HESI LPN Exit Proctored Exam Form 2

A client admitted with chronic pulmonary obstruction disease (COPD) exacerbation is receiving assisted ventilation with a positive airway pressure (CPAP). The clients vital signs are an oral temperature 98.8 °F (37.1 °C) a respiratory rate of 46 breaths/minute, and a blood pressure of 176/92 mm Hg. While completing the pulmonary assessment, the client's oxygen saturation reading is 78% and he is difficult to arouse. Which action should the nurse implement?

A client who is receiving a statin medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN takes priority?

The practical nurse (PN) is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?

A client who is receiving chemotherapy has developed stomatitis. Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel (UAP) who is assisting with the care of this client?

A client is seen in the clinic after a failed in-vitro fertilization. Which nursing problem has the highest priority?

The practical nurse (PN) identifies an electrolyte imbalance, a generalized edema, and a weight gain of 4.4 lbs (2 kg) in 24 hours for a client with chronic kidney disease. Which intervention in the plan of care should the PN implement?

While changing the dressing of a client who is immobile, the practical nurse (PN) observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Before reporting this finding to the healthcare provider, the PN should evaluate which of the client's laboratory values?

The practical nurse (PN) is caring for a client receiving chemotherapy who has thrombocytopenia. Which intervention is most important to include in the nursing plan of care?

When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing a sickle cell crisis?

While assisting a client with acquired immunodeficiency syndrome (AIDS) with basic hygiene care, the practical nurse (PN) observes a small amount of blood on the sheets. Which action should the PN take?

Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The practical nurse (PN) should caution the unlicensed assistive personnel (UAPS) caring for these clients to observe for which effect because it places the clients at risk for falls?

An older adult client with cancer of the liver is in a hepatic coma and unresponsive. How should the practical nurse (PN) respond to family members who are inquiring about the condition of their loved one?

The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond?

An elderly client is 12-hours postoperative for a hernia repair and suddenly becomes agitated, staggers out into the corridor, and demands to be set free. After assisting the client back to bed and administering pain medication, which intervention is best for the practical nurse (PN) to implement?

The healthcare provider prescribed ear drops for a 5-year-old girl with otitis externa. Which technique should the practical nurse (PN) advise the mother to use when administering the ear drops?

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

The practical nurse (PN) is administering a subcutaneous injection of epoetin to a client with chronic kidney disease (CKD). This medication is being administered to treat which manifestation of chronic kidney disease (CKD)?

A male client who is anxious and fearful removed his rebreather face mask. The mask now needs to be reapplied. Which action should the practical nurse (PN) take first?

A client remains on strict intake and output (I&O) on the first postoperative day and documents the last 8 hours of intake on the I&O bedside record above. How many mL will the nurse document in the client's electronic medical record (EMR)? (Enter numeric value only.)

A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The bottle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL." How many tablespoons should the nurse instruct the client to with each dose? (Enter numerical value only.)

A practical nurse (PN) is caring for clients on a locked Alzheimer's unit. Which client situation requires the PN's immediate attention?

The practical nurse (PN) observes that an unlicensed assistive personnel (UAP) is preparing to disconnect a client's IV tubing to remove the client's hospital gown during a bed bath. Which action should the PN implement?

The nurse is planning care for a client with chronic kidney disease who is a resident at a long-term nursing facility. The client is anuric and has hemodialysis 3 times a week. Which intervention should the nurse include in the client's plan of care?

A client receiving care on a palliative care unit is unable to swallow and is becoming dehydrated, which is exhibited by inelastic skin turgor and dry mucous membranes. Which action should the practical nurse (PN) implement to provide comfort?

A newborn's assessment reveals spina bifida occulta. Which maternal factor should the practical nurse (PN) identify as having the greatest impact on the development of this newborn complication?

Which task could the practical nurse (PN) safely delegate to the unlicensed assistive personnel (UAP)?

A client who is receiving sodium polystyrene sulfonate reports having two watery stools since starting the medication the previous day. Which action should the practical nurse (PN) take?

