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2024 NGN HESI PN EXIT V 3 EXAM with 75 Questions and Answers (Verified Revised Full Exam) 1. • The practical nurse ( PN ) is observing a client self - administering a dose if subcutaneousinsulin . What step of the injection technique should the practical nurse ( PN ) reteach ? a . 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 ANS: Selects the same site that was used for the previous injection 2. The birth weight of an infant delivered by a woman with gestational petes 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 Sl units ) 30 minutes after birth . Based on this information , which intervention should the practical nurse ( PN ) implement first ? a . Repeat the heel stick for glucose in one hour b . Offer nipple feedings of 10 % dextrose c . Begin frequent feedings of breast milk or formula d . Assess for signs hypocalcemia ANS: c . Begin frequent feedings of breast milk or formula 3. • 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 ? a . " You should kn ow that I cannot administer the medication in this syrin ge " b . " As long as the charge nurse checks the syringe , I can give the medication " c . " Teamwork is the best approach . I will be glad to help you get caught up " d . " I am not comfortable doing that . Is there something else I can do to help you ? " ANS: d . " I am not comfortable doing that . Is there something else I can do to help you ? " 4. Which intervention should the practical nurse ( PN ) reinforce for a client with pruritis ? a Encourage a warm sleeping environment b . Do not take any type of tub bath . C. Discourage use skin lubricants D. Keep fingernails trimmed short ANS: D. Keep fingernails trimmed short 5. • While administering prescription medications to an older resident in an extended care facility , the practical nurse ( PN ) notices that the client is having difficulty hearing . What action is most important for the PN to take ? a . Speak louder so the client can hear the conversation b . Encourage the client to read the practical nurse's lipst c . Provide written instructions about how to take medications d . Determine if the client has had difficulty in the past ANS: d . Determine if the client has had difficulty in the past 6. • In caring for a client with Buck's traction , the practical nurse ( PN observes that the prescribed amount weights are hanging freely , and the traction rope is on the pull ey.Whi ch action should the PN implement fi rst ? a . Adjust the traction rope so it is free from the pulley . b . Place the weights on blocks to increase their stability c . Contact the orthopedic technician to adjust the traction E. Document that the Buck's traction is being maintained ANS: D. Document that the Buck's traction is being maintained 7. The practical nurse ( PN ) observes hematuria in the urinary catheter drainage tubing of aclient who is receiving intravenous heparin Which action should the PN implement first ? a . Obtain a urine specimen for urinalysis b . Check the client's gums for bleeding c . Document the finding in the client's medical record d . Irrigate the urinary catheter with sterile normal saline ANS: b . Check the client's gums for bleeding 8. ÏThe practical nurse ( PN ) explains the 2 - week dosage prescription of
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