Hesi pn exit exam NAXLEX Questions &
answers.
The practical nurse (PN) is assisting with preparation of a client for fecal
diversion surgery. While inserting an indwelling urinary catheter, the client asks if
the surgical opening will be visible. Which action should the PN implement?
Review the client's expectations of elimination after surgery
Which action is best for the practical nurse (PN) to use in assisting this client to
deal with his pain?
Guide the client through slow, rhythmic breathing.
A 15-year-old adolescent male with a mild mental disability is hospitalized for
minor surgery and tells the practical nurse (PN), "Wow! You have big breasts.
Which response is best for the PN to provide?
B. That language is not allowed.
The practical nurse (PN) is reviewing a client's recent ophthalmic screening test
results. Findings of optic neuropathy, loss of peripheral vision, and increased
intro ocular pressure are consistent with which medical condition?
A. Glaucoma
A client who is at full-term gestation is in active labor and complains of a cramp
in her leg. Which intervention should the practical nurse (PN) implement?
Extend the leg and flex the foot.
The practical nurse (PN) palpates a client's radial pulse and notes that the pulse
disappears when light pressure is applied. How should the PN document this
finding?
Thready pulse volume
The practical nurse (PN) is making a home visit to an older male adult who was
recently diagnosed with Herpes zoster (shingles). The client reports the onset of
severe burning pain along the right side of his trunk.
What action should the PN take?
Administer a prescribed PRN dose of analgesic.
The practical nurse (PN) is providing care for a client who is ordered nothing by
mouth (NPO) after a small bowel resection. The client's nasogastric (NG) tube is
connected to low intermittent suction. The client reports dizziness and tingling in
digits. Which assessment finding by the PN should be reported to the healthcare
provider?
Heart rate of 90 beats per minute with premature ventricular contractions (PVCs)
noted on telemetry.
A client in the psychiatric unit's dayroom is becoming agitated, talking
incessantly, and starting to yell and swear at the other clients. Which action
should the practical nurse (PN) implement first?
Escort the client to a calm and quiet place.
The practical nurse (PN) is preparing for shift change. Which task has the highest
priority and should be completed first?
Verify completion of all new prescriptions.
, An unlicensed assistive personnel (UAP) is completing an orientation assignment
and is caring for a client who needs assistance with bathing. What is the best way
for the practical nurse (PN) to evaluate this UAP's performance?
Observe the UAP's technique and communication skills during the bath
A male client attends a community support program for mentally impaired and
chemical abusing clients. The client tells the practical nurse (PN) that his drugs of
choice are cocaine and heroin.
What is the greatest health risk for this client?
Hepatitis.
The practical nurse (PN) finds a postoperative client lying in bed with an
unsecured surgical dressing as seen in the picture. After reinforcing the
dressing, which follow-up assessment is most important for the PN to
implement?
Vital sign measurement.
The practical nurse (PN) reviews the history of an older adult who is newly
admitted to a long term care facility.
Which factor in the resident's history should the PN consider the most likely to
increase the client's risk for falls?
Newly prescribed antihypertensive medication.
Prior to an invasive examination of a hospitalized client, a consent form should
be obtained. Which action best describes the responsibility of the practical nurse
(PN)?
Witnesses the client's signature on the consent form after it is explained by the provider.
The practical nurse (PN) receives shift report for four newborns in the full-term
newborn nursery. Which infant should the PN assess first?
The ten-hour-old with circumoral cyanosis.
While changing the dressing of a client who is immobile, the practical nurse (PN)
observes a red and swollen wound with a moderate amount of yellow and green
drainage and a foul odor.
Before reporting this finding to the healthcare provider, the PN should evaluate
which of the client's laboratory values?
Serum blood glucose (BG) level.
The practical nurse (PN) is caring for a client with a new prescription for
fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's nasal
allergy symptoms.
In reinforcing instructions about self-administration of the nasal spray, the PN
should emphasize the need for the client to take which action before self-
administration?
Gently blow the nose.
The practical nurse (PN) is charting vital signs on a hand-writen flow sheet and
realizes that an error has been made. What should the PN do to rectify this error?
Draw one line through the entry and insert the correct information
Which finding should the practical nurse (PN) instruct the postpartum client to
report to the charge nurse?
Sudden or persistent temperature above 100.5 F (38.0 C).
answers.
