HESI EXIT V1 SCREENSHOT QUESTIONS
31."After administering pantoprazole to a client with gastroesophageal reflux disorder (GERD), which statement by the client indicates to the practical nurse (PN) that the medication is producing the desired effect?" A. I did not experience any heartburn after eating lunch B. I am unable to swallow all the food on my tray without difficculty C. I have a great appetite and am feeling really hungry D. I no longer need to strain to have a bowel movement
A. "I did not experience any heartburn after eating lunch."
50. "After change-of-shift report, the practical nurse (PN) makes rounds on a postoperative unit. Which client finding necessitates the immediate attention of the PN?" A. A client who is having bright red drainage from the rectum following a colonoscopy with polyp removal B. A client who has pink urine draining from the indwelling urinary catheter following a transurethral prostatectomy C. An older client whose blood pressure is 100/70 mm Hg after recieving meperfifine for pain related to a hip fracture D. A client who has brown green bile draining from a T-tube after a cholecystestomy
A. A client who is having bright red drainage from the rectum following a colonoscopy with polyp removal
34. "The practical nurse (PN) is assigned to care for a team of clients and is delegating tasks to the unlicensed assistive personnel (UAP). Which client on the PN's team is best for the UAP to assist with care activities?" A. A client with paraplegia who is transferring to a skilled nursing facility tomorrow B. A client with terminal caner who is recieving continuous morphine infusion C. A client with metastalic breast cancer who wants to make funeral arrangmnets D. A newly admitted older adult client who had a hip replacement surgery yesterday
A. A client with paraplegia who is transferring to a skilled nursing facility tomorrow
107. The practical nurse (PN) should recognize that immunosuppressed clients are likely to exhibit which symptom during the early stage of the disease? A. A persistent common cold B. Enlarged spleen C. Weight loss D. Decreased blood pressure
A. A persistent common cold.
10. The practical nurse (PN) is making a home visit to an older adult client who was recently diagnosed with Herpes zoster. The client reports the onset of severe burning pain along the right side of the trunk. Which action should the PN take?" A. Administer a prescribed PRN dose of analgesic B. Notify the nursing supervisor of the uncontrolled pain C. Give the next prescribed dose of antiviral medication D. Obtain an oxygen tank for home administration
A. Administer a prescribed PRN dose of analgesic
49. "The practical nurse (PN) is feeding a 2-month-old infant with heart failure (HF) due to a ventricular septal defect (VSD). Which intervention should the PN implement?" A. Allow infant to rest before feeding B. Feed the infant when it cries C. Weigh before and after feeding D. Insert a nasogastric feeding tube
A. Allow infant to rest before feeding
39. "A client receives new prescriptions at 1000 that include discontinuing IV fluids and IV antibiotics. Which prescription should the practical nurse (PN) administer at 1300?" A. Amoxicillin 500 mg PO every 8 hours B. Linsopril 5 mg PO every day C. Pantoprazole 40 mg PO every day D. Metoformin 1,000 mg PO twice a day
A. Amoxicillin 500 mg PO every 8 hours.
54. "A clear liquid diet is prescribed the first postoperative day for a client who had an abdominal hysterectomy. What choice(s) should the practical nurse (PN) provide for this client? Select all that apply. A. Clear carbonated drinks and apple juice B. Cream of chicken soup and milk C. Vanilla and ice cream and pureed peaches D. Chocolate milkshake and custard pudding E. Popsicle and beef bouillon broth
A. Clear carbonated drinks and apple juice. E. Popsicle and beef bouillon broth
91. the initial postoperative dressing and drain, the practical nurse (PN) should implement the following actions select all that apply: A. Compress the drainage device before closing the tab. B. Document the appearance of the wound as inflamed. C. Report the appearance of the dressing to the charge nurse
A. Compress the drainage device before closing the tab. B. Document the appearance of the wound as inflamed. C. Report the appearance of the dressing to the charge nurse
22. "The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. What follow-up action(s) should the PN implement? Select all that apply. A. Compress the drainage device before closing the tab. B. Report the appearance of the dressing to the charge nurse. C. Clamp the drainage tubing for the next few hours D. Document the apperance of the wound as inflamed
