Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

PN Hesi Exit Exam (2025) Actual Exam Questions and Answers A+ Graded.pdf, Exams of Nursing

PN Hesi Exit Exam (2025) Actual Exam Questions and Answers A+ Graded.pdf

Typology: Exams

2024/2025

Available from 07/03/2025

to-highscore
to-highscore 🇺🇸

352 documents

1 / 40

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
PN Hesi Exit Exam (2025) Actual Exam
Questions and Answers A+ Graded
The .LPN/LVN .is .planning .care .for .the .a .client .who .has .fourth .degree .midline .laceration .that
.occurred .during .vaginal .delivery .of .an .8 .pound .10 .ounce .infant. .What .intervention .has .the
.highest .priority?
A. .Administer .Prescribed .stool .softener
B. .Administer .prescribed .PRN .sleep .medications.
C. .Encourage .breastfeeding .to .promote .uterine .involution
D. .Encourage .use .of .prescribed .analgesic .perineal .sprays
A. .Administer .Prescribed .stool .softener
The .LPN/LVN .is .palpating .the .right .upper .hypochondriac .region .of .the .abdomen .of .a .client. .What
.organ .lies .underneath .this .area.
A. .Duodenum
B. .Gastric .Pylorus
C. .Liver
D. .Spleen
C. .Liver
A .client .comes .to .the .antepartal .clinic .and .tells .the .LPN/LVN .that .she .is .6 .weeks .pregnant.
.Which .sign .is .she .most .likely .to .report?
A. .Decreased .sexual .libido
B. .Amenorrhea
C. .Quickening
D. .Nocturia
B. .Amenorrhea
A .client's .daughter .phones .the .charge .nurse .to .report .that .the .night .LPN/ .LVN .did .not .provide
.good .care .for .her .mother. .What .response .should .the .nurse .make?
A. .Ask .for .a .description .of .what .happened .during .the .night
B. .Tell .the .daughter .to .talk .to .the .unit's .nurse .manager
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28

Partial preview of the text

Download PN Hesi Exit Exam (2025) Actual Exam Questions and Answers A+ Graded.pdf and more Exams Nursing in PDF only on Docsity!

PN Hesi Exit Exam (2025) Actual Exam

Questions and Answers A+ Graded

The .LPN/LVN .is .planning .care .for .the .a .client .who .has .fourth .degree .midline .laceration .that .occurred .during .vaginal .delivery .of .an. 8 .pound. 10 .ounce .infant. .What .intervention .has .the .highest .priority? A. .Administer .Prescribed .stool .softener B. .Administer .prescribed .PRN .sleep .medications. C. .Encourage .breastfeeding .to .promote .uterine .involution D. .Encourage .use .of .prescribed .analgesic .perineal .sprays A. .Administer .Prescribed .stool .softener The .LPN/LVN .is .palpating .the .right .upper .hypochondriac .region .of .the .abdomen .of .a .client. .What .organ .lies .underneath .this .area. A. .Duodenum B. .Gastric .Pylorus C. .Liver D. .Spleen C. .Liver A .client .comes .to .the .antepartal .clinic .and .tells .the .LPN/LVN .that .she .is. 6 .weeks .pregnant. .Which .sign .is .she .most .likely .to .report? A. .Decreased .sexual .libido B. .Amenorrhea C. .Quickening D. .Nocturia B. .Amenorrhea A .client's .daughter .phones .the .charge .nurse .to .report .that .the .night .LPN/ .LVN .did .not .provide .good .care .for .her .mother. .What .response .should .the .nurse .make? A. .Ask .for .a .description .of .what .happened .during .the .night B. .Tell .the .daughter .to .talk .to .the .unit's .nurse .manager

