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Hondros HESI PN Exit Exam Review (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)

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Hondros HESI PN Exit Exam Review (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions) QUESTION The Glasgow coma scale is being used to monitor a client who experience a traumatic brain injury. What primary assessment should the practical nurse PN evaluate? Answer: Level of consciousness QUESTION The practical nurse (PN) preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult's center or gravity changes from the hips to another area of the body. And planning to safely assist this client the PN knows that the center of gravity for the elderly client is in which area of the body? Answer: Upper torso QUESTION The practical nurse pin is assigned to care for a client who had in endoscopic procedure in which a local anesthetic was sprayed on the throat. Which priority actions should the PN include in this client's plan of care? Answer: Assess the gag reflux QUESTION The practical nurse (PN) assesses a child in 90-90 skeletal traction. It is most important for the PN to assess for signs of information at what location? Answer: Toe QUESTION At the beginning of the shift, in which order of priority should the practical nurse PN assess these four clients? Answer: 1. An older adult with dizziness who's O2 saturation is 86% 2. An adult woman with vomiting whose potassium is 2.8 mEq/L 3. A young adult with a history of asthma who's arterial pH is 7.48 4. An adult client with an ulcer whose hemoglobin is 9.5 grams/dL QUESTION Which food provides the best source of vitamin B12? Answer: Hamburger QUESTION The practical nurse (PN) is planning evening shift rounds for a group of postoperative clients who all had surgery earlier that day. Which client should the PN check first? Answer: A preschooler who had an emergency appendectomy for appendicitis QUESTION Which finding for a client with an arteriovenous Fistula (AV fistula) should the practical nurse PN report to the healthcare provider? Answer: Radio pulse distal to AVF is absent and ulnar pulse is presentB. bruising at the AVF site is purple and green in color QUESTION The practical nurse PN is auscultating a client's lung sounds. Which description should the PN use to document this sound? Answer: Fine crackles QUESTION The practical nurse peer views the midline episiotomy of a client whose reports pain in her stitches. Which action should the PN take first? Answer: Observe suture line for separation and hematoma formation QUESTION The practical nurse peeing is documenting the insertion of a urinary catheter for a female client with urinary retention. Which information should the PN include during the electronic documentation of the procedure? (Select all that apply) Answer: - Size of urinary catheter - Amount of urine obtained - Appearance of urine obtained QUESTION The practical nurse PN is assisting with the plan of care for a client with costochondritis who is now experiencing increased discomfort in breathing. The client receives a prescription for tramadol. What intervention should the PN include in the client's plan of care? Answer: Implement ongoing assessments for signs of shallow or slow breathing QUESTION The practical nurse PN determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding? Answer: Pupils reactive to accommodation QUESTION The practical nurse PN is performing stomach care with the client. While cleaning around the stoma, the PN notices blood on the washcloth. Which action should the PN take next? Answer: Continue to clean around the skin surrounding the stomal site QUESTION The practical nurse PN learns that a client who is receiving chemotherapy has developed stomatitis. Which information should the PN obtain from the client during a focused assessment? Answer: Ability to swallow QUESTION A client receive Ondansetron Prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication? Answer: Monitor the client for nausea or vomiting following the treatment QUESTION A 2-day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing interventions should the practical nurse PN implement during postoperative care? (Select all that apply) Answer: - Measure head circumference daily - Document strict intake and output - Monitor body temperature every four hours QUESTION In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

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Hondrosl HESIl PNl Exitl Examl Reviewl
(Latestl 2025/l 2026l Update)l |l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)

Q:l Thel Glasgowl comal scalel isl beingl usedl tol monitorl al clientl whol experiencel al
traumaticl brainl injury.l Whatl primaryl assessmentl shouldl thel practicall nursel PNl evaluate?

Answer:
Levell ofl consciousness



Q:l Thel practicall nursel (PN)l preparingl tol assistl anl elderlyl clientl tol thel bathroom.l
Thel PNl knowsl thatl anl elderlyl adult'sl centerl orl gravityl changesl froml thel hipsl tol
anotherl areal ofl thel body.l Andl planningl tol safelyl assistl thisl clientl thel PNl knowsl thatl
thel centerl ofl gravityl forl thel elderlyl clientl isl inl whichl areal ofl thel body?

Answer:
Upperl torso



Q:l Thel practicall nursel pinl isl assignedl tol carel forl al clientl whol hadl inl endoscopicl
procedurel inl whichl al locall anestheticl wasl sprayedl onl thel throat.l Whichl priorityl actionsl
shouldl thel PNl includel inl thisl client'sl planl ofl care?

Answer:
Assessl thel gagl reflux



Q:l Thel practicall nursel (PN)l assessesl al childl inl 90-90l skeletall traction.l Itl isl mostl
importantl forl thel PNl tol assessl forl signsl ofl informationl atl whatl location?

