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Hondros HESI PN Comprehensive Exit Exam V3 (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)

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Hondros HESI PN Comprehensive Exit Exam V3 (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions) QUESTION A male client draws back when the practical nurse (PN) reaches over the side rails to take his blood pressure. To promote effective communication, what should the PN do? A. Continue to perform the procedure quickly and quietly. B. Apologize for startling the client and explain the need for contact. C. Tell the client that the blood pressure can be taken at a later time. D. Rotate the nurses who are assigned to take the client's blood pressure. Answer: B. Apologize for startling the client and explain the need for contact. Nurses often have to enter a client's personal space to provide care, which requires respect for the client's privacy. Apologizing and explaining the need for contact demonstrates respect and provides information so the client may understand the need for personal contact. QUESTION A client with delirium is confused and disoriented to time and place. He states he is experiencing visual illusions and tactile hallucinations. What actions in the plan of care should the practical nurse (PN) implement? Select all that apply. A. Interact in an energetic manner to dismiss misperceptions. B. Provide a wide variety of environmental stimuli. C. Give simple explanations about nursing care to be given. D. Remove unnecessary furniture and equipment from the room. E. Encourage self care to promote client independence. F. Identify oneself each time the client is approached. Answer: C. Give simple explanations about nursing care to be given. D. Remove unnecessary furniture and equipment from the room. F. Identify oneself each time the client is approached. Explanations should be simple, concrete, and concise to ensure the client's understanding and cooperation. Simplifying the environment reduces the potential for sensory-perceptual misinterpretations. The PN should introduce him- or herself with each client contact when providing nursing care. QUESTION Following a client's bladder surgery, the practical nurse (PN) notes that the ureteral catheter is no longer draining urine. What action should the PN implement? A. Notify the healthcare provider immediately. B. Change the client's position and continue to monitor. C. Clamp the ureteral catheter for 30 minutes. D. Irrigate the ureteral catheter with 30 ml of sterile saline. Answer: A. Notify the healthcare provider immediately. When ureteral stents or catheters are placed, patency must be maintained to prevent hydronephrosis. Any significant decrease in drainage should be reported immediately. QUESTION A male client is being discharged after starting a new prescription of olanzapine (Zyprexa) for paranoid schizophrenia. Which discharge instructions should the practical nurse (PN) reinforce with the client? A. Sit in the sunlight for 20 minutes everyday. B. Avoid the use of antihistamines and alcohol. C. Maintain an average dietary intake of sodium. D. Defer making business decisions for a month. Answer: B. Avoid the use of antihistamines and alcohol. Zypexia, an atypical antipsychotic that improves negative symptoms, can produce sedating effects early in therapy, so concomitant use of alcohol or antihistamines should be avoided to minimize synergistic effects. QUESTION In which position should the practical nurse (PN) place a client after the client has a liver biopsy? A. Prone. B. Supine. C. Left side-lying. D. Right-side lying. Answer: D. Right-side lying. The largest lobe of the liver, which is the most frequently biopsied site, lies in the right hypochrondriac region of the abdomen. After a liver biopsy, the client should be turned onto the right side for the first 2 hours to provide local pressure to the puncture site to minimize bleeding. QUESTION The practical nurse is discussing glucose balance with a client who is newly diagnosed with type 2 diabetes mellitus. Which physiological process supports the movement of glucose into the cells? A. Glucose moves to low concentrations in the cell. B. Blood pressure pushes glucose into cells. C. Insulin is needed to carry glucose into cells. D. Cells absorb glucose when needed. Answer: C. Insulin is needed to carry glucose into cells. The transport of glucose occurs because insulin carries glucose across the cell membrane. QUESTION A mother who is a single parent of three children comes into the well-child clinic and tells the nurse that she needs to start prenatal visits because she unexpectantly is pregnant. To determine how well the client is coping with the pregnancy, which information should the practical nurse obtain? A. The type of work the client is currently doing for employment. B. The client's plans for marriage in the near future. C. The client's support person during this pregnancy. D. The client's use of any type of contraception. Answer: C. The client's support person during this pregnancy. An unexpected pregnancy can be a situational crisis for a single-parent family. Personal or family support systems and coping mechanisms should be identified with this mother. QUESTION Which action should the practical nurse (PN) implement to improve delivery of care by an unlicensed assistive personnel (UAP) who is providing less than optimal hygienic care to older adult clients? A. Give the UAP verbal instructions on how to correctly give baths. B. Ask another staff member to provide special skin care in the afternoon. C. Demonstrate to the UAP how to give a gentle bath to a client. D. Provide the UAP with reading and resources on bathing older clients. Answer: C. Demonstrate to the UAP how to give a gentle bath to a client. The PN should demonstrate to the UAP how to provide a gentle bath, which also allows the PN to role model how to convey a sense of caring and respect for the client during the procedure. QUESTION The practical nurse (PN) explains details of drawing up a dosage of insulin and uses an insulin syringe and vial to show a client how to manipulate the equipment while withdrawing the solution. To evaluate the client's understanding, what action should the PN implement next? A. Review the steps of the procedure with the client the next day. B. Give the client written materials to study and learn the procedure. C. Ask the client to explain the procedure after the demonstration. D. Direct client to use the syringe to withdraw a dose of insulin from the vial. Answer: D. Direct client to use the syringe to withdraw a dose of insulin from the vial. Hands-on practice reenforces learning and evaluates the client's understanding about handling equipment after watching a detailed step-by-step demonstration. QUESTION A male client who had an emergency bowel resection for a ruptured diverticulum 36 hours ago is displaying increased restlessness, and his pulse rate is 110 beats/minute. He is exhibiting gross hand tremors and is plucking at the sheets and gown. During the next 48 hours, it is most important for the practical nurse (PN) to implement what nursing action? A. Provide a safe environment. B. Promote honest client self-appraisal. C. Educate the client about substance abuse. D. Make the client aware of treatment options. Answer: A. Provide a safe environment. The client is experiencing symptoms consistent with early alcohol withdrawal syndrome, so should be a priority nursing action. During alcohol withdrawal the client can become agitated and experience sensory-perceptual distortions, which increases his risk for injury associated with pulling out intravenous (IV) lines and tubes and with falling. QUESTION A female visitor walks up to the practical nurse (PN) in the hall and asks if the male client who she is visiting is going to recover