C. .Reassure .the .daughter .that .the .mother .will .get .better .care. D. .Explain .that .all .the .staff .are .doing .the .best .they .can. A. .Ask .for .a .description .of .what .happened .during .the .night A .hosptitalized .toddler .who .is .recovering .from .a .sickle .cell .crisis .holds .a .toy .and .say's ."mine". .According .to .Erikson's .theory .of .psychosocial .development, .this .child's .behavior .is .a .demonstration .of .which .developmental .stage? A. .Autonomy .vs. .Shame .and .doubt. B. .Industry .vs. .Inferiority C. .intiative .vs. .Guilt D. .Trust .vs. .Mistrust A. .Autonomy .vs. .Shame .and .doubt Which .action .should .the .LPN/LVN .implement .in .caring .for .a .client .following .an .electroencephalogram .(EEG)? A. .Monitor .the .client's .vital .signs .q4h B. .Assess .for .sensation .in .the .client's .lower .extremities C. .Instruct .the .client .to .maintain .bed .rest .for .eight .hours D. .Wash .any .paste .from .the .client's .hair .and .scalp D. .Wash .any .paste .from .the .client's .hair .and .scalp The .LPN/LVN .is .caring .for .a .75- .year-old .male .client .who .is .beginning .to .form .a .decubitus .ulcer .at .the .coccyx. .Which .intervention .will .be .most .helpful .in .preventing .further .development .of .the .decubitus? A. .Encourage .the .client .to .eat .foods .high .in .protein B. .Assess .the .client .with .daily .range .of .motion .exercises C. .Teach .the .family .how .to .perform .sterile .wound .care D. .Ensure .the .IV .fluids .are .administered .as .prescribed A. Encourage .the .client .to .eat .foods .high .in .protein

A .client .begins .an .antidepressant .drug .during .the .second .day .of .hospitalization. .Which .assessment .is .most .important .for .the .LPN/LVN .to .include .in .this .client's .plan .of .care .while .the .client .is .taking .the .antidepressant? A. Appetite B. Mood C. Withdrawal D. Energy .level B. .Mood Based .on .the .documentation .in .the .medical .record, .which .action .should .the .LPN/LVN .implement .next? A. .Give .the .rubella .vaccine .subcutaneously B. .Observe .the .mother .breastfeeding .her .infant C. .Call .the .nursery .for .the .infant's .blood .type .result D. .Administer .Vicodin .one .tablet .for .pain Give .the .rubella .vaccine .subcutaneously A .client .is .admitted .to .the .hospital .with .a .diagnosis .of .Pneumonia. .Which .intervention .should .the .LPN/LVN .implement .to .prevent .complications .associated .with .Pneumonia? A. .Encourage .mobilization .and .ambulation B. .Encourage .energy .conservation .with .complete .bed .rest C. .Provide .humidified .oxygen .per .nasal .cannula D. .Restrict .PO .and .intravenous .fluids Encourage .mobilization .and .ambulation The .practical .nurse .is .preparing .to .administer .a .prescription .for .cefazolin .(kefzol). 600 .mg .IM .every. 6 .hours. .The .available .vial .is .labeled, ."Cefazolin .(Kefzol). 1 .gram .and .the .instrutions .for .reconsittution, ."For .IM .use .add .2ml .sterile .water .for .injection. .Total .volume .after .reconstruction .= .2.5 .ml. ."when .reconstituded, .how .many .milligrams .are .in .each .mil .of .solutions .(Enter .numeric .value .only) 15mg