A. Compress the drainage device before closing the tab. B. Report the appearance of the dressing to the charge nurse.
28."Which is the first intervention for the practical nurse (PN) to implement when a client refuses to take a prescribed medication?" A. Determine the client's reason for refusing the medication B. Explain to the client that the potential harm in not taking the medication C. Document the client's refusal on the MAR D. Instruct the client about the purpose of the medication
A. Determine the client's reason for refusing the medication
51. "Before administering a scheduled dose of insulin to a 10-year-old child who is learning diabetic self-care, which information is most important for the practical nurse (PN) to ask the child?" A. Did the child perform a fingerstick? B. Has the child eaten recently C. When did the child last urinate D. How much did the child excercise today
A. Did the child perform a fingerstick?
117.A client is diagnosed with Clostridium difficile. Which action should the practical nurse (PN) implement to prevent the spread of the organism? A. Don non-sterile gloves when performing direct care. B. Keep the door closed to the clients room C. Wear a particulate respirator D. place a surgical mask on the client dduring transport
A. Don non-sterile gloves when performing direct care.
2. "The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate nasal spray prescribed for the client's allergy symptoms. While reinforcing instructions about self-administration of the nasal spray, the PN should emphasize the need for the client to take which action before self-administration?" A. Gently blow the nose B. Check glucose level before and after administration C. Exhale through the mouth D. Deep breathe and cough
A. Gently blow the nose
43. "The practical nurse (PN) is providing care for a client who is receiving an IV antibiotic to treat an infection. Which assessment finding requires immediate action by the PN? A. Hives with pruritus B. Dry mouth with thirst C. Low grade fever with diaphoresis D. Warm skin with elastic turgor
A. Hives with pruritus.
35. "An older adult client is 12 hours postoperative for a hernia repair and suddenly becomes agitated, staggers out into the corridor, and demands to be set free. After helping the unlicensed assistive personnel (UAP) with assisting the client back to bed and then administering pain medication, which intervention is best for the practical nurse (PN) to implement?" A. Instruct the UAP to keep the upper side rails up and check on the client every 15 minutes until the client is resting B. Notify the healthcare provider and request a prescription for restraints to minimize the clients danger to self C. Administer a prescribed narcotic antagonist to reverse the effects of any analgesic accumulation D. Raise the side rails and notify the family to come and stay until the client is reoriented and cooperative
A. Instruct the UAP to keep the upper side rails up and check on the client every 15 minutes until the client is resting
15. "The practical nurse (PN) is caring for a 9-month-old infant with developmental dysplasia of the hip (DDH) after a closed reduction and hip spica cast application. After application of the cast, which is the most important intervention in caring for the infant?" A. Monitor the distal toes every 2 hours for movement, sensation, and circulation. B. Use of the abduction bar as a turning fakrun for supine to prone positioning C. Maintain a reverse trendelenburg position to elevate the head D. Protect the cast at the perineal inlet from urine contamination
A. Monitor the distal toes every 2 hours for movement, sensation, and circulation.
37. "What finding(s) can the practical nurse (PN) determine by palpating a client's skin? Select all that apply." A. Perspiration. B. Warmth. C. Cyanosis D. Pallor
A. Perspiration. B. Warmth.
57. "What finding(s) can the practical nurse (PN) determine by palpating a client's skin? Select all that apply." A. Perspiration B. Itching C. Pallor D. Cyanosis E. Warmth.
