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HESI LPN Exit Proctored Exam

HESI LPN Exit 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 Proctored Exam110 questions22 question preview
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Question 1 of 22Multiple-Select / Select All That Apply (SATA)

The practical nurse (PN) is assessing a client who received a large volume of IV fluids over a short period of time. Which finding (s) should the PN expect this client to exhibit? Select all that apply.

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Question 2 of 22Single-Select Multiple Choice

The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to assist with the personal care of a client experiencing an acute exacerbation of multiple sclerosis. Which instruction should the PN provide the UAP?

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Question 3 of 22Single-Select Multiple Choice

The practical nurse (PN) is checking residual volume prior to the administration of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube when the unlicensed assistive personnel (UAP) reports that another client has requested pain medication for postoperative pain. Which action should the PN take?

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Question 4 of 22Single-Select Multiple Choice

A 15-year-old male who is mildly intellectually disabled is admitted to the adolescent unit because he repeatedly refuses to complete personal hygiene. The healthcare provider prescribes that the client brush his teeth three times a day. In the psychiatric team conference, a behavior modification program is recommended to engage the client's participation. When implementing this technique, which reinforcement is best for the practical nurse (PN) to provide?

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Question 5 of 22Single-Select Multiple Choice

The practical nurse (PN) hears an older adult resident of a long term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

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Question 6 of 22Single-Select Multiple Choice

The home health practical nurse (PN) visits a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide care for the client, report that their son sleeps most of the time. The PN observes the client is semi-conscious with stable vital signs and cries out in pain when turned or moved. A fentanyl patch is in place and skin lesions are closed and dried. Which intervention should the PN implement?

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Question 7 of 22Single-Select Multiple Choice

While caring for a client with a new prescription to initiate droplet precautions, which task can the practical nurse (PN) assign to the unlicensed assistive personnel (ÚAP)?

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Question 8 of 22Single-Select Multiple Choice

The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care?

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Question 9 of 22Single-Select Multiple Choice

The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN) with client care. Which client should the PN instruct the UAP to help first?

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Question 10 of 22Single-Select Multiple Choice

A client who is preparing for discharge to home receives a prescription for ferrous sulfate. Which information should the practical nurse (PN) reinforce with the client before discharge?

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Question 11 of 22Single-Select Multiple Choice

The practical nurse (PN) is working in a surgical preoperative area and reviewing a signed consent form. The form reads "amputation of the right lower leg" but the client's left leg is labeled for amputation. The client has already received the preoperative medication from the anesthesiologist. Which should be the PN's next action?

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Question 12 of 22Single-Select Multiple Choice

A school-age child is exhibiting symptoms of rheumatic fever including fatigue, shortness of breath, ankle edema, joint pain, and aimless movement of the upper extremities or chorea. Which question should the practical nurse (PN) ask the parent concerning the child's recent health history that would be relevant to the diagnosis?

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Question 13 of 22Single-Select Multiple Choice

The practical nurse (PN) is reinforcing client teaching from a nutritional class. Which stage of life is most crucial for females to increase calcium intake to help prevent osteoporosis?

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Question 14 of 22Single-Select Multiple Choice

During preoperative preparation, the practical nurse (PN) should offer the client which explanation about why deep breathing exercises with an incentive spirometer are necessary after surgery?

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Question 15 of 22Single-Select Multiple Choice

The practical nurse (PN) caring for a toddler is preparing to conduct a routine focused assessment. Which action should the PN take to promote an environment of family-centered care?

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Question 16 of 22Single-Select Multiple Choice

A client with endocarditis is receiving antibiotic therapy. Which priority should the practical nurse (PN) consider in planning this client's care and activities of daily living (ADL)?

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Question 17 of 22Single-Select Multiple Choice

In caring for a client following a below-the-knee amputation, which task is best for the practical nurse (PN) to assign to the unlicensed assistive personnel (UAP) who is assisting with the care of this client?

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Question 18 of 22Multiple-Select / Select All That Apply (SATA)

The practical nurse (PN) is assessing an infant the first postoperative day following a pylorotomy. The infant was medicated for pain one hour ago, but the PN does not believe that the medication is effective. Which finding(s) indicate that the infant is still experiencing pain and that the analgesia was not effective? Select all that apply.

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Question 19 of 22Single-Select Multiple Choice

The practical nurse (PN) tells a pregnant client not to eat if she is in labor. Which is the most important reason for this nursing intervention?

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Question 20 of 22Single-Select Multiple Choice

A client has returned to the unit following a cardiac catheterization procedure. Which task is most appropriate for the registered nurse (RN) to delegate to the practical nurse (PN)?

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Question 21 of 22Single-Select Multiple Choice

At 2100, an older adult client turns on the call light and reports to the practical nurse (PN) concerns of difficulty falling asleep. Which priority action should the PN implement?

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Question 22 of 22Single-Select Multiple Choice

When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of twins, who are now 6 years old, another child who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

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