Which .nursing .activity .is .within .the .scope .of .practice .for .the .practical .nurse? .A. .Complete .an .admission .assessment .in .the .normal .newborn .nursery. B. .Discontinue .a .central .venous .catheter .that .has .become .dislodged C. .Observe .a .client .rotate .the .subcutaneous .site .for .an .insulin .pump D. .Monitor .a .continous .narcotic .epidural .for .a .postoperative .client C. .Observe .a .client .rotate .the .subcutaneous .site .for .an .insulin .pump After .morning .dressing .changes .are .completed, .a .male .client .who .has .paraplegia .contaminates .his .ischial .decubiti .dressing .with .a .diarrheal .stool. .What .activity .is .best .for .the .nurse .to .assign .to .the .unlicensed .assistive .personnel? A. .Identify .the .need .for .additional .supplies .to .provide .an .extra .dressing .change B. .Provide .perianal .care .and .collect .clean .linens .for .the .dressing .change C. .Document .the .diarrhea .that .necessitates .an .additional .dressing .change D. .Position .the .client .for .access .to .the .decubiti .sties .and .remove .dressings B. .Provide .perianal .care .and .collect .clean .linens .for .the .dressing .change The .LPN/LVN .is .planning .to .evaluate .the .effectiveness .of .several .drugs .administered .by .different .routes. .Arrange .the .routes .of .administration .in .the .order .from .fastest .to .slowest .rate .of .absorption. Subcutaneous .Intravenous .Intramuscular .Sublingual .Oral Intravenous, .sublingual, .intramuscular, .subcutaneous, A .26-year-old .gravida .4, .para. 0 .had .a .spontaneous .abortion .at. 9 .weeks .gestation. .At .one-house .post .dilation .and .curettage .(D&C) .the .LPN/LVN .assess .the .vital .signs .and .vaginal .bleeding. .The .client .begins .to .cry .softly. .How .should .the .nurse .intervene? A. .Offer .to .call .the .social .worker .to .discuss .the .possibility .of .abortion

D. .Dorsalis .pedis .artery The .LPN/LVN .is .admitting .a .client .who .is .diagnosed .with .Angina .Pectoris. .Which .precipitating .factor .in .this .client's .history .is .likely .to .be .related .to .the .anginal .pain? A. .Smokes .one .pack .of .cigarettes .daily B. .Drinks .two .beers .daily C. .Works .in .a .job .that .requires .exposure .to .the .sun D. .Eats .while .lying .in .bed A. .Smokes .one .pack .of .cigarettes .daily The .LPN/LVN .is .assessing .an .older .resident .of .a .long-term .care .facility .who .has .a .history .of .Benign .Prostatic .Hypertrophy .and .identifies .that .the .client's .bladder .is .distended. .The .healthcare .provider .prescribes .post-voided .residual .catheterization .over .the .next. 24 .hours .and .placement .of .an .indwelling .catheter .if .the .residual .volume .exceeds. 100 .mL. .The .client's .PO .intake .is. 600 .mL, .and .fifteen .minutes .ago, .the .client .voided. 90 .mL. .What .action .should .the .nurse .take? A. .Stand .the .client .to .void .and .run .tap .water .within .hearing .distance .before .catheterizing .the .client. B. .Straight .catheterize .and .if .the .residual .using .volume .is .greater .than. 100 .mL, .clamp .catheter C. .Catheterize .q2H .and .place .in .an .indwelling .catheter .at .the .end .of .the .prescribed .24hr .period. D. .Catheterize .with .an .indwelling .catheter .and .if .the .residual .volume .is .greater .than. 100 .mL. .Inflate .the .balloon. D. .Catheterize .with .an .indwelling .catheter .and .if .the .residual .volume .is .greater .than. 100 .mL. .Inflate .the .balloon A .client .is .receiving .dexamethasone .(Hexadrol, .Decadron). .What .symptoms .should .the .nurse .recognize .as .Cushionoid .side .effects? A. .Moon .face, .Slow .wound .healing, .muscle .wasting .sodium .and .water .retention B. .Tachycardia .hypertension, .weight .loss, .heat .intolerance, .nervousness, .restlessness, .tremor C. .Bradycardia, .weight .gain, .cold .intolerance, .myxedema .facies .and .periobarbital .edema D. .Hyperpigmentation, .hyponatremia, .hyperkalemia, .dehydration, .hypotension A. .Moon .face, .Slow .wound .healing, .muscle .wasting .sodium .and .water .retention