A. Perspiration. E. Warmth.
4. "Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The practical nurse (PN) should caution the unlicensed assistive personnel (UAPs) caring for these clients to observe for which effect because it places the clients at risk for falls? A. Pupillary constriction B. Increased heart rate C. Conjunctival redness D. Elevated blood pressure
A. Pupillary constriction
60. "The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery. Which finding should the PN report immediately to the charge nurse? A. Rubra lochia saturating three perineal pads per hour B. Firm fundis between umbilicus and the symphysis pubis C. Troubleded by perineal paim D. Heart rate of 90 bpm
A. Rubra lochia saturating three perineal pads per hour
103. The practical nurse (PN) applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved? A. Scaly areas of the skin appear softer with less peeling. B. A full range of motion without pain of lower extremities C. Affected areas are free of localized redness and swelling D. No pruluvent drainage from lesions on the legs
A. Scaly areas of the skin appear softer with less peeling.
102. A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply. A. Seek a safe place if sensing dizziness or sensory disturbances. B. Generic medications are safe to substitute for name brands C. Avoid flashing lights and excessive visual stimuli. D. Stay well rested and avoid a large caffeine intake
A. Seek a safe place if sensing dizziness or sensory disturbances. C. Avoid flashing lights and excessive visual stimuli. D. Stay well rested and avoid a large caffeine intake
41. "The practical nurse (PN) is completing a focused assessment on a client who is prescribed oxygen at 3 L/minute via nasal cannula. Which assessment finding by the PN requires immediate action?" A. The flowmeter shows 1 liter of oxygen being delivered B. The client is lying in a supine position in the bed C. There is no humidifier attatched to the delivery system D. The cannula is pressed stingly against the clients cheeks
A. The flowmeter shows 1 liter of oxygen being delivered
17. "Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis?" A. Weigh the child daily. B. Administer vitamin supplements C. Promote complete bedrest D. Encourage fluid intake
A. Weigh the child daily.
13. "The practical nurse (PN) is assisting the nurse with the admission physical assessment of a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhibit? Select all that apply. A. Dyspnea. B. Bradycardia C. Lung crackles. D. Edema E. Painful cough.
A.Dyspnea. C. Lung crackles. E. Painful cough.
70. "A client is admitted with a hemothorax following a motor vehicle collision, and the surgeon inserts a chest tube that is attached to a chest drainage system with suction at 20 cm water pressure. The practical nurse (PN) observes that the suction chamber fluid level is at 15 cm. Which action should the PN implement to ensure effective functioning of the chest drainage system? A. Suction at the wall units should be increased to enhance the velocity of tubbing B. Additional sterile water should be added to the suction chamber to the 20 cm level. C. The chest tube should be irrigated with 20 ml saline to ensure patency D. The tubing should be manipulated until the chest drainage collects in the chamber
B. Additional sterile water should be added to the suction chamber to the 20 cm level.
68. When administering carisoprodol, a centrally acting skeletal muscle relaxant, to a client with painful muscle spasms, which action by the practical nurse is most important?" A. Ask the client about any change in normal sleeping patterns B. Advise the client to change positions and stand up slowly C. Instruct the client to report the onset of a headache D. Encourage the client to rest after self care activities
B. Advise the client to change positions and stand up slowly
59. "A client receives new prescriptions at 1000 that include discontinuing IV fluids and IV antibiotics. Which prescription should the practical nurse (PN) administer at 1300?" A. Pantoprazole 40 mg PO every day B. Ampicillin 500 mg PO every 8 hours. C. Lisinopril 5 mg PO every day D. Metformin 1,000 mg PO twice daily
B. Ampicillin 500 mg PO every 8 hours.
12. "A client experiences a muscle strain or sprain to the ankle. Which intervention should the practical nurse (PN) implement for an acute soft tissue injury?" A. Provide passive range of motion excercises to the ankle every 2 hours B. Apply ice to the injured site at 15-minute intervals for the first 24 hours. C. Apply a continous heat source such as a heting pad D. Exert pressure proximal to the injury site for 15 minutes
B. Apply ice to the injured site at 15-minute intervals for the first 24 hours.
53. "A client experiences a muscle strain or sprain to the ankle. Which intervention should the practical nurse (PN) implement for an acute soft tissue injury? A. Apply a continuous heat source, such as a heating a pad B. Apply ice to the injured site at 15-minute intervals for the first 24 hours. B. Apply ice to the injured site at 15-minute intervals for the first 24 hours C. Exert pressure proximal to the injury site for 15 minutes D. Provide passive range of motion excercises of the ankle every 2 hours
B. Apply ice to the injured site at 15-minute intervals for the first 24 hours.
"The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appearance, and has a foul odor. Which assessment should the PN complete next?"
