PN HESI EXIT EXAM QUESTIONS WITH FULLY SOLVED AND UPDATED ANSWERS

PN HESI EXIT EXAM QUESTIONS WITH FULLY SOLVED AND
UPDATED ANSWERS.


1) During preoperative preparation, the nurse should offer the client which explanation
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about why deep breathing exercising with an incentive spirometer are necessary after
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surgery? t




A. "Deep breathing exercises using spirometer will help prevent postoperative
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complications." t




B. "failure to keep your lungs working may result in pneumonia and death."
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C. "Incentive spirometry is uncomfortable but necessary for your postoperative t t t t t t t t t




care." t




D. "You will use the spirometer for the first postoperative day only." -- Correct
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Answer ✔✔ A. "Deep breathing exercises using spirometer will help prevent
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postoperative complications." t




2) The LPN/LVN is caring for a client who had a total Laryngectomy, Left Radical Neck
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Dissection, and tracheostomy. The client is receiving Nasogastric (NG) tube feedings
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via an enteral pump. Today the rate of the feeding was increased from 50mL/hr to
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75mL/hr. What parameter should the nurse evaluate the client's tolerance to the rate
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of feeding?
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A. Bowel sounds t t




B. Urinary and stool outputs t t t t




C. Gastric residual volumes t t t




D. Daily weight -- Correct Answer ✔✔ C. Gastric residual volumes
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3) The LPN/LVN is caring for a group of clients on a postpartum unit. After shift report,
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which client should the nurse assess first?
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A. Gravida 6 Para 5 who delivered vaginally 24 hours ago t t t t t t t t t t




B. Gravida 1 Para 0 who is not having contractions t t t t t t t t t




C. Gravida 3 Para 3 who delivered vaginally 2 hours ago t t t t t t t t t t




D. Gravida 1 Para 2 who is preparing for discharge -- Correct Answer ✔✔ C.
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Gravida 3 Para 3 who delivered vaginally 2 hours ago t t t t t t t t t

,4) A client returns to the unit following a cardiac catheterization with a Femoral artery
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Access. Which objective criteria is most important for the nurse to obtain immediately
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upon the clients return? t t t t




A. Pupil responses to light t t t t




B. Pedal pulses t t




C. Respiratory rate t t




D. Peripheral mobility -- Correct Answer ✔✔ B. Pedal pulses t t t t t t t t




5) An elderly female client tells the nurse that she does not do regular Breast Self
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Examinations (BSE) because she is too old. The nurse's response to the client is based
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on what information?
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A. The incidence of breast cancer increases with age
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B. The client should have a health care provider do a breast exam at least once a
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year t




C. After age 70, breast cancer is less likely to occur t t t t t t t t t t




D. The history of breast cancer in a family member is indicative of the need for BSE
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-- Correct Answer ✔✔ A. The incidence of breast cancer increases with age
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6) A client with Meningitis is in a coma and Nursing care includes seizure precautions. To
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help prevent seizure activity, what interventions should the nurse implement?
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A. Maintain an oral airway suction equipment and oxygen at the bedside t t t t t t t t t t t




B. Provide respiratory isolation precautions for visitors and staff t t t t t t t t




C. Provide emergency anti-convulsant medication at the bedside t t t t t t t




D. Maintain a quiet calm darkened environment -- Correct Answer ✔✔ D. t t t t t t t t t t t




Maintain a quiet calm darkened environment t t t t t




7) The LPN/LVN is assisting a female client to obtain a voided specimen for urine culture.
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After the client cleanses the meatus, which intervention is performed next?
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A. Initiate the urine stream t t t t




B. Separate the labia t t t




C. Position the collection cup t t t t




D. Observe the urine -- Correct Answer ✔✔ B. Separate the labia t t t t t t t t t t




8) A client is admitted with a fever of undermined origin (FUO). During rounds, the nurse
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finds the client diaphoretic, and the linens are damp. What should the nurse do first?
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, A. Change the bed linen to prevent chilling t t t t t t t




