HESI PN EXIT EXAM {LPN/LVN}
QUESTIONS AND CORRECT ANSWERS GRADED A+ A female client complains to the nurse about being admitted to a semi- private room and
expresses her displeasure because she requested a private room prior to admission. What
response is best for the nurse to provide this cl...
A female client complains to the nurse about being admitted to a semi- private room and
expresses her displeasure because she requested a private room prior to admission. What
response is best for the nurse to provide this client?
A. Room assignments are based on client's acuity level, not necessarily by request
B. I will place your name on the room request list for the next available private room
C. Your healthcare provider must provide a written request to get you a private room
D. There are no private rooms available, so you will have to stay here for the time being.
C. Your healthcare provider must provide a written request to get you a private room
During preoperative preparation, the nurse should offer the client which explanation about why
deep breathing exercising with an incentive spirometer are necessary after surgery?
A. "Deep breathing exercises using spirometer will help prevent postoperative complications."
B. "failure to keep your lungs working may result in pneumonia and death."
C. "Incentive spirometry is uncomfortable but necessary for your postoperative care."
D. "You will use the spirometer for the first postoperative day only."
A. "Deep breathing exercises using spirometer will help prevent postoperative complications."
The LPN/LVN is caring for a client who had a total Laryngectomy, Left Radical Neck
Dissection, and tracheostomy. The client is receiving Nasogastric (NG) tube feedings via an
enteral pump. Today the rate of the feeding was increased from 50mL/hr to 75mL/hr. What
parameter should the nurse evaluate the client's tolerance to the rate of feeding?
A. Bowel sounds
B. Urinary and stool outputs
C. Gastric residual volumes
D. Daily weight
C. Gastric residual volumes
A client is admitted with a fever of undermined origin (FUO). During rounds, the nurse finds
the client diaphoretic, and the linens are damp. What should the nurse do first?
A. Change the bed linen to prevent chilling
B. Check the client's vital signs and pain scale
C. Assess the client for urinary incontinence
,D. Determine fluid intake for the past 8 hours
B. Check the client's vital signs and pain scale
Which client should the nurse assign to an unlicensed assistive personnel (UAP)?
A. An older male client with melena who is complaining of abdominal pain and needs a guaiac
test of a stool sample
B. A young adult experiencing flank pain and hematuria who needs all urine strained for stones
C. A client who has regular heart rate and after a pacemaker replacement now needs to ambulate
D. An elderly client with Right-Sided Hemiplegia and Receptive Aphasia who needs to be
transferred to the wheelchair
C. A client who has regular heart rate and after a pacemaker replacement now needs to ambulate
The LPN/LVN is administering the shingles vaccine to an older male- client who asks why he
should receive the immunization. Which information should the nurse provide?
A. A history of chickenpox indicates that the harbors the dormant virus
B. The client's last dose of adult immunizations was 10 years ago
C. A recent outbreak of fever blisters indicates reactivation of the virus
D. Multiple stressful personal experiences increase his risk of shingles
A. A history of chickenpox indicates that the harbors the dormant virus
In preparing a client for a lumbar puncture, what action should the nurse implement?
A. Assist the client to the bathroom to void
B. Apply a pulse oximeter to the client's finger
C. Teach the client to cough and deep breathing exercises
D. Ensure that the client has been NPO for six hours.
C. Teach the client to cough and deep breathing exercises
A client who had a lobectomy two days ago has 2 chest tubes, each attached to a water-sealed
drainage system, Pleur-Evac. The nurse observes that in the last 8 hours the serosanguineous
fluid has diminished to output in the drainage chamber. What is the most likely outcome of this
observation?
A. Removal of the lower chest tube, if a chest x-ray reveals no pleural accumulations
B. Change the Pleur-Evac system and re-assess output in the empty chamber
C. An increase in the prescribed suction force to facilitate-drainage of serosanguineous fluids
D. Advance the chest tube to ensure proper placement of the tip to enhance drainage
,B. Change the Pleur-Evac system and re-assess output in the empty chamber
While caring for a client who has been vomiting, the nurse notes that the client's breath has
developed a fruity odor. What assessment should the nurse perform first?
A. Auscultate the client's bowel sounds
B. Determine the client's capillary glucose
C. Observe the color of the client's urine
D. Measure the client's oxygen saturation
B. Determine the client's capillary glucose
The LPN/LVN is preparing to assist an elderly client to the bathroom. The nurse knows that an
elderly adult's center of gravity changes from the hips to another area of the body. Which area
of the body is the center of gravity for the elderly client?
A. Upper torso
B. Head
C. Feet
D. Upper extremities
A. Upper torso
A 60 year-old client with cancer of the liver is in Hepatic Coma and unresponsive. What should
the nurse say to family members who are inquiring about the condition of their loved one?
A. "Your loved one's condition is very critical, and there has been no response in the last 24
hours"
B. "The nurses have not been able to arouse the client and the healthcare provider knows the
outcome."
C. "You need to discuss the condition with the charge nurse in a family conference."
D. "The client's condition is extremely critical. Has your family made funeral arrangements?"
A. "Your loved one's condition is very critical, and there has been no response in the last 24
hours"
A client complains of kidney pain. The nurse understands that the kidneys are located where?
A. On the retroperitoneal posterior abdominal wall at the costovertebral angle
B. Within the curve of the duodenum, posterior to the spleen
C. Lateral to the stomach in the hypochondriac region
D. Superior aspect of the bladder in right and left iliac region
A. On the retroperitoneal posterior abdominal wall at the costovertebral angle
, The LPN/LVN receives report on an adult client who has a central intravenous (IV) infusion.
Where should the nurse observe when assessing the integrity of the access site?
A. Umbilical area of the abdomen
B. Antecubital fossae of the arm
C. Chest wall below the clavicle
D. Dorsal surface of the hand
C. Chest wall below the clavicle
The healthcare provider prescribes an IV solution of clindamycin (Cleocin) 850mg in 75 mL of
D2W to infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV
to deliver how many gtt/ minute? (Enter numeric value only. if rounding is required round to
the nearest whole number)
75mL X 15gtt/mL = 38 Correct Answer: 38
The LPN/LVN is administering a subcutaneous injection of epoetin (Epogen) to a client with
Chronic Kidney Disease (CKD). This medication is being administered to treat which
manifestation of CKD?
A. Anemia
B. Anuria
C. Hypotension
D. Edema
A. Anemia
The LPN/LVN is assigned to administer medications in a long-term care facility. A disoriented
resident has no identification band or picture. Prior to administering medications to this
resident, what is the best Nursing action?
A. Confirm the room and bed numbers with those on the medication record
B. Ask a regular staff member to confirm the residents identity
C. Hold the medication until a family member arrives
D. Re-orient the resident to name, place and situation.
B. Ask a regular staff member to confirm the residents identity
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