B. Ask the client about urinary frequency
118. A clear liquid diet is prescribed the first postoperative day for a client who had an abdominal hysterectomy. What choice(s) should the practical nurse (PN) provide for this client? Select all that apply. A. Chocolate milkshale and custard pudding B. Clear carbonated drinks and apple juice C. Vanilla ice cream and peaches D. Cream of chicken soup and milk E. Popsicle and beef bouillon broth
B. Clear carbonated drinks and apple juice E. Popsicle and beef bouillon broth
114. The practical nurse (PN) is monitoring a client's neurologic status following a closed head injury. What assessment(s) should be included? Select all that apply. A. Cartoid pulse rate B. Consciousness level C. Vital sign measurement D. Pupillary reactions E. Jugular vein distention
B. Consciousness level C. Vital sign measurement D. Pupillary reactions
26. "A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. While approaching the client, which intervention should the practical nurse (PN) implement first?" A. Explain daily schedule of unit activities B. Describe functions of the practical nurse C. Offer the client a PRN medication D. Review client rights of hospitalization
B. Describe functions of the practical nurse (PN)
56 A client is diagnosed with Clostridium difficile. Which action should the practical nurse (PN) implement to prevent the spread of the organism?" A. Keep the door closed to the clients room at all times B. Don non-sterile gloves when performing direct care. C. Wear a particulate respirator mask when in the room D. Place a surgical mask on the client during transport
B. Don non-sterile gloves when performing direct care.
106. The practical nurse (PN) is reinforcing discharge information provided to a client who received an intraocular lens implant. Which comment indicates that additional teaching is necessary? A. Prescription glasses may still be required B. Driving a motor vehicle can resume a week after discharge C. A night eye shield that is metal may be worn D. Light activity like walking is permitted
B. Driving a motor vehicle can resume a week after discharge
3. "An older adult client who resides in a long-term care facility has a friend of the opposite sex who often visits in the evenings. The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. Which action should the PN take?" A. Report the incident to the family B. Exit the room and quietly close the door. C. Ask when the nurse should return D. Request that the friend get up and leave
B. Exit the room and quietly close the door.
86. The most important instruction for the practical nurse (PN) to emphasize to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client with a continuous feeding via a gastrostomy tube (GT) is: A. Raise the entire bed while bathing the client B. Keep the head of the bed raised while the tube feeding is infusing C. Use plenty of pillows
B. Keep the head of the bed raised while the tube feeding is infusing
33. "A newborn is choking and turning cyanotic with the first sips of sterile water. The healthcare provider prescribes x-rays and explains that the newborn may have a tracheoesophageal fistula (TEF). Which intervention should the practical nurse (PN) implement until the diagnosis of TEF is confirmed?" A. Insert an nasogastric tube and give feedings via gastic after xray confirmation B. Keep the infant NPO and place in a supine position with the head of the crib elevated 30 degree C. Administer oxygen, suction PRN, and turn the newborn from supine to prone position D. Offer sterile water per nippler and moisten the oral mucosa then place the infant in prone position
B. Keep the infant NPO and place in a supine position with the head of the crib elevated 30 degree
44. "The practical nurse (PN) administers an opioid analgesic to a client with incisional pain. Thirty minutes later, the client's respirations decrease from 16 to 8 breaths/minute. What additional assessments should the PN complete before reporting the finding to the charge nurse? Select all that apply." A. Urinary output B. Level of consciousness. C. Oxygen saturation. D. Wound apperance E. Range of motion
B. Level of consciousness. C. Oxygen saturation.
55. "The practical nurse (PN) is caring for a 17-year-old client who fell 20 feet while climbing the side of a cliff and has been in a sustained vegetative state for 5 months since the accident. Which intervention should the PN implement? A.Talk directly to the adolescent while providing care B. Monitor vital signs and neurological status every 2 hours. C. Inquire about food allergies and food likes and dislikes D. Initiate open communication with the teens parent
