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HESI PN EXIT EXAM V3 LATEST VERSION 2024/25 140 QUESTIONS AND ANSWERS ||COMPLETE A+ GUIDE
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HESI PN EXIT EXAM V3 LATEST VERSION 2024/25 140 QUESTIONS AND ANSWERS ||COMPLETE A+ GUIDE
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HESI PN EXIT EXAM V3 LATEST VERSION 2024/25140 QUESTIONSAND ANSWERS ||COMPLETE A+
GUIDE
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with
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the additive NPH insulin. Which action should the nurse implement?
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A. Hang the solution at the current rate.
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B.Refrigerate the solution until needed.
F F F F F
C. Prepare the solution with new tubing.
F F F F F
D. Return the solution to the pharmacy.
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ANSWER: D Return the solution to the pharmacy.
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2) A male client has just undergone a laryngectomy and has a cuffed tracheostomy
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tube in place. When initiating bolus tube feedings postoperatively, when should the
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Fnurse inflate the cuff?
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A. Immediately after feeding F F
B.Just prior to tube feeding
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C.Continuous inflation is required F F F
D.Inflation is not required
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ANSWER: B Just prior to tube feeding F F F F F F
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
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rapid ventricular response. Based on this finding, the nurse anticipates assisting the
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physician with which treatment?
F F F F
A. Administer lidocaine,75 mg intravenous push. F F F F
B.Perform synchronized cardioversion.
F F F
C.Defibrillate the client as soon as possible. F F F F F F
D.Administer atropine, 0.4 mg intravenous push.
F F F F F F
,ANSWER: B Perform synchronized cardioversion.
F F F F
4) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of
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an ulcer on the heel of the left foot that has not healed with wound care. The nurse
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observes that the entire left foot is darker in color than the right foot. Which additional
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symptom should the nurse expect to find?
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A. Pedal pulses will be weak or absent in the left foot.
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B. The client will state that the left foot is usually warm.
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C. Flexion and extension of the left foot will be limited.
F F F F F F F F F
D.Capillary refill of the client's left toes will be brisk.
F F F F F F F F F F
ANSWER: A Pedal pulses will be weak or absent in the left foot.
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5) A client with cirrhosis develops increasing pedal edema and ascites.
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Which dietary modification is most important for the nurse to teach this client?
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A.Avoid high-carbohydrate foods.
F F
B.Decrease intake of fat-soluble vitamins.
F F F F
C.Decrease caloric intake. F F
D.Restrict salt and fluid intake.
F F F F
ANSWER: D Restrict salt and fluid intake.
F F F F F F
6) During report, the nurse learns that a client with tumor lysis syndrome is
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receiving an IV infusion containing insulin. Which assessment should the nurse
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complete first?
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A. Review the client's history for diabetes mellitus.
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B. Observe the extremity distal to the IV site.
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C. Monitor the client's serum potassium and blood glucose levels.
F F F F F F F F
D.Evaluate the client's oxygen saturation and breath sounds.
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,ANSWER: C Monitor the client's serum potassium and blood glucose levels.
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7) A resident in a long-term care facility is diagnosed with hepatitis B. Which
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intervention should the nurse implement with the staff caring for this client?
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A. Determine if all employees have had the hepatitis B vaccine series.
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B. Explain that this type of hepatitis can be transmitted when feeding the client.
F F F F F F F F F F F F
C.Assure the employees that they cannot contract hepatitis B when providing
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direct care.
F F
D.Tell the employees that wearing gloves and a gown are required when providing
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care.
F
ANSWER: A Determine if all employees have had the hepatitis B vaccine series.
F F F F F F F F F F F F
8) The LPN/LVN notes that the client's drainage has decreased from 50
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Fto 5 mL/hr 12 hours after chest tube insertion for hemothorax. What is the best
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initial action for the nurse to take?
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A. Document this expected decrease in drainage. F F F F F
B. Clamp the chest tube while assessing for air leaks.
F F F F F F F F
C.Milk the tube to remove any excessive blood clot buildup.
F F F F F F F F F F
D.Assess for kinks or dependent loops in the tubing.
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ANSWER: D Assess for kinks or dependent loops in the tubing.
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9) The nurse notes that a client who is scheduled for surgery the next morning
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has an elevated blood urea nitrogen (BUN) level. Which condition is most likely to
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have contributed to this finding?
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A. Myocardial infarction 2 months ago F F F F
B. Anorexia and vomiting for the past 2 daysF F F F F F F
C. Recently diagnosed type 2 diabetes mellitus
F F F F F
D. Skeletal traction for a right hip fracture
F F F F F F
, ANSWER: B Anorexia and vomiting for the past 2 days
F F F F F F F F F
10) The nurse is reviewing routine medications taken by a client with chronic
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angle closure glaucoma. Which medication prescription should the nurse question?
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A. Antianginal with a therapeutic effect of vasodilation F F F F F F
B.Anticholinergic with a side effect of pupillary dilation
F F F F F F F F
C.Antihistamine with a side effect of sedation
F F F F F F F
D.Corticosteroid with a side effect of hyperglycemia F F F F F F
ANSWER:B Anticholinergic with a side effect of pupillary dilation
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11) A 58-year-old client who has no health problems asks the nurse about
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receiving the pneumococcal vaccine (Pneumovax). Which statement given by the
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nurse would offer the client accurate information about this vaccine?
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A. The vaccine is given annually before the flu season to those older than 50 years.
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B. The immunization is administered once to older adults or those at risk for illness.
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C. The vaccine is for all ages and is given primarily to those persons
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traveling overseas to areas of infection.
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D. The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5
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years.
F
ANSWER: B The immunization is administered once to older adults or those at risk
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for illness.
F F
12) The nurse is assessing a male client with acute pancreatitis. Which finding
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requires the MOST immediate intervention by the nurse?
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A. The client's amylase level is three times higher than the normal level.
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B. While the nurse is taking the client's blood pressure, he has a carpal spasm.
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C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is at 7.
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D. The client states that he will continue to drink alcohol after going home.
F F F F F F F F F F F F
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