HESI PN EXIT EXAM q q q
1) The LPN/LVN is assisting a female client to obtain a voided specim
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en for urine culture. After the client cleanses the meatus, which interven
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tion is performed next?
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A. Initiate the urine stream q q q
B. Position the collection cup q q q
C. Separate the labia q q
D. Observe the urine q q
Answer: C. Separate the labiaqq q q q
2) The LPN/LVN is caring for a group of clients on a postpartum
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unit. After shift report, which client should the nurse assess first?
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A. Gravida 6 Para 5 who delivered vaginally 24 hours ago
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B. Gravida 3 Para 3 who delivered vaginally 2 hours ago
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C. Gravida 1 Para 0 who is not having contractions
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D. Gravida 1 Para 2 who is preparing for discharge
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Answer: B. Gravida 3 Para 3 who delivered vaginally 2 hours ago
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3) The LPN/LVN is planning care for a client who has fourth degree m
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idline laceration that occurred during vaginal delivery of an 8-
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pound 10-ounce infant. What intervention has the highest priority?
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A. Administer prescribed PRN sleep medications. q q q q
B. Administer Prescribed stool softener q q q
C. Administer prescribed PRN sleep medications. q q q q
D. Encourage breastfeeding to promote uterine involutionq q q q q
E. Encourage use of prescribed analgesic perineal sprays.
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Answer: B. Administer Prescribed stool softener
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4) A new protocol for fall prevention is being implemented on the
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medical unit. During safety rounds, the nurse identifies that an unlic
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ensed assistive personnel (UAP) has omitted a vital componentof th
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e protocol. After implementing the missing component, what shoul
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d action should the nurse take?
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A. Supervise the UAP after reviewing the protocol q q q q q q
,B. Report the UAP's omission to the charge nurse
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C. Complete an unusual occurrence report q q q q
D. Assign the UAP to more stable clients the next day
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Answer: A. Supervise the UAP after reviewing the protocol
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5) The LPN/LVN is palpating the right upper hypochondriac region of
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the abdomen of a client. What organ lies underneath this area.
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A. Duodenum
B. Gastric Pylorus q
C. Liver
D. Spleen
Answer: C. Liver qq q
6) A client comes to the antepartal clinic & tells the LPN/LVN thatsh
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e is 6 weeks pregnant. Which sign is she most likely to report?
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A. Decreased sexual libido q q
B. Amenorrhea
C. Quickening
D. Nocturia
Answer: B. Amenorrheaqq q
7) Which action should the LPN/LVN implement in caring
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for a client following an electroencephalogram (EEG)?
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A. Monitor the client's vital signs q.4 hours.
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B. Assess for sensation in the client's lower extremities
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C. Instruct the client to maintain bed rest for eight hours
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D. Wash any paste from the client's hair & scalp
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Answer: D. Wash any paste from the client's hair & scalp
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, 8) A client's daughter phones the charge nurse to report that the night
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LPN/ LVN did not provide good care for her mother. What response s
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hould the nurse make?
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A. Tell the daughter to talk to the unit's nurse manager
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B. Ask for a description of what happened during the night
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C. Reassure the daughter that the mother will get better care.
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D. Explain that all the staff are doing the best they can.
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Answer: B. Ask for a description of what happened during thenight
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9) A hospitalized toddler who is recovering from a sickle cell crisis h
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olds a toy & say's "mine". According to Erikson's theory of psychosoci
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al development, this child's behavior is a demonstration ofwhich deve
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lopmental stage? q
A. Autonomy vs. Shame & doubt. q q q q
B. Industry vs. Inferiority q q
C. initiative vs. Guilt q q
D. Trust vs. Mistrust q q
Answer: A. Autonomy vs. Shame & doubt.
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10) The LPN/LVN is caring for a 75-year-
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old male client who is beginning to form a decubitus ulcer at the coccyx.
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Which intervention will be most helpful in preventing further developme
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nt of the decubitus?
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A. Encourage the client to eat high protein foods q q q q q q q
B. Assess the client with daily range of motion exercises
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C. Teach the family how to perform sterile wound care
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D. Ensure the IV fluids are administered as prescribed
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, Answer: A. Encourage the client to eat high protein foods
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11) What is the homeostatic cellular transport mechanism t
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hatmoves water from a hypotonic to a hypertonic fluid space?
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A. Filtration
B. Diffusion
C. Osmosis
D. Active transport q
Answer: C. Osmosis qq q
12) The LPN/LVN is taking blood pressure of a client admitted wit
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h apossible myocardial infarction. When taking the client's blood pr
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essure at the brachial artery, the nurse should place the client's ar
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m in which position?
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A. Slightly above the level of the heart
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B. At the level of the heart
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C. At the level of comfort for the client
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D. Below the level of the heart
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Answer: B. At the level of the heart
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13) What are the final parameters that produce blood pressure?
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(Choose all that apply) q q q
A. Heart rate q
B. Stroke volume q
C. Peripheral resistance q
D. Neuroendocrine hormones q
E. Muscle tone q
Answer: q
A. Heart rate q
B. Stroke volume q
C. Peripheral resistance q
14) A client begins an antidepressant drug during the second day of
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1) The LPN/LVN is assisting a female client to obtain a voided specim
q q q q q q q q q q q
en for urine culture. After the client cleanses the meatus, which interven
q q q q q q q q q q q
tion is performed next?
q q q
A. Initiate the urine stream q q q
B. Position the collection cup q q q
C. Separate the labia q q
D. Observe the urine q q
Answer: C. Separate the labiaqq q q q
2) The LPN/LVN is caring for a group of clients on a postpartum
q q q q q q q q q q q q
unit. After shift report, which client should the nurse assess first?
