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HESI PN EXIT V3 EXAM 140 QUESTIONS AND ANSWERS A+ GRADE VERIFIED
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HESI PN EXIT V3 EXAM 140 QUESTIONSAND ANSWERS A+ GRADE 2024/2025
VERIFIED
• The LPN/LVN receives the patient's next scheduled bag of TPN labeled
with the additive NPH insulin. Which action should the nurse implement?
A.Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C.Prepare the solution with new tubing.
D.Return the solution to the pharmacy.
Correct Answer: D Return the solution to the pharmacy.
• A male patient has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings postoperatively,
when should the nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
• A patient on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapidventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A.Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the patient as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
Correct Answer: B Perform synchronized cardioversion.
,• A 63-year-old patient with type 2 diabetes mellitus is admitted for treatment
of anulcer on the heel of the left foot that has not healed with wound care. The
nurse observes that the entire left foot is darker in color than the right foot. Which
additional symptom should the nurse expect to find?
• Pedal pulses will be weak or absent in the left foot.
• The patient will state that the left foot is usually warm.
• Flexion and extension of the left foot will be limited.
• D.Capillary refill of the patient's left toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
• A patient with cirrhosis develops increasing pedal edema and ascites.
Whichdietary modification is most important for the nurse to teach this patient?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
• During report, the nurse learns that a patient with tumor lysis syndrome is
receiving an IV infusion containing insulin. Which assessment should the nurse
complete first?
• Review the patient's history for diabetes mellitus.
• Observe the extremity distal to the IV site.
• Monitor the patient's serum potassium and blood glucose levels.D.Evaluate
the patient's oxygen saturation and breath sounds.
Correct Answer: C Monitor the patient's serum potassium and blood glucose
levels.
,• A resident in a long-term care facility is diagnosed with hepatitis B. Which
intervention should the nurse implement with the staff caring for this patient?
A.Determine if all employees have had the hepatitis B vaccine series. B.Explain
that this type of hepatitis can be transmitted when feeding the patient.C.Assure the
employees that they cannot contract hepatitis B when providing direct care.
D.Tell the employees that wearing gloves and a gown are required when providing
care.
Correct Answer: A Determine if all employees have had the hepatitis B vaccine
series.
• The LPN/LVN notes that the patient's drainage has decreased from 50 to 5
mL/hr12 hours after chest tube insertion for hemothorax. What is the best initial
action for the nurse to take?
• Document this expected decrease in drainage.
• Clamp the chest tube while assessing for air leaks.
C.Milk the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing.
Correct Answer: D Assess for kinks or dependent loops in the tubing.
• The nurse notes that a patient who is scheduled for surgery the next
morning hasan elevated blood urea nitrogen (BUN) level. Which condition is most
likely to have contributed to this finding?
A.Myocardial infarction 2 months ago
B.Anorexia and vomiting for the past 2 days
C.Recently diagnosed type 2 diabetes mellitus
D.Skeletal traction for a right hip fracture
Correct Answer: B Anorexia and vomiting for the past 2 days
• The nurse is reviewing routine medications taken by a patient with chronic
angleclosure glaucoma. Which medication prescription should the nurse question?
, A.Antianginal with a therapeutic effect of vasodilation
B.Anticholinergic with a side effect of pupillary dilation
C.Antihistamine with a side effect of sedation
D.Corticosteroid with a side effect of hyperglycemia
Correct Answer:B Anticholinergic with a side effect of pupillary dilation
• A 58-year-old patient who has no health problems asks the nurse about
receiving the pneumococcal vaccine (Pneumovax). Which statement given by the
nurse would offer the patient accurate information about this vaccine?
• The vaccine is given annually before the flu season to those older than 50
years.
• The immunization is administered once to older adults or those at risk for
illness.
• The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
• The vaccine will prevent the occurrence of pneumococcal pneumonia for up
to 5years.
Correct Answer: B The immunization is administered once to older adults or those
at risk for illness.
• The nurse is assessing a male patient with acute pancreatitis. Which finding
requires the MOST immediate intervention by the nurse?
• The patient's amylase level is three times higher than the normal level.
• While the nurse is taking the patient's blood pressure, he has a carpal spasm.
• On a 1 to 10 scale, the patient tells the nurse that his epigastric pain is at 7.
• The patient states that he will continue to drink alcohol after going home.
Correct Answer: B While the nurse is taking the patient's blood pressure, he has a
carpal spasm.
• During assessment of a patient in the intensive care unit, the nurse notes
that the patient's ARE CLEAR UPON AUSCULTATION, but jugular vein
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