The practical nurse (PN) is assisting with preparation of a client for fecal
diversion surgery. While inserting an indwelling urinary catheter, the client asks if
the surgical opening will be visible. Which action should the PN implement?
Review the client's expectations of elimination after surgery
Which action is best for the practical nurse (PN) to use in assisting this client to
deal with his pain?
Guide the client through slow, rhythmic breathing.
A 15-year-old adolescent male with a mild mental disability is hospitalized for
minor surgery and tells the practical nurse (PN), "Wow! You have big breasts.
Which response is best for the PN to provide?
B. That language is not allowed.
The practical nurse (PN) is reviewing a client's recent ophthalmic screening test
results. Findings of optic neuropathy, loss of peripheral vision, and increased
intro ocular pressure are consistent with which medical condition?
A. Glaucoma
A client who is at full-term gestation is in active labor and complains of a cramp
in her leg. Which intervention should the practical nurse (PN) implement?
Extend the leg and flex the foot.
The practical nurse (PN) palpates a client's radial pulse and notes that the pulse
disappears when light pressure is applied. How should the PN document this
finding?
Thready pulse volume
The practical nurse (PN) is making a home visit to an older male adult who was
recently diagnosed with Herpes zoster (shingles). The client reports the onset of
severe burning pain along the right side of his trunk.
What action should the PN take?
Administer a prescribed PRN dose of analgesic.
The practical nurse (PN) is providing care for a client who is ordered nothing by
mouth (NPO) after a small bowel resection. The client's nasogastric (NG) tube is
connected to low intermittent suction. The client reports dizziness and tingling in
digits. Which assessment finding by the PN should be reported to the healthcare
provider?
Heart rate of 90 beats per minute with premature ventricular contractions (PVCs)
noted on telemetry.
A client in the psychiatric unit's dayroom is becoming agitated, talking
incessantly, and starting to yell and swear at the other clients. Which action
should the practical nurse (PN) implement first?
Escort the client to a calm and quiet place.
The practical nurse (PN) is preparing for shift change. Which task has the highest
priority and should be completed first?
Verify completion of all new prescriptions.
, An unlicensed assistive personnel (UAP) is completing an orientation assignment
and is caring for a client who needs assistance with bathing. What is the best way
for the practical nurse (PN) to evaluate this UAP's performance?
Observe the UAP's technique and communication skills during the bath
A male client attends a community support program for mentally impaired and
chemical abusing clients. The client tells the practical nurse (PN) that his drugs of
choice are cocaine and heroin.
What is the greatest health risk for this client?
Hepatitis.
The practical nurse (PN) finds a postoperative client lying in bed with an
unsecured surgical dressing as seen in the picture. After reinforcing the
dressing, which follow-up assessment is most important for the PN to
implement?
Vital sign measurement.
The practical nurse (PN) reviews the history of an older adult who is newly
admitted to a long term care facility.
Which factor in the resident's history should the PN consider the most likely to
increase the client's risk for falls?
Newly prescribed antihypertensive medication.
Prior to an invasive examination of a hospitalized client, a consent form should
be obtained. Which action best describes the responsibility of the practical nurse
(PN)?
Witnesses the client's signature on the consent form after it is explained by the provider.
The practical nurse (PN) receives shift report for four newborns in the full-term
newborn nursery. Which infant should the PN assess first?
The ten-hour-old with circumoral cyanosis.
While changing the dressing of a client who is immobile, the practical nurse (PN)
observes a red and swollen wound with a moderate amount of yellow and green
drainage and a foul odor.
Before reporting this finding to the healthcare provider, the PN should evaluate
which of the client's laboratory values?
Serum blood glucose (BG) level.
The practical nurse (PN) is caring for a client with a new prescription for
fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's nasal
allergy symptoms.
In reinforcing instructions about self-administration of the nasal spray, the PN
should emphasize the need for the client to take which action before self-
administration?
Gently blow the nose.
The practical nurse (PN) is charting vital signs on a hand-writen flow sheet and
realizes that an error has been made. What should the PN do to rectify this error?
Draw one line through the entry and insert the correct information
Which finding should the practical nurse (PN) instruct the postpartum client to
report to the charge nurse?
Sudden or persistent temperature above 100.5 F (38.0 C).
