HESI PN Exit Exam 2024

Question 1 of 5

The HCP gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her that she needs to increase foods in her diet because her hemoglobin is 8.2 grams/dL. When a list of iron-rich foods is given to the client, she tells the PN that she is a vegetarian and does not eat anything that "bleeds." Which instruction should the PN provide?

A. All below B. Increase green leafy vegetables in the diet C. Oatmeal is a good choice for breakfast D. Add lentils and black beans to soup

Correct Answer: A

Rationale: Vegetarians can increase their iron intake through plant-based sources such as green leafy vegetables, oatmeal, and legumes, which are rich in iron.

Question 2 of 5

The nurse is preparing to provide wound care for a client. Which step should be done first?

A. Don procedural gloves B. Remove the dressing C. Apply prescribed medications to the wound D. Don a pair of sterile gloves

Correct Answer: A

Rationale: The correct answer is to don procedural gloves first. Donning procedural gloves is essential to protect the nurse from contaminants while removing the old dressing. This step helps maintain aseptic technique and prevents the transfer of microorganisms. Removing the dressing (choice
B) should follow after wearing gloves to prevent the spread of pathogens. Applying prescribed medications (choice
C) should be done after the wound is cleaned and dressed. Donning a pair of sterile gloves (choice
D) is not necessary for initial wound care; procedural gloves are sufficient for standard wound care.

Question 3 of 5

Which condition is most commonly associated with a "bull's eye" rash?

A. Lyme disease B. Rocky Mountain spotted fever C. Syphilis D. Toxoplasmosis

Correct Answer: A

Rationale: The correct answer is A: Lyme disease. The "bull's eye" rash, or erythema migrans, is a hallmark of early Lyme disease, caused by the bacterium Borrelia burgdorferi.
Choice B, Rocky Mountain spotted fever, presents with a different type of rash.
Choice C, Syphilis, typically presents with a painless ulcer and rash but not a "bull's eye" rash.
Choice D,
Toxoplasmosis, does not typically present with a "bull's eye" rash.

Question 4 of 5

The practical nurse is caring for a client who had a total laryngectomy, left radical neck dissection, and tracheostomy. The client is receiving nasogastric tube feedings via an enteral pump. Today the rate of feeding is increased from 50 ml/hr to 75 ml/hr. What parameter should the PN use to evaluate the client's tolerance to the rate of the feeding?

A. Daily weight B. Gastric residual volumes C. Bowel sounds D. Urinary and stool output

Correct Answer: B

Rationale: Monitoring gastric residual volumes helps to assess how well the client is tolerating the increased feeding rate. High residuals may indicate delayed gastric emptying, which could lead to complications like aspiration. This helps in adjusting the feeding plan as necessary. Daily weight (
Choice
A) is not the most appropriate parameter to evaluate tolerance to feeding rate changes. Bowel sounds (
Choice
C) and urinary/stool output (
Choice
D) are important assessments but do not directly indicate tolerance to enteral feeding rate changes.

Question 5 of 5

When caring for a patient with a chest tube, which nursing action is most important?

A. Clamping the chest tube every 2 hours to prevent air leaks B. Keeping the drainage system below chest level C. Emptying the drainage system every hour to prevent backflow D. Removing the chest tube when drainage decreases significantly

Correct Answer: B

Rationale: The most crucial nursing action when caring for a patient with a chest tube is to keep the drainage system below chest level (choice
B). This position helps ensure proper drainage and prevents backflow of fluid or air into the pleural space, promoting optimal functioning of the chest tube. Clamping the chest tube every 2 hours (choice
A) is incorrect as it can obstruct the drainage system and lead to complications. Emptying the drainage system every hour (choice
C) is unnecessary unless there are specific clinical indications. Removing the chest tube when drainage decreases significantly (choice
D) is also incorrect as the decision should be based on overall clinical assessment rather than drainage amount alone.

Nurselytic

HESI LPN

HESI LPN