(NGN) HESI PN EXIT EXAM V1 QUESTIONS &
ANSWERS WITH RATIONALES BEST RATED A+
GUARANTEED SUCCESS NEW UPDATE 2024
The practical nurse (PN) is observing a client self-administering a dose if
subcutaneous insulin. 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
throughout the day may provide a varying rate of absorption related to
activity. Intra-site rotation is recommended for the dose used 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 PN take?
• 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 for
the radial pulse, follow the pinky for the brachial)
Rationale: When checking the radial pulse, the index and middle finger should
be aligned with the 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 minutes after
, 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;
we wouldn’t want 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 of
flavored gelatinand 1 banana. During the same shift, this client receives 1
liter 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 the practical 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 to help
you?”
Rationale: Explaining your comfortability is always okay because you don’t
want to jeopardize your 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 medical unit. Which client should the PN assign to the
unlicensed assistive personnel (UAP)? (Select all that apply.)
• Irrigate an indwelling urinary catheter for a client with bladder suspension
• Obtain a post-voided residual (PVR) volume
• Empty beside drainage unit for a client with indwelling urinary catheter
• Teach the client with fluid restrictions how to measure urine output
• Transport a urine culture sample to the laboratory
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