Answer:
Toe

,Q:l Atl thel beginningl ofl thel shift,l inl whichl orderl ofl priorityl shouldl thel practicall
nursel PNl assessl thesel fourl clients?

Answer:
1.l Anl olderl adultl withl dizzinessl who'sl O2l saturationl isl 86%
2.l Anl adultl womanl withl vomitingl whosel potassiuml isl 2.8l mEq/L
3.l Al youngl adultl withl al historyl ofl asthmal who'sl arteriall pHl isl 7.48
4.l Anl adultl clientl withl anl ulcerl whosel hemoglobinl isl 9.5l grams/dL



Q:l Whichl foodl providesl thel bestl sourcel ofl vitaminl B12?
Answer:
Hamburger



Q:l Thel practicall nursel (PN)l isl planningl eveningl shiftl roundsl forl al groupl ofl
postoperativel clientsl whol alll hadl surgeryl earlierl thatl day.l Whichl clientl shouldl thel PNl
checkl first?

Answer:
Al preschoolerl whol hadl anl emergencyl appendectomyl forl appendicitis



Q:l Whichl findingl forl al clientl withl anl arteriovenousl Fistulal (AVl fistula)l shouldl thel
practicall nursel PNl reportl tol thel healthcarel provider?

Answer:
Radiol pulsel distall tol AVFl isl absentl andl ulnarl pulsel isl presentB.l bruisingl atl thel AVFl
sitel isl purplel andl greenl inl color



Q:l Thel practicall nursel PNl isl auscultatingl al client'sl lungl sounds.l Whichl descriptionl
shouldl thel PNl usel tol documentl thisl sound?

Answer:
Finel crackles

,Q:l Thel practicall nursel peerl viewsl thel midlinel episiotomyl ofl al clientl whosel reportsl
painl inl herl stitches.l Whichl actionl shouldl thel PNl takel first?

Answer:
Observel suturel linel forl separationl andl hematomal formation



Q:l Thel practicall nursel peeingl isl documentingl thel insertionl ofl al urinaryl catheterl forl al
femalel clientl withl urinaryl retention.l Whichl informationl shouldl thel PNl includel duringl
thel electronicl documentationl ofl thel procedure?l (Selectl alll thatl apply)

Answer:
-l Sizel ofl urinaryl catheter
-l Amountl ofl urinel obtained
-l Appearancel ofl urinel obtained



Q:l Thel practicall nursel PNl isl assistingl withl thel planl ofl carel forl al clientl withl
costochondritisl whol isl nowl experiencingl increasedl discomfortl inl breathing.l Thel clientl
receivesl al prescriptionl forl tramadol.l Whatl interventionl shouldl thel PNl includel inl thel
client'sl planl ofl care?

Answer:
Implementl ongoingl assessmentsl forl signsl ofl shallowl orl slowl breathing



Q:l Thel practicall nursel PNl determinesl thatl al client'sl pupilsl constrictl asl theyl changel
focusl froml al farl objectl tol al nearl object.l Howl shouldl thel PNl documentl thisl finding?

Answer:
Pupilsl reactivel tol accommodation



Q:l Thel practicall nursel PNl isl performingl stomachl carel withl thel client.l Whilel cleaningl
aroundl thel stoma,l thel PNl noticesl bloodl onl thel washcloth.l Whichl actionl shouldl thel PNl
takel next?

Answer:
Continuel tol cleanl aroundl thel skinl surroundingl thel stomall site

, Q:l Thel practicall nursel PNl learnsl thatl al clientl whol isl receivingl chemotherapyl hasl
developedl stomatitis.l Whichl informationl shouldl thel PNl obtainl froml thel clientl duringl al
focusedl assessment?

Answer:
Abilityl tol swallow



Q:l Al clientl receivel Ondansetronl Priorl tol al chemotherapyl treatment.l Howl shouldl thel
practicall nursel evaluatel thel effectivenessl ofl thel medication?

Answer:
Monitorl thel clientl forl nauseal orl vomitingl followingl thel treatment



Q:l Al 2-dayl oldl infantl withl hydrocephalusl returnsl froml surgeryl followingl placementl
ofl al ventriculoperitoneall shunt.l Whichl nursingl interventionsl shouldl thel practicall nursel
PNl implementl duringl postoperativel care?l (Selectl alll thatl apply)

Answer:
-l Measurel headl circumferencel daily
-l Documentl strictl intakel andl output
-l Monitorl bodyl temperaturel everyl fourl hours



Q:l Inl administeringl nystatinl suspensionl tol thel gumsl ofl anl infantl withl al candidal
infection,l whichl approachl shouldl thel practicall nursel (PN)l use?

Answer:
Usel al glovedl fingerl tol rubl thel suspensionl overl thel infectedl area



Q:l Al clientl isl diagnosedl withl Clostridiuml difficile.l Whichl actionl shouldl thel practicall
nursel (PN)l implementl tol preventl thel spreadl ofl Organism?

Answer:
Donl nonl sterilel glovesl whenl performingl directl care

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