The practical nurse (PN) is assisting with screening examinations at a community clinic where a toddler is brought by a parent for scheduled vaccines. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the PN?

An adult with a history of cardiovascular disease comes to the clinic complaining of indigestion. Vital signs are heart rate 130 beats/minute, respirations 24 breaths/minute, and blood pressure 180/90 mm/Hg. Which finding should the practical nurse (PN) report immediately to the healthcare provider?

A client needs an abduction pillow placed. How should the practical nurse (PN) position the client prior to placing the pillow?

A client with persistent low back pain has received a prescription for an electronic stimulator (TENS) unit. After the nurse applies the electrodes and turns on the power, the client reports feeling a tingling sensation. How should the nurse respond?

The healthcare provider prescribes epoetin alfa 100 units/kg SUBQ three times a week for a client who weighs 220 lbs. The medication is available 1,000 units/mL. How many milliliters should the practical nurse (PN) administer? (Enter the numerical value only. If rounding required, round to the whole number.)

A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?

An obese client who has a body mass index (BMI) of 34 asks the practical nurse (PN) about dietary strategies for weight loss. When assisting the client to develop an individualized weight management plan, in what sequence should the PN implement these actions? (List the actions in order from first to last.)

The practical nurse (PN) is assigned to care for a client who had a left nephrectomy yesterday. Which finding should the PN report to the charge nurse immediately?

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

The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for this client?

The practical nurse (PN) is assigned to care for an older male client who is recovering from a stroke. When assisting this client to ambulate with the use of a cane, where should the PN place the cane in relation to the client's body?

A client with the diagnosis of hypothyroidism has diminished bowel sounds and reports feeling constipated. Which action should the practical nurse (PN) implement?

The practical nurse (PN) prepares to remove a client's saline lock. Which supplies should the PN gather? (Select all that apply.)

A married woman comes to the clinic for her annual well-woman physical examination. During the interview with the practical nurse (PN), the client makes minimal eye contact. The PN observes yellow bruising to the lower eye and purple bruising on the client's upper arm, which look like fingerprints. Which question is best for the PN to ask the client?

The practical nurse (PN) prepares to administer an intramuscular injection. The PN uses a filter needle to obtain the prescribed medication from an ampule as seen below. What should the PN do next?

The practical nurse (PN) learns in report that a client has jugular vein distention (JVD). Which technique should the PN use to confirm this finding?

A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse (PN) to obtain?

The practical nurse (PN) is preparing to transfer an older client from the bed to a wheelchair. Based on which finding should the PN request assistance when moving this client?

The practical nurse (PN) is caring for a client who has a prescription for loratadine by mouth daily as needed. Which sign indicates to the PN that there is a need to administer the medication?

The practical nurse (PN) observes an unlicensed assistive personnel (UAP) obtain a client's vital signs. The PN should intervene when observing the UAP performing which technique?

The practical nurse (PN) and unlicensed assistive personnel (UAP) are caring for four clients. Which tasks can the PN assign to the UAP without providing direct supervision? (Select all that apply.

Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?

A client has a prescription for a transcutaneous electrical nerve stimulator (TENS) unit for pain management during the postoperative period following a lumbar laminectomy. Which information should the practical nurse (PN) reinforce about the action of this adjuvant pain modality?

The practical nurse (PN) is feeding a 2-month-old male infant with heart failure due to a ventricular septal defect (VSD). Which intervention should the PN implement?

To determine a hospitalized client's orientation, the practical nurse should ask the client questions related to which information? (Select all that apply.)

The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?

In providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse (PN) to assign to the unlicensed assistive personnel (UAP) working with the PN?

The practical nurse (PN) plans to reinforce the proper use of a cane to an older client who is recovering from a stroke. When providing information to the client how to correctly use this assistive device, where should the PN reinforce with the client to place the cane?

The practical nurse (PN) plans to administer a PRN dose of loperamide via a client's gastrostomy tube. The prescribed dose is 3 mg. The label on the medication bottle reads, "1 mg/5 mL." How many mL should the PN administer? (Enter numeric value only.)

Prior to giving digoxin the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this finding, which action should the PN take?