HESI PN EXIT EXAM-REAL QUESTIONS & ANSWERS 4

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1. The LPN/LVN is planning care for the a client who has fourth degree midlinela
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ceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.Wh
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at intervention has the highest priority?
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A. Administer Prescribed stool softener
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B. Administer prescribed PRN sleep medications.
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C. Encourage breastfeeding to promote uterine involution
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D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre-
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scribed stool softener
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2. The LPN/LVN is palpating the right upper hypochondriac region of thea
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bdomen of a client. What organ lies underneath this area.
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A. Duodenum

B. Gastric Pylorus q




C. Liver

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,D. Spleen: C. Liver q q




3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6w
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eeks pregnant. Which sign is she most likely to report?
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A. Decreased sexual libido q q




B. Amenorrhea

C. Quickening

D. Nocturia: B. Amenorrhea q q




4. A client's daughter phones the charge nurse to report that the night LPN/ LV
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N did not provide good care for her mother.What response should the nursemak
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e?

A. Ask for a description of what happened during the night
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B. Tell the daughter to talk to the unit's nurse manager
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C. Reassure the daughter that the mother will get better care.
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D. Explain that all the staff are doing the best they can.: A. Ask for a descriptionof
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what happened during the night
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5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
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,and say's "mine". According to Erikson's theory of psychosocial develop-
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ment, this child's behavior is a demonstration of which developmental stage?
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A. Autonomy vs. Shame and doubt. q q q q




B. Industry vs. Inferiority q q




C. intiative vs. Guilt q q




D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
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6. Which action should the LPN/LVN implement in caring for a client followinga
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n electroencephalogram (EEG)?
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A. Monitor the client's vital signs q4h
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B. Assess for sensation in the client's lower extremities
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, C. Instruct the client to maintain bed rest for eight hours
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D. Wash any paste from the client's hair and scalp: D. Wash any paste from thecli
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ent's hair and scalp
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7. The LPN/LVN is caring for a 75- year-
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old male client who is beginning to form a decubitus ulcer at the coccyx. Whic
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h intervention will be most helpfulin preventing further development of the de
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cubitus?

A. Encourage the client to eat foods high in protein q q q q q q q q




B. Assess the client with daily range of motion exercises
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C. Teach the family how to perform sterile wound care
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D. Ensure the IV fluids are administered as prescribed: A. Encourage the clientto
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eat foods high in protein
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8. What is the homeostatic cellular transport mechanism that moves waterfr
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om a hypotonic to a hypertonic fluid space?
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A. Filtration

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