Naxlex HESI PN Exit Exam II | Practice Questions & Verified Answers
The practical nurse (PN) applies and then releases D. Document the capillary refill time.
pressure to a client's fingernail as seen in the photo.
Normal nail color returns in 2 seconds. Which action
should the PN take?
A. Report abnormal findings to the charge nurse.
B. Observe for blanching of the nailbed.
C. Repeat the process with a different nailbed.
D. Document the capillary refill time.
A client who had a knee replacement surgery and received To calculate how many milliliters (mL) the practical nurse (PN) should administer
a prescription for enoxaparin 30 mg subcutaneously every each day, we can first determine the total daily dosage of enoxaparin.
12 hours for 10 days. The medication is available in 30 mg
per 0.3 mL pre-filled syringes. How many mL should the The prescribed dosage is 30 mg every 12 hours, so the total daily dosage is:
practical nurse (PN) administer each day? (Enter
numerical value only.) 30 mg + 30 mg = 60 mg
Next, we can calculate the number of milliliters (mL) needed to deliver the total daily
dosage. Since the medication is available in a concentration of 30 mg per 0.3 mL,
we can set up a proportion to find the equivalent mL for 60 mg:
30 mg / 0.3 mL = 60 mg / x mL
Cross-multiplying, we get:
30 mg x mL = 60 mg 0.3 mL
30x = 18
Dividing both sides by 30, we find:
x = 0.6 mL
In caring for a client who requires seizure precautions, the A. Suction the trachea.
practical nurse (PN) should ensure the ready availability of
equipment to perform which procedure?
A. Suction the trachea.
B. Insert a urinary catheter.
C. Apply soft restraints.
D. Insert a nasogastric tube.
The practical nurse (PN) is told that she keeps her 2-year- D. Children need time to actively explore their environment.
old child in a playpen so he will not get dirty. Which
statement should the PN use in responding to this concern
about using a playpen?
A. Overconcern about appearance can be harmful.
B. Playpens provide a sense of security for the child.
C. Playpens provide a safe environment for a toddler.
D. Children need time to actively explore their
environment.
At the first dressing change, the practical nurse (PN) tells A. "It's OK if you don't want to look or talk about the mastectomy. I will be available
the client that her mastectomy incision is healing well, but when you're ready."
the client refuses to look at the incision and refuses to talk
about it. Which response by the PN to the client's silence
is best?
A. "It's OK if you don't want to look or talk about the
mastectomy. I will be available when you're ready."
B. "Would you like me to call another nurse to be here
while I show you the wound?"
C. "Part of recovery is accepting your new body image,
and you will need to look at your incision."
D. "You will feel better when you see that the incision is not
as bad as you may think."
, Naxlex HESI PN Exit Exam II | Practice Questions & Verified Answers
Prior to giving digoxin, the practical nurse (PN) assesses C. Administer the medication and document the heart rate.
that a 2-month-old infant's heart rate is 120 beats/minute.
Based on this finding, what action should the PN take?
A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1
hour.
Which information should the practical nurse (PN) collect A. Health care proxy documentation.
during the admission assessment of a terminally ill client to
an acute care facility?
A. Health care proxy documentation.
B. Name of funeral home to contact.
C. Client's wishes regarding organ donation.
D. Contact information for the client's next of kin.
The practical nurse (PN) learns that a client who is B. Ability to swallow.
receiving chemotherapy has developed stomatitis. Which
information should the PN obtain from the client during a
focused assessment?
A. Urinary output.
B. Ability to swallow.
C. Frequency of bowel movements.
D. Blood pressure while standing.
A male client tells the practical nurse (PN) that the pill he C. Tell the client that the PN will verify that the dispensed medication is the valid
has been taking at home is a different color and size than prescription.
the one the PN is trying to give him now. How should the
PN respond?
A. Explain that the healthcare provider probably prescribed
a different medication while he is hospitalized.
B. Tell the client that he is probably confused since being
hospitalized tends to disorient clients.
C. Tell the client that the PN will verify that the dispensed
medication is the valid prescription.
D. Explain that the pharmacy often substitutes generic
equivalents for more expensive brands.
A client reports experiencing numbness and tingling in the C. Electrolytes
extremities. Which of the client's serum laboratory values
should the practical nurse (PN) prioritize reporting to the
healthcare provider?
A. Hematocrit
B. Albumin and protein levels
C. Electrolytes
D. White blood cell count (WBC)
The mother of a school-aged boy tells the practical nurse D. The injury description by the mother varies from the child's version.
(PN) that he fell out of a tree and hurt his arm and
shoulder. Which assessment should the practical nurse
(PN) note as the most significant indicator of possible child
abuse?
A. The child looks at the floor when answering the nurse's
questions.
B. The mother describes in detail what she did for her
injured child.
C. The abrasions on the child's arms, legs, and chest have
healed.
D. The injury description by the mother varies from the
child's version.
