HESI LPN
PN Exit Exam 2023 Quizlet Questions
Question 1 of 5
What is the correct order of steps in the nursing process?
Correct Answer: A
Rationale: The correct order in the nursing process is Assessment, Diagnosis, Planning, Implementation, and Evaluation. Assessment involves gathering information about the patient, Diagnosis is identifying the problem, Planning involves setting goals and outcomes, Implementation is carrying out the plan, and Evaluation is assessing the outcomes.
Choices B, C, and D have the steps in the incorrect order, not following the standard nursing process framework.
Therefore, the correct answer is option A.
Question 2 of 5
An older male client with Alzheimer's disease is admitted to an extended care facility. Which intervention should the PN include in the client's nursing care plan?
Correct Answer: A
Rationale: The correct intervention for a client with Alzheimer's disease in an extended care facility is to plan to have the same nursing staff provide care whenever possible. Consistency in caregivers helps reduce confusion and anxiety in clients with Alzheimer's disease, promoting a stable and supportive environment for the client.
Choice B is incorrect as it focuses on activities rather than the consistency of caregivers.
Choice C is incorrect as it suggests isolating the client, which can lead to increased confusion and distress.
Choice D is incorrect as introducing the client to new people immediately can be overwhelming and may exacerbate their symptoms.
Question 3 of 5
The PN is caring for a client who had an acute brain attack with resulting expressive aphasia and urinary incontinence. To ensure care for the client, which task should the PN delegate to the UAP?
Correct Answer: C
Rationale: Assisting the client to the bedside commode is an appropriate task for the UAP as it involves basic patient care and mobility assistance, which are within the UAP's scope of practice. Options A and B involve communication techniques and documentation, which are more appropriate for licensed nursing staff. Option D involves establishing a bladder training schedule, which requires assessment and planning skills beyond the UAP's role.
Question 4 of 5
Inspiratory and expiratory stridor may be heard in a client who:
Correct Answer: D
Rationale: Inspiratory and expiratory stridor are high-pitched, wheezing sounds caused by disrupted airflow due to airway obstruction. Severe laryngotracheitis, involving inflammation and swelling of the larynx and trachea, leads to airway obstruction and can produce both inspiratory and expiratory stridor. Exacerbation of goiter, an acute asthmatic attack, and aspiration of a piece of meat are not typically associated with both inspiratory and expiratory stridor.
Therefore, choices A, B, and C are incorrect.
Question 5 of 5
When caring for a patient with a fresh tracheostomy, what is the nurse's first priority?
Correct Answer: B
Rationale: The correct answer is B: Ensuring the tracheostomy ties are secure. This is the nurse's first priority because it is critical to prevent accidental decannulation, which could compromise the patient's airway. Providing humidified oxygen, suctioning the tracheostomy tube, and monitoring for signs of infection are important aspects of care but ensuring the tracheostomy ties' security takes precedence to maintain the patient's airway.