HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the
client's vital signs. Based
on which finding should the nurse withhold administration of the medication until
the charge nurse is notified? - ANSWER-A respiratory rate of 10 breaths per
minute
Following an open reduction of the tibian, the LPN/LVN notes fresh bleeding on
the client's cast.
Which intervention should the nurse implement? - ANSWER-Outline the area with
ink and check it q15 minutes to see if the area has increased
The LPN is with a client when the healthcare provider explains that the biopsy
classifies the results as a T1N0M0 tumor. Later in the morning, the client asks the
nurse, "What do these letters T1N0M0, stand for?" which response should the
nurse provide first? - ANSWER-"The letters stand for tumor size, node
involvement and metastasis."
The LPN/LVN plans to administer the rubella vaccine to a postpartum client
whose titer is < 1:8 and
who is breastfeeding? What information should the nurse provide this client? -
ANSWER-The vaccine is given to produce maternal antibodies before lactation
occurs
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and
irregular. To record the
,HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
most accurate heart rate, what should the nurse take? - ANSWER-Count the apical
pulse rate for sixty seconds
Which structures are located in the subcutaneous layer of the skin? - ANSWER-
Adipose cells and blood vessels
The LPN/LVN in charge of a Nursing unit in a long term care facility. Which task
is best
for the nurse to assign to an unlicensed assistive personnel (UAP) who is helping
with the
care of several clients? - ANSWER-Cleanse the perineal area of a client with
urinary incontinence
A client requires application of an eye shield to the right eye. What should the
nurse do in
order to apply tape in which direction to anchor the shield most effectively? -
ANSWER-Longitudinally from the right forehead to the right cheek
36 hours after delivery, the nurse determines a client's fundus is just above the
umbilicus
and displaced to the right of midline. What action should the nurse take first? -
ANSWER-Palpate the bladder for distention
A client presents in the clinic because of generalized swelling after a bee sting.
What
,HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
intervention should the nurse implement first? - ANSWER-Determine respiratory
status and apply a pulse oximeter
The LPN/LVN is administering multiple medications to a 78-year-old client
because of
problems related to polypharmacy. At this client's age, which assessment is most
important for the nurse to make? - ANSWER-Cumulative serum drug levels and
toxicity
In obtaining an orthostatic vital sign measurement, what action should the nurse
take
first? - ANSWER-Instruct the client to lie supine
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in the
immediate postoperative period? - ANSWER-Nipple feedings with glucose water
Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the
nurse.
After withdrawing 5 mL of fluid from the balloon, the nurse begins to withdraw
the
catheter while the client is in a Semi-Fowler's position. However, the nurse meets
resistance and the clients' voices discomfort. What action should the nurse take
next? - ANSWER-Assist the client in taking a series of deep breaths
, HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
fu fu fu fu fu fu fu fu fu
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
fu fu fu fu fu
RATIONALES(VERIFIED ANSWERS) |ALREADY GRADED A+
fu u
f fu fu fu fu
During morning report the PN learns that an assigned client has phlebitis from a
intravenous access device. What will the PN observe in this client? - ANSWER-
Redness, warmth, and edema of the site
The PN is caring for a client with atrial fibrillation. What would be an expected
finding
when assessing this client? - ANSWER-Heart rate 88 and irregular
A client's blood pressure is unusually elevated. Which factors would contribute to
this
client's blood pressure elevation? - ANSWER-stress
To obtain an estimate of a client's systolic blood pressure, what action should the
PN take
first? - ANSWER-Palpate the client's brachial pulse
A client reports feeling numbness and tingling in extremities. What action should
the PN
implement? - ANSWER-Review the client's serum electrolyte levels
Immediately after birth, which nursing intervention has the highest priority for the
newborn infant? - ANSWER-Preventing heat loss and neonatal cold stress
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the
client's vital signs. Based
on which finding should the nurse withhold administration of the medication until
the charge nurse is notified? - ANSWER-A respiratory rate of 10 breaths per
minute
Following an open reduction of the tibian, the LPN/LVN notes fresh bleeding on
the client's cast.
Which intervention should the nurse implement? - ANSWER-Outline the area with
ink and check it q15 minutes to see if the area has increased
The LPN is with a client when the healthcare provider explains that the biopsy
classifies the results as a T1N0M0 tumor. Later in the morning, the client asks the
nurse, "What do these letters T1N0M0, stand for?" which response should the
nurse provide first? - ANSWER-"The letters stand for tumor size, node
involvement and metastasis."
The LPN/LVN plans to administer the rubella vaccine to a postpartum client
whose titer is < 1:8 and
who is breastfeeding? What information should the nurse provide this client? -
ANSWER-The vaccine is given to produce maternal antibodies before lactation
occurs
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and
irregular. To record the
,HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
most accurate heart rate, what should the nurse take? - ANSWER-Count the apical
pulse rate for sixty seconds
Which structures are located in the subcutaneous layer of the skin? - ANSWER-
Adipose cells and blood vessels
The LPN/LVN in charge of a Nursing unit in a long term care facility. Which task
is best
for the nurse to assign to an unlicensed assistive personnel (UAP) who is helping
with the
care of several clients? - ANSWER-Cleanse the perineal area of a client with
urinary incontinence
A client requires application of an eye shield to the right eye. What should the
nurse do in
order to apply tape in which direction to anchor the shield most effectively? -
ANSWER-Longitudinally from the right forehead to the right cheek
36 hours after delivery, the nurse determines a client's fundus is just above the
umbilicus
and displaced to the right of midline. What action should the nurse take first? -
ANSWER-Palpate the bladder for distention
A client presents in the clinic because of generalized swelling after a bee sting.
What
,HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
intervention should the nurse implement first? - ANSWER-Determine respiratory
status and apply a pulse oximeter
The LPN/LVN is administering multiple medications to a 78-year-old client
because of
problems related to polypharmacy. At this client's age, which assessment is most
important for the nurse to make? - ANSWER-Cumulative serum drug levels and
toxicity
In obtaining an orthostatic vital sign measurement, what action should the nurse
take
first? - ANSWER-Instruct the client to lie supine
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in the
immediate postoperative period? - ANSWER-Nipple feedings with glucose water
Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the
nurse.
After withdrawing 5 mL of fluid from the balloon, the nurse begins to withdraw
the
catheter while the client is in a Semi-Fowler's position. However, the nurse meets
resistance and the clients' voices discomfort. What action should the nurse take
next? - ANSWER-Assist the client in taking a series of deep breaths
, HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL 300
fu fu fu fu fu fu fu fu fu
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
fu fu fu fu fu
RATIONALES(VERIFIED ANSWERS) |ALREADY GRADED A+
fu u
f fu fu fu fu
During morning report the PN learns that an assigned client has phlebitis from a
intravenous access device. What will the PN observe in this client? - ANSWER-
Redness, warmth, and edema of the site
The PN is caring for a client with atrial fibrillation. What would be an expected
finding
when assessing this client? - ANSWER-Heart rate 88 and irregular
A client's blood pressure is unusually elevated. Which factors would contribute to
this
client's blood pressure elevation? - ANSWER-stress
To obtain an estimate of a client's systolic blood pressure, what action should the
PN take
first? - ANSWER-Palpate the client's brachial pulse
A client reports feeling numbness and tingling in extremities. What action should
the PN
implement? - ANSWER-Review the client's serum electrolyte levels
Immediately after birth, which nursing intervention has the highest priority for the
newborn infant? - ANSWER-Preventing heat loss and neonatal cold stress
