HESI PN Final Exit Exam Practice Questions 2024/2025 Version 2 (300+ Questions NGN) Graded A+

The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? - Wait for the client to excuse himself from the telephone conversation and observe the client taking the medication. 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 prescribed suction of 20 cm water pressure and tidying occurs with respirations and bubbling. What action should the PN implement? - Maintain system integrity to promote lung expansion. The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child for the following day. Which response should the PN provide the mother? - Do not expose other children as the virus is very contagious even without direct contact. 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? - Watch the client's response when asked a different question. During immediate postoperative period following a total hip placement, which intervention is most important for the PN to implement? - Keep client's hip aligned with knees abducted. A client confides 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 first? - Ask the client's reason for choosing to take herbs instead of prescribed drugs. The PN is assigned to administer medications in a long-term care facility. A disoriented resident has no identification band or picture. What is the best nursing action for the PN to take prior administering the medications this resident? term-14 - Confirm the room and bed numbers with those on the medication record. An adult client who weighs 150 pounds has partial-thickness and full-thickness burns over 40% of the body from a house fire. After admission, which observation is most important for the practical nurse to report immediately? - Urinary Output of 20ml/hr. A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "itchy" skin 15 minutes after the unit of blood is started. The child appears flushed. What action should the practical nurse take first? - Stop the transfusion. A PN is competing a focused assessment of an older adult's skin. The PN notes a crusted 0.7 cm lesion on the client's forehead. Which action should the PN take in response to this finding? - Apply a warm compress to remove the crusted area. While taking the vital signs of an older male client who takes psychotropic medications, the PN notes that he has uncontrollable hand movements and is excessively blinking his eyes. Which information in the client's medical record should the PN review? - History of Parkinson's disease. The PN is caring for an elderly female client who tells the PN, "When I sneeze, I wet my pants." After discussing the client's complaint with the charge nurse, the PN plans to reinforce teaching that the client has received about the importance of Kegel exercises. What muscles are involved in these exercises? - Pelvic floor muscles While providing oral care for a client who is unconscious, the nurse positions the client laterally and uses a basin to collect secretions. Which intervention is best for the nurse to implement? - Use oral swabs with normal saline. The practical nurse and unlicensed assistive personnel are providing care for a client who exhibits signs of neglect syndrome following a stroke affecting the right hemisphere. What action should the PN implement? - Demonstrate to the UAP how to approach the client from the client's left side. After administering pantoprazole to a client with gastroesophageal reflux disorder (GERD), which statement by the client indicates to the practical nurse that the medication is producing the desired effect? - After eating my meal, I did not experience any heartburn During the last 30 days, an elderly client has exhibited a progressively decreasing appetite, is spending increasing amounts of daytime hours in bed and refuses to participate in planned daytime activities. Which action should the practical nurse take? - Record the findings and report the symptoms to the Charge Nurse