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Hondrosl HESIl PNl Comprehensivel Exitl
Examl V3l (Latestl 2025/l 2026l Update)l |l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)

Q:l Al malel clientl drawsl backl whenl thel practicall nursel (PN)l reachesl overl thel sidel
railsl tol takel hisl bloodl pressure.l Tol promotel effectivel communication,l whatl shouldl thel
PNl do?
A.l Continuel tol performl thel procedurel quicklyl andl quietly.
B.l Apologizel forl startlingl thel clientl andl explainl thel needl forl contact.l
C.l Telll thel clientl thatl thel bloodl pressurel canl bel takenl atl al laterl time.
D.l Rotatel thel nursesl whol arel assignedl tol takel thel client'sl bloodl pressure.

Answer:
B.l Apologizel forl startlingl thel clientl andl explainl thel needl forl contact.l
Nursesl oftenl havel tol enterl al client'sl personall spacel tol providel care,l whichl requiresl
respectl forl thel client'sl privacy.l Apologizingl andl explainingl thel needl forl contactl
demonstratesl respectl andl providesl informationl sol thel clientl mayl understandl thel needl
forl personall contact.


Q:l Al clientl withl deliriuml isl confusedl andl disorientedl tol timel andl place.l Hel statesl
hel isl experiencingl visuall illusionsl andl tactilel hallucinations.l Whatl actionsl inl thel planl ofl
carel shouldl thel practicall nursel (PN)l implement?l Selectl alll thatl apply.
A.l Interactl inl anl energeticl mannerl tol dismissl misperceptions.
B.l Providel al widel varietyl ofl environmentall stimuli.
C.l Givel simplel explanationsl aboutl nursingl carel tol bel given.l
D.l Removel unnecessaryl furniturel andl equipmentl froml thel room.l
E.l Encouragel selfl carel tol promotel clientl independence.
F.l Identifyl oneselfl eachl timel thel clientl isl approached.

