement
• Reassure the patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention should the practical nursr (PN)
implement to make the experience lease stressful for the client
• Remove child’s clothing down to the diaper
RATED A+
An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral
pneumonia the client has a living will and the family is requesting hospice care which information should the
practical nurse (PN) reinforce with the client and family regarding hospice?
• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility yesterday is confused about what day of
the week it is her history does not include that she was confused prior to admission what action should the
practical nurse (PN) take?
• Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is having
contractions every 5 minutes the PN monitors the clint for an hour using external fetal monitor and determines
that the clients contractions are 7 to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by
palpitation which actin should the PN take?
• Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of a
healthy newborn the practical nurse (PN) observes that the client is shaking uncontrollably and states she’s cold
• Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most
important for the PN to implement
• Auscultate all the lung fields
While administering prescription medication to an older adult resident in a extended care facility the practical
nurse notice that the client is having difficulty hearing what action is most important for the PN to take?
• Determine if client has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells
her that she needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when a list of
iron list foods is given to the client the client tells the practical nurse she’s a vegetarian and does not eat bleeds
what instructions should the PN give?
• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the practical nurse (PN) take?
• Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who repots pain in her stiches whar action
should the action should the PN take first?
• Observe suture line for separation and hematoma formation
,The practical nurse (PN) is obtaining fetal heart rates on four antepartum client in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse?
• 180 (NORMAL 110-160)
An older client who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes from
the client klound followed by appearance of bowel on the skin which complication has occurred?
• Evisceration
A female client with immune thrombocytopenic purpura is transported to a long term facility for physical
therapy rehabilitation to prevent injury the most important for the practical nurse (PN) to implement?
• Ensure the client has minimum clutter in the room
Which location should the practical nurse palpate to determine if a client submandibular lymph node are
enlarged?
• Beneath the lower jaw
A client is receiving an epidural anesthesia during labor which observation is the most important adverse effect
that the practical nurse (PN) should assess for following the administration of the epidural
• Maternal hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening with a
complaint of hoarseness a danger sign for cancer of the larynx which client has the highest risk of development
of cancer of the larynx that the PN should refer to healthcare provider
• A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkempt and has
lost a lot of weight which action should the PN take>
• Report suspected abuse to supervisor and protective services
The practical nurse determines that a client who is one day postpartum has a moderate amount of lochia and
rubra and the uterus is firm diverted and three finger breaths above umbilicus what should be the first initial
action
• Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery disease who is admitted intermitted chest pain the
admissions lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin isoenzymes
levels what should the PN consider the most significant risk is for this client on the second day of admissions?
• The labs results indicate myocadiac damage and the client is at risk for cardiac dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a client with pruritis?
• Jeep finger nails trimmed short
When gathering dara about a client with dark skin tones whitch site should the practical nurse (PN) observe
• Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt
which nursing intervention should the practical nurse (PN) implement during postoperative care
• Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
, The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds the infant is jittery
and has a heel stick glucose level of 40 30 minuets after birth based on this information which interventions
should the PN implement first
• Offer nipple feedings of 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds the client lying
on the bed the PN determines that the client is unresponsive which action should the PN give the UAP first
• obtain emergency help
the practice nurse (PN ) is caring for a client with fractured metatarsals after slamming a hand in the car door
after administering the prescribed hydrocodone/acetaminophen for pain which intervention should the PN
include in the client care?
• Implement ongoing assessments for signs of shortness or slowed breathing
The practical nurse (PN) overhears the female client with crushing syndrome tell her family in a very loud and
anger voice to leave her room and not come back the response by the PN is based on recognizing which
common manifestations of the syndrome
• Mood adherence
The parents with a one year old child with the diagnosis of hypospadias informed the practical nurse (PN) that
they plan to delay corrective surgery to see if the child will outgrow the problem which information should the
PN provide to these parents
• Ask the patents to explain what they understand about the child’s diagnosis
A child reviving chemotherapy develops a cough that productive of yellow tinged sputum after determine that
the client is afebrile which priority action for the practice nurse (PN) to take?
• Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what primary
assessment should the PN evaluate
• Level of consciousness
The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a local
anesthetic was sprayed on their throat which priority action should the PN include in this care of plan?
• Assess the gag reflexes
The practical nurse (PN) is providing care for a client who is NPO after small bowel resection the client NG tube is
connected to intermittent suction the client reports dizziness and tingling in digits which assessment finding
should the PN report to the healthcare proiver
• Hypoactive bowel sounds on assessment
The patents of a child with pre diabetic report to thr practical nurse (PN) that the child wants to join the soccer
team what is the best action for the PN to implement
• Reassure the patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention should the practical nursr (PN)
implement to make the experience lease stressful for the client
• Remove child’s clothing down to the diaper
