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Hondros HESI PN Comprehensive Exit Exam V1 (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)

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Hondros HESI PN Comprehensive Exit Exam V1 (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions) QUESTION The PN is caring for a client with chronic kidney disease (CKD). What info should the PN reinforce about medication management? A. Oral iron supplements reverse chronic anemia in CKD. B. Calcium supplements are needed to maintain serum levels. C. Nonsteroidal antiinflammatories are safe to use for pain. D. Antihypertensive drugs should always be used as directed. Answer: D. Antihypertensive drugs should always be used as directed. Blood pressure control is essential for a client with CKD because hypertension and cardiovascular disease occur with the progression of CKD. QUESTION A female client who is newly diagnosed with Type 2 diabetes tells the PN that she hates to exercise and asks whether just following her 1000-calorie diet will control her diabetes. Which response should the PN provide that offers the best information? A. To ensure an increased energy and a sense of well-being, diet and exercise should be balanced. B. Exercise facilitates weight loss and decreases peripheral insulin resistance. C. To improve cardiovascular and respiratory fitness, a regular routine for exercise should be practiced. D. A routine pattern for meal scheduling is needed for tight glucose control. Answer: B. Exercise facilitates weight loss and decreases peripheral insulin resistance. Exercise increases insulin sensitivity and has a direct effect on lowering the blood glucose levels. Dietary compliance and regular exercise contribute to weight loss, which also decreases insulin resistance. QUESTION Which information related to a client's history of benign prostatic hypertrophy (BPH) should the practical nurse (PN) report to the healthcare provider? A. Change in bowel movements. B. Persistent lower back pain. C. White penile discharge. D. Difficulty with urination. Answer: D. Difficulty with urination. The prostate gland lies below the bladder neck and surrounds the urethra. An increase in the size of the prostate gland caused by BPH compresses the urethra, resulting in difficulty initiating the urinary stream. QUESTION What action should the practical nurse (PN) implement first for a client with a head injury and clear nasal drainage? A. Obtain a specimen of the fluid for culture and sensitivity. B. Check the nasal drainage with a glucose test strip. C. Assess the client's temperature every 2 to 4 hours. D. Inspect the nares bilaterally for signs of inflammation. Answer: B. Check the nasal drainage with a glucose test strip. If the client is exhibiting clear nasal drainage after a head injury, the first action is to determine if the fluid is cerebrospinal fluid (CSF). Glucose is present in CSF. QUESTION At the scene of a motor vehicle collision, the practical nurse (PN) stops to render assistance to a victim who has bleeding injuries of the face and neck. Which action should the PN implement after establishing that the victim is unresponsive? A. Deliver two mouth-to-mouth breaths. B. Immobilize the head and neck. C. Open the airway using jaw thrust method. D. Clear the airway using a finger sweep.Open the airway using jaw thrust method. Answer: B. Immobilize the head and neck. Cervical spine trauma should be suspected in any client with significant upper torso, face, head, or neck trauma, so cervical immobilization should be applied prior to opening the airway using the jaw thrust, instead of the head tilt method. QUESTION The practical nurse (PN) is monitoring a client who is admitted in active labor. After reviewing the nursing admission assessment, the PN determines the client's membranes have been ruptured for 36 hours. The PN should monitor the client for which risk factor? A. Excessive bleeding. B. Precipitous labor. C. Supine hypotension. D. Intrauterine infection. Answer: D. Intrauterine infection. When a client is in active labor with spontaneous rupture of membranes (SROM) longer than 24 hours, microorganisms from the vagina can ascend into the amniotic sac and cause chorioamnionitis and placentitis. QUESTION Which statement by the mother of a newborn should alert the practical nurse (PN) to offer further information about the care of the umbilical cord? A. "I will use warm water to wash my baby's diaper area with each change." B. "I am going to sponge bathe my baby for the first couple of weeks." C. "I can't wait to bathe my baby in the new baby tub as soon as I get home." D. "I should keep the cord area dry and use an alcohol wipe until the cord falls off. Answer: C. "I can't wait to bathe my baby in the new baby tub as soon as I get home." The infant should not be submerged in a tub bath until the umbilical cord dries and falls off. QUESTION During a prenatal visit, expectant parents ask the practical nurse (PN) how to safely transport a newborn home in a car seat. What information should the PN provide? A. The car seat should be secured in the front seat using the seatbelt. B. The chest harness should slide over the newborn's abdomen. C. A car seat should be in the rear facing position in the back seat. D. An infant should be elevated at a 60 degree angle while in the car seat. Answer: C. A car seat should be in the rear facing position in the back seat. Infants should travel only in federally approved, rear-facing safety seats secured in the rear seat from birth to 20 pounds and to 1 year of age. QUESTION Which finding in a newborn is most important for the practical nurse (PN) to report? A. Clinical jaundice evident on the forehead within 24 hours of birth. B. Icterus color of blanched skin on the thorax at day 3 after birth. C. Serum bilirubin concentrations less than 2 mg/dl in cord blood. D. Bilirubin level of 4 mg/dl using a transcutaneous bilirubinometry. Answer: A. Clinical jaundice evident on the forehead within 24 hours of birth. Jaundice is clinically visible when bilirubin levels reach 5 to 7 mg/dl and appears in a cephalocaudal manner, first noticed in the head, and then progresses gradually to the thorax, abdomen, and extremities. Clinical jaundice that is evident within 24 hours of birth warrants immediate attention and is pathological. Although additional assessments of physiological jaundice should be made, jaundice in the first 24 hours is life threatening and requires immediate intervention.

