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HESI PN EXIT EXAM
PN Exit
1) The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery of
an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
Correct Answer: A. Administer Prescribed stool softener
2) The LPN/LVN is palpating the right upper hypochondriac region
of the abdomen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
Correct Answer: C. Liver
3) A client comes to the antepartal clinic and tells the LPN/LVN
that she is 6 weeks pregnant. Which sign is she most likely to
report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Correct Answer: B. Amenorrhea
4) A client's daughter phones the charge nurse to report that the
night LPN/ LVN did not provide good care for her mother. What
response should the nurse make?
A. Ask for a description of what happened during the night
,B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
Correct Answer: A. Ask for a description of what happened during the
night
5) A hosptitalized toddler who is recovering from a sickle cell crisis
holds a toy and say's "mine". According to Erikson's theory of
psychosocial development, this child's behavior is a demonstration
of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: A. Autonomy vs. Shame and doubt.
6) Which action should the LPN/LVN implement in
caring for a client following an electroencephalogram
(EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
Correct Answer: D. Wash any paste from the client's hair and scalp
7) The LPN/LVN is caring for a 75- year-old male client who is beginning
to form a decubitus ulcer at the coccyx. Which intervention will be most
helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
,Correct Answer: A. Encourage the client to eat foods high in protein
8) What is the homeostatic cellular transport mechanism
that moves water from a hypotonic to a hypertonic fluid
space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
Correct Answer: C. Osmosis
9) The LPN/LVN is taking blood pressure of a client admitted with
a possible myocardial infarction. When taking the client's BP at the
brachial artery, the nurse should place the client's arm in which
position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
Correct Answer: B. At the level of the heart
10) What are the final parameters that produce blood
pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
Correct Answer:
A. Heart rate
B. Stroke volume
C. Peripheral resistance
11) A client begins an antidepressant drug during the second day of
, hospitalization. Which assessment is most important for the LPN/LVN
to include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
Correct Answer: B. Mood
12) Based on the documentation in the medical record,
which action should the LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
Correct Answer: Give the rubella vaccine subcutaneously
13) A client is admitted to the hospital with a diagnosis of
Pneumonia. Which intervention should the LPN/LVN
implement to prevent complications associated with
Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
Correct Answer: Enourage mobilization and ambulation
14) The practical nurse is preparing to administer a prescription
for cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is
labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution, "For IM use add 2ml sterile water for injection.
Total volume after reconstruction =
2.5 ml. "when reconstituded, how many milligrams are in each mil of
solutions (Enter numeric value only)
HESI PN EXIT EXAM
PN Exit
1) The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery of
an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
Correct Answer: A. Administer Prescribed stool softener
2) The LPN/LVN is palpating the right upper hypochondriac region
of the abdomen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
Correct Answer: C. Liver
3) A client comes to the antepartal clinic and tells the LPN/LVN
that she is 6 weeks pregnant. Which sign is she most likely to
report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Correct Answer: B. Amenorrhea
4) A client's daughter phones the charge nurse to report that the
night LPN/ LVN did not provide good care for her mother. What
response should the nurse make?
A. Ask for a description of what happened during the night
,B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
Correct Answer: A. Ask for a description of what happened during the
night
5) A hosptitalized toddler who is recovering from a sickle cell crisis
holds a toy and say's "mine". According to Erikson's theory of
psychosocial development, this child's behavior is a demonstration
of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: A. Autonomy vs. Shame and doubt.
6) Which action should the LPN/LVN implement in
caring for a client following an electroencephalogram
(EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
Correct Answer: D. Wash any paste from the client's hair and scalp
7) The LPN/LVN is caring for a 75- year-old male client who is beginning
to form a decubitus ulcer at the coccyx. Which intervention will be most
helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
,Correct Answer: A. Encourage the client to eat foods high in protein
8) What is the homeostatic cellular transport mechanism
that moves water from a hypotonic to a hypertonic fluid
space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
Correct Answer: C. Osmosis
9) The LPN/LVN is taking blood pressure of a client admitted with
a possible myocardial infarction. When taking the client's BP at the
brachial artery, the nurse should place the client's arm in which
position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
Correct Answer: B. At the level of the heart
10) What are the final parameters that produce blood
pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
Correct Answer:
A. Heart rate
B. Stroke volume
C. Peripheral resistance
11) A client begins an antidepressant drug during the second day of
, hospitalization. Which assessment is most important for the LPN/LVN
to include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
Correct Answer: B. Mood
12) Based on the documentation in the medical record,
which action should the LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
Correct Answer: Give the rubella vaccine subcutaneously
13) A client is admitted to the hospital with a diagnosis of
Pneumonia. Which intervention should the LPN/LVN
implement to prevent complications associated with
Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
Correct Answer: Enourage mobilization and ambulation
14) The practical nurse is preparing to administer a prescription
for cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is
labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution, "For IM use add 2ml sterile water for injection.
Total volume after reconstruction =
2.5 ml. "when reconstituded, how many milligrams are in each mil of
solutions (Enter numeric value only)