B. Monitor vital signs and neurological status every 2 hours.
61. "The practical nurse (PN) overhears a client with Cushing's syndrome tell family in a very loud and angry voice to leave the room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome? A. Memory loss B. Mood alterations C. Impaired cognition D. Hearing loss
B. Mood alterations
25."The practical nurse (PN) is reviewing results of a client's urinalysis. What results indicate problems and should be reported by the PN to the healthcare provider? Select all that apply. A. Negative for ketone bodies B. Positive for albumin or protein. C. Clear, straw colored appearance D. Slightly acidic PH E. Bacteria present. F. Large count of red blood cells
B. Positive for albumin or protein. E. Bacteria present. F. Large count of red blood cells
14. "The practical nurse (PN) is working with a newly hired PN on a medical-surgical unit. Which action performed by the newly hired PN requires intervention by the PN?" A. Requesting client to sign their na,e on a roster at the front desk B. Posting client names and healthcare providers on hospital room doors C. Infroming clergy that a church member has been admitted to the facility D. Providing heathcare information by report to the client's physical therapist
B. Posting client names and healthcare providers on hospital room doors
85. For a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies, semi-consciousness, stable vital signs, and crying out in pain when turned or moved, with a fentanyl patch in place, the most appropriate intervention for the practical nurse (PN) to implement is: A. Give a complete bed bath to further assess the client B. Remove the fentanyl patch as directed by prescription C. Call for ambulance transportation into the hospital D. Discuss end of life descisons
B. Remove the fentanyl patch as directed by prescription
79. which finding indicates the desired effect has been achieved after applying a keratolytic preparation to both legs of a client with psoriasis A. A full range of motion without pain of lower extremity joints B. Scaly areas of the skin appear softer with less peeling C. Affected areas are free of localized redness and swelling D. No purulent drainage present from lesions on the legs
B. Scaly areas of the skin appear softer with less peeling
71 "The practical nurse (PN) places a fall precautions sign on the client's door. What side effects of morphine could contribute to this client's fall risk? Select all that apply." A. Seizures B. Sedation C. Itching D. Euphoria C. Urinary retention E. Orthostatic hypotension F. Orthostatic hypotension
B. Sedation F. Orthostatic hypotension
21. "A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How should the PN respond?" A. It is normal to have some fears before surgery B. Tell me what is making you feel afraid. C. I was afraid before I had surgery too D. Would you like to speak with the surgeon
B. Tell me what is making you feel afraid.
32. "The practical nurse (PN) finds a client who is assigned to another nurse bleeding from an IV site and the IV tubing and fluid are on the floor. The PN immediately applies a dressing to stop the bleeding. Which action should the PN take next?" A. Complete the shift documentation for this client and include the findings B. Tell the nurse assigned to the client about the event so the findings can be recorded C. Inform the charge nurse that the findings indicate that the client pulled out the IV D. Enter computer documentation of the finding and the application of a dressing
B. Tell the nurse assigned to the client about the event so the findings can be recorded
47. "The practical nurse (PN) stops at a motor vehicle collision site to render aid until the emergency personnel arrive, and applies pressure to a groin wound that is bleeding profusely. Which act protects the PN from liability as long as the care provided is performed in a reasonable and prudent manner?" A. The standards of practice for practical nurses B. The Good Samaritan Act C. The Practical Nurse Cod of Ethics D. The Patient's Bill of Rights
B. The Good Samaritan Act
58. "The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older adult client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPs need additional information about the turning procedure? A. A turning sheet is used B. The client is told to keep both legs straight and together while turning C. The UAPs keep their backs straight and knees bent when moving the patient D. An abduction pillow is placed between the clients legs when positioning
B. The client is told to keep both legs straight and together while turning.
40."The parent of an 8-year-old client tells the practical nurse (PN) that the child fell out of a tree and hurt the arm and shoulder. Which assessment finding should the practical nurse (PN) note as the most significant indicator of possible child abuse?" A. The child cries while treatment is applied to multiple abrasions B. The story of the injury given by the parent differs from the child's C. The parent refuses to answer questions about family history D. The nurse observes the child is looking doen when answering questions
B. The story of the injury given by the parent differs from the child's
6. "The practical nurse (PN) is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?" A. Disposable gloves B. gloves C. Face Mask D. Cap
B. gloves
120. A chronically depressed older adult resident of a long-term care facility has become more reclusive and today refuses to leave the room. The resident's family has moved away and is unable to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be most helpful to this client? A. Why do you want to stay in your room today B. Come in the rec room we will play your faviorite game C. May I sit with you for a while?
