PN HESI EXIT 2024 200 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
The LPN/LVN is caring for a client with Myasthenia Gravis. What time of day is best for the
nurse toschedule physical exercises with the physical therapy department?
• Before bedtime, at 2000
• After breakfast
• Before the evening meal
• After lunch
B. After breakfast
The LPN/LVN is planning to ambulate client who has been on bed rest for 24 hours
following a ColonResection. To ambulate this client safely, which intervention should the
nurse implement first?
• Place non-skid shoes on the client
• Show the client how to use the call light
• Use a gait belt to support the client
• Assist the client to a bedside sitting position
D. Assist the client to a bedside sitting position
A Client is admitted to the hospital with second and third-degree burns to the face and
neck. How should the nurse best position the client to maximize the function of the neck
and face and preventcontracture?
• The neck extended backward using a rolled towel behind the neck
• Prone position using pillows to support both arms outward from the torso C. Side-
lying position usingpillows to support the abdomen and back
D. The neck forward using pillows under the head and sandbags on both sides
A. The neck extended backward using a rolled towel behind the neck
A client receives a new prescription for the angiotensin II receptor antagonist losartan
(Cozaar). Whichclient instruction should the nurse encourage this client to follow?
• Move slowly when getting up to prevent sudden dizziness
• Take this medication with or after meals
,• Do not stop this medication until all of the tablets are gone
• Keep the dietary log during initial therapy
A. Move slowly when getting up to prevent sudden dizziness
The healthcare provider prescribes erythromycin (ilosone) 300 mg PO QID. The medication
label reads,"ilosone 100mg/5mL" How many mL should the nurse administer at each
dose? (Enter the numeric value only)
15
The LPN/LVN is monitoring a client with an IV infusion in the left antecubital fossae. The
infusion pumpis functioning without alarms at the prescribed rate of 100mL/hour. The site
is warm, red and without swelling. What conclusion should these findings indicate to the
nurse?
• The IV fluids are infusing into the subcutaneous tissues and the pump should be
stopped
• The infusion pump is functioning properly and the IV site is healthy
• The insertion date should be verified and the IV discontinued
• The site is inflamed and should be reported to the RN for placement in another site
D. The site is inflamed and should be reported to the RN for placement in another site
The LPN/LVN reviews the laboratory results of a client whose serum pH is 7.38 on the pH
scale whatdoes this value imply about the clients homeostasis A. Alkalosis
• Acidosis
• Normal serum PH
• Incompatible with life
C. Normal serum PH
The LPN/LVN plans to assess a newborn and to check the infant's Moro reflex. In assessing
this reflex,the nurse is evaluating which parameter?
• Neurological integrity
• Renal functioning
• Thermogenic regulation
• Respiratory adequacy
A. Neurological integrity
The LPN/LVN assigns an unlicensed assistive personnel (UAP) to feed a client who is at risk
for aspirations. To ensure that the task is safely delegated what action should the nurse
implement?
, • Inform the UAP that the suction is available at the bedside
• Instruct the UAP to notify the PN if the client begins to choke
• Observe the UAP's ability to implement precautions during feed
• Ask the UAP about previous experience performing this skill
C. Observe the UAP's ability to implement precautions during feed
The unlicensed assistive personnel (UAP) reports to the nurse that a client refused to
bathe for the thirdconsecutive day. What action is best for the nurse to take?
• Ask the client why the bath was refused
• Ask family members to encourage the client to bathe
• Explain the importance of good hygiene to the client
• Reschedule the bath for the following day
A. Ask the client why the bath was refused
An adult female client is admitted to the psychiatric unit with diagnosis of major
depression. After 2 weeks of antidepressant medication therapy, the nurse notices the
client has more energy, is giving herbelongings away to her visitors, and is in an overall
better mood. Which intervention is best for the nurse to implement?
• Tell the client to keep her belongings because she will need them at discharge
• Ask the client if she has had any recent thoughts of harming herself
• Reassure the client that the antidepressant drugs are apparently effective D.
Support the client bytelling her what wonderful progress she is making
B. Ask the client if she has had any recent thoughts of harming herself
In assisting a client perform pursed lip breathing, the nurse should ensure that the client
performs whichaction?
• Inhale through the nose with the mouth closed and exhale through pursed lips
• Inhale through pursed lips then exhale with the mouth held open
• Inhale through pursed lips and then exhale through the nose with the mouth
closed
• Inhale through the mouth puff the cheeks and exhale through pursed lips
A. Inhale through the nose with he mouth closed and exhale through pursed lips
A 3-year-old admitted with a fever of unknown origin (FUO) has begun vomiting in the past
half hour. The child's temperature is 101.80 F, and the last dose of antipyretic medication
was given 5 hours ago.The child has prescriptions of acetaminophen (Tylenol) 160 MG per
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
The LPN/LVN is caring for a client with Myasthenia Gravis. What time of day is best for the
nurse toschedule physical exercises with the physical therapy department?
