HESI LPN
HESI PN Exit Exam 2023 Questions
Question 1 of 5
What is the first action a healthcare professional should take when a patient's nasogastric (NG) tube becomes clogged?
Correct Answer: C
Rationale: When a patient's nasogastric (NG) tube becomes clogged, the first action to take is to attempt to aspirate the clog with a syringe. This is a standard and initial step to clear the blockage in the tube. Flushing the tube with water (
Choice
A) may not address the specific clog; repositioning the patient (
Choice
B) is not directly related to clearing the tube. Administering a medication to dissolve the clog (
Choice
D) should only be considered after simpler methods like aspiration have been attempted.
Question 2 of 5
A client is recovering from a right-sided mastectomy and is concerned about lymphedema. What should the nurse include in the discharge teaching to minimize this risk?
Correct Answer: B
Rationale: The correct answer is B: Advise against lifting heavy objects with the affected arm. Lifting heavy objects with the affected arm can increase the risk of lymphedema. It is important for clients to avoid activities that strain the affected arm to minimize the risk of developing lymphedema.
Choices A, C, and D are incorrect because wearing tight clothing on the affected arm, sleeping on the affected side, and frequent massage of the affected arm can potentially worsen lymphedema or impede the recovery process. Tight clothing can impede lymphatic flow, sleeping on the affected side can restrict circulation, and frequent massage can exacerbate swelling in the arm.
Question 3 of 5
What information should the PN collect during the admission assessment of a terminally ill client to an acute care facility?
Correct Answer: B
Rationale:
Correct Answer: B. Understanding the client's wishes regarding organ donation is crucial as it aligns with end-of-life care preferences and ensures that the client's decisions are respected. While obtaining the name of a funeral home (
Choice
A) may be necessary, it is not typically part of the initial admission assessment. Contact information for the client's next of kin (
Choice
C) is important for communication but may not be directly related to the client's immediate end-of-life wishes. Health care proxy information (
Choice
D) is vital for decision-making if the client becomes incapacitated but may not be the primary focus during the initial admission assessment.
Question 4 of 5
The home health nurse suspects elder abuse after observing fresh lacerations on the arms and legs of an older adult male client who lives with his daughter. Which action is most important for the nurse to take?
Correct Answer: B
Rationale: In cases where elder abuse is suspected, the most critical action for the nurse to take is to report the findings to the supervisor for referral to adult protective services. This step is essential to protect the client from further harm and ensure their safety. Documenting the lacerations, as suggested in choice A, is important but not as urgent as ensuring immediate intervention by reporting the abuse. Asking the daughter for information, as in choice C, may not be effective if she is the abuser. Applying dressings, as in choice D, is a lower priority compared to taking action to address the suspected abuse.
Question 5 of 5
The PN determines that a client with cirrhosis is experiencing peripheral neuropathy. What action should the PN take?
Correct Answer: A
Rationale: Protecting the client's feet from injury is the most appropriate action for a client with cirrhosis experiencing peripheral neuropathy. Peripheral neuropathy can lead to a loss of sensation, making the client prone to unnoticed injuries. Applying a heating pad (
Choice
B) is contraindicated as it may cause burns or further damage to the affected area. Keeping the client's feet elevated (
Choice
C) is not directly related to managing peripheral neuropathy and may not provide significant benefit. Assessing the feet and legs for jaundice (
Choice
D) is important for monitoring liver function in clients with cirrhosis, but in this case, the priority is to prevent injury to the feet due to decreased sensation.