q q q q q q q q q q
A. Gravida 6 Para 5 who delivered vaginally 24 hours ago
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B. Gravida 3 Para 3 who delivered vaginally 2 hours ago
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C. Gravida 1 Para 0 who is not having contractions
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D. Gravida 1 Para 2 who is preparing for discharge
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Answer: B. Gravida 3 Para 3 who delivered vaginally 2 hours ago
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3) The LPN/LVN is planning care for a client who has fourth degree m
q q q q q q q q q q q q
idline laceration that occurred during vaginal delivery of an 8-
q q q q q q q q qq
q
pound 10-ounce infant. What intervention has the highest priority?
q q q q q q q q
A. Administer prescribed PRN sleep medications. q q q q
B. Administer Prescribed stool softener q q q
C. Administer prescribed PRN sleep medications. q q q q
D. Encourage breastfeeding to promote uterine involutionq q q q q
E. Encourage use of prescribed analgesic perineal sprays.
q q q q q q
Answer: B. Administer Prescribed stool softener
qq q q q q
4) A new protocol for fall prevention is being implemented on the
q q q q q q q q q q q
medical unit. During safety rounds, the nurse identifies that an unlic
q q q q q q q q q q
ensed assistive personnel (UAP) has omitted a vital componentof th
q q q q q q q q q q
e protocol. After implementing the missing component, what shoul
q q q q q q q q
d action should the nurse take?
q q q q q
A. Supervise the UAP after reviewing the protocol q q q q q q
,B. Report the UAP's omission to the charge nurse
q q q q q q q
C. Complete an unusual occurrence report q q q q
D. Assign the UAP to more stable clients the next day
q q q q q q q q q
Answer: A. Supervise the UAP after reviewing the protocol
qq q q q q q q q
5) The LPN/LVN is palpating the right upper hypochondriac region of
q q q q q q q q q q
the abdomen of a client. What organ lies underneath this area.
q q q q q q q q q q
A. Duodenum
B. Gastric Pylorus q
C. Liver
D. Spleen
Answer: C. Liver qq q
6) A client comes to the antepartal clinic & tells the LPN/LVN thatsh
q q q q q q q q q q q q
e is 6 weeks pregnant. Which sign is she most likely to report?
q q q q q q q q q q q q
A. Decreased sexual libido q q
B. Amenorrhea
C. Quickening
D. Nocturia
Answer: B. Amenorrheaqq q
7) Which action should the LPN/LVN implement in caring
q q q q q q q q
for a client following an electroencephalogram (EEG)?
q q q q q q
A. Monitor the client's vital signs q.4 hours.
q q q q q q
B. Assess for sensation in the client's lower extremities
q q q q q q q
C. Instruct the client to maintain bed rest for eight hours
q q q q q q q q q
D. Wash any paste from the client's hair & scalp
q q q q q q q q
Answer: D. Wash any paste from the client's hair & scalp
qq q q q q q q q q q
, 8) A client's daughter phones the charge nurse to report that the night
q q q q q q q q q q q q
LPN/ LVN did not provide good care for her mother. What response s
q q q q q q q q q q q q
hould the nurse make?
q q q
A. Tell the daughter to talk to the unit's nurse manager
q q q q q q q q q
B. Ask for a description of what happened during the night
q q q q q q q q q
C. Reassure the daughter that the mother will get better care.
q q q q q q q q q
D. Explain that all the staff are doing the best they can.
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Answer: B. Ask for a description of what happened during thenight
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9) A hospitalized toddler who is recovering from a sickle cell crisis h
q q q q q q q q q q q
olds a toy & say's "mine". According to Erikson's theory of psychosoci
q q q q q q q q q q q
al development, this child's behavior is a demonstration ofwhich deve
q q q q q q q q q q
lopmental stage? q
A. Autonomy vs. Shame & doubt. q q q q
B. Industry vs. Inferiority q q
C. initiative vs. Guilt q q
D. Trust vs. Mistrust q q
Answer: A. Autonomy vs. Shame & doubt.
qq q q q q q
10) The LPN/LVN is caring for a 75-year-
q q q q q q
old male client who is beginning to form a decubitus ulcer at the coccyx.
q q q q q q q q q q q q q q
Which intervention will be most helpful in preventing further developme
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nt of the decubitus?
q q q
A. Encourage the client to eat high protein foods q q q q q q q
B. Assess the client with daily range of motion exercises
q q q q q q q q
C. Teach the family how to perform sterile wound care
q q q q q q q q
D. Ensure the IV fluids are administered as prescribed
q q q q q q q
, Answer: A. Encourage the client to eat high protein foods
qq q q q q q q q q
11) What is the homeostatic cellular transport mechanism t
q q q q q q q
hatmoves water from a hypotonic to a hypertonic fluid space?
q q q q q q q q q q
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport q
Answer: C. Osmosis qq q
12) The LPN/LVN is taking blood pressure of a client admitted wit
q q q q q q q q q q
h apossible myocardial infarction. When taking the client's blood pr
q q q q q q q q q q
essure at the brachial artery, the nurse should place the client's ar
q q q q q q q q q q q
m in which position?
q q q
A. Slightly above the level of the heart
q q q q q q
B. At the level of the heart
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C. At the level of comfort for the client
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D. Below the level of the heart
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Answer: B. At the level of the heart
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13) What are the final parameters that produce blood pressure?
q q q q q q q q q
(Choose all that apply) q q q
A. Heart rate q
B. Stroke volume q
C. Peripheral resistance q
D. Neuroendocrine hormones q
E. Muscle tone q
Answer: q
A. Heart rate q
B. Stroke volume q
C. Peripheral resistance q
14) A client begins an antidepressant drug during the second day of
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