HESI PN EXIT 130 QUESTIONS 1-32
EXAM QUESTIONS AND ANSWERS
A client receives a prescription for diphenhydramine 12.5 mg PO for rhinitis. The m
zv zv zv zv zv zv zv zv zv zv zv zv zv
edication is available in 25 mg scored tablets. How many tablets should the practic
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al nurse administer?
zv zv
(Enter numeric value only. If rounding is required, round to the nearest tenth). -
zv zv zv zv zv zv zv zv zv zv zv zv zv
ANSWERS--0.5
zv
The practical nurse (PN) is caring for an older client who is receiving chemotherapy
zv zv zv zv zv zv zv zv zv zv zv zv zv
for lung cancer. Which finding is the highest priority for the PN to report to the cha
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rge nurse? zv
Reference ranges: zv
Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L]
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Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 1019/L] - ANSWERS--
zv zv zv zv zv zv zv zv zv zv zv
Blood urea nitrogen 75 mg/dL or 12.9
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mmol/L
The practical nurse (PN) assists a client to a supine position. What should the PN
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use to prevent external rotation of the client's hips? - ANSWERS--Trochanter rolls.
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The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turnin
zv zv zv zv zv zv zv zv zv zv
g an older client who had a hip arthroplasty with prosthesis placement four hours a
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go. Which observation by the PN indicates that the UAPs need additional informati
zv zv zv zv zv zv zv zv zv zv zv zv
on about the turning procedure? - ANSWERS--
zv zv zv zv zv zv
The client is told to keep both legs straight and together while turning.
zv zv zv zv zv zv zv zv zv zv zv zv
Prior to an invasive examination of a hospitalized client, a consent form should be
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obtained. Which action best describes the responsibility of the practical nurse (PN)
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? - ANSWERS--
zv zv
Checks the medical record for the correct signed consent form prior to the examina
zv zv zv zv zv zv zv zv zv zv zv zv zv
tion.
The practical nurse (PN) is caring for a client with coronary artery disease who is a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
dmitted with intermittent chest pain. The admission laboratory results indicate eleva
zv zv zv zv zv zv zv zv zv zv
tions in troponin I and creatine phosphokinase myoglobin isoenzyme (CK-
zv zv zv zv zv zv zv zv zv
MB) levels. zv
What should the PN consider the most significant risk for this client on the second
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
day of admission? - ANSWERS--
zv zv zv zv
The lab results indicate myocardial damage, and the client is at risk for cardiac dys
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rhythmias
The practical nurse (PN) is caring for a client with fractured metatarsals after slam
zv zv zv zv zv zv zv zv zv zv zv zv zv
ming a hand in the car door.
zv zv zv zv zv zv
After administering the prescribed hydrocodone /
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acetaminophen for pain, which intervention should the PN include in the client's car
zv zv zv zv zv zv zv zv zv zv zv zv
, e? - ANSWERS--
zv zv
Implement ongoing assessments for signs of shallow or slow breathing.
zv zv zv zv zv zv zv zv zv
A mother asks the practical nurse (PN) about the immunization schedule for whoop
zv zv zv zv zv zv zv zv zv zv zv zv
ing cough. Which is the recommended schedule that the PN should convey? -
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ANSWERS--
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2.4.6 months, and boosters at 15 to 18 months and 4 to 6 years of age.
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's r
zv zv zv zv zv zv zv zv zv zv zv zv
oom and find the client lying on the bed. The PN determines that the client is
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
unresponsive. Which instruction should the PN give the UAP first? - ANSWERS--
zv zv zv zv zv zv zv zv zv zv zv
Obtain emergency help. zv zv
The practical nurse (PN) prepares to suction a client's tracheostomy as seen in the
zv zv zv zv zv zv zv zv zv zv zv zv zv z
video. What should the PN do next?
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(Please view the video to select the option that applies. To repeat the video, click t
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
he play button again.) - ANSWERS--Insert the catheter into the tracheostomy
zv zv zv zv zv zv zv zv zv zv
A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically.
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
The parent tells the practical nurse (PN) that the child screams in pain even with a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
light touch. The child is short of breath and anxious. Which manifestations warrant i
zv zv zv zv zv zv zv zv zv zv zv zv zv
mmediate intervention by the PN? - ANSWERS-- zv zv zv zv zv zv
Pulse oximetry of 88% O2 saturation.
zv zv zv zv zv
A client receives ondansetron prior to a chemotherapy treatment. How should the p
zv zv zv zv zv zv zv zv zv zv zv zv
ractical nurse evaluate the effectiveness of the medication? - ANSWERS--
zv zv zv zv zv zv zv zv zv
Monitor the client for nausea or vomiting following the treatment.
zv zv zv zv zv zv zv zv zv
Which client finding should the practical nurse (PN) report to the registered nurse (
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RN) immediately? - ANSWERS--Coffee-
zv zv zv
ground secretions draining via nasogastric tube suction.
zv zv zv zv zv zv
A client reports experiencing numbness and tingling in the extremities. Which of the
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client's serum laboratory values should the practical nurse (PN) prioritize reporting
zv zv zv zv zv zv zv zv zv zv zv zv
to the healthcare provider? - ANSWERS--Electrolytes
zv zv zv zv zv
The single mother of a child with a head injury is sitting at the child's bedside cryin
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
g when the practical nurse (PN) enters the room. The mother states,
zv zv zv zv zv zv zv zv zv zv zv
"Why did this happen to my child?
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I just can't cope with this." How should the PN respond? - ANSWERS--
zv zv zv zv zv zv zv zv zv zv zv zv zv
Determine if someone else can help her cope with this tragedy.
zv zv zv zv zv zv zv zv zv zv
The practical nurse (PN) is checking residual volume prior to the administration of a
zv zv zv zv zv zv zv zv zv zv zv zv zv
bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube
zv zv zv zv zv zv zv zv zv zv zv zv zv
when the unlicensed assistive personnel (UAP) reports that another client has requ
zv zv zv zv zv zv zv zv zv zv zv
ested pain medication for postoperative pain. Which action should the PN take? -
zv zv zv zv zv zv zv zv zv zv zv zv
ANSWERS--
zv
Have the UAP notify the client in pain that the PN will be in to check on the client a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
fter completing the procedure in progress.
zv zv zv zv zv
EXAM QUESTIONS AND ANSWERS
A client receives a prescription for diphenhydramine 12.5 mg PO for rhinitis. The m
zv zv zv zv zv zv zv zv zv zv zv zv zv
edication is available in 25 mg scored tablets. How many tablets should the practic
zv zv zv zv zv zv zv zv zv zv zv zv zv
al nurse administer?
zv zv
(Enter numeric value only. If rounding is required, round to the nearest tenth). -
zv zv zv zv zv zv zv zv zv zv zv zv zv
ANSWERS--0.5
zv
The practical nurse (PN) is caring for an older client who is receiving chemotherapy
zv zv zv zv zv zv zv zv zv zv zv zv zv
for lung cancer. Which finding is the highest priority for the PN to report to the cha
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
rge nurse? zv
Reference ranges: zv
Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L]
zv zv zv zv zv zv zv zv zv zv zv zv zv
Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 1019/L] - ANSWERS--
zv zv zv zv zv zv zv zv zv zv zv
Blood urea nitrogen 75 mg/dL or 12.9
zv zv zv zv zv zv
mmol/L
The practical nurse (PN) assists a client to a supine position. What should the PN
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
use to prevent external rotation of the client's hips? - ANSWERS--Trochanter rolls.
zv zv zv zv zv zv zv zv zv zv zv
The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turnin
zv zv zv zv zv zv zv zv zv zv
g an older client who had a hip arthroplasty with prosthesis placement four hours a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
go. Which observation by the PN indicates that the UAPs need additional informati
zv zv zv zv zv zv zv zv zv zv zv zv
on about the turning procedure? - ANSWERS--
zv zv zv zv zv zv
The client is told to keep both legs straight and together while turning.
zv zv zv zv zv zv zv zv zv zv zv zv
Prior to an invasive examination of a hospitalized client, a consent form should be
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
obtained. Which action best describes the responsibility of the practical nurse (PN)
zv zv zv zv zv zv zv zv zv zv zv
? - ANSWERS--
zv zv
Checks the medical record for the correct signed consent form prior to the examina
zv zv zv zv zv zv zv zv zv zv zv zv zv
tion.
The practical nurse (PN) is caring for a client with coronary artery disease who is a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
dmitted with intermittent chest pain. The admission laboratory results indicate eleva
zv zv zv zv zv zv zv zv zv zv
tions in troponin I and creatine phosphokinase myoglobin isoenzyme (CK-
zv zv zv zv zv zv zv zv zv
MB) levels. zv
What should the PN consider the most significant risk for this client on the second
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
day of admission? - ANSWERS--
zv zv zv zv
The lab results indicate myocardial damage, and the client is at risk for cardiac dys
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
rhythmias
The practical nurse (PN) is caring for a client with fractured metatarsals after slam
zv zv zv zv zv zv zv zv zv zv zv zv zv
ming a hand in the car door.
zv zv zv zv zv zv
After administering the prescribed hydrocodone /
zv zv zv zv zv
acetaminophen for pain, which intervention should the PN include in the client's car
zv zv zv zv zv zv zv zv zv zv zv zv
, e? - ANSWERS--
zv zv
Implement ongoing assessments for signs of shallow or slow breathing.
zv zv zv zv zv zv zv zv zv
A mother asks the practical nurse (PN) about the immunization schedule for whoop
zv zv zv zv zv zv zv zv zv zv zv zv
ing cough. Which is the recommended schedule that the PN should convey? -
zv zv zv zv zv zv zv zv zv zv zv zv
ANSWERS--
zv
2.4.6 months, and boosters at 15 to 18 months and 4 to 6 years of age.
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's r
zv zv zv zv zv zv zv zv zv zv zv zv
oom and find the client lying on the bed. The PN determines that the client is
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
unresponsive. Which instruction should the PN give the UAP first? - ANSWERS--
zv zv zv zv zv zv zv zv zv zv zv
Obtain emergency help. zv zv
The practical nurse (PN) prepares to suction a client's tracheostomy as seen in the
zv zv zv zv zv zv zv zv zv zv zv zv zv z
video. What should the PN do next?
v zv zv zv zv zv zv
(Please view the video to select the option that applies. To repeat the video, click t
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
he play button again.) - ANSWERS--Insert the catheter into the tracheostomy
zv zv zv zv zv zv zv zv zv zv
A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically.
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
The parent tells the practical nurse (PN) that the child screams in pain even with a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
light touch. The child is short of breath and anxious. Which manifestations warrant i
zv zv zv zv zv zv zv zv zv zv zv zv zv
mmediate intervention by the PN? - ANSWERS-- zv zv zv zv zv zv
Pulse oximetry of 88% O2 saturation.
zv zv zv zv zv
A client receives ondansetron prior to a chemotherapy treatment. How should the p
zv zv zv zv zv zv zv zv zv zv zv zv
ractical nurse evaluate the effectiveness of the medication? - ANSWERS--
zv zv zv zv zv zv zv zv zv
Monitor the client for nausea or vomiting following the treatment.
zv zv zv zv zv zv zv zv zv
Which client finding should the practical nurse (PN) report to the registered nurse (
zv zv zv zv zv zv zv zv zv zv zv zv zv
RN) immediately? - ANSWERS--Coffee-
zv zv zv
ground secretions draining via nasogastric tube suction.
zv zv zv zv zv zv
A client reports experiencing numbness and tingling in the extremities. Which of the
zv zv zv zv zv zv zv zv zv zv zv zv
client's serum laboratory values should the practical nurse (PN) prioritize reporting
zv zv zv zv zv zv zv zv zv zv zv zv
to the healthcare provider? - ANSWERS--Electrolytes
zv zv zv zv zv
The single mother of a child with a head injury is sitting at the child's bedside cryin
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
g when the practical nurse (PN) enters the room. The mother states,
zv zv zv zv zv zv zv zv zv zv zv
"Why did this happen to my child?
zv zv zv zv zv zv
I just can't cope with this." How should the PN respond? - ANSWERS--
zv zv zv zv zv zv zv zv zv zv zv zv zv
Determine if someone else can help her cope with this tragedy.
zv zv zv zv zv zv zv zv zv zv
The practical nurse (PN) is checking residual volume prior to the administration of a
zv zv zv zv zv zv zv zv zv zv zv zv zv
bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube
zv zv zv zv zv zv zv zv zv zv zv zv zv
when the unlicensed assistive personnel (UAP) reports that another client has requ
zv zv zv zv zv zv zv zv zv zv zv
ested pain medication for postoperative pain. Which action should the PN take? -
zv zv zv zv zv zv zv zv zv zv zv zv
ANSWERS--
zv
Have the UAP notify the client in pain that the PN will be in to check on the client a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
fter completing the procedure in progress.
zv zv zv zv zv
