PN EXIT HESI ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+ 2024
• The practical nurse (PN) is observing a client self-administering a
doseif subcutaneousinsulin. What step of the injection technique should
the practical nurse (PN) reteach?
• Injects air into the insulin vial to displace the dose
• Selects the same site that was used for the previous injection
• Inserts the needle at a 90-degree angle to the skin surface
• Uses a circular motion when applying an alcohol pad to the site
Rationale: The PN should reteach the client to rotate the NOON site to a
site other than the same one used for the AM dose. Different sites used
throughoutthe day may provide a varying rate of absorption related to
activity. Intra-site rotation is recommended for the doseused during one
,specific time of the day.The other choices are acceptable techniques for
subcutaneous injection of insulin.
• The practical nurse (PN) observes a newly hired unlicensed assistive
personnel (UAP) who is counting a client’s radial pulse as seen in the
picture. Which action should the PNtake?
• Confirm accuracy of the pulse rate obtained by the UAP
• Instruct the UAP to report any abnormal findings
• Remind the UAP to check the clients pulse volume
• Demonstrate the correct pulse site to the UAP (follow the thumb
forthe radial pulse,follow the pinky for the brachial)
Rationale: When checking the radial pulse, the index and middle
finger should be aligned withthe thumb, for brachial pulse assessment
should be aligned with the pinky finger.
,• The birth weight of an infant delivered by a woman with gestational
diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel
stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutesafter
birth. Based on this information, which intervention should the practical
nurse (PN) implement first?
• Repeat the heel stick for glucose in one hour
• Offer nipple feedings of 10% dextrose
• Begin frequent feedings of breast milk or formula
• Assess for signs of hypocalcemia
Rationale: Providing frequent feedings will reduce the infants blood
glucose; wewouldn’twant to obtain another heel stick as we want to do
less invasive as possible.
• A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4
ounces offlavored gelatinand 1 banana. During the same shift, this client
receives 1liter of IV fluid and voids 700 mL. How many mL total oral and IV
intake should the PN document on the client’s medical record? (Enter
numeric value only).
8 oz x 30 mL = 240 mL
4 oz x 30 mL = 120 mL
, 4 oz x 30 mL = 120 mL
1 L = 1000 mL
Total intake = 1480 mL
• The nurse is very busy and running late with administering
medications and asks thepractical nurse (PN) to administer a medication
already drawn up in an unlabeled syringe. How should the PN respond?
• “You should know that I cannot administer the medication in this
syringe”
• “As long as the charge nurse checks the syringe, I can give the
medication”
• “Teamwork is the best approach. I will be glad to help you get
caught up”
• “I am not comfortable doing that. Is there something else I can do
tohelp you?”
Rationale: Explaining your comfortability is always okay because you
don’t want to jeopardizeyour license, so offering to help with the nurse’s
other workload is being. A team player.
• The practical nurse (PN) is assigning care for a group of clients on
the urology medicalunit. Which client should the PN assign to the
unlicensedassistive personnel (UAP)? (Select all that apply.)
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