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Hondrosl HESIl PNl Comprehensivel Exitl
Examl V1l (Latestl 2025/l 2026l Update)l |l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)

Q:l Thel PNl isl caringl forl al clientl withl chronicl kidneyl diseasel (CKD).l Whatl infol
shouldl thel PNl reinforcel aboutl medicationl management?

A.l Orall ironl supplementsl reversel chronicl anemial inl CKD.
B.l Calciuml supplementsl arel neededl tol maintainl seruml levels.
C.l Nonsteroidall antiinflammatoriesl arel safel tol usel forl pain.
D.l Antihypertensivel drugsl shouldl alwaysl bel usedl asl directed.

Answer:
D.l Antihypertensivel drugsl shouldl alwaysl bel usedl asl directed.l

Bloodl pressurel controll isl essentiall forl al clientl withl CKDl becausel hypertensionl andl
cardiovascularl diseasel occurl withl thel progressionl ofl CKD.



Q:l Al femalel clientl whol isl newlyl diagnosedl withl Typel 2l diabetesl tellsl thel PNl thatl
shel hatesl tol exercisel andl asksl whetherl justl followingl herl 1000-caloriel dietl willl controll
herl diabetes.l Whichl responsel shouldl thel PNl providel thatl offersl thel bestl information?

A.l Tol ensurel anl increasedl energyl andl al sensel ofl well-being,l dietl andl exercisel shouldl
bel balanced.
B.l Exercisel facilitatesl weightl lossl andl decreasesl peripherall insulinl resistance.
C.l Tol improvel cardiovascularl andl respiratoryl fitness,l al regularl routinel forl exercisel
shouldl bel practiced.
D.l Al routinel patternl forl meall schedulingl isl neededl forl tightl glucosel control.

Answer:
B.l Exercisel facilitatesl weightl lossl andl decreasesl peripherall insulinl resistance.l

Exercisel increasesl insulinl sensitivityl andl hasl al directl effectl onl loweringl thel bloodl
glucosel levels.l Dietaryl compliancel andl regularl exercisel contributel tol weightl loss,l whichl
alsol decreasesl insulinl resistance.

,Q:l Whichl informationl relatedl tol al client'sl historyl ofl benignl prostaticl hypertrophyl
(BPH)l shouldl thel practicall nursel (PN)l reportl tol thel healthcarel provider?

A.l Changel inl bowell movements.
B.l Persistentl lowerl backl pain.
C.l Whitel penilel discharge.
D.l Difficultyl withl urination.

Answer:
D.l Difficultyl withl urination.l

Thel prostatel glandl liesl belowl thel bladderl neckl andl surroundsl thel urethra.l Anl increasel
inl thel sizel ofl thel prostatel glandl causedl byl BPHl compressesl thel urethra,l resultingl inl
difficultyl initiatingl thel urinaryl stream.



Q:l Whatl actionl shouldl thel practicall nursel (PN)l implementl firstl forl al clientl withl al
headl injuryl andl clearl nasall drainage?

A.l Obtainl al specimenl ofl thel fluidl forl culturel andl sensitivity.
B.l Checkl thel nasall drainagel withl al glucosel testl strip.l
C.l Assessl thel client'sl temperaturel everyl 2l tol 4l hours.
D.l Inspectl thel naresl bilaterallyl forl signsl ofl inflammation.

Answer:
B.l Checkl thel nasall drainagel withl al glucosel testl strip.l

Ifl thel clientl isl exhibitingl clearl nasall drainagel afterl al headl injury,l thel firstl actionl isl tol
determinel ifl thel fluidl isl cerebrospinall fluidl (CSF).l Glucosel isl presentl inl CSF.



Q:l Atl thel scenel ofl al motorl vehiclel collision,l thel practicall nursel (PN)l stopsl tol renderl
assistancel tol al victiml whol hasl bleedingl injuriesl ofl thel facel andl neck.l Whichl actionl
shouldl thel PNl implementl afterl establishingl thatl thel victiml isl unresponsive?

A.l Deliverl twol mouth-to-mouthl breaths.
B.l Immobilizel thel headl andl neck.l
C.l Openl thel airwayl usingl jawl thrustl method.
D.l Clearl thel airwayl usingl al fingerl sweep.Openl thel airwayl usingl jawl thrustl method.