Answer:
C.l Givel simplel explanationsl aboutl nursingl carel tol bel given.l
D.l Removel unnecessaryl furniturel andl equipmentl froml thel room.l
F.l Identifyl oneselfl eachl timel thel clientl isl approached.l
l Explanationsl shouldl bel simple,l concrete,l andl concisel tol ensurel thel client'sl
understandingl andl cooperation.l Simplifyingl thel environmentl reducesl thel potentiall forl

,sensory-perceptuall misinterpretations.l Thel PNl shouldl introducel him-l orl herselfl withl eachl
clientl contactl whenl providingl nursingl care.


Q:l Followingl al client'sl bladderl surgery,l thel practicall nursel (PN)l notesl thatl thel
ureterall catheterl isl nol longerl drainingl urine.l Whatl actionl shouldl thel PNl implement?
A.l Notifyl thel healthcarel providerl immediately.l
B.l Changel thel client'sl positionl andl continuel tol monitor.
C.l Clampl thel ureterall catheterl forl 30l minutes.
D.l Irrigatel thel ureterall catheterl withl 30l mll ofl sterilel saline.

Answer:
A.l Notifyl thel healthcarel providerl immediately.l
Whenl ureterall stentsl orl cathetersl arel placed,l patencyl mustl bel maintainedl tol preventl
hydronephrosis.l Anyl significantl decreasel inl drainagel shouldl bel reportedl immediately.


Q:l Al malel clientl isl beingl dischargedl afterl startingl al newl prescriptionl ofl olanzapinel
(Zyprexa)l forl paranoidl schizophrenia.l Whichl dischargel instructionsl shouldl thel practicall
nursel (PN)l reinforcel withl thel client?
A.l Sitl inl thel sunlightl forl 20l minutesl everyday.
B.l Avoidl thel usel ofl antihistaminesl andl alcohol.l
C.l Maintainl anl averagel dietaryl intakel ofl sodium.
D.l Deferl makingl businessl decisionsl forl al month.

Answer:
B.l Avoidl thel usel ofl antihistaminesl andl alcohol.
Zypexia,l anl atypicall antipsychoticl thatl improvesl negativel symptoms,l canl producel
sedatingl effectsl earlyl inl therapy,l sol concomitantl usel ofl alcoholl orl antihistaminesl shouldl
bel avoidedl tol minimizel synergisticl effects.


Q:l Inl whichl positionl shouldl thel practicall nursel (PN)l placel al clientl afterl thel clientl
hasl al liverl biopsy?
A.l Prone.
B.l Supine.
C.l Leftl side-lying.
D.l Right-sidel lying.

Answer:
D.l Right-sidel lying.l
Thel largestl lobel ofl thel liver,l whichl isl thel mostl frequentlyl biopsiedl site,l liesl inl thel
rightl hypochrondriacl regionl ofl thel abdomen.l Afterl al liverl biopsy,l thel clientl shouldl bel

,turnedl ontol thel rightl sidel forl thel firstl 2l hoursl tol providel locall pressurel tol thel
puncturel sitel tol minimizel bleeding.


Q:l Thel practicall nursel isl discussingl glucosel balancel withl al clientl whol isl newlyl
diagnosedl withl typel 2l diabetesl mellitus.l Whichl physiologicall processl supportsl thel
movementl ofl glucosel intol thel cells?
A.l Glucosel movesl tol lowl concentrationsl inl thel cell.
B.l Bloodl pressurel pushesl glucosel intol cells.
C.l Insulinl isl neededl tol carryl glucosel intol cells.l
D.l Cellsl absorbl glucosel whenl needed.

Answer:
C.l Insulinl isl neededl tol carryl glucosel intol cells.l
Thel transportl ofl glucosel occursl becausel insulinl carriesl glucosel acrossl thel celll
membrane.


Q:l Al motherl whol isl al singlel parentl ofl threel childrenl comesl intol thel well-childl
clinicl andl tellsl thel nursel thatl shel needsl tol startl prenatall visitsl becausel shel
unexpectantlyl isl pregnant.l Tol determinel howl welll thel clientl isl copingl withl thel
pregnancy,l whichl informationl shouldl thel practicall nursel obtain?
A.l Thel typel ofl workl thel clientl isl currentlyl doingl forl employment.
B.l Thel client'sl plansl forl marriagel inl thel nearl future.
C.l Thel client'sl supportl personl duringl thisl pregnancy.l
D.l Thel client'sl usel ofl anyl typel ofl contraception.

