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 inishes
the conversation
ANS: B. Wait for the client to excuse himself from the telephone conversation, and
observe the client taking the medication
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 ches
ANS: C. Maintain system integrity to promote lung reexpansion
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 irst 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. Do not expose other children as the virus is very contagious even without
direct contact
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
C. Watch the client's response when asked a diferent question
ANS: D. Watch the client's response when asked a diferent question
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 low via indwelling catheter
ANS: B. Keep client's hip aligned with knees abducted
6. A client conides 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 irst?
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. Ask the client's reason for choosing to take herbs instead of prescribed drugs
, 7. The PN is assigned to administer medications in a long term care facility. A
disoriented resident has no identiication band or picture. What is the best
nursing action for the PN to take prior administering the medications this
resident? term-14
A. Ask a regular staf member to conirm the resident's identity
B. Hold the medication until a family member again
C. Re-orient the resident to name, place, and situation
D. Conirm the room and bed numbers with those on the medication record.
ANS: D. Conirm the room and bed numbers with those on the medication record.
8. An adult client who weighs 150 pounds has partial-thickness and full-
thickness burns over 40% of the body from a house ire. After admission, which
observation is most important for the practical nurse to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
ANS: D. Urinary Output of 20ml/hr
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 inishes
the conversation
ANS: B. Wait for the client to excuse himself from the telephone conversation, and
observe the client taking the medication
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 ches
ANS: C. Maintain system integrity to promote lung reexpansion
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 irst 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. Do not expose other children as the virus is very contagious even without
direct contact
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
C. Watch the client's response when asked a diferent question
ANS: D. Watch the client's response when asked a diferent question
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 low via indwelling catheter
ANS: B. Keep client's hip aligned with knees abducted
6. A client conides 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 irst?
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. Ask the client's reason for choosing to take herbs instead of prescribed drugs
, 7. The PN is assigned to administer medications in a long term care facility. A
disoriented resident has no identiication band or picture. What is the best
nursing action for the PN to take prior administering the medications this
resident? term-14
A. Ask a regular staf member to conirm the resident's identity
B. Hold the medication until a family member again
C. Re-orient the resident to name, place, and situation
D. Conirm the room and bed numbers with those on the medication record.
ANS: D. Conirm the room and bed numbers with those on the medication record.
8. An adult client who weighs 150 pounds has partial-thickness and full-
thickness burns over 40% of the body from a house ire. After admission, which
observation is most important for the practical nurse to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
ANS: D. Urinary Output of 20ml/hr