B. Check the client's vital signs and pain scale
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C. Assess the client for urinary incontinence
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D. Determine fluid intake for the past 8 hours -- Correct Answer ✔✔ B. Check the t t t t t t t t t t t t t t




client's vital signs and pain scale
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9) The LPN/LVN is planning care for the a client who has fourth degree midline laceration
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that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention
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has the highest priority?
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A. Administer Prescribed stool softener t t t t




B. Administer prescribed PRN sleep medications. t t t t t




C. Encourage breastfeeding to promote uterine involution t t t t t t




D. Encourage use of prescribed analgesic perineal sprays -- Correct Answer ✔✔ A. t t t t t t t t t t t




Administer Prescribed stool softener
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10) A male client with Hypercholesterolemia is being discharged with a new prescription
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for simvastatin (Zocor). The client tells the nurse that he understands it is important to
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t have liver tests performed periodically. How should the nurse respond?
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A. Instruct the client that the only regular testing needed is to monitor his
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cholesterol level t t




B. Teach the client that liver test are usually only done if the client reports
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symptoms t




C. Review with the client that renal function tests are needed, rather than liver
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tests t




D. Confirm that the client correctly understands the need to monitor liver t t t t t t t t t t t




function regularly -- Correct Answer ✔✔ D. Confirm that the client correctly
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understands the need to monitor liver function regularly t t t t t t t




11) An obese female client with a high serum cholesterol level comes to the clinic for a
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follow-up evaluation. She tells the nurse that she is now walking 30 minutes three times
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t per week and is eating a carbohydrate free, high protein diet in order to lose weight.
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What response is best for the nurse to provide?
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A. Explain to the client that her diet choice is not helpful in lowering cholesterol
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levels t




B. Discuss the importance of maintaining a target heart rate during each exercise
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period t

, C. Teach the client additional ways to lower cholesterol, including stress
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management t




D. Praise the client for her exercise and dieting efforts and encourage her to
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continue with this program -- Correct Answer ✔✔ A. Explain to the client that t t t t t t t t t t t t t t




her diet choice is not helpful in lowering cholesterol levels
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12) A child with Chronic Asthma is scheduled for Chest Physiotherapy. When should the
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nurse administer the meter-dosed inhaler (MDI) puff of bronchodilator relative to
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postural drainage treatments? t t t




A. Before postural drainage t t t




B. During postural drainage t t t




C. After postural drainage t t t




D. Between treatments -- Correct Answer ✔✔ C. After postural drainage t t t t t t t t t




13) A client has a prescription for lorazepam (ativan) 1 mg for anxiety. The medication is
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supplied as 0.5mg tablets. How many tablets should the client take? (enter numeric
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value only. -- Correct Answer ✔✔ 2
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14) The LPN/LVN is caring for a middle-aged client who had a Myocardial infarction (MI) 3
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days ago. Which finding is most important for the nurse to report?
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A. Frothy red-tinged sputum t t




B. Irregular heart rate t t t




C. Two pound weight gain t t t t




D. Dependent edema -- Correct Answer ✔✔ B. Irregular heart rate t t t t t t t t t




15) A client is diagnosed with Clostridium Difficile (CDIFF). What action should the nurse
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implement to prevent the spread of the organism? t t t t t t t t




A. Place a surgical mask on the client during transport t t t t t t t t t




B. Don non-sterile gloves when performing direct care
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C. Wear a particular respirator mask when in the room t t t t t t t t t




D. Keep the door closed to the client's room at all times -- Correct Answer ✔✔ B.
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Don non-sterile gloves when performing direct care
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16) A 67-year-old woman who lives alone tripped on a rug in her home and fractured her
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right hip. The nurse knows that which predisposing factor contributes to the
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occurrence of hip fractures among elderly women. t t t t t t t