76
Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete?
A. Body temperature.B. Bowel sounds.C. Mental status.D. Skin integrity.
HESI LPN Exit Exam IV Proctored ExamHESI LPN Exit Exam IV Proctored Exam
126 questions · Page 4 of 6
HESI LPN Exit Exam IV Proctored Exam is a nursing-school practice exam with 126 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
Topics covered on this page: HESI LPN Exit Exam IV Proctored Exam.
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Start Practice ExamQuestions 76–100 of 126
77
The practical nurse (PN) positions a temporal artery scanner. Before obtaining a temperature measurement, which assessment of the skin should the PN complete?
A. Moisture.B. Elasticity.C. Color.D. Temperature.
HESI LPN Exit Exam IV Proctored Exam78
A client with unstable angina pectoris receives a prescription for nitroglycerin 0.4 mg sublingually PRN chest pain every 5 minutes x3. The prescription directions include leaving the medication at th
A. Number of tablets taken in past 24 hours.B. Level of orientation and compliance.C. Heart rate and blood pressure.D. Hourly urinary output and daily weight.
HESI LPN Exit Exam IV Proctored Exam79
A newborn's assessment reveals spina bifida occulta. Which maternal factor should the practical nurse (PN) identify as having the greatest impact on the development of this newborn complication?
A. Folic acid deficiency.B. Preeclampsia.C. Short interval pregnancy.D. Tobacco use.
HESI LPN Exit Exam IV Proctored Exam80
A client receiving chemotherapy develops a cough that is productive of yellow-tinged sputum. After determining that the client is afebrile, which is the priority action for the practical nurse (PN) to
A. Plan to re-assess the client's temperature in two B. Notify the charge nurse of the assessment findingsC. Measure and record the client's intake and output.D. Provide oral hygiene on a regular, frequent schedu
HESI LPN Exit Exam IV Proctored Exam81
The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be comp
A. A client with urinary urgency and incontinence whoB. A client with continuous urinary bladder irrigatioC. A client with paraplegia who needs a urinary condoD. A client with a full urinary bedside drainage unit
HESI LPN Exit Exam IV Proctored Exam82
Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?
A. I understand this is a disease that occurs mostly B. I do not have any use for those who say this diseaC. I think I had this disease for a long time, but thD. I want to try every possible treatment to beat thi
HESI LPN Exit Exam IV Proctored Exam83
When the practical nurse (PN) prepares to transfer a 12-hour-old newborn from the birthing suite to the nursery, which question is most important for the PN to ask the mother?
A. Have you changed any diapers?B. Have you unwrapped and looked at your baby?C. Have you noticed the baby sleeping?D. Has the family seen the baby yet?
HESI LPN Exit Exam IV Proctored Exam84
An older adult client of a long-term care facility is awake at 0330 and wandering down the hall in unbuttoned pajamas. Which intervention should the practical nurse (PN) implement?
A. Bring the client to sit in the nursing station.B. Administer a nighttime sedative.C. Direct the client to go back to bed.D. Engage the client to determine current needs.
HESI