1. The LPN/LVN is planning care for the a client who has A. Administer Pre-
fourth degree midline laceration that occurred during scribed stool soft-
vaginal delivery of an 8 pound 10 ounce infant. What ener
intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine invo-
lution
D. Encourage use of prescribed analgesic perineal
sprays
2. The LPN/LVN is palpating the right upper hypochon- C. Liver
driac region of the abdomen of a client. What organ
lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
3. A client comes to the antepartal clinic and tells the B. Amenorrhea
LPN/LVN that she is 6 weeks pregnant. Which sign is
she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
4. A client's daughter phones the charge nurse to report A. Ask for a de-
that the night LPN/ LVN did not provide good care for scription of what
her mother. What response should the nurse make? happened during
A. Ask for a description of what happened during the the night
night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get
better care.
D. Explain that all the staff are doing the best they can.
5. A hosptitalized toddler who is recovering from a sick- A. Autonomy vs.
le cell crisis holds a toy and say's "mine". Accord- Shame and doubt
, PN Hesi Exit Exam
ing to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which de-
velopmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
6. Which action should the LPN/LVN implement in car- D. Wash any paste
ing for a client following an electroencephalogram from the client's
(EEG)? hair and scalp
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremi-
ties
C. Instruct the client to maintain bed rest for eight
hours
D. Wash any paste from the client's hair and scalp
7. The LPN/LVN is caring for a 75- year-old male client A. Encourage the
who is beginning to form a decubitus ulcer at the client to eat foods
coccyx. Which intervention will be most helpful in high in protein
preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exer-
cises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
8. What is the homeostatic cellular transport mecha- C. Osmosis
nism that moves water from a hypotonic to a hyper-
tonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
9. The LPN/LVN is taking blood pressure of a client B. At the level of
admitted with a possible myocardial infarction. When the heart
taking the client's BP at the brachial artery, the nurse
should place the client's arm in which position?
, PN Hesi Exit Exam
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
10. What are the final parameters that produce blood A. Heart rate
pressure? (select all that apply) B. Stroke volume
A. Heart rate C. Peripheral re-
B. Stroke volume sistance
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
11. A client begins an antidepressant drug during the B. Mood
second day of hospitalization. Which assessment is
most important for the LPN/LVN to include in this
client's plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
12. Based on the documentation in the medical record, Give the rubella
which action should the LPN/LVN implement next? vaccine subcuta-
A. Give the rubella vaccine subcutaneously neously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Encourage mobi-
Pneumonia. Which intervention should the LPN/LVN lization and ambu-
implement to prevent complications associated with lation
Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed
rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
, PN Hesi Exit Exam
14. The practical nurse is preparing to administer a pre- 15mg
scription for cefazolin (kefzol) 600 mg IM every 6
hours. The available vial is labeled, "Cefazolin (Ke-
fzol) 1 gram and the instrutions for reconsittution,
"For IM use add 2ml sterile water for injection. Total
volume after reconstruction = 2.5 ml. "when recon-
stituded, how many milligrams are in each mil of
solutions (Enter numeric value only)
15. Which nursing activity is within the scope of practice C. Observe a
for the practical nurse? A. Complete an admission client rotate the
assessment in the normal newborn nursery. subcutaneous site
B. Discontinue a central venous catheter that has for an insulin
become dislodged pump
C. Observe a client rotate the subcutaneous site for
an insulin pump
D. Monitor a continous narcotic epidural for a postop-
erative client
16. After morning dressing changes are completed, a B. Provide peri-
male client who has paraplegia contaminates his is- anal care and col-
chial decubiti dressing with a diarrheal stool. What lect clean linens
activity is best for the nurse to assign to the unli- for the dressing
censed assistive personnel? change
A. Identify the need for additional supplies to provide
an extra dressing change
B. Provide perianal care and collect clean linens for
the dressing change
C. Document the diarrhea that necessitates an addi-
tional dressing change
D. Position the client for access to the decubiti sties
and remove dressings
17. The LPN/LVN is planning to evaluate the effective- Intravenous, sub-
ness of several drugs administered by different lingual, intramus-
routes. Arrange the routes of administration in the cular, subcuta-
order from fastest to slowest rate of absorption. neous,
Subcutaneous
Intravenous
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