,Answer:
B.l Immobilizel thel headl andl neck.l

Cervicall spinel traumal shouldl bel suspectedl inl anyl clientl withl significantl upperl torso,l
face,l head,l orl neckl trauma,l sol cervicall immobilizationl shouldl bel appliedl priorl tol
openingl thel airwayl usingl thel jawl thrust,l insteadl ofl thel headl tiltl method.



Q:l Thel practicall nursel (PN)l isl monitoringl al clientl whol isl admittedl inl activel labor.l
Afterl reviewingl thel nursingl admissionl assessment,l thel PNl determinesl thel client'sl
membranesl havel beenl rupturedl forl 36l hours.l Thel PNl shouldl monitorl thel clientl forl
whichl riskl factor?

A.l Excessivel bleeding.
B.l Precipitousl labor.
C.l Supinel hypotension.
D.l Intrauterinel infection.

Answer:
D.l Intrauterinel infection.

Whenl al clientl isl inl activel laborl withl spontaneousl rupturel ofl membranesl (SROM)l
longerl thanl 24l hours,l microorganismsl froml thel vaginal canl ascendl intol thel amnioticl sacl
andl causel chorioamnionitisl andl placentitis.



Q:l Whichl statementl byl thel motherl ofl al newbornl shouldl alertl thel practicall nursel
(PN)l tol offerl furtherl informationl aboutl thel carel ofl thel umbilicall cord?

A.l "Il willl usel warml waterl tol washl myl baby'sl diaperl areal withl eachl change."
B.l "Il aml goingl tol spongel bathel myl babyl forl thel firstl couplel ofl weeks."
C.l "Il can'tl waitl tol bathel myl babyl inl thel newl babyl tubl asl soonl asl Il getl home."l
D.l "Il shouldl keepl thel cordl areal dryl andl usel anl alcoholl wipel untill thel cordl fallsl off.

Answer:
C.l "Il can'tl waitl tol bathel myl babyl inl thel newl babyl tubl asl soonl asl Il getl home."l

Thel infantl shouldl notl bel submergedl inl al tubl bathl untill thel umbilicall cordl driesl andl
fallsl off.

, Q:l Duringl al prenatall visit,l expectantl parentsl askl thel practicall nursel (PN)l howl tol
safelyl transportl al newbornl homel inl al carl seat.l Whatl informationl shouldl thel PNl
provide?

A.l Thel carl seatl shouldl bel securedl inl thel frontl seatl usingl thel seatbelt.
B.l Thel chestl harnessl shouldl slidel overl thel newborn'sl abdomen.
C.l Al carl seatl shouldl bel inl thel rearl facingl positionl inl thel backl seat.
D.l Anl infantl shouldl bel elevatedl atl al 60l degreel anglel whilel inl thel carl seat.

Answer:
C.l Al carl seatl shouldl bel inl thel rearl facingl positionl inl thel backl seat.

Infantsl shouldl travell onlyl inl federallyl approved,l rear-facingl safetyl seatsl securedl inl thel
rearl seatl froml birthl tol 20l poundsl andl tol 1l yearl ofl age.



Q:l Whichl findingl inl al newbornl isl mostl importantl forl thel practicall nursel (PN)l tol
report?

A.l Clinicall jaundicel evidentl onl thel foreheadl withinl 24l hoursl ofl birth.l
B.l Icterusl colorl ofl blanchedl skinl onl thel thoraxl atl dayl 3l afterl birth.l
C.l Seruml bilirubinl concentrationsl lessl thanl 2l mg/dll inl cordl blood.
D.l Bilirubinl levell ofl 4l mg/dll usingl al transcutaneousl bilirubinometry.

Answer:
A.l Clinicall jaundicel evidentl onl thel foreheadl withinl 24l hoursl ofl birth.l

Jaundicel isl clinicallyl visiblel whenl bilirubinl levelsl reachl 5l tol 7l mg/dll andl appearsl inl al
cephalocaudall manner,l firstl noticedl inl thel head,l andl thenl progressesl graduallyl tol thel
thorax,l abdomen,l andl extremities.l Clinicall jaundicel thatl isl evidentl withinl 24l hoursl ofl
birthl warrantsl immediatel attentionl andl isl pathological.l Althoughl additionall assessmentsl
ofl physiologicall jaundicel shouldl bel made,l jaundicel inl thel firstl 24l hoursl isl lifel
threateningl andl requiresl immediatel intervention.



Q:l Whichl sitel shouldl thel practicall nursel (PN)l avoidl whenl administeringl IMl
immunizationsl tol toddlers?

A.l Ventrogluteal.
B.l Dorsogluteal.l
C.l Rectusl femoris.l
D.l Vastusl lateralis.

Información del documento

Subido en
24 de mayo de 2025
Número de páginas
40
Escrito en
2024/2025
Tipo
Examen
Contiene
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