The .cervix .is .the .opening .into .the .uterine .cavity. .What .is .its .function .in .reproduction? A. .Accepts .and .interprets .signals .of .sexual .stimuli B. .Secretes .mucus .to .facilitate .sperm .transport C. .Serves .as .the .site .for .union .of .ovum .and .sperm D. .Receives .the .penis .during .intercourse B. .Secretes .mucus .to .facilitate .sperm .transport The .LPN/LVN .is .working .in .a .community .health .setting .and .assisting .the .charge .nurse .in .performing .health .screenings. .Which .individual .is .at .highest .risk .for .contracting .an .HIV .infection? A. .17-year-old .who .is .sexually .active .simultaneously .with .numerous .partners B. .34-year .old .homosexual .who .is .in .a .monogamous .relationship C. .30-year-old .cocaine .user .who .inhales .and .smokes .drugs D. .45-year-old .who .has .received .two .blood .transfusions .in .the .past. 6 .months A. .17-year-old .who .is .sexually .active .simultaneously .with .numerous .partners The .LPN/LVN .is .administering .amiodarone .(Cordarone) .to .a .client .who .has .been .admitted .with .Atrial .Fibrillation .(AFIB). .What .therapeutic .response .should .the .nurse .anticipate? A. .Conversion .of .irregular .heart .rate .to .regular .heart .rhythm B. .Pulse .oximetry .readings .within .normal .range .during .activity C. .Peripheral .pulse .points .with .adequate .capillary .refill D. .Increase .exercise .tolerance .without .shortness .of .breath A. .Conversion .of .irregular .heart .rate .to .regular .heart .rhythm An .elderly .male .client .is .planning .to .vacation .with .a .group .of .senior .citizens. .He .is .concerned .about .developing .constipation .during .the .airplane .flight. .He .share .this .concern .with .the .nurse .at .the .retirement .home. .Which .recommendation .is .best .for .the .nurse .to .provide? A. .Use .an .over .the .counter .stool .softener .when .needed B. .Eat .a .high .protein .diet

Based .on .the .Nursing .diagnosis .of ."Potential .for .infection .related .to .second .and .third .degree .burns," .which .intervention .has .the .highest .priority? A. .Application .of .topical .antibacterial .cream B. .Use .of .careful .hand .washing .technique C. .Administration .of .plasma .expanders D. .Limiting .visitors .to .the .burned .client. B. .Use .of .careful .hand .washing .technique The .mother .of .an .8-year-old .boy .tells .the .nurse .that .he .fell .out .of .a .tree .and .hurt .his .arm .and .shoulder, .which .assessment .finding .is .the .most .significant .indicator .of .possible .child .abuse? A. .The .child .looks .at .the .floor .when .answering .the .nurse's .questions B. .The .mother's .version .of .the .injury .is .different .from .the .child's .version C. .The .child .has .several .abrasions .on .the .chest .and .legs D. .The .mother .refuses .to .answer .questions .about .family .history D. .The .mother .refuses .to .answer .questions .about .family .history A .client .has .a .prescription .for .enteric-coated .(EC) .aspirin .325mg .PO .daily. .The .medication .drawer .contains .one .325mg .aspirin. .What .action .should .the .nurse .take? A. .Contact .the .pharmacy .and .request .the .prescribed .form .of .aspirin B. .Instruct .the .client .about .the .effects .when .given .the .medication C. .Administer .the .aspirin .with .a .full .glass .of .water .or .a .small .snack D. .Withhold .the .aspirin .until .consulting .with .the .healthcare .provider C. .Administer .the .aspirin .with .a .full .glass .of .water .or .a .small .snack The .LPN/LVN .explains .the .2-week .dosage .prescription .of .prednisone .(Deltasone) .to .a .client .who .has .poison .ivy .over .multiple .skin .surfaces. .What .should .the .nurse .emphasize .about .the .dosing .schedule? A. .Decrease .dosage .daily .as .prescribed B. .Monitor .oral .temperature .daily C. .Take .the .prednisone .with .meals

