PN HESI EXIT REAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS 2023 - 2024

• A client who is a gravida 1, para 0, is transferred to the recovery room following a normalvaginal delivery of a healthy newborn. The practical nurse (PN) observes that the client isshaking uncontrollably and states she is cold. Which intervention should the PN perform? a. Take her temperature and assessfor additionalsigns of infection b. Encourage the client to turn to her left side and administer oxygen by face mask c. Elevate her legs in a shock position and apply external heat d. Apply light, warmed blankets and assure her that this is normal following delivery • The practical nurse (PN) is assigned to care for four children. Which child should beassessed first? a. 4-year-old who needs to stand to void before going to x-ray b. 3-year-old who is in isolation with chickenpox lesions and MRSA c. 2-year-old who is admitted for gastroenteritis and vomiting d. 18-month-old who has cystic fibrosis and is wheezing Rationale: A young child with cystic fibrosis who is wheezing is demonstrating respiratory compromise and should be assessed first. The other children be assessed after the child withrespiratory distress. • A client with hypertension complains of a persistent dry cough. The practical nurse (PN)should tell the client that this is a common side effectof which daily medication? a. Spironolactone b. Losartan c. Clonidine d. Quinapril Rationale: A persistent dry cough is a side effect if the antihypertensive agent quinapril, anACE inhibitor. • A female client with immune thrombocytopenic purpura is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most importantfor the practical nurse to implement? a. Assess the client for nerve pain or paralysis b. Evaluate client's neurologicalstatus after exercising c. Ensure the client has minimal clutter in the room d. Monitor the client's blood cell laboratory values Rationale: Immune thrombocytopenic purpura is manifested by low platelet count and increased capillary fragility, which place the client at risk for bleeding. The priority of care during rehabilitation is. To ensure the client’s surroundings and pathways are free of obstaclesand clutter that may cause tactile trauma or injury. • The practical nurse (PN) determines that a client who is one day postpartum has amoderate amount of lochia rubra and the uterus is firm, extroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action? a. Assess the bladder for distension b. Check the hemoglobin to determine uterine hemorrhage c. Provide a stoolsoftener for constipation d. Massage the uterus to decrease atony • The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's roomand find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction should the PN give the UAP first? a. Bring a glucometer to the room b. Check the blood pressure c. Feel for a carotid pulse d. Obtain emergency help • When providing oral care to an unconscious client who is a mouthbreather and does not swallow, which action is most important for the practical nurse (PN) to implement? a. Use an oral suction catheter in the buccal cavity b. Inspect the oral cavity using gloved fingers c. Perform oral cleansing with a sponge toothette d. Apply a petroleum-based lubricant to the client's lips • A client is scheduled to receive a sublingual tablet and has di昀케culty swallowing tablets.Which is the best nursing action? a. Place the tablet under the client'stongue b. Crush the medication and administer in applesauce c. Obtain a liquid form of the medication d. Place the tablet inside the client's cheek