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HESI PN Exit Proctored Exam Three

HESI PN Exit Proctored Exam Three 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 Proctored Exam Three150 questions30 question preview
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Question 1 of 30Single-Select Multiple Choice

A client is using an incentive spirometer on the first postoperative day after an inguinal herniorrhaphy. The practical nurse (PN) should reteach the proper use of the spirometer when the client demonstrates which action.

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Question 2 of 30Single-Select Multiple Choice

A male client attends a community support program for mentally impaired and chemical-abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin. What is the greatest health risk for this client?

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Question 3 of 30Single-Select Multiple Choice

A client's daughter phones the charge nurse to report that the night nurse did not provide good care for her mother. Which response should the practical nurse (PN) make?

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Question 4 of 30Single-Select Multiple Choice

The practical nurse (PN) observes unlicensed assistive personnel (UAP) preparing to obtain the rectal temperature of a 2-year-old child with leukemia. Which action should the PN take?

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Question 5 of 30Single-Select Multiple Choice

A 15-year-old adolescent male with a mild mental disability is hospitalized for minor surgery and tells the practical nurse (PN), "WOW! You have big breasts." Which response is best for the PN to provide?

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Question 6 of 30Single-Select Multiple Choice

The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first?

Reference range: Blood glucose neonate: [30 to 60 mg/dL or 1.7 to 3.3 mmol/L]

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Question 7 of 30Single-Select Multiple Choice

Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

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Question 8 of 30Single-Select Multiple Choice

In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting- Which intervention is best for the PN to implement?

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Question 9 of 30Single-Select Multiple Choice

A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in my mind and the rituals I use are stupid, but I cannot control them. People laugh at me, but they do not understand how awful it is. I am a burden to my family because I cannot hold a job. I do not know how much longer I can live this way." Which information is most important for the practical nurse (PN) to ask in response to the client's statements?

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Question 10 of 30Single-Select Multiple Choice

A client who is at full-term gestation is in active labor and complains of a cramp in her leg. Which intervention should the practical nurse (PN) implement?

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Question 11 of 30Single-Select Multiple Choice

The practical nurse (PN) receives shift reports for four newborns in the full-term newborn nursery. Which infant should the PN assess first?

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Question 12 of 30Single-Select Multiple Choice

The practical nurse (PN) is assisting with the preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

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Question 13 of 30Ordering / Sequencing

The practical nurse (PN) is assisting in a community center clinic when four clients simultaneously arrive seeking help. In which order should the PN prioritize care to be provided based on the client's needs? (Arrange the client with the highest priority first, on top, and lowest priority last, on the bottom.)

Move each option into the correct order.

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

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Question 14 of 30Single-Select Multiple Choice

A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?

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Question 15 of 30Single-Select Multiple Choice

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

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Question 16 of 30Single-Select Multiple Choice

A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage?

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Question 17 of 30Single-Select Multiple Choice

A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage?

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Question 18 of 30Multiple-Select / Select All That Apply (SATA)

The practical nurse (PN) is auscultating a client's heart sounds. Which abnormal heart sound should the PN report to the charge nurse? (Please listen to the audio file to select the option that applies.)

(Select All that Apply.)

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Question 19 of 30Single-Select Multiple Choice

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

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Question 20 of 30Single-Select Multiple Choice

The practical nurse (PN) is providing care for a client who is ordered nothing by mouth (NPO) after a small bowel resection. The client's nasogastric (NG) tube is connected to low intermittent suction. The client reports dizziness and tingling in the digits. Which assessment finding by the PN should be reported to the healthcare provider?

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Question 21 of 30Multiple-Select / Select All That Apply (SATA)

The practical nurse (PN) identifies which client behaviors that can increase the client's risk for hypertension? (Select all that apply.)

(Select All that Apply.)

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Question 22 of 30Single-Select Multiple Choice

The practical nurse (PN) is assisting the recreational director of a long-term care facility in planning outdoor activities for wheelchair-bound older residents who are mentally alert. Which activity should the PN suggest that meets the physical and social needs of these residents?

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Question 23 of 30Single-Select Multiple Choice

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

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Question 24 of 30Single-Select Multiple Choice

The practical nurse (PN) is reviewing instructions for the use of pilocarpine ophthalmic drops with a client who has glaucoma. The client replies that the drops should be used to anesthetize the eye if eye pain is experienced. What action should the PN implement?

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Question 25 of 30Single-Select Multiple Choice

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?

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Question 26 of 30Multiple-Select / Select All That Apply (SATA)

Which actions should the practical nurse (PN) include when assessing a client for signs and symptoms of fluid volume excess? (Select all that apply.)

(Select All that Apply.)

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Question 27 of 30Single-Select Multiple Choice

After completing post-anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

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Question 28 of 30Single-Select Multiple Choice

The practical nurse (PN) is monitoring the neurological vital signs of a client with a recently closed head injury. Which vital sign trends indicate increased intracranial pressure (ICP) and should be reported to the charge nurse?

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Question 29 of 30Single-Select Multiple Choice

A chronically depressed older male resident of a long-term care facility has become more reclusive and today refuses to leave his room. His family has moved away and is unable to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be most helpful to this client?

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Question 30 of 30Single-Select Multiple Choice

A client with the diagnosis of schizophrenia sitting all alone and talking quietly. Which action should the PN take?

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