D. .Return .for .blood .glucose .monitoring .in .one .week C. .Take .the .prednisone .with .meals The .LPN/LVN .is .preparing .to .administer .a .1.2mL .injection .to .a. 4-year- .old. .Which .are .the .best .sites .to .administer .an .IM .injection? .Select .all .that .apply. A. Vastus .lateralis B. Ventrogluteal C. Dorsogluteal D. Rectus .femoris E. Deltoid A. Vastus .lateralis B. Ventrogluteal C. Dorsogluteal Which .nonfood .item .is .the .most .common .cause .of .respiratory .arrest .in .young .children? A. Broken .rattles B. Buttons C. Pacifiers D. Latex .balloons D. .Latex .balloons A .new .mother .is .at .the .clinic .with .her .4-week .old .for .a .well .baby .check .up. .The .LPN/LVN .should .tell .the .mother .to .anticipate .that .the .infant .will .demonstrate .which .millstone .by .2-months .of .age. A. .Turns .from .side .to .back .and .returns B. .Consistently .returns .smiles .to .mother C. .Finds .hands .and .plays .with .fingers D. .Holds .head .up .and .supports .weight .with .arms B. .Consistently .returns .smiles .to .mother

C. .Febrile .and .has .a .WBC .count .of .14,000/mm D. .Trembling .and .has .a .glucose .level .of. 50 .mg/dL D. .Trembling .and .has .a .glucose .level .of. 50 .mg/dL 4 .hours .after .administration .of .20U .of .regular .insulin, .the .client .becomes .shaky .and .diaphoretic. .What .action .should .the .nurse .take? A. Encourage .the .client .to .exercise B. Administer .a .PRN .dose .of .10U .of .regular .insulin C. Give .the .client .crackers .and .milk D. Record .the .client's .reaction .on .the .diabetic .flow .sheet C. .Give .the .client .crackers .and .milk The .LPN/LVN .is .changing .the .colostomy .bag .for .a .client .who .is .complaining .of .leakage .of .diarr .heal .stool .under .the .disposable .ostomy .bag. .What .action .should .the .nurse .implement .to .prevent .leakage? A. .Place .a .4X4 .wick .in .the .stoma .opening B. .Apply .a .layer .of .zinc .oxide .ointment .to .the .perimeter .of .the .stoma C. .Cut .the .bag .opening .to .the .measurement .of .the .stoma .size D. .Administer .a .PRN .antidiarrheal .agent C. .Cut .the .bag .opening .to .the .measurement .of .the .stoma .size Prior .to .administering .morphine .sulfate .(Morphine), .the .LPN/LVN .takes .the .client's .vital .signs. .Based .on .which .finding .should .the .nurse .withhold .administration .of .the .medication .until .the .charge .nurse .is .notified? A. .Temperature .of .100.8F B. .A .pulse .rate .of. 150 .beats .per .minute C. .A .respiratory .rate .of. 10 .breaths .per .minute D. .A .blood .pressure .of .180/ C. .A .respiratory .rate .of. 10 .breaths .per .minute

Following .an .open .reduction .of .the .tibian, .the .LPN/LVN .notes .fresh .bleeding .on .the .client's .cast. .Which .intervention .should .the .nurse .implement? A. .Assess .the .client's .hemoglobin .to .determine .if .the .client .is .in .shock B. .Call .the .surgeon .and .prepare .to .take .the .client .back .to .the .operating .room .C. .Outline .the .area .with .ink .and .check .it .q15 .minutes .to .see .if .the .area .has .increased D. .No .action .is .required .since .postoperative .bleeding .can .be .expected C. .Outline .the .area .with .ink .and .check .it .q15 .minutes .to .see .if .the .area .has .increased The .is .with .a .client .when .the .healthcare .provider .explains .that .the .biopsy .classifies .the .results .as. a .T1N0M0 .tumor. .Later .in .the .morning, .the .client .asks .the .nurse, ."what .do .these .letters .T1N0M0, .stand .for?" .which .response .should .the .nurse .provide .first? A. ."The .letters .are .used .to .predict .the .prognosis .of .the .cancer .or .tumor." B. ."The .letters .stand .for .tumor .size, .node .involvement .and .metastasis." C. ."Let .me .refer .you .to .the .charge .nurse." D. ."Are .you .confused? .Would .you .like .to .talk?" B. ."The .letters .stand .for .tumor .size, .node .involvement .and .metastasis." The .LPN/LVN .plans .to .administer .the .rubella .vaccine .to .a .postpartum .client .whose .titer .is .< .1: .and .who .is .breastfeeding? .what .information .should .the .nurse .provide .this .client? A. .The .client .should .bottle .feed .and .pump .her .breast .for. 3 .days .following .immunization B. .The .vaccine .is .given .to .produce .maternal .antibodies .before .lactation .occurs C. .The .infant .will .receive .immunization .through .the .mother's .breast .milk D. .The .client .should .not .get .pregnant .for. 3 .months .after .immunization B. .The .vaccine .is .given .to .produce .maternal .antibodies .before .lactation .occurs In .counting .a .client's .radial .pulse, .the .LPN/LVN .notes .the .pulse .is .weak .and .irregular. .To .record .the .most .accurate .heart .rate, .what .should .the .nurse .take? .A. .Recheck .the .radial .pulse .in .thirty .minutes B. .Palpate .the .radial .pulse .for .thirty .seconds .and .double .the .rate C. .Count .the .apical .pulse .rate .for .sixty .seconds

A. .Palpate .the .bladder .for .distention B. .Ask .the .client .when .her .last .bowel .movement .occurred C. .Catheterize .the .client .and .record .the .amount D. .Assess .the .amount .of .lochia A. .Palpate .the .bladder .for .distention A .client .presents .in .the .clinic .because .of .generalized .swelling .after .a .bee .sting. .What .intervention .should .the .nurse .implement .first? A. .Assess .site .of .sting .and .remove .stinger .if .present B. .Perform .mini-mental .status .exam .to .assess .level .of .consciousness C. .Determine .respiratory .status .and .apply .a .pulse .oximeter D. .Attach .electrodes .to .monitor .cardiac .rhythm C. .Determine .respiratory .status .and .apply .a .pulse .oximeter The .LPN/LVN .is .administering .multiple .medications .to .a .78-year-old .client .because .of .problems .related .to .polypharmacy. .At .this .client's .age, .which .assessment .is .most .important .for .the .nurse .to .make? A. .Cumulative .serum .drug .levels .and .toxicity B. .Synergistic .actions .due .to .simultaneous .administration C. .Tolerance .to .drugs .that .have .been .taken .for .long .periods .of .time D. .Antagonist .actions .of .multiple .medications A. .Cumulative .serum .drug .levels .and .toxicity In .obtaining .an .orthostatic .vital .sign .measurement, .what .action .should .the .nurse .take .first? A. .Count .the .client's .radial .pulse B. .Apply .a .blood .pressure .cuff C. .Instruct .the .client .to .lie .supine D. .Assist .the .client .to .stand .upright C. .Instruct .the .client .to .lie .supine

A .3-week-old .infant .is .admitted .for .surgical .repair .of .Pyloric .Stenosis. .What .interventions .should .the .nurse .expect .to .implement .to .establish .hydration .in .the .immediate .postoperative .period? A. .Diaper .weights .and .urine .specific .gravity B. .Gastronomy .feedings .in .supine .position C. .Nipple .feedings .with .glucose .water D. .Gavage .feedings .with .15mL .of .formula C. .Nipple .feedings .with .glucose .water Urinary .catheter .(Foley) .with .a .5mL .inflated .balloon .is .being .removed .by .the .nurse. .After .withdrawing. 5 .mL .of .fluid .from .the .balloon, .the .nurse .begins .to .withdraw .the .catheter .while .the .client .is .in .a .Semi-Fowler's .position. .However, .the .nurse .meets .resistance .and .the .clients .voices .discomfort. .What .action .should .the .nurse .take .next? A. .Attempt .to .withdraw .additional .fluid .from .the .balloon B. .Assist .the .client .in .taking .a .series .of .deep .breaths C. .Lower .the .head .of .the .client's .bed .so .the .client .is .supine D. .Allow .the .client .to .rest .before .continuing .to .remove .the .catheter B. .Assist .the .client .in .taking .a .series .of .deep .breaths The .home .health .nurse .observes .an .elderly .male .client .attempt .to .open .a .child- .proof .medication .container. .When .he .is .unsuccessful .in .opening .the .container, .he .throws .it .across .the .room .and .curses .loudly. .What .action .should .the .nurse .implement? A. .Transfer .the .medications .to .another .bottle .that .is .easier .to .open B. .Leave .the .client's .home .immediately .and .plan .to .return .later C. .Ignore .the .outburst .and .demonstrate .how .to .open .the .bottle D. .Describe .other .types .of .medication .containers .that .are .available D. .Describe .other .types .of .medication .containers .that .are .available

B. .Discuss .the .importance .of .maintaining .a .target .heart .rate .during .each .exercise .period C. .Teach .the .client .additional .ways .to .lower .cholesterol, .including .stress .management D. .Praise .the .client .for .her .exercise .and .dieting .efforts .and .encourage .her .to .continue .with .this .program A. .Explain .to .the .client .that .her .diet .choice .is .not .helpful .in .lowering .cholesterol .levels A .child .with .Chronic .Asthma .is .scheduled .for .Chest .Physiotherapy. .When .should .the .nurse .administer .the .meter-dosed .inhaler .(MDI) .puff .of .bronchodilator .relative .to .postural .drainage .treatments? A. .Before .postural .drainage B. .During .postural .drainage C. .After .postural .drainage D. .Between .treatments C. .After .postural .drainage A .client .has .a .prescription .for .lorazepam .(ativan). 1 .mg .for .anxiety. .The .medication .is .supplied .as .0.5mg .tablets. .How .many .tablets .should .the .client .take? .(enter .numeric .value .only. 2 The .LPN/LVN .is .caring .for .a .middle-aged .client .who .had .a .Myocardial .infarction .(MI). 3 .days .ago. .Which .finding .is .most .important .for .the .nurse .to .report? A. .Frothy .red-tinged .sputum B. .Irregular .heart .rate C. .Two .pound .weight .gain D. .Dependent .edema B. .Irregular .heart .rate A .client .is .diagnosed .with .Clostridium .Difficile .(CDIFF). .What .action .should .the .nurse .implement .to .prevent .the .spread .of .the .organism?

A. .Place .a .surgical .mask .on .the .client .during .transport B. .Don .non-sterile .gloves .when .performing .direct .care C. .Wear .a .particular .respirator .mask .when .in .the .room D. .Keep .the .door .closed .to .the .client's .room .at .all .times B. .Don .non-sterile .gloves .when .performing .direct .care A .67-year-old .woman .who .lives .alone .tripped .on .a .rug .in .her .home .and .fractured .her .right .hip. .The .nurse .knows .that .which .predisposing .factor .contributes .to .the .occurrence .of .hip .fractures .among .elderly .women. A. .Urinary .retention .resulting .in .renal .calculi .formation B. .Failing .eyesight .resulting .in .an .unsafe .environment C. .Osteoporosis .resulting .from .hormonal .changes D. .Transient .ischemic .attacks .(TIAs) .which .impair .mental .activity C. .Osteoporosis .resulting .from .hormonal .changes An .elderly .client .is .admitted .for .evaluation .of .Alzheimer's .disease. .At .2AM, .the .nurse .finds .the .client .trying .to .open .the .emergency .door. .What .is .the .most .appropriate .response .for .the .nurse .to .make .in .this .situation? A. ."This .is .the .emergency .door. .Are .you .looking .for .the .bathroom?" B. ."You .look .confused. .Would .you .like .to .talk .about .your .feelings?" C. ."Let's .go .back .to .your .room. .Your .doctor .does .not .want .you .to .be .walking .alone." D. ."You .want .to .go .outside .at .this .time .of .night? .It's .dangerous .out .there." A. ."This .is .the .emergency .door. .Are .you .looking .for .the .bathroom?" Which .nurse's .behavior .is .a .breach .of .client .confidentiality .according .to .the .Health .Insurance .Portable .Accountability .Act .(HIPPA) .regulations? A. .A .daily .report .sheet .with .the .information .of .the .team's .clients .is .taken .home. .B. .Privileged .health .information .(PH) .is .mailed .through .the .US .postal .service .C. .A .client .is .called .by .both .the .first .and .last .name .in .a .public .waiting .room. D. .The .ambulance .health .care .provider .is .given .information .about .the .client's .history