HESI PN EXIT EXAM V3 LATEST VERSION ALL 110 QUESTIONS AND VERIFIED ANSWERS

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PN HESI Exit k k k




V3
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with the ad
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ditive NPH insulin. Which action should the nurse implement?
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A. Hangktheksolutionkatkthekcurrentkrate.kB
.Refrigerate the solution until needed. k k k k

C. Prepare the solution with new tubing. k k k k k


D. Return the solution to the pharmacy.
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Correct Answer: D Return the solution to the pharmacy.
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2) A male client has just undergone a laryngectomy and has a cuffed tracheostomy tu
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be in place. When initiating bolus tube feedings postoperatively, when should the nur
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se inflate the cuff?
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A.Immediately after feeding B.Jus k k k


t prior to tube feeding C.Continuou
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s inflation is required D.Inflation is
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knot requiredk




Correct Answer: B Just prior to tube feeding
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3) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ve
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ntricular response. Based on this finding, the nurse anticipates assisting the physician
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with which treatment?
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A. Administerklidocaine,75kmgkintravenouskpush.k
B.Perform synchronized cardioversion. k k


C.Defibrillate the client as soon as possible. D.Administer k k k k k k k


atropine, 0.4 mg intravenous push.
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Correct Answer: B Perform synchronized cardioversion.
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4) A 63-year- k


old client with type 2 diabetes mellitus is admitted for treatment of an ulcer on the heel
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of the left foot that has not healed with wound care. The nurse
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observes that the entire left foot is darker in color than the right foot. Which addition
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al symptom should the nurse expect to find?
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A. Pedalkpulseskwillkbekweakkorkabsentkinkthekleftkfoot.
B. Thekclientkwillkstatekthatkthekleftkfootkiskusuallykwarm.
C. Flexionkandkextensionkofkthekleftkfootkwillkbeklimited.k
D.Capillary refill of the client's left toes will be brisk.
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Correct Answer: A Pedal pulses will be weak or absent in the left foot.
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5) A client with cirrhosis develops increasing pedal edema and ascites. Which di
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etary modification is most important for the nurse to teach this client?
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A.Avoid high-carbohydrate foods.k k

B.Decrease intake of fat-soluble vitamins. k k k k


C.Decrease caloric intake. k k


D.Restrict salt and fluid intake. k k k k




Correct Answer: D Restrict salt and fluid intake.
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6) During report, the nurse learns that a client with tumor lysis syndrome is receiv
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ing an IV infusion containing insulin. Which assessment should the nurse complet
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e first?
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A. Reviewkthekclient'skhistorykforkdiabeteskmellitus.
B. ObservekthekextremitykdistalktokthekIVksite.
C. Monitorkthekclient'skserumkpotassiumkandkbloodkglucoseklevels.k
D.Evaluate the client's oxygen saturation and breath sounds.
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Correct Answer: C Monitor the client's serum potassium and blood glucose levels.
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7) A resident in a long-
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term care facility is diagnosed with hepatitis B. Which intervention should the n
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urse implement with the staff caring for this client?
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A. DeterminekifkallkemployeeskhavekhadkthekhepatitiskBkvaccinekseries.k B.Explaink
that this type of hepatitis can be transmitted when feeding the client. C.Assure the
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kemployees that they cannot contract hepatitis B when providing direct care.
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D.Tell the employees that wearing gloves and a gown are required when providing care
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.

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Correct Answer: A Determine if all employees have had the hepatitis B vaccine series.
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8) The LPN/LVN notes that the client's drainage has decreased from 50 to 5 mL/hr 12
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hours after chest tube insertion for hemothorax. What is the best initial action for the
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nurse to take?
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A. Documentkthiskexpectedkdecreasekinkdrainage.
B. Clampkthekchestktubekwhilekassessingkforkairkleaks.
C. Milkkthektubektokremovekanykexcessivekbloodkclotkbuildup.k
D.Assess for kinks or dependent loops in the tubing.
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Correct Answer: D Assess for kinks or dependent loops in the tubing.
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9) The nurse notes that a client who is scheduled for surgery the next morning has an
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elevated blood urea nitrogen (BUN) level. Which condition is most likely to have co
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ntributed to this finding? k k k




A. Myocardialkinfarctionk2kmonthskago
B. Anorexiakandkvomitingkforkthekpastk2kdays
C. Recentlykdiagnosedktypek2kdiabeteskmellitus
D. Skeletalktractionkforkakrightkhipkfracture

Correct Answer: B Anorexia and vomiting for the past 2 days
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10) The nurse is reviewing routine medications taken by a client with chronic angle cl
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osure glaucoma. Which medication prescription should the nurse question?
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A.Antianginal with a therapeutic effect of vasodilation B.
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Anticholinergic with a side effect of pupillary dilation C. k k k k k k k k


Antihistamine with a side effect of sedation D.Corticoster
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oid with a side effect of hyperglycemia
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Correct Answer:B Anticholinergic with a side effect of pupillary dilation
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11) A 58-year-
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old client who has no health problems asks the nurse about receiving the pneumoco
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ccal vaccine (Pneumovax). Which statement given by the
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nurse would offer the client accurate information about this vaccine?
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A. Thekvaccinekiskgivenkannuallykbeforekthekflukseasonktokthosekolderkthank50kyears.
B. Thekimmunizationkiskadministeredkoncektokolderkadultskorkthosekatkriskkforkillness.
C. Thekvaccinekiskforkallkageskandkiskgivenkprimarilyktokthosekpersonsktravelingkov
erseas to areas of infection.
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D. The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5 ye
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ars.

Correct Answer: B The immunization is administered once to older adults or those at
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risk for illness.
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12) The nurse is assessing a male client with acute pancreatitis. Which finding re
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quires the MOST immediate intervention by the nurse?
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A. Thekclient'skamylaseklevelkiskthreektimeskhigherkthanktheknormalklevel.
B. Whilektheknursekisktakingkthekclient'skbloodkpressure,khekhaskakcarpalkspasm.
C. Onkak1ktok10kscale,kthekclientktellsktheknursekthatkhiskepigastrickpainkiskatk7.
D. Thekclientkstateskthatkhekwillkcontinuektokdrinkkalcoholkafterkgoingkhome.

Correct Answer: B While the nurse is taking the client's blood pressure, he has a carpal
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spasm.


13) During assessment of a client in the intensive care unit, the nurse notes that t
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he client's ARE CLEAR UPON AUSCULTATION, but jugular vein distention a
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nd muffled heart sounds are present. Which intervention should the nurse imple
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ment?

A. Preparekthekclientkforkakpericardialktap.kB.Adm
inister intravenous furosemide (Lasix).
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C. Assist the client to cough and breathe deeply.
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D. Instruct the client to restrict the oral fluid intake. Correct
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Answer: A. Prepare the client for a pericardial tap.
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14) After attending a class on reducing cancer risk factors, a client selects bran fl
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akes with 2% milk and orange slices from a breakfast menu. In evaluating the cli
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ent's learning, the nurse affirms that the client has made good choices and makes
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what additional recommendation?
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