Answer:
C.l Thel client'sl supportl personl duringl thisl pregnancy.l
Anl unexpectedl pregnancyl canl bel al situationall crisisl forl al single-parentl family.l Personall
orl familyl supportl systemsl andl copingl mechanismsl shouldl bel identifiedl withl thisl mother.


Q:l Whichl actionl shouldl thel practicall nursel (PN)l implementl tol improvel deliveryl ofl
carel byl anl unlicensedl assistivel personnell (UAP)l whol isl providingl lessl thanl optimall
hygienicl carel tol olderl adultl clients?
A.l Givel thel UAPl verball instructionsl onl howl tol correctlyl givel baths.
B.l Askl anotherl staffl memberl tol providel speciall skinl carel inl thel afternoon.
C.l Demonstratel tol thel UAPl howl tol givel al gentlel bathl tol al client.
D.l Providel thel UAPl withl readingl andl resourcesl onl bathingl olderl clients.

Answer:
C.l Demonstratel tol thel UAPl howl tol givel al gentlel bathl tol al client.

, Thel PNl shouldl demonstratel tol thel UAPl howl tol providel al gentlel bath,l whichl alsol
allowsl thel PNl tol rolel modell howl tol conveyl al sensel ofl caringl andl respectl forl thel
clientl duringl thel procedure.


Q:l Thel practicall nursel (PN)l explainsl detailsl ofl drawingl upl al dosagel ofl insulinl andl
usesl anl insulinl syringel andl viall tol showl al clientl howl tol manipulatel thel equipmentl
whilel withdrawingl thel solution.l Tol evaluatel thel client'sl understanding,l whatl actionl
shouldl thel PNl implementl next?
A.l Reviewl thel stepsl ofl thel procedurel withl thel clientl thel nextl day.
B.l Givel thel clientl writtenl materialsl tol studyl andl learnl thel procedure.
C.l Askl thel clientl tol explainl thel procedurel afterl thel demonstration.
D.l Directl clientl tol usel thel syringel tol withdrawl al dosel ofl insulinl froml thel vial.

Answer:
D.l Directl clientl tol usel thel syringel tol withdrawl al dosel ofl insulinl froml thel vial.
Hands-onl practicel reenforcesl learningl andl evaluatesl thel client'sl understandingl aboutl
handlingl equipmentl afterl watchingl al detailedl step-by-stepl demonstration.


Q:l Al malel clientl whol hadl anl emergencyl bowell resectionl forl al rupturedl diverticuluml
36l hoursl agol isl displayingl increasedl restlessness,l andl hisl pulsel ratel isl 110l
beats/minute.l Hel isl exhibitingl grossl handl tremorsl andl isl pluckingl atl thel sheetsl andl
gown.l Duringl thel nextl 48l hours,l itl isl mostl importantl forl thel practicall nursel (PN)l tol
implementl whatl nursingl action?
A.l Providel al safel environment.
B.l Promotel honestl clientl self-appraisal.
C.l Educatel thel clientl aboutl substancel abuse.
D.l Makel thel clientl awarel ofl treatmentl options.

Answer:
A.l Providel al safel environment.
Thel clientl isl experiencingl symptomsl consistentl withl earlyl alcoholl withdrawall syndrome,l
sol shouldl bel al priorityl nursingl action.l Duringl alcoholl withdrawall thel clientl canl becomel
agitatedl andl experiencel sensory-perceptuall distortions,l whichl increasesl hisl riskl forl injuryl
associatedl withl pullingl outl intravenousl (IV)l linesl andl tubesl andl withl falling.


Q:l Al femalel visitorl walksl upl tol thel practicall nursel (PN)l inl thel halll andl asksl ifl thel
malel clientl whol shel isl visitingl isl goingl tol recoverl froml hisl illness.l Whichl responsel
shouldl thel PNl provide?
A.l Explainl thatl clientl informationl cannotl bel shared.l
B.l Checkl thel chartl forl thel client'sl healthl historyl andl information.

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Subido en
24 de mayo de 2025
Número de páginas
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2024/2025
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