HESI PN EXIT QUESTIONS & ANSWERS 2023 UPDATE
1)The LPN/LVN receives the client's next scheduled bag of TPN labeled with the additive NPH insulin. Which action should the nurse implement?
Return the solution to the
pharmacy.
2)A male client has just undergone a laryngectomy and has a cuffed tracheostomy tube in place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the cuff?
Just prior to tube feeding 3)A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on this finding, the nurse anticipates assisting the physician with which treatment?
Perform synchronized cardioversion.
4)A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of an ulcer on the heel of the left foot that has not healed with wound care. The nurse observes that the entire left foot is darker in color than the right foot. Which
additional symptom should the nurse expect to find?
Pedal pulses will be weak or absent in the left foot.
5)A client with cirrhosis develops increasing pedal edema and ascites. Which dietary modification is most important for the nurse to teach this client?
Restrict salt and fluid intake.
6)During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV infusion containing insulin. Which assessment should the nurse complete first?
Monitor the client's serum potassium and blood glucose levels. 7)A resident in a long-term care facility is diagnosed with hepatitis B. Which intervention should the nurse implement with the staff caring for this client?
.Determine if all employees have had the hepatitis B vaccine series. 8)The LPN/LVN notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after chest tube insertion for hemothorax. What is the best initial action for the nurse to take?
.Assess for kinks or dependent loops in the tubing.
9)The nurse notes that a client who is scheduled for surgery the next morning has an elevated blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to this finding?
Anorexia and vomiting for the past 2 days 10)The nurse is reviewing routine medications taken by a client with chronic angle closure glaucoma. Which medication prescription should the nurse question?
.Anticholinergic with a side effect of pupillary dilation 11)A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine (Pneumovax). Which statement given by the
nurse would offer the client accurate information about this vaccine?
The immunization is administered once to older adults or those at risk for illness.
12)The nurse is assessing a male client with acute pancreatitis. Which finding requires the MOST immediate intervention by the nurse?
While the nurse is taking the client's blood pressure, he has a carpal spasm.
13)During assessment of a client in the intensive care unit, the nurse notes that the client's ARE CLEAR UPON AUSCULTATION, but jugular vein distention and muffled heart sounds are present. Which intervention should the nurse implement?
Prepare the client for a pericardial tap. 14)After attending a class on reducing cancer risk factors, a client selects bran flakes with 2% milk and orange slices from a breakfast menu. In evaluating the
client's learning, the nurse affirms that the client has made good choices and makes what additional recommendation?
