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HESI PN Exit 2023 Proctored Exam

HESI PN Exit 2023 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 PN Exit 2023 Proctored Exam150 questions30 question preview
Practice Set30 visible120 lockedReview Mode

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Question 1 of 30Single-Select Multiple Choice

A male preoperative client who has already signed the informed consent for a surgical procedure confides in the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

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Question 2 of 30Single-Select Multiple Choice

The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?

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Question 3 of 30Single-Select Multiple Choice

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

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Question 4 of 30Single-Select Multiple Choice

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?

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Question 5 of 30Single-Select Multiple Choice

The practical nurse (PN) receives a report of a stable client who experienced partial-thickness burns over 30% of the body surface area (BSA) 3 days ago.

Which complication is most important for the PN to anticipate?

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Question 6 of 30Single-Select Multiple Choice

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?

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Question 7 of 30Single-Select Multiple Choice

A client who is reaching saturation with 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 is a priority?

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Question 8 of 30Single-Select Multiple Choice

A college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The student tells the practical nurse (PN) that his roommate is acting strange.

Which question should the PN ask the client next?

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Question 9 of 30Single-Select Multiple Choice

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long- term care facility consistently records subnormal temperatures when using the thermometer.

Which action should the PN take first?

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Question 10 of 30Single-Select Multiple Choice

At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it.

Which response by the PN to the client's silence is best?

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Question 11 of 30Single-Select Multiple Choice

The practical nurse (PN) is auscultating a client's lung sounds. Which description should the PN use to document this sound? (Please listen to the audio clip provided).

Audio: [Wheezing sound]

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Question 12 of 30Single-Select Multiple Choice

The medication aide at a long-term care facility is sick and requests to go home before all medications are administered. Which action should the practical nurse (PN) take in this situation?

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Question 13 of 30Single-Select Multiple Choice

The medication aide at a long-term care facility is sick and requests to go home before all medications are administered. Which action should the practical nurse (PN) in charge take?

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Question 14 of 30Single-Select Multiple Choice

A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color and size than the one the PN is trying to give him now.

How should the PN respond?

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Question 15 of 30Single-Select Multiple Choice

The practical nurse (PN) learns that a client who is receiving chemotherapy has developed stomatitis.

Which information should the PN obtain from the client during a focused assessment?

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Question 16 of 30Single-Select Multiple Choice

In assessing a client with an indwelling urinary catheter following the provision of care by an unlicensed assistive personnel (UAP), the practical nurse (PN) observes that the catheter drainage bag, which is half- full, is attached to the side rail and the tubing is looped on the bed.

Which action should the PN implement?

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Explanation

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Question 17 of 30Single-Select Multiple Choice

The unlicensed assistive personnel (UAP) tells the practical nurse (PN) that a male client is angry because the night shift took over 2 hours to bring him the pain medication, he had to request three times.

Which action should the PN implement first?

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Question 18 of 30Single-Select Multiple Choice

The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. The mother says the boy is in pain and needs medical help.
The nurse should assess the injury and decide the appropriate action to take.
Help the nurse reason out the best assessment.

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Question 19 of 30Single-Select Multiple Choice

Which information should the practical nurse (PN) collect during the admission assessment of a terminally ill client to an acute care facility?

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Question 20 of 30Single-Select Multiple Choice

When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a male client when his last bowel movement occurred. The client answers, "Three days ago." Which action should the PN implement first?

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Question 21 of 30Single-Select Multiple Choice

The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take?

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Question 22 of 30Single-Select Multiple Choice

When the practical nurse (PN) atempts 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 says, "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 23 of 30Single-Select Multiple Choice

A client who received an open reduction and internal fixation (ORIF) of the right femur after experiencing a fall at home experiences a sudden onset of increasing confusion and agitation.
When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

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Question 24 of 30Single-Select Multiple Choice

A nurse is teaching a client with hypertension about antihypertensive drugs.
Which of the following statements by the client indicates an understanding of the teaching?

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Question 25 of 30Multiple-Select / Select All That Apply (SATA)

A nurse is teaching a group of older adults about the effects of aging on the neurological system.
Which of the following statements should the nurse include as correct? (Select all that apply.).

(Select All that Apply.)

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Question 26 of 30Single-Select Multiple Choice

A client with renal calculi is experiencing hematuria and reports severe flank pain.
Which intervention should the nurse implement first?

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Question 27 of 30Single-Select Multiple Choice

A nurse is providing education to a client prescribed an antidepressant for their phobia.
Which statement by the client indicates a need for further teaching?

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Question 28 of 30Single-Select Multiple Choice

A nurse is planning care for a client with a phobia.
Which nursing intervention is appropriate for this client?

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Question 29 of 30Single-Select Multiple Choice

A nurse is caring for a client with a specific phobia.
Which statement by the nurse is accurate regarding phobias?

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Question 30 of 30Multiple-Select / Select All That Apply (SATA)

After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased.

The family wish to see the body before it is taken to the funeral home.

Which intervention(s) should the nurse take to prepare the body before the family enters the room? (Select all that apply.).

(Select All that Apply.)

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