HESI PN Exit Exam NGN Questions and Correct
Answers| Guaranteed Pass
Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
C. Observe a client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia contaminates
his ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to
the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings
B. Provide perianal care and collect clean linens for the dressing change
The LPN/LVN is planning to evaluate the effectiveness of several drugs administered by different
routes. Arrange the routes of administration in the order from fastest to slowest rate of
absorption.
Subcutaneous
Intravenous
,Intramuscular
Sublingual Oral
Intravenous, sublingual, intramuscular, subcutaneous,
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-house
post dilation and curettage (D&C) the LPN/LVN assess the vital signs and vaginal bleeding. The
client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
Express sorrow for the client's grief and offer to sit with her
A terminally ill male client and his family are requesting hospice care after discharge from the
hospital and ask the LPN/LVN to explain what kind of care they should expect. The nurse should
indicate that hospice philosophy focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
A. Enhance symptom management to improve end of life quality
The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the
skin taut and shaving in the direction of the hair growth . What action should the nurse take?
,A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
C. Encourage the wife to continue shaving her husband
To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)
A. Posterior tibialis artery
B. popliteal artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery
A. Posterior tibialis artery,
D. Dorsalis pedis artery
The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating
factor in this client's history is likely to be related to the anginal pain?
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
A. Smokes one pack of cigarettes daily
, The LPN/LVN is assessing an older resident of a long-term care facility who has a history of
Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The
healthcare provider prescribes post-voided residual catheterization over the next 24 hours and
placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO
intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the
nurse take?
A. Stand the client to void and run tap water within hearing distance before catheterizing the
client.
B. Straight catheterize and if the residual using volume is greater than 100 mL, clamp catheter
C. Catheterize q2H and place in an indwelling catheter at the end of the prescribed 24hr period.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushingoid side effects?
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
B. Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness, tremor
C. Bradycardia, weight gain, cold intolerance, myxedema facies and Periorbital edema
D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client.
What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
Answers| Guaranteed Pass
Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
C. Observe a client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia contaminates
his ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to
the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings
B. Provide perianal care and collect clean linens for the dressing change
The LPN/LVN is planning to evaluate the effectiveness of several drugs administered by different
routes. Arrange the routes of administration in the order from fastest to slowest rate of
absorption.
Subcutaneous
Intravenous
,Intramuscular
Sublingual Oral
Intravenous, sublingual, intramuscular, subcutaneous,
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-house
post dilation and curettage (D&C) the LPN/LVN assess the vital signs and vaginal bleeding. The
client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
Express sorrow for the client's grief and offer to sit with her
A terminally ill male client and his family are requesting hospice care after discharge from the
hospital and ask the LPN/LVN to explain what kind of care they should expect. The nurse should
indicate that hospice philosophy focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
A. Enhance symptom management to improve end of life quality
The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the
skin taut and shaving in the direction of the hair growth . What action should the nurse take?
,A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
C. Encourage the wife to continue shaving her husband
To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)
A. Posterior tibialis artery
B. popliteal artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery
A. Posterior tibialis artery,
D. Dorsalis pedis artery
The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating
factor in this client's history is likely to be related to the anginal pain?
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
A. Smokes one pack of cigarettes daily
, The LPN/LVN is assessing an older resident of a long-term care facility who has a history of
Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The
healthcare provider prescribes post-voided residual catheterization over the next 24 hours and
placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO
intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the
nurse take?
A. Stand the client to void and run tap water within hearing distance before catheterizing the
client.
B. Straight catheterize and if the residual using volume is greater than 100 mL, clamp catheter
C. Catheterize q2H and place in an indwelling catheter at the end of the prescribed 24hr period.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushingoid side effects?
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
B. Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness, tremor
C. Bradycardia, weight gain, cold intolerance, myxedema facies and Periorbital edema
D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client.
What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