• Before bedtime, at 2000
• After breakfast
• Before the evening meal
• After lunch
B. After breakfast
The LPN/LVN is planning to ambulate client who has been on bed rest for 24 hours
following a ColonResection. To ambulate this client safely, which intervention should the
nurse implement first?
• Place non-skid shoes on the client
• Show the client how to use the call light
• Use a gait belt to support the client
• Assist the client to a bedside sitting position
D. Assist the client to a bedside sitting position
A Client is admitted to the hospital with second and third-degree burns to the face and
neck. How should the nurse best position the client to maximize the function of the neck
and face and preventcontracture?
• The neck extended backward using a rolled towel behind the neck
• Prone position using pillows to support both arms outward from the torso C. Side-
lying position usingpillows to support the abdomen and back
D. The neck forward using pillows under the head and sandbags on both sides
A. The neck extended backward using a rolled towel behind the neck
A client receives a new prescription for the angiotensin II receptor antagonist losartan
(Cozaar). Whichclient instruction should the nurse encourage this client to follow?
• Move slowly when getting up to prevent sudden dizziness
• Take this medication with or after meals
,• Do not stop this medication until all of the tablets are gone
• Keep the dietary log during initial therapy
A. Move slowly when getting up to prevent sudden dizziness
The healthcare provider prescribes erythromycin (ilosone) 300 mg PO QID. The medication
label reads,"ilosone 100mg/5mL" How many mL should the nurse administer at each
dose? (Enter the numeric value only)
15
The LPN/LVN is monitoring a client with an IV infusion in the left antecubital fossae. The
infusion pumpis functioning without alarms at the prescribed rate of 100mL/hour. The site
is warm, red and without swelling. What conclusion should these findings indicate to the
nurse?
• The IV fluids are infusing into the subcutaneous tissues and the pump should be
stopped
• The infusion pump is functioning properly and the IV site is healthy
• The insertion date should be verified and the IV discontinued
• The site is inflamed and should be reported to the RN for placement in another site
D. The site is inflamed and should be reported to the RN for placement in another site
The LPN/LVN reviews the laboratory results of a client whose serum pH is 7.38 on the pH
scale whatdoes this value imply about the clients homeostasis A. Alkalosis
• Acidosis
• Normal serum PH
• Incompatible with life
C. Normal serum PH
The LPN/LVN plans to assess a newborn and to check the infant's Moro reflex. In assessing
this reflex,the nurse is evaluating which parameter?
• Neurological integrity
• Renal functioning
• Thermogenic regulation
• Respiratory adequacy
A. Neurological integrity
The LPN/LVN assigns an unlicensed assistive personnel (UAP) to feed a client who is at risk
for aspirations. To ensure that the task is safely delegated what action should the nurse
implement?
, • Inform the UAP that the suction is available at the bedside
• Instruct the UAP to notify the PN if the client begins to choke
• Observe the UAP's ability to implement precautions during feed
• Ask the UAP about previous experience performing this skill
C. Observe the UAP's ability to implement precautions during feed
The unlicensed assistive personnel (UAP) reports to the nurse that a client refused to
bathe for the thirdconsecutive day. What action is best for the nurse to take?
• Ask the client why the bath was refused
• Ask family members to encourage the client to bathe
• Explain the importance of good hygiene to the client
• Reschedule the bath for the following day
A. Ask the client why the bath was refused
An adult female client is admitted to the psychiatric unit with diagnosis of major
depression. After 2 weeks of antidepressant medication therapy, the nurse notices the
client has more energy, is giving herbelongings away to her visitors, and is in an overall
better mood. Which intervention is best for the nurse to implement?
• Tell the client to keep her belongings because she will need them at discharge
• Ask the client if she has had any recent thoughts of harming herself
• Reassure the client that the antidepressant drugs are apparently effective D.
Support the client bytelling her what wonderful progress she is making
B. Ask the client if she has had any recent thoughts of harming herself
In assisting a client perform pursed lip breathing, the nurse should ensure that the client
performs whichaction?
• Inhale through the nose with the mouth closed and exhale through pursed lips
• Inhale through pursed lips then exhale with the mouth held open
• Inhale through pursed lips and then exhale through the nose with the mouth
closed
• Inhale through the mouth puff the cheeks and exhale through pursed lips
A. Inhale through the nose with he mouth closed and exhale through pursed lips
A 3-year-old admitted with a fever of unknown origin (FUO) has begun vomiting in the past
half hour. The child's temperature is 101.80 F, and the last dose of antipyretic medication
was given 5 hours ago.The child has prescriptions of acetaminophen (Tylenol) 160 MG per
