PN Hesi Exit Exam LATEST 2023 EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery of
an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays -
CORRECT ANSWER A. Administer Prescribed stool softener
The LPN/LVN receives report on an adult client who has a central
intravenous (IV) infusion. Where should the nurse observe when
assessing the integrity of the access site?
A. Umbilical area of the abdomen
B. Antecubital fossae of the arm
C. Chest wall below the clavicle
D. Dorsal surface of the hand - CORRECT ANSWER C. Chest
wall below the clavicle
The healthcare provider prescribes an IV solution of clindamycin
(Cleocin) 850mg in 75 mL of D2W to infuse over 30 minutes. The
drop factor is 15 gtt/mL. The nurse should regulate the IV to
,deliver how many gtt/ minute? (Enter numeric value only. if
rounding is required round to the nearest whole number) -
CORRECT ANSWER 75mL X 15gtt/mL = 38 Correct Answer:
38
The LPN/LVN is administering a subcutaneous injection of
epoetin (Epogen) to a client with Chronic Kidney Disease (CKD).
This medication is being administered to treat which manifestation
of CKD?
A. Anemia
B. Anuria
C. Hypotension
D. Edema - CORRECT ANSWER A. Anemia
The LPN/LVN is assigned to administer medications in a long-
term care facility. A disoriented resident has no identification band
or picture. Prior to administering medications to this resident, what
is the best Nursing action?
A. Confirm the room and bed numbers with those on the
medication record
B. Ask a regular staff member to confirm the residents identity
C. Hold the medication until a family member arrives
D. Re-orient the resident to name, place and situation. -
CORRECT ANSWER B. Ask a regular staff member to confirm
the residents identity
The LPN/LVN is assessing an older male client with Gastritis. He
has been unable to eat for the past 48 hours and has been
vomiting during this same period of time. Which finding can the
nurse expect this client to exhibit?
A. Edematous lower extremities and an increased temperature
B. A decreased temperature and increased blood pressure
C. Dry skin and an increased heart rate
D. Diaphoresis and hypertension - CORRECT ANSWER C. Dry
skin and an increased heart rate
,An adult male client tells the nurse that he believes someone is
trying to obtain his computer records, which his wife reports are
recreational in nature. The client insists that an elaborate alarm
system needs to be installed in his home. The nurse knows that
this client is exhibiting which signs or symptom?
A. Delusions of persecution
B. Ideas of reference
C. Hallucinations
D. Confabulation - CORRECT ANSWER A. Delusions of
persecution
The LPN/LVN enters a client's room to perform a sterile dressing
change. The nurse observes that the client is "gurgling" on oral
secretions and coughing. Which action should the nurse take
first?
A. Position the client supine
B. Finger sweep the oral cavity
C. Perform oral suctioning
D. Provide mouth care - CORRECT ANSWER C. Perform oral
suctioning
What length of blood pressure cuff should be the nurse use when
obtaining a client's blood pressure?
A. A cuff that is no longer than the circumference of the extremity
should be used
B. The length of the blood pressure cuff does not make a
difference
C. The cuff and its bladder should be nearly encircled in the
extremity's circumference
D. At least two-thirds the circumference of the extremity should be
covered - CORRECT ANSWER C. The cuff and its bladder
should be nearly encircled in the extremity's circumference
, A LPN/LVN is assisting a client from the bathroom back to bed
following a minor surgical procedure. The client, still not fully alert,
reports feeling nauseated and begins to vomit. What is the first
action the nurse should take? A. Place a cool rag on the client's
head
B. Suction the client's oral cavity
C. Provide the client an emesis basin
D. Place the client in a side-laying position - CORRECT
ANSWER D. Place the client in a side-laying position
The LPN/LVN is caring for a 10-year-old child with hemophilia
who has recently been diagnosed as HIV positive. What
precautions should the nurse take when interacting with the child
and mother?
A. No special precautions are needed
B. Wear gloves only
C. Wear gloves and a mask
D. Wear a mask, gloves and gown. - CORRECT ANSWER A.
No special precautions are needed
A 26 year-old primigravida who delivered a 7-pound male infant
26 hours ago tells the nurse that she is confused about when she
and her husband can return to having sexual intercourse. What
info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and
the lochia flow has stopped
B. They should wait to resume sexual activities until the fatigue
assorted with a new baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual
intercourse - CORRECT ANSWER A. They can have
intercourse when the episiotomy is healed and the lochial flow
has stopped
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery of
an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays -
CORRECT ANSWER A. Administer Prescribed stool softener
The LPN/LVN receives report on an adult client who has a central
intravenous (IV) infusion. Where should the nurse observe when
assessing the integrity of the access site?
