HESI PN Exit Exam Practice Questions NGN 2024 Graded A+

1. The practical nurse enters a male client's room to administer routine morning medications and the client is on the phone. What action is best for the PN to take? A. Leave the medication with the client and tell him to take it when he finishes the conversation B. Wait for the client to excuse himself from the telephone conversation and observe the client taking the medication C. Return the medication to the client's drawer on the car and documented the client refused the dose D. Ask another nurse to go back with the medication when the client hangs up the phone 2. A client is admitted to the postoperative surgical unit with two chest tubes after a left lobectomy. The practical nurse observes that the____ Chambers are set at the prescribed suction of 20 cm water pressure and tubing occurs with respirations and bubbling. What action should the PN implement? A. Apply a partially occlusive dressing to chest B. notify the registered nurse of the malfunction C. clamp the chest tube to see if the activity stops D. maintain system integrity to promote lung reexpansion 3. The mother of a 9 month old child who was diagnosed with respiratory syncytial virus (RSV) yesterday calls the clinic to inquire if it will be alright to take her infant to the 1st birthday party of her friend's child the following day. Which response should the practical nurse provide the mother? A. The child can be around other children but should wear a mask at all times B. make sure there are no children under the age of six months around the infected child C. do not expose other children as a virus is very contagious even without direct oral contact D. the child will no longer be contagious no need to take any further precautions 4. The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange student with acute abdominal pain. Although the client has been able to easily answer questions, when asked about sexual activity, she looks away. Which action should the PN take? A. Omit completing this section of the assessment form B. Reword the question in case the client did not understand C. Ask her if she would like an interpreter to ask the question D. Watch the client's response when asked a different question 5. During the immediate postoperative period following a total hip replacement, which intervention is most important to the Practical Nurse to implement? A. Encourage the client to use walker or cane when ambulating B. Teach client to say on the side of the bed before standing C. Monitor urinary flow via indwelling catheter D. Keep clients hip aligned with knees abducted 6. A client confides to the PN that the client has been substituting herbal supplements for high blood pressure instead of the prescribed medication. How should the PN respond first? A. Ask the client reason for choosing to take herbs instead of prescribed drugs B. Reinforce that the healthcare provider prescribed the medication for a reason C. Have client use own words to describe complications of high blood pressure D. Point out the risk of not taking the herbal medications rather than prescribed 7. The practical nurse is assigned to administer medication in a long-term care facility. A disoriented resident has no identification band or picture. What is the best nursing action for the PN to take prior to administering the medication to this resident? A. Ask a regular staff member to confirm the residents identity B. Hold the medication until a family member arrives C. Reorient the resident to name, place, and situation D. Confirm the room and bed numbers with those on the medication record 8. An adult client who weighs 150 pounds has partial thickness and full-thickness burns over 40% of the body from a house fire. After admission, which observation is most important for the PN to report immediately? A. Poor appetite and refusing to eat B. Systolic blood pressure of 102 C. Painful moaning and crying D. Urine output of 20 mL/HR 9. A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "Itching" skin 15 minutes after the unit of blood is started. The child appears flushed. What action should the Practical Nurse take first? A. Stop the transfusion B. Apply lotion to the skin C. Inspect the infusion site D. Obtain the vital signs 10. A practical nurse is completing a focused assessment of an older adult skin. the PN notes crusted 0.7cm lesion on the client's forehead. Which action should the PN take in response to this finding? A. Report the findings to the health care provider B. Apply a warm compress to remove the crusted area C. Place a clear occlusive dressing over the site D. Explain that this is a normal skin change with aging