Exit Hesi Practice Questions and The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange
answers with rationale. 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?
100+ questions. Graded A+
A. Omit compelling this section of the assessment form
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? B. Ask her if she would like an interpreter to ask her the question
C. Reword the question in case the client did not understand
A. Ask another nurse to go back with the medication when the client's hung up the phone D. Watch the client's response when asked a different question - D
B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking
the medication
During immediate postoperative period following a total hip placement, which intervention is most
C. Return the medication to the client's drawer on the cart and document the client refused the dose important for the PN to implement?
D. Leave the medication with the client, and let him take it when he finishes the conversation. - B
A. Encourage client to use walker or cane when ambulating
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON B. Keep client's hip aligned with knees abducted
observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs
C. Teach client to sit on the side of the bed before standing
with respirations and bubbling. What action should the PN implement?
D. Monitor urinary flow via indwelling catheter - B
A. Clamp the chest tube to see if the activity stops
A client confides to the PN that the client has been substituting herbal supplements for high blood
B. Notify the registered nurse of the malfunction
pressure instead of the prescribed medication. How should the PN respond first?
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest - C
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the
C. Have client use own words to describe complications of high blood pressure
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? D. Point out the risks of not taking the herbal medications rather than prescribed - A
A. Do not expose other children as the virus is very contagious even without direct contact 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
B. The child will no longer be contagious, no need to take any further precautions
medications this resident?
C. The child can be around other children but should wear a mask
term-14
D. Make sure there are no children under the age of 5 months around the infected child. - A
A. Ask a regular staff member to confirm the resident's identity
, B. Hold the medication until a family member again 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
C. Re-orient the resident to name, place, and situation
the client's medical record should the PN review?
D. Confirm the room and bed numbers with those on the medication record. - D
A. Prescription for lorazepam
An adult client who weighs 150 pounds has partial-thickness and full-thickness burns over 40% of the
B. History of Parkinson's disease
body from a house fire. After admission, which observation is most important for the practical nurse to
report immediately? C. Screening for tardive dyskinesia
D. Recent urine drug screen report - B
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102 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
C. Painful moaning and crying
has received about the importance of Kegel exercises.WHat muscles are involved in these exercises?
D. Urinary Output of 20ml/hr - D
A. Pectoral muscles
A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "itchy"
B. Buttock muscles
skin 15 minutes after the unit of blood is started. The child appears flushed. What action should the
practical nurse take first? C. Abdominal muscles
D. Pelvic floor muscles - D
A. Apply lotion to the skin
B. Stop the transfusion 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?
C. Inspect the infusion site
D. Obtain the vital signs - B
A. Swab the oral cavity with a washcloth
B. Use oral swabs with normal saline
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? C. Provide a Yankauer tip for oral suction
D. Support the head with a small pillow - B
A. Report the finding to the healthcare provider
B. Place a clear occlusive dressing over the site 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
C. Apply a warm compress to remove the crusted area
implement?
D. Explain that this is a normal skin change with aging - C
A. Demonstrate to the UAP how to approach the client from the client's left side
answers with rationale. 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?
100+ questions. Graded A+
A. Omit compelling this section of the assessment form
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? B. Ask her if she would like an interpreter to ask her the question
C. Reword the question in case the client did not understand
A. Ask another nurse to go back with the medication when the client's hung up the phone D. Watch the client's response when asked a different question - D
B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking
the medication
During immediate postoperative period following a total hip placement, which intervention is most
C. Return the medication to the client's drawer on the cart and document the client refused the dose important for the PN to implement?
D. Leave the medication with the client, and let him take it when he finishes the conversation. - B
A. Encourage client to use walker or cane when ambulating
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON B. Keep client's hip aligned with knees abducted
observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs
C. Teach client to sit on the side of the bed before standing
with respirations and bubbling. What action should the PN implement?
D. Monitor urinary flow via indwelling catheter - B
A. Clamp the chest tube to see if the activity stops
A client confides to the PN that the client has been substituting herbal supplements for high blood
B. Notify the registered nurse of the malfunction
pressure instead of the prescribed medication. How should the PN respond first?
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest - C
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the
C. Have client use own words to describe complications of high blood pressure
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? D. Point out the risks of not taking the herbal medications rather than prescribed - A
A. Do not expose other children as the virus is very contagious even without direct contact 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
B. The child will no longer be contagious, no need to take any further precautions
medications this resident?
C. The child can be around other children but should wear a mask
term-14
D. Make sure there are no children under the age of 5 months around the infected child. - A
A. Ask a regular staff member to confirm the resident's identity
, B. Hold the medication until a family member again 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
C. Re-orient the resident to name, place, and situation
the client's medical record should the PN review?
D. Confirm the room and bed numbers with those on the medication record. - D
A. Prescription for lorazepam
An adult client who weighs 150 pounds has partial-thickness and full-thickness burns over 40% of the
B. History of Parkinson's disease
body from a house fire. After admission, which observation is most important for the practical nurse to
report immediately? C. Screening for tardive dyskinesia
D. Recent urine drug screen report - B
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102 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
C. Painful moaning and crying
has received about the importance of Kegel exercises.WHat muscles are involved in these exercises?
D. Urinary Output of 20ml/hr - D
A. Pectoral muscles
A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "itchy"
B. Buttock muscles
skin 15 minutes after the unit of blood is started. The child appears flushed. What action should the
practical nurse take first? C. Abdominal muscles
D. Pelvic floor muscles - D
A. Apply lotion to the skin
B. Stop the transfusion 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?
C. Inspect the infusion site
D. Obtain the vital signs - B
A. Swab the oral cavity with a washcloth
B. Use oral swabs with normal saline
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? C. Provide a Yankauer tip for oral suction
D. Support the head with a small pillow - B
A. Report the finding to the healthcare provider
B. Place a clear occlusive dressing over the site 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
C. Apply a warm compress to remove the crusted area
implement?
D. Explain that this is a normal skin change with aging - C
A. Demonstrate to the UAP how to approach the client from the client's left side