C. "May I sit with you for a while?
19"An older adult female resident of a long-term care facility experiences frequent episodes of urinary incontinence. Which focused assessment is most important for the practical nurse (PN) to perform regularly in response to the resident's incontinence?" A. Ability to perform Kegel excercises B. Sleep and rest pattern routines C. Appearance of skin in perineal area D. Fluctuation of skin in perineal area
C. Appearance of skin in perineal area
27. "While performing morning care, the practical nurse (PN) notes that an older adult client has a dark tan on the arms and face. When questioned about it, the client reports pleasure from gardening. Which action is most important for the PN to encourage this client to take?" A. Use skin lotion to exposed areas to decrease loss of skin elacticity B. Avoid sun exposure by gardening after the sun goes down C. Apply a sunscreen of at least a sun protection factor (SPF) of 15 while outdoors. D. Wear a baseball cap and gloves while gardening
C. Apply a sunscreen of at least a sun protection factor (SPF) of 15 while outdoors.
98. An older adult client is admitted with syncope and laboratory findings indicate a hemoglobin of 8.0 g/dL (80 g/L). The client has a recent history of headaches and frequent falls. Admission prescriptions include continuation of all home medications. Which medication should the practical nurse (PN) withhold until consulting with the charge nurse? A. Calcium citrate B. Docusate sodium C. Aspirin (ASA) D. Levothyroxine
C. Aspirin (ASA)
101. The practical nurse (PN) is assisting with the admission of a client with complications of left-sided heart failure. Which focused assessment should the PN implement first? A. Mood and effect B. Chest pain C. Bilateral lung sounds D. heart sounds
C. Bilateral lung sounds
46. "Twenty-four hours after receiving a telephone prescription for a client's medication, the practical nurse (PN) observes that the prescription has not been signed by the prescriber, which conflicts with agency policy. Which action should the PN take?" A. Continue to administer the medication as initially presribed B. Discontinue the medication immediatelt C. Contact the prescriber for a renewal of the prescription D. Hold the next dose of medication and assess the client
C. Contact the prescriber for a renewal of the prescription
110. While obtaining a series of stool specimens for occult blood, which instructions should the practical nurse (PN) provide the client? A. Discard the first specimen obtained collect the next three B. Record the time of day that the specimen was collected C. Defecate into the container separately from urinating in the toilet. D. All three specimens will be collected after an enema is given
C. Defecate into the container separately from urinating in the toilet.
97. The practical nurse (PN) should perform oral suctioning for a client with which problem? A. Dysphasia B. Atelectasis C. Dysphagia D. Gastric reflux
C. Dysphagia
30. "A client attends a community support program for mentally impaired and chemical abusing clients. The client tells the practical nurse (PN) that the client's drugs of choice are cocaine and heroin. Which is the greatest health risk for this client?" A. Glaucoma B. Diabetes C. Hepatitis D. Hypotension
C. Hepatitis
45."The practical nurse (PN) is caring for a 17-year-old client who fell 20 feet while climbing the side of a cliff and has been in a sustained vegetative state for 5 months since the accident. Which intervention should the PN implement?" A. Inquire about food allegies and food likes and dislikes B. Initiate open communication with the teens parents C. Monitor vital signs and neurological status every 2 hours D. Talk directly to the adolescent while providing care
C. Monitor vital signs and neurological status every 2 hours
36. "A client who is receiving a statin medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN takes priority?" A. Encourage the client to drink fluids B. Administer a PRN dose of acetaminophen C. Report the findings to the charge nurse D. Monitor the client's serum lipid levels
C. Report the findings to the charge nurse
8. "The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery. Which finding should the PN report immediately to the charge nurse?" A. Firm fundus between umbillicus and the symphysis B. Heart rate of 90 bpm C. Rubra lochia saturating three perineal pads per hour. D. Pelvical pain
C. Rubra lochia saturating three perineal pads per hour.
43. "A client who is admitted to the hospital for depression is escorted to a private room. Prior to leaving the room, which intervention is most important for the practical nurse (PN) to implement?" A. Initiate psychosocail assessment B. Review the healthcare provider's perscriptions C. Search all personal belongings D. Explain the program guidelines
C. Search all personal belongings
9. Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?" A. You can always wear clothing to cover the scar B. I have heard that rubbing cocoa butter on the scar can help C. Tell me more about your concerns regarding an abdominal scar D. I know you are frightened about how your scar will appear
C. Tell me more about your concerns regarding an abdominal scar
38. Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel (UAP) assisting with the care of a client following a lumbar puncture?" A. Let me know if there is a significant change in the vital signs B. It is important to monitor the appearance of the puncture site C. Report any change in the clients dental circualtion D. Be sure to keep the client supplied with plenty of fluids.
D. "Be sure to keep the client supplied with plenty of fluids."
99. A 4-year-old client returned to the day surgery unit after an inguinal herniorrhaphy and has remained stable for the last four hours. The child is taking PO liquids without any nausea, and the parent wants to take the client home. Which finding is most important for the practical nurse (PN) to obtain before discharging the client? A. Prescence of bowel sounds B. Ambulation tolerance C. Testes in the sscrotal sac D. Ability to void.
D. Ability to void.
20."Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?" A. Explains the axamination and ask the client to sign the cinsent form B. Explains to a family member and obtain their signature on the consent form C. Checks the medical record for the correct signed consent from prior to the examination D. Asks if the client understands the exam and why the consent form must be signed
D. Asks if the client understands the exam and why the consent form must be signed
99. Twenty-four hours after receiving a telephone prescription for a client's medication, the practical nurse (PN) observes that the prescription has not been signed by the prescriber, which conflicts with agency policy. Which action should the PN take? A. Continuw to administer the medication B. Hold the next dose of the medication C. Discontinue the medication D. Contact the prescriber for a renewal of the prescription
D. Contact the prescriber for a renewal of the prescription
48. "A client with cholelithiasis is choosing the evening meal. Which dessert is best for the practicalnurse (PN) to recommend to this client?" A. Banana cream pie B. Cake with whipped cream C. Ice cream D. Cookies
D. Cookies
52. "While obtaining a series of stool specimens for occult blood, which instructions should the practical nurse (PN) provide the client?" A. Record the time of day that each specimen was obtained B. All three specimen will be collected after an enema is given C. Discard the first specimen obtained, then collect the next three D. Defecate into the container separately from urinating in the toilet
D. Defecate into the container separately from urinating in the toilet
5. Which action by a practical nurse (PN) indicates the best understanding of the principles related to medical asepsis and effective handwashing?" A. Dry the hands above the wrists first to dry from clean to dirty B. Use antibacterial hand gel instead of handwashing between clients C. Turn the water volume to a low level to decrease splashing. D. Hold the hands lower than the elbows to promote microbe removal
D. Hold the hands lower than the elbows to promote microbe removal
29. "During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to the pregnancy informs the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?" A. Identify current sexual patterns so that they can be evaluated B. Assess her feeligns about therapeutic abortions in the event the newborn has been effected C. Determine of the client has take acyclovir for this outbreak D. Instruct her to avoid sexual intercourse while active, visible lesions are present
D. Instruct her to avoid sexual intercourse while active, visible lesions are present
42. "The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which instruction is most important for the PN to emphasize?" A. Raise the entire bed while bathing the client to reduce back strain B. Report any drainage observed around the GT insertion site C. Use plenty of pillows to potiion the client on the side while bathing D. Keep the head of the bed raised while the tube feeding is infusing.
D. Keep the head of the bed raised while the tube feeding is infusing.
24. A client with a chronic medical condition tells the practical nurse (PN) of not wanting any heroics to prolong the client's life if anything should happen. Which action should the PN take? A. Complete an advance directive form and place it in the medical record B. Place a do DNR sign outside the clients foor and at the bedside C. Reasure the client that life saving measures will not be taken D. Notify the client's healthcare provider of the client's wishes as soon as possible.
D. Notify the client's healthcare provider of the client's wishes as soon as possible.
95. A newborn infant is prescribed an immunization prior to discharge. Which action should the practical nurse (PN) take? A. Ask the parents if they want the infant to be immunized B. Give the first dose of the roctavirus caccine C. Prepare the first dose D. Obtain signed consent from the parents for administration of Hepatitis B vaccine
D. Obtain signed consent from the parents for administration of Hepatitis B vaccine
11. "When preparing to change a client's sterile dressing, the practical nurse (PN) opens a package of gauze pads as seen in the picture. Which action should the PN take next?" A. Apply a new pair of gloves B. Secure the gauze pads over the insicion C. Obtain more dressings from the supply room D. Pick up pads and place on a sterile field
D. Pick up pads and place on a sterile field
115. A client tells the practical nurse (PN) of being afraid of getting cancer so the client plans to quit smoking cigarettes by switching to a smokeless tobacco product. How should the PN respond? A. Dim the lights in the room and close the door B. Turn the TV on in the clients room C. Guide the client through slow rythmic breahting D. Provide information to the client about risks associated with smokeless tobacco.
D. Provide information to the client about risks associated with smokeless tobacco.
93. A client who is receiving a statin medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN takes priority? A. Monitor the clients serum lipid levels B. Administer a PRN dose of tylenol C. Encpurage liquids D. Report the findings to the charge nurse
D. Report the findings to the charge nurse
16. The practical nurse (PN) turns a client with right-sided paralysis from a supine to a left lateral position. Which bony prominence is most likely to manifest signs of erythema when first turned?" A. Lateral malieoulous B. Ischial tuberculos C. Iliac crest D. Sacrum
D. Sacrum
92. The practical nurse (PN) is reassessing the bandage change technique of a client with a left leg mid- thigh amputation. Which observation requires further reinforcement by the PN? A. Holds the bandage roll in the dominant hand B. Rewraps at intervals to maintain tension C. Uses spiral turns beggining at distal end D. Smoothes the bandage when wrapping
D. Smoothes the bandage when wrapping
113. A client at 39 weeks gestation is admitted in early labor. During the focused assessment, the practical nurse (PN) reviews the obstetrical history with the client who reports that she has been pregnant five times but has only two living children, both of whom were full term. The other three pregnancies were miscarriages during the first trimester. Which parity should the PN document for term, premature, abortion, and living children (TPAL) for this client? A. Term 2, Premature 0, Abortion 0, Living 2 B. Term 4, Premature 1, ABortion 4 D. Term 2, Premature 0, Abortion 3, Living 2
D. Term 2, Premature 0, Abortion 3, Living 2
75. the practical nurse (PN) should request from a client who has a low serum sodium level of 125 mEq/L (125 mmol/L). A. The amount of salt substitute used in meal preperation B. The number of vegtable servings consumed daily C. The percent of processed canned foods D. The amount of ice chips and water consumed daily
D. The amount of ice chips and water consumed daily
18. "The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older adult client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPs need additional information about the turning procedure? A. An abduction pillow is placed between the clients leg when positioned B. The UAP's keep their backs straight and knees bent when moving the client C. A turning sheet is used under the client for turning and repositioning D. The client is told to keep both legs straight and together while turning.
D. The client is told to keep both legs straight and together while turning.
7. "The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?" A. Palpate skin beats B. Measuring pulse C. Light preassure applied to pulse D. Thready pulse volume
D. Thready pulse volume
23. "A client is being treated for chronic kidney disease (CKD). On examination, the client has an elevated blood pressure and is exhibiting changes in mental status. Which intervention in the plan of care should the practical nurse (PN) implement? A. Use a cusion when sitting B. Document abdominal girth C. Perform range of motion D. Weigh every morning
D. Weigh every morning
