PN Hesi Exit Exam z z z
1. The LPN/LVN is planning care for the a client who has fourth degree midlinelac
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eration that occurred during vaginal delivery of an 8 pound 10 ounce infant.What i
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ntervention has the highest priority?
z z z z
A. Administer Prescribed stool softener
z z z
B. Administer prescribed PRN sleep medications.
z z z z
C. Encourage breastfeeding to promote uterine involution
z z z z z
D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre-
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scribed stool softener
z z z
2. The LPN/LVN is palpating the right upper hypochondriac region of theab
z z z z z z z z z z z
domen of a client. What organ lies underneath this area.
z z z z z z z z z
A. Duodenum
B. Gastric Pylorusz
C. Liver
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,D. Spleen: C. Liver z z
3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6we
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eks pregnant. Which sign is she most likely to report?
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A. Decreased sexual libido z z
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea z z
4. A client's daughter phones the charge nurse to report that the night LPN/ LVN
z z z z z z z z z z z z z
did not provide good care for her mother.What response should the nursemake?
z z z z z z z z z z z z z z
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.
z z z z z z z z z
D. Explain that all the staff are doing the best they can.: A. Ask for a descriptionof w
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hat happened during the night
z z z z
5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
z z z z z z z z z z z z z z
and say's "mine". According to Erikson's theory of psychosocial develop-
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2z/z29
,ment, this child's behavior is a demonstration of which developmental stage?
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A. Autonomy vs. Shame and doubt. z z z z
B. Industry vs. Inferiority z z
C. intiative vs. Guilt z z
D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
z z z z z z z z
6. Which action should the LPN/LVN implement in caring for a client followingan
z z z z z z z z z z z z z
electroencephalogram (EEG)? z
A. Monitor the client's vital signs q4h
z z z z z
B. Assess for sensation in the client's lower extremities
z z z z z z z
3z/z29
, C. Instruct the client to maintain bed rest for eight hours
z z z z z z z z z
D. Wash any paste from the client's hair and scalp: D. Wash any paste from theclie
z z z z z z z z z z z z z z z
nt's hair and scalp
z z z
7. The LPN/LVN is caring for a 75- year-
z z z z z z z
old male client who is beginning to form a decubitus ulcer at the coccyx. Which i
z z z z z z z z z z z z z z z
ntervention will be most helpfulin preventing further development of the decub
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itus?
A. Encourage the client to eat foods high in protein z z z z z z z z
B. Assess the client with daily range of motion exercises
z z z z z z z z
C. Teach the family how to perform sterile wound care
z z z z z z z z
D. Ensure the IV fluids are administered as prescribed: A. Encourage the clientto
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eat foods high in protein
z z z z
8. What is the homeostatic cellular transport mechanism that moves waterfr
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om a hypotonic to a hypertonic fluid space?
z z z z z z z
A. Filtration
4z/z29
1. The LPN/LVN is planning care for the a client who has fourth degree midlinelac
z z z z z z z z z z z z z z
eration that occurred during vaginal delivery of an 8 pound 10 ounce infant.What i
z z z z z z z z z z z z z z
ntervention has the highest priority?
z z z z
A. Administer Prescribed stool softener
z z z
B. Administer prescribed PRN sleep medications.
z z z z
C. Encourage breastfeeding to promote uterine involution
z z z z z
D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre-
z z z z z z z z z
scribed stool softener
z z z
2. The LPN/LVN is palpating the right upper hypochondriac region of theab
z z z z z z z z z z z
domen of a client. What organ lies underneath this area.
z z z z z z z z z
A. Duodenum
B. Gastric Pylorusz
C. Liver
1z/z29
,D. Spleen: C. Liver z z
3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6we
z z z z z z z z z z z z z z z
eks pregnant. Which sign is she most likely to report?
z z z z z z z z z
A. Decreased sexual libido z z
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea z z
4. A client's daughter phones the charge nurse to report that the night LPN/ LVN
z z z z z z z z z z z z z
did not provide good care for her mother.What response should the nursemake?
z z z z z z z z z z z z z z
A. Ask for a description of what happened during the night
z z z z z z z z z
B. Tell the daughter to talk to the unit's nurse manager
z z z z z z z z z
C. Reassure the daughter that the mother will get better care.
z z z z z z z z z
D. Explain that all the staff are doing the best they can.: A. Ask for a descriptionof w
z z z z z z z z z z z z z z z z z
hat happened during the night
z z z z
5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
z z z z z z z z z z z z z z
and say's "mine". According to Erikson's theory of psychosocial develop-
z z z z z z z z z
2z/z29
,ment, this child's behavior is a demonstration of which developmental stage?
z z z z z z z z z z z
A. Autonomy vs. Shame and doubt. z z z z
B. Industry vs. Inferiority z z
C. intiative vs. Guilt z z
D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
z z z z z z z z
6. Which action should the LPN/LVN implement in caring for a client followingan
z z z z z z z z z z z z z
electroencephalogram (EEG)? z
A. Monitor the client's vital signs q4h
z z z z z
B. Assess for sensation in the client's lower extremities
z z z z z z z
3z/z29
, C. Instruct the client to maintain bed rest for eight hours
z z z z z z z z z
D. Wash any paste from the client's hair and scalp: D. Wash any paste from theclie
z z z z z z z z z z z z z z z
nt's hair and scalp
z z z
7. The LPN/LVN is caring for a 75- year-
z z z z z z z
old male client who is beginning to form a decubitus ulcer at the coccyx. Which i
z z z z z z z z z z z z z z z
ntervention will be most helpfulin preventing further development of the decub
z z z z z z z z z z z
itus?
A. Encourage the client to eat foods high in protein z z z z z z z z
B. Assess the client with daily range of motion exercises
z z z z z z z z
C. Teach the family how to perform sterile wound care
z z z z z z z z
D. Ensure the IV fluids are administered as prescribed: A. Encourage the clientto
z z z z z z z z z z z z z
eat foods high in protein
z z z z
8. What is the homeostatic cellular transport mechanism that moves waterfr
z z z z z z z z z z
om a hypotonic to a hypertonic fluid space?
z z z z z z z
A. Filtration
4z/z29
