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PN Hesi Exit Exam 1. The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?$10.49
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PN Hesi Exit Exam 1. The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
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Course
Hesi exit
Institution
Hesi Exit
PN Hesi Exit Exam
1. The LPN/LVN is planning care for the a client who has
fourth degree midline laceration that occurred during
vaginal delivery of an 8 pound 10 ounce infant. What
intervention has the highest priority?
PN Hesi Exit Exam
1. The LPN/LVN is planning care for the a client who has fourth degree midline A. Administer Pre- scribed
laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What stool soft- ener
intervention has the highest priority
ANSW
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
C. Liver
2. The LPN/LVN is palpating the right upper hypochon- driac region of the abdomen
of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
B. Amenorrhea
3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks
pregnant. Which sign is she most likely to report
ANSW
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia A. Ask for a de-
scription of what
happened during the
4. A client's daughter phones the charge nurse to report that the night LPN/ LVN did not night
provide good care for her mother. What response should the nurse make
ANSW
A. Ask for a description of what happened during the 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.
A. Autonomy vs. Shame
and doubt
5. A hosptitalized toddler who is recovering from a sick- le cell crisis holds a toy and say's
"mine". Accord-
, PN Hesi Exit Exam
ing to Erikson's theory of psychosocial development, this child's behavior is a
demonstration of which de- velopmental stage
ANSW
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
D. Wash any paste from the
client's hair and scalp
6. Which action should the LPN/LVN implement in car- ing for a client following an
electroencephalogram (EEG)
ANSW
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
A. Encourage the client to
eat foods high in protein
7. The LPN/LVN is caring for a 75- year-old male client who is beginning to form a
decubitus ulcer at the coccyx. Which intervention will be most helpful in
preventing further development of the decubitus
ANSW
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
C. Osmosis
D. Ensure the IV fluids are administered as prescribed
8. What is the homeostatic cellular transport mecha- nism that moves water from a
hypotonic to a hyper- tonic fluid space
ANSW
A. Filtration
B. Diffusion B. At the level of the heart
C. Osmosis
D. Active transport
9. The LPN/LVN is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial artery, the nurse
should place the client's arm in which position
ANSW
, 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
A. Heart rate
10. What are the final parameters that produce blood pressure B. Stroke volume
ANSW (select all that apply) C. Peripheral re- sistance
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones B. Mood
E. Muscle tone
11. A client begins an antidepressant drug during the 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
ANSW
A. Appetite
B. Mood Give the rubella vaccine
C. Withdrawal subcuta- neously
D. Energy level
12. Based on the documentation in the medical record, which action should the
LPN/LVN implement next Encourage mobi- lization
ANSW and ambu- lation
A. Give the rubella vaccine subcutaneously
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 Pneumonia. Which intervention
should the LPN/LVN implement to prevent complications associated with
Pneumonia
ANSW
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- scription for cefazolin (kefzol) 15mg
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 for the practical nurse
ANSW A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged C. Observe a client rotate
C. Observe a client rotate the subcutaneous site for an insulin pump the subcutaneous site for
D. Monitor a continous narcotic epidural for a postop- erative client an insulin pump
16. After morning dressing changes are completed, a male client who has paraplegia
contaminates his is- chial decubiti dressing with a diarrheal stool. What activity is
best for the nurse to assign to the unli- censed assistive personnel
ANSW
A. Identify the need for additional supplies to provide an extra dressing change B. Provide peri- anal care
B. Provide perianal care and collect clean linens for the dressing change and col- lect clean linens
C. Document the diarrhea that necessitates an addi- tional dressing change for the 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- ness of several drugs
administered by different routes. Arrange the routes of administration in the
order from fastest to slowest rate of absorption. Subcutaneous
Intravenous
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