HESI PN EXIT EXAM ACTUAL EXAM 2024 UPDATE. 100% COMPLETE EXAM A+ GUARANTEED ANSWERS WITH RATIONALE.

HESI PN EXIT EXAM ACTUAL EXAM 2024 UPDATE. 100% COMPLETE EXAM A+ GUARANTEED ANSWERS WITH RATIONALE. 1. The practical nurse (PN) is observing a client self-administering a dose if subcutaneousinsulin. What step of the injection technique should the practical nurse (PN) reteach? a. Injects air into the insulin vial to displace the dose b. Selects the same site that was used for the previous injection c. Inserts the needle at a 90-degree angle to the skin surface d. Uses a circular motion when applying an alcohol pad to the site Rationale: The PN should reteach the client to rotate the NOON site to a site other than the same one used for the AM dose. Different sites used throughout the day may provide a varying rate of absorption related to activity. Intra-site rotation is recommended for the doseused during one specific time of the day. The other choices are acceptable techniques for subcutaneous injection of insulin. 2. The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client’s radial pulse as seen in the picture. Which action should the PNtake? a. Confirm accuracy of the pulse rate obtained by the UAP b. Instruct the UAP to report any abnormal findings c. Remind the UAP to check the clients pulse volume d. Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse,follow the pinky for the brachial) Rationale: When checking the radial pulse, the index and middle finger should be aligned withthe thumb, for brachial pulse assessment should be aligned with the pinky finger. 3. The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? a. Repeat the heel stick for glucose in one hour b. Offer nipple feedings of 10% dextrose c. Begin frequent feedings of breast milk or formula d. Assess for signs of hypocalcemia Rationale: Providing frequent feedings will reduce the infants blood glucose; we wouldn’twant to obtain another heel stick as we want to do less invasive as possible. 4. A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatinand 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL total oral and IV intake should the PN document on the client’s medical record? (Enter numeric value only). 8 oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL Total intake = 1480 mL 5. The nurse is very busy and running late with administering medications and asks thepractical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond? a. “You should know that I cannot administer the medication in this syringe” b. “As long as the charge nurse checks the syringe, I can give the medication” c. “Teamwork is the best approach. I will be glad to help you get caught up” d. “I am not comfortable doing that. Is there something else I can do to help you?” Rationale: Explaining your comfortability is always okay because you don’t want to jeopardizeyour license, so offering to help with the nurse’s other workload is being. A team player. 6. The practical nurse (PN) is assigning care for a group of clients on the urology medicalunit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.) a. Irrigate an indwelling urinary catheter for a client with bladder suspension b. Obtain a post-voided residual (PVR) volume c. Empty beside drainage unit for a client with indwelling urinary catheter d. Teach the client with fluid restrictions how to measure urine output e. Transport a urine culture sample to the laboratory Rationale: The scope of practice of UAP includes personal care such as bowel and bladder careincluding intake and output measurements. Emptying urine from bedside drainage units and transporting specimens are tasks that can be assigned to the UAP. 7. Which intervention should the practical nurse (PN) reinforce for a client with pruritis? a. Encourage a warm sleeping environment b. Do not take any type of tub bath c. Discourage use of skin lubricants d. Keep fingernails trimmed short Rationale: Keeping fingernails short with rough edges filed helps minimize excoriation fromscratching the pruritic (itch) area. 8. While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take? a. Speak louder so the client can hear the conversation b. Encourage the client to read the practical nurse’s lips c. Provide written instructions about how to take medications d. Determine if the client has had difficulty in the past Rationale: In the older population, presbycusis is common and results from degenerative changes in the ear with again and is often a gradual progressive, bilateral inability to hear,especially high frequency sounds. Most importantly, the PN should determine if the clientshearing problem is new or gradual, chronic condition. 9. The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis labeled, “Cefazolin 1 gram,” and the instructions for reconstitution state, “For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL.” After reconstitution, how many mL should be administered to the client? (enter numeric valueonly. If rounding is required, round to the nearest tenth.) 1.3 mL Rationale: 1 g 1000 mg; 500 mg/ 1000 = 0.5; 0.5 x 2.5 mL = 1.25 rounded to nearesttenth = 1.3 mL 10. In