A. Umbilical area of the abdomen
B. Antecubital fossae of the arm
C. Chest wall below the clavicle
D. Dorsal surface of the hand - CORRECT ANSWER C. Chest
wall below the clavicle
The healthcare provider prescribes an IV solution of clindamycin
(Cleocin) 850mg in 75 mL of D2W to infuse over 30 minutes. The
drop factor is 15 gtt/mL. The nurse should regulate the IV to
,deliver how many gtt/ minute? (Enter numeric value only. if
rounding is required round to the nearest whole number) -
CORRECT ANSWER 75mL X 15gtt/mL = 38 Correct Answer:
38
The LPN/LVN is administering a subcutaneous injection of
epoetin (Epogen) to a client with Chronic Kidney Disease (CKD).
This medication is being administered to treat which manifestation
of CKD?
A. Anemia
B. Anuria
C. Hypotension
D. Edema - CORRECT ANSWER A. Anemia
The LPN/LVN is assigned to administer medications in a long-
term care facility. A disoriented resident has no identification band
or picture. Prior to administering medications to this resident, what
is the best Nursing action?
A. Confirm the room and bed numbers with those on the
medication record
B. Ask a regular staff member to confirm the residents identity
C. Hold the medication until a family member arrives
D. Re-orient the resident to name, place and situation. -
CORRECT ANSWER B. Ask a regular staff member to confirm
the residents identity
The LPN/LVN is assessing an older male client with Gastritis. He
has been unable to eat for the past 48 hours and has been
vomiting during this same period of time. Which finding can the
nurse expect this client to exhibit?
A. Edematous lower extremities and an increased temperature
B. A decreased temperature and increased blood pressure
C. Dry skin and an increased heart rate
D. Diaphoresis and hypertension - CORRECT ANSWER C. Dry
skin and an increased heart rate
,An adult male client tells the nurse that he believes someone is
trying to obtain his computer records, which his wife reports are
recreational in nature. The client insists that an elaborate alarm
system needs to be installed in his home. The nurse knows that
this client is exhibiting which signs or symptom?
A. Delusions of persecution
B. Ideas of reference
C. Hallucinations
D. Confabulation - CORRECT ANSWER A. Delusions of
persecution
The LPN/LVN enters a client's room to perform a sterile dressing
change. The nurse observes that the client is "gurgling" on oral
secretions and coughing. Which action should the nurse take
first?
A. Position the client supine
B. Finger sweep the oral cavity
C. Perform oral suctioning
D. Provide mouth care - CORRECT ANSWER C. Perform oral
suctioning
What length of blood pressure cuff should be the nurse use when
obtaining a client's blood pressure?
A. A cuff that is no longer than the circumference of the extremity
should be used
B. The length of the blood pressure cuff does not make a
difference
C. The cuff and its bladder should be nearly encircled in the
extremity's circumference
D. At least two-thirds the circumference of the extremity should be
covered - CORRECT ANSWER C. The cuff and its bladder
should be nearly encircled in the extremity's circumference
, A LPN/LVN is assisting a client from the bathroom back to bed
following a minor surgical procedure. The client, still not fully alert,
reports feeling nauseated and begins to vomit. What is the first
action the nurse should take? A. Place a cool rag on the client's
head
B. Suction the client's oral cavity
C. Provide the client an emesis basin
D. Place the client in a side-laying position - CORRECT
ANSWER D. Place the client in a side-laying position
The LPN/LVN is caring for a 10-year-old child with hemophilia
who has recently been diagnosed as HIV positive. What
precautions should the nurse take when interacting with the child
and mother?
A. No special precautions are needed
B. Wear gloves only
C. Wear gloves and a mask
D. Wear a mask, gloves and gown. - CORRECT ANSWER A.
No special precautions are needed
A 26 year-old primigravida who delivered a 7-pound male infant
26 hours ago tells the nurse that she is confused about when she
and her husband can return to having sexual intercourse. What
info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and
the lochia flow has stopped
B. They should wait to resume sexual activities until the fatigue
assorted with a new baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual
intercourse - CORRECT ANSWER A. They can have
intercourse when the episiotomy is healed and the lochial flow
has stopped
