HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI PN EXIT EXAM LATEST 2024 ACTUAL EXAM

ALL QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

Prior to administering morphine sulfate (Morphine), the LPN/LVN takes

the client's vital signs. Based on which finding should the nurse withhold

administration of the medication until the charge nurse is notified?

A. Temperature of 100.8F

B. A pulse rate of 150 beats per minute

C. A respiratory rate of 10 breaths per minute

D. A blood pressure of 180/110 - ANSWER- C. A respiratory rate of 10

breaths per minute

Following an open reduction of the tibian, the LPN/LVN notes fresh

bleeding on the client's cast. Which intervention should the nurse

implement?

A. Assess the client's hemoglobin to determine if the client is in shock

B. Call the surgeon and prepare to take the client back to the operating

room

C. Outline the area with ink and check it q15 minutes to see if the area

has increased

D. No action is required since postoperative bleeding can be expected -

ANSWER- C. Outline the area with ink and check it q15 minutes to see

if the area has increased

The is with a client when the healthcare provider explains that the

biopsy classifies the results as a T1N0M0 tumor. Later in the morning,

the client asks the nurse, "what do these letters T1N0M0, stand for?"

which response should the nurse provide first?

A. "The letters are used to predict the prognosis of the cancer or tumor."

B. "The letters stand for tumor size, node involvement and metastasis."

C. "Let me refer you to the charge nurse."

D. "Are you confused? Would you like to talk?" - ANSWER- B. "The

letters stand for tumor size, node involvement and metastasis."

The LPN/LVN plans to administer the rubella vaccine to a postpartum

client whose titer is < 1>

should the nurse provide this client?

A. The client should bottle feed and pump her breast for 3 days

following immunization

B. The vaccine is given to produce maternal antibodies before lactation

occurs

C. The infant will receive immunization through the mother's breast

milk

D. The client should not get pregnant for 3 months after immunization -

ANSWER- B. The vaccine is given to produce maternal antibodies

before lactation occurs

In counting a client's radial pulse, the LPN/LVN notes the pulse is weak

and irregular. To record the most accurate heart rate, what should the

nurse take? A. Recheck the radial pulse in thirty minutes

B. Palpate the radial pulse for thirty seconds and double the rate

C. Count the apical pulse rate for sixty seconds

D. Compare the radial pulse rate bilaterally and record the higher rate. -

ANSWER- C. Count the apical pulse rate for sixty seconds

Which structures are located in the subcutaneous layer of the skin?

A. Sebaceous and sweat glands

B. Melanin and Keratin

C. Sensory receptors and hair follicles

D. Adipose cells and blood vessels - ANSWER- D. Adipose cells and

blood vessels

The LPN/LVN in charge of a Nursing unit in a long term care facility.

Which task is best for the nurse to assign to an unlicensed assistive

personnel (UAP) who is helping with the care of several clients?

A. Measure the amount of a client's residual urine after voiding

B. Cleanse the perineal area of a client with urinary incontinence

C. Insert a straight catheter to obtain a urine specimen for culture

D. Provide catheter care for a client with a suprapubic catheter -

ANSWER- B. Cleanse the perineal area of a client with urinary

incontinence

A client requires application of an eye shield to the right eye. What

should the nurse do in order to apply tape in which direction to anchor

the shield most effectively?

A. Across the eye from the bridge of the nose to the right temple

B. Longitudinally from the right forehead to the right cheek

C. From the mid-forehead over to the right zygomatic process

D. From the right lateral forehead surface to the medial nasal crease -

ANSWER- B. Longitudinally from the right forehead to the right cheek

36 hours after delivery, the nurse determines a client's fundus is just

above the umbilicus and displaced to the right of midline. What action

should the nurse take first?

A. Palpate the bladder for distention

B. Ask the client when her last bowel movement occurred

C. Catheterize the client and record the amount

D. Assess the amount of lochia - ANSWER- A. Palpate the bladder for

distention

A client presents in the clinic because of generalized swelling after a bee

sting. What intervention should the nurse implement first?

A. Assess site of sting and remove stinger if present

B. Perform mini-mental status exam to assess level of consciousness

C. Determine respiratory status and apply a pulse oximeter

D. Attach electrodes to monitor cardiac rhythm - ANSWER- C.

Determine respiratory status and apply a pulse oximeter