, Naxlex HESI PN Exit Exam II | Practice Questions & Verified Answers
A full-term, 24-hour-old infant in the nursery regurgitates B. Suction the oral and nasal passages.
and suddenly turns cyanotic. Which immediate intervention
should the practical nurse (PN) implement?
A. Turn the infant onto the right side.
B. Suction the oral and nasal passages.
C. Give oxygen by positive pressure.
D. Stimulate the infant to cry
The practical nurse (PN) determines that a client's pupils C. Pupils reactive to accommodation.
constrict as they change focus from a far object to a near
object. How should the PN document this finding?
A. Consensual pupillary constriction present.
B. Nystagmus present with pupillary focus.
C. Pupils reactive to accommodation.
D. Peripheral vision intact.
A 16-year-old client is asking the practical nurse (PN) what D. Refer to the dermatologist for prescribed long-term therapy.
can be done about acne. Which recommendation should
the PN provide?
A. Wash the hair and skin daily with mild soap and warm
water.
B. Omit chocolate, carbonated drinks, and fried foods from
the diet.
C. Express blackheads and follow with an exfoliating
scrub.
D. Refer to the dermatologist for prescribed long-term
therapy.
A client with a compound fracture of the left ankle is being D. Never scratch under the cast.
discharged with a below-the-knee cast. Which instruction
should the practical nurse (PN) provide to the client prior to
discharge?
A. Apply a cold pack to any "hot spots" on the cast.
B. Keep the left leg in a dependent position.
C. Expect some increase in pain.
D. Never scratch under the cast.
E. Never scratch under the cast.
A male preoperative client who has already signed the C. Notify the charge nurse of the client's concerns about surgery.
informed consent for a surgical procedure confides in the
practical nurse (PN) that he is really frightened and unsure
about undergoing the surgery. Which priority action should
the PN take?
A. Encourage the client to continue with the scheduled
surgery.
B. Document that the client has expressed concerns about
the surgery.
C. Notify the charge nurse of the client's concerns about
surgery.
D. Remind the client that the consent has already been
obtained.
The parents of a one-year-old child with the diagnosis of D. Ask the parents to explain what they understand about the child's diagnosis.
hypospadias informed the practical nurse (PN) that they
plan to delay corrective surgery to see if the child will
outgrow the problem. Which information should the PN
provide to these parents?
A. Whatever the parents decide, the staff will be available
to support the decision.
B. The child's prognosis will not develop complications if
surgery is delayed.
C. Some children do outgrow this type of problem and
waiting may be beneficial.
D. Ask the parents to explain what they understand about
the child's diagnosis.
The practical nurse (PN) applies and then releases D. Document the capillary refill time.
pressure to a client's fingernail as seen in the photo.
Normal nail color returns in 2 seconds. Which action
should the PN take?
A. Report abnormal findings to the charge nurse.
B. Observe for blanching of the nailbed.
C. Repeat the process with a different nailbed.
D. Document the capillary refill time.
A client who had a knee replacement surgery and received To calculate how many milliliters (mL) the practical nurse (PN) should administer
a prescription for enoxaparin 30 mg subcutaneously every each day, we can first determine the total daily dosage of enoxaparin.
12 hours for 10 days. The medication is available in 30 mg
per 0.3 mL pre-filled syringes. How many mL should the The prescribed dosage is 30 mg every 12 hours, so the total daily dosage is:
practical nurse (PN) administer each day? (Enter
numerical value only.) 30 mg + 30 mg = 60 mg
Next, we can calculate the number of milliliters (mL) needed to deliver the total daily
dosage. Since the medication is available in a concentration of 30 mg per 0.3 mL,
we can set up a proportion to find the equivalent mL for 60 mg:
30 mg / 0.3 mL = 60 mg / x mL
Cross-multiplying, we get:
30 mg x mL = 60 mg 0.3 mL
30x = 18
Dividing both sides by 30, we find:
x = 0.6 mL
In caring for a client who requires seizure precautions, the A. Suction the trachea.
practical nurse (PN) should ensure the ready availability of
equipment to perform which procedure?
A. Suction the trachea.
B. Insert a urinary catheter.
C. Apply soft restraints.
D. Insert a nasogastric tube.
The practical nurse (PN) is told that she keeps her 2-year- D. Children need time to actively explore their environment.
old child in a playpen so he will not get dirty. Which
statement should the PN use in responding to this concern
about using a playpen?
A. Overconcern about appearance can be harmful.
B. Playpens provide a sense of security for the child.
C. Playpens provide a safe environment for a toddler.
D. Children need time to actively explore their
environment.
At the first dressing change, the practical nurse (PN) tells A. "It's OK if you don't want to look or talk about the mastectomy. I will be available
the client that her mastectomy incision is healing well, but when you're ready."
the client refuses to look at the incision and refuses to talk
about it. Which response by the PN to the client's silence
is best?
A. "It's OK if you don't want to look or talk about the
mastectomy. I will be available when you're ready."
B. "Would you like me to call another nurse to be here
while I show you the wound?"
C. "Part of recovery is accepting your new body image,
and you will need to look at your incision."
D. "You will feel better when you see that the incision is not
as bad as you may think."
, Naxlex HESI PN Exit Exam II | Practice Questions & Verified Answers
Prior to giving digoxin, the practical nurse (PN) assesses C. Administer the medication and document the heart rate.
that a 2-month-old infant's heart rate is 120 beats/minute.
Based on this finding, what action should the PN take?
A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1
hour.
Which information should the practical nurse (PN) collect A. Health care proxy documentation.
during the admission assessment of a terminally ill client to
an acute care facility?
A. Health care proxy documentation.
B. Name of funeral home to contact.
C. Client's wishes regarding organ donation.
D. Contact information for the client's next of kin.
The practical nurse (PN) learns that a client who is B. Ability to swallow.
receiving chemotherapy has developed stomatitis. Which
information should the PN obtain from the client during a
focused assessment?
A. Urinary output.
B. Ability to swallow.
C. Frequency of bowel movements.
D. Blood pressure while standing.
A male client tells the practical nurse (PN) that the pill he C. Tell the client that the PN will verify that the dispensed medication is the valid
has been taking at home is a different color and size than prescription.
the one the PN is trying to give him now. How should the
PN respond?
A. Explain that the healthcare provider probably prescribed
a different medication while he is hospitalized.
B. Tell the client that he is probably confused since being
hospitalized tends to disorient clients.
C. Tell the client that the PN will verify that the dispensed
medication is the valid prescription.
D. Explain that the pharmacy often substitutes generic
equivalents for more expensive brands.
A client reports experiencing numbness and tingling in the C. Electrolytes
extremities. Which of the client's serum laboratory values
should the practical nurse (PN) prioritize reporting to the
healthcare provider?
A. Hematocrit
B. Albumin and protein levels
C. Electrolytes
D. White blood cell count (WBC)
The mother of a school-aged boy tells the practical nurse D. The injury description by the mother varies from the child's version.
(PN) that he fell out of a tree and hurt his arm and
shoulder. Which assessment should the practical nurse
(PN) note as the most significant indicator of possible child
abuse?
A. The child looks at the floor when answering the nurse's
questions.
B. The mother describes in detail what she did for her
injured child.
C. The abrasions on the child's arms, legs, and chest have
healed.
D. The injury description by the mother varies from the
child's version.
, Naxlex HESI PN Exit Exam II | Practice Questions & Verified Answers
A full-term, 24-hour-old infant in the nursery regurgitates B. Suction the oral and nasal passages.
and suddenly turns cyanotic. Which immediate intervention
should the practical nurse (PN) implement?
A. Turn the infant onto the right side.
B. Suction the oral and nasal passages.
C. Give oxygen by positive pressure.
D. Stimulate the infant to cry
The practical nurse (PN) determines that a client's pupils C. Pupils reactive to accommodation.
constrict as they change focus from a far object to a near
object. How should the PN document this finding?
A. Consensual pupillary constriction present.
B. Nystagmus present with pupillary focus.
C. Pupils reactive to accommodation.
D. Peripheral vision intact.
A 16-year-old client is asking the practical nurse (PN) what D. Refer to the dermatologist for prescribed long-term therapy.
can be done about acne. Which recommendation should
the PN provide?
A. Wash the hair and skin daily with mild soap and warm
water.
B. Omit chocolate, carbonated drinks, and fried foods from
the diet.
C. Express blackheads and follow with an exfoliating
scrub.
D. Refer to the dermatologist for prescribed long-term
therapy.
A client with a compound fracture of the left ankle is being D. Never scratch under the cast.
discharged with a below-the-knee cast. Which instruction
should the practical nurse (PN) provide to the client prior to
discharge?
A. Apply a cold pack to any "hot spots" on the cast.
B. Keep the left leg in a dependent position.
C. Expect some increase in pain.
D. Never scratch under the cast.
E. Never scratch under the cast.
A male preoperative client who has already signed the C. Notify the charge nurse of the client's concerns about surgery.
informed consent for a surgical procedure confides in the
practical nurse (PN) that he is really frightened and unsure
about undergoing the surgery. Which priority action should
the PN take?
A. Encourage the client to continue with the scheduled
surgery.
B. Document that the client has expressed concerns about
the surgery.
C. Notify the charge nurse of the client's concerns about
surgery.
D. Remind the client that the consent has already been
obtained.
The parents of a one-year-old child with the diagnosis of D. Ask the parents to explain what they understand about the child's diagnosis.
hypospadias informed the practical nurse (PN) that they
plan to delay corrective surgery to see if the child will
outgrow the problem. Which information should the PN
provide to these parents?
A. Whatever the parents decide, the staff will be available
to support the decision.
B. The child's prognosis will not develop complications if
surgery is delayed.
C. Some children do outgrow this type of problem and
waiting may be beneficial.
D. Ask the parents to explain what they understand about
the child's diagnosis.
