2024 NGN HESI PN EXIT V1 EXAM
with 75 Questions and Answers (Verified Revised Full Exam)
1. The practical nurse enters a male client's room to administer routine morn-
ing medications, and the client is on the phone. Which action is best for the PN to
take?
A. Ask another nurse to go back with the medication when the client's hung up the
phone
B. Wait for the client to excuse himself from the telephone conversation, and observe
the client taking the medication
C. Return the medication to the client's drawer on the cart and document the client
refused the dose
D. Leave the medication with the client, and let him take it when he finishes the
conversation.
ANS: B
2. A client is admitted to the postoperative surgical unit with two test tubes after a left
lobectomy. The ON observed that the chambers are set at the pre- scribed suction of 20
cm water pressure and tidying occurs with respirations and bubbling. What action
should the PN implement?
,A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest
ANS: C
3. The mother of a 9-month-child who was diagnosed with respiratory syncy- tial virus
yesterday calls the clinic to inquire if it will be all right to take her infant to the first
birthday party of a friend's child for the following day. Which response should the PN
provide the mother?
A. Do not expose other children as the virus is very contagious even without direct
contact
B. The child will no longer be contagious, no need to take any further precau- tions
C. The child can be around other children but should wear a mask
D. Make sure there are no children under the age of 5 months around the infected
child.
ANS: A
4. The practical nurse is assisting the nurse with the admission of a young adult female
Korean exchange student with acute abdominal pain. Although the client has been able
to easily answer questions, when asked about sexual activity, she looks away. What
action should the PN take?
,A. Omit compelling this section of the assessment form
, B. Ask her if she would like an interpreter to ask her the question
C. Reword the question in case the client did not understand
D. Watch the client's response when asked a different question
ANS: D
5. During immediate postoperative period following a total hip placement, which
intervention is most important for the PN to implement?
A. Encourage client to use walker or cane when ambulating
B. Keep client's hip aligned with knees abducted
C. Teach client to sit on the side of the bed before standing
D. Monitor urinary flow via indwelling catheter
ANS: B
6. A client confides to the PN that the client has been substituting herbal
supplements for high blood pressure instead of the prescribed medication. How
should the PN respond first?
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
C. Have client use own words to describe complications of high blood pres- sure
D. Point out the risks of not taking the herbal medications rather than pre- scribed
ANS: A
7. The PN is assigned to administer medications in a long term care facility. A
disoriented resident has no identification band or picture. What is the best nursing
action for the PN to take prior administering the medications this resident?
with 75 Questions and Answers (Verified Revised Full Exam)
1. The practical nurse enters a male client's room to administer routine morn-
ing medications, and the client is on the phone. Which action is best for the PN to
take?
A. Ask another nurse to go back with the medication when the client's hung up the
phone
B. Wait for the client to excuse himself from the telephone conversation, and observe
the client taking the medication
C. Return the medication to the client's drawer on the cart and document the client
refused the dose
D. Leave the medication with the client, and let him take it when he finishes the
conversation.
ANS: B
2. A client is admitted to the postoperative surgical unit with two test tubes after a left
lobectomy. The ON observed that the chambers are set at the pre- scribed suction of 20
cm water pressure and tidying occurs with respirations and bubbling. What action
should the PN implement?
,A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest
ANS: C
3. The mother of a 9-month-child who was diagnosed with respiratory syncy- tial virus
yesterday calls the clinic to inquire if it will be all right to take her infant to the first
birthday party of a friend's child for the following day. Which response should the PN
provide the mother?
A. Do not expose other children as the virus is very contagious even without direct
contact
B. The child will no longer be contagious, no need to take any further precau- tions
C. The child can be around other children but should wear a mask
D. Make sure there are no children under the age of 5 months around the infected
child.
ANS: A
4. The practical nurse is assisting the nurse with the admission of a young adult female
Korean exchange student with acute abdominal pain. Although the client has been able
to easily answer questions, when asked about sexual activity, she looks away. What
action should the PN take?
,A. Omit compelling this section of the assessment form
, B. Ask her if she would like an interpreter to ask her the question
C. Reword the question in case the client did not understand
D. Watch the client's response when asked a different question
ANS: D
5. During immediate postoperative period following a total hip placement, which
intervention is most important for the PN to implement?
A. Encourage client to use walker or cane when ambulating
B. Keep client's hip aligned with knees abducted
C. Teach client to sit on the side of the bed before standing
D. Monitor urinary flow via indwelling catheter
ANS: B
6. A client confides to the PN that the client has been substituting herbal
supplements for high blood pressure instead of the prescribed medication. How
should the PN respond first?
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
C. Have client use own words to describe complications of high blood pres- sure
D. Point out the risks of not taking the herbal medications rather than pre- scribed
ANS: A
7. The PN is assigned to administer medications in a long term care facility. A
disoriented resident has no identification band or picture. What is the best nursing
action for the PN to take prior administering the medications this resident?
