HESI PN EXIT EXAM 2 2024 LATEST WITH
NEXT GENERATION NCLEX VERIFIED
QUESTIONS (NGN) COMPLETE 2 VERSIONS
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
The practical nurse (PN) is planning evening shift rounds for a group of
postoperative client who all had
surgery earlier that day which client should the PN check first
A preschooler who had an emergency appendectomy for appendicitis
The practical nurse (PN) plans to distraction technique while client
undergoes a brief painful procedure
which action should the PN implement during the procedure
Encourage the client to reminisce about a favorite past family event
Which interventions is within the scope of practice for a practical nurse
(PN)
Demonstrating deep breathing and coughing to be a post operative client
The practical nurse (PN) determines that a clients pupils constrict as they
change focus from a far object
to a near object how should the PN document this finding
Pupils reactive to accommodation
,A client with paranoia is admitted to the mental health unit and immediately
goes to the corner of the room and sits
quietly without communication when approaching the client what
intervention should the practical nurse PN(
implement first?
Describe function of the PN
A male client tells the practical nurse (PN) that is afraid of getting cancer
so he plans to quit smoking cigarettes by
switching to a smokeless tobacco product how should the PN respond
Provide information to the client about risk associated with smokeless tobacco
The practical nurse (PN) administers an opioid analgesic to a client with
pain with incisional pain thirty minutes later
the client respirations decrease from 16 to 8 breaths/min what addition
assessment should the pn compete before
reporting the finding to the charge nurse (SELECT ALL THAT APPLY)
• Cloud appearance
• Oxygen saturation
• Level of conscience
The practical nurse (PN) is listening to a client breath sounds which
medication from the clients prescriptions will have
the most positive effect on this respiratory finding (listen to auto)
Albuterol
An older client is being discharged to home following a hip pinning
procedure for a fractured hip the client uses
crutches for ambulation which element should the
, practical nurse (PN) emphasize when reinforcing precautions to prevent
the risk of falls in the home?
Scattered rugs
The practical nurse (PN) observes a client using an incentive spirometer as
seen in the video which should the PN
emphasize on (the video of a man using incentive spirometer)
Reinforce he needs to inhale slower and more deeply
When preparing to change a clients sterile dressing the practical Nurse
(Pn) opens a package of gauze pads as seen in
the picture which action should the PN take next? (picture question)
Apply a new pair of sterile gloves
The practical nurse (PN) accompanies a healthcare provider when the client
receives the diagnosis of stage 5
metastatic cancer the client's wife immediately responds "you must have
made a mistake we want to get a second
option" the PN should consider which stage of the grieving process in order
to respond best to the wife's comments?
Denial
The Practical Nurse (PN) is preforming a focused assessment for a male
client with schizophrenia who is admitted to
an acute care inpatient facility which behavior should the PN document as
symptoms of schizophrenia?
Voices telling the client to hurt himself
NEXT GENERATION NCLEX VERIFIED
QUESTIONS (NGN) COMPLETE 2 VERSIONS
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
The practical nurse (PN) is planning evening shift rounds for a group of
postoperative client who all had
surgery earlier that day which client should the PN check first
A preschooler who had an emergency appendectomy for appendicitis
The practical nurse (PN) plans to distraction technique while client
undergoes a brief painful procedure
which action should the PN implement during the procedure
Encourage the client to reminisce about a favorite past family event
Which interventions is within the scope of practice for a practical nurse
(PN)
Demonstrating deep breathing and coughing to be a post operative client
The practical nurse (PN) determines that a clients pupils constrict as they
change focus from a far object
to a near object how should the PN document this finding
Pupils reactive to accommodation
,A client with paranoia is admitted to the mental health unit and immediately
goes to the corner of the room and sits
quietly without communication when approaching the client what
intervention should the practical nurse PN(
implement first?
Describe function of the PN
A male client tells the practical nurse (PN) that is afraid of getting cancer
so he plans to quit smoking cigarettes by
switching to a smokeless tobacco product how should the PN respond
Provide information to the client about risk associated with smokeless tobacco
The practical nurse (PN) administers an opioid analgesic to a client with
pain with incisional pain thirty minutes later
the client respirations decrease from 16 to 8 breaths/min what addition
assessment should the pn compete before
reporting the finding to the charge nurse (SELECT ALL THAT APPLY)
• Cloud appearance
• Oxygen saturation
• Level of conscience
The practical nurse (PN) is listening to a client breath sounds which
medication from the clients prescriptions will have
the most positive effect on this respiratory finding (listen to auto)
Albuterol
An older client is being discharged to home following a hip pinning
procedure for a fractured hip the client uses
crutches for ambulation which element should the
, practical nurse (PN) emphasize when reinforcing precautions to prevent
the risk of falls in the home?
Scattered rugs
The practical nurse (PN) observes a client using an incentive spirometer as
seen in the video which should the PN
emphasize on (the video of a man using incentive spirometer)
Reinforce he needs to inhale slower and more deeply
When preparing to change a clients sterile dressing the practical Nurse
(Pn) opens a package of gauze pads as seen in
the picture which action should the PN take next? (picture question)
Apply a new pair of sterile gloves
The practical nurse (PN) accompanies a healthcare provider when the client
receives the diagnosis of stage 5
metastatic cancer the client's wife immediately responds "you must have
made a mistake we want to get a second
option" the PN should consider which stage of the grieving process in order
to respond best to the wife's comments?
Denial
The Practical Nurse (PN) is preforming a focused assessment for a male
client with schizophrenia who is admitted to
an acute care inpatient facility which behavior should the PN document as
symptoms of schizophrenia?
Voices telling the client to hurt himself
