Exam (elaborations)

HESI PN EXIT EXAM VERSION 3 EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

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HESI PN EXIT EXAM VERSION 3 EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+) In assisting a client to obtain a sputum specimen, the LPN/LVN observes the client cough and spit a large amount of frothy saliva in the specimen collecti...

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hesi pn exit exam version 3 exam latest 2024
hesi pn exit exam version 3 exam latest
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hesi pn exit exam version 3

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HESI PN EXIT EXAM VERSION 3 EXAM LATEST 2024

WITH UPDATED QUESTIONS AND DETAILED

CORRECT ANSWERS WITH RATIONALES (ALREADY

GRADED A+)

In assisting a client to obtain a sputum specimen, the LPN/LVN

observes the client cough and spit a large amount of frothy saliva in

the specimen collection cup. What action should the nurse

implement next - ANSWER-Re-instruct the client in coughing

techniques to obtain another specimen

After report, the LPN/LVN receives the laboratory values for 4

clients. Which client requires the nurse's immediate intervention?

The client who is..... - ANSWER-Trembling and has a glucose level

of 50 mg/dL

4 hours after administration of 20U of regular insulin, the client

becomes shaky and diaphoretic. What action should the nurse take

- ANSWER-. Give the client crackers and milk

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The LPN/LVN is changing the colostomy bag for a client who is

complaining of leakage of diarrheal stool under the disposable

ostomy bag. What action should the nurse implement to prevent

leakage - ANSWER-Cut the bag opening to the measurement of

the stoma size

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 - ANSWER-Temperature of 100.8F

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

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

implement? - ANSWER-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

,3|Page

morning, the client asks the nurse, "what do these letters T1N0M0,

stand for?" which response should the nurse provide first? -

ANSWER-The letters stand for tumor size, node involvement and

metastasis."

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

following immunization - ANSWER-The vaccine is given to produce

maternal antibodies before lactation occur

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? - ANSWER-. Count the apical pulse rate for

sixty seconds

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

- ANSWER-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

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

clients? - ANSWER-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? - ANSWER-. 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? - ANSWER-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? -

ANSWER-Determine respiratory status and apply a pulse oximeter

The LPN/LVN is administering multiple medications to a 78-year-

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