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HESI LPN Exit Exam IV Proctored Exam

HESI LPN Exit Exam IV Proctored Exam practice questions and answers for Nursing Exit Exam review. Use this quiz to review exit-style nursing concepts and track readiness.

Nursing Exit ExamsHESI LPN Exit Exam IV Proctored Exam126 questions26 question preview
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Question 1 of 26Single-Select Multiple Choice

The practical nurse (PN) is preparing to transfer an unresponsive client from the bed to a stretcher. Which client data is most important for the PN to obtain before beginning the transfer?

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Question 2 of 26Single-Select Multiple Choice

The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for a tension headache. Which action should the PN take?

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Question 3 of 26Multiple-Select / Select All That Apply (SATA)

According to the Centers for Disease Control (CDC) and Prevention, what disease(s) are reportable infectious diseases? Select all that apply.

(Select All that Apply.)

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Question 4 of 26Single-Select Multiple Choice

A client who is experiencing paralysis of the left arm curses at the practical nurse (PN) and throws a hairbrush against the wall using the right arm. How should the PN respond?

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Question 5 of 26Single-Select Multiple Choice

The practical nurse (PN) and unlicensed assistive personnel (UAP) are providing care for a client who exhibits signs of neglect syndrome following a stroke affecting the right hemisphere. Which action should the PN implement?

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Question 6 of 26Single-Select Multiple Choice

Which location should the practical nurse (PN) palpate to determine if a client's submandibular lymph nodes are enlarged?

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Question 7 of 26Single-Select Multiple Choice

In providing care for a client with a nasogastric tube (NGT) connected to intermittent suction, which task can be assigned to the unlicensed assistive personnel (UAP)?

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Question 8 of 26Ordering / Sequencing

The practical nurse (PN) warms the irrigation solution before irrigating the ear of an adult client who has impacted cerumen in the ear canal. In which order should the PN implement these actions? (Arrange from first on top to last on the bottom.)

Move each option into the correct order.

  1. Tap or drag choices here.
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Explanation

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Question 9 of 26Single-Select Multiple Choice

In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

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Question 10 of 26Single-Select Multiple Choice

In which client situation should the practical nurse assess for the presence of Cheyne-Stokes respirations?

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Question 11 of 26Single-Select Multiple Choice

When the practical nurse (PN) attempts to assist an 18-year-old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and yells at the PN, "Get out of here! I'll get up when I'm ready!" Which response is best for the PN to make?

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Question 12 of 26Single-Select Multiple Choice

The practical nurse (PN) is assisting a client to the bathroom after a right cataract extraction. The client has an eye shield over the right eye. How should the PN assist the client during ambulation?

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Question 13 of 26Single-Select Multiple Choice

During a nonstress test of a 38-week client, the practical nurse (PN) observes the fetal heart rate increases 15 beats above baseline lasting 10 seconds twice during a 20-minute tracing. Which finding should the PN document in the electronic medical record?

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Question 14 of 26Single-Select Multiple Choice

A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Which explanation should the practical nurse (PN) provide to the client about why the procedure is necessary?

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Question 15 of 26Single-Select Multiple Choice

While caring for a client one day following a thyroidectomy, the practical nurse (PN) notes that the client's voice is hoarse. Which action should the PN take?

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Question 16 of 26Single-Select Multiple Choice

Which assessment finding indicates to the practical nurse that a Venturi face mask is producing the desired effect?

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Question 17 of 26Single-Select Multiple Choice

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the practical nurse (PN) to include in the assessment of this client?

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Question 18 of 26Single-Select Multiple Choice

The practical nurse (PN) is assigned to provide care for a client with rheumatoid arthritis who is preparing for discharge. While planning the client's care, the PN should identify which client goal as the most important?

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Question 19 of 26Multiple-Select / Select All That Apply (SATA)

A client with recurrent ascites from cirrhosis describes having no appetite or energy to the home health practical nurse (PN). What diet suggestions should the PN provide for the client? Select all that apply.

(Select All that Apply.)

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Question 20 of 26Single-Select Multiple Choice

A client with a malabsorption syndrome has a low serum calcium level. The practical nurse should monitor the client for which problem?

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Question 21 of 26Single-Select Multiple Choice

A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication?

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Question 22 of 26Ordering / Sequencing

In assessing the apical heart rate of an adult, in what order should the practical nurse (PN) perform the needed tasks?

Move each option into the correct order.

  1. Tap or drag choices here.
0 of 4 placed

Explanation

Explanations are hidden until you check the answer or choose Show Explanation.
Question 23 of 26Single-Select Multiple Choice

While the practical nurse (PN) and unlicensed assistive personnel (UAP) are turning a client with an abdominal incision, the client's incision eviscerates. Which task is best for the PN to assign to the UAP?

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Question 24 of 26Multiple-Select / Select All That Apply (SATA)

The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. What information should the PN include during the electronic documentation of the procedure? Select all that apply.

(Select All that Apply.)

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Explanation

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Question 25 of 26Single-Select Multiple Choice

At 1200, the practical nurse (PN) learns that a client's 0900 dose of an anticonvulsant was not given. The next scheduled dose is at 2100. Which action should the PN take?

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Question 26 of 26Single-Select Multiple Choice

In implementing the plan of care, which data should the practical nurse (PN) obtain first for a client with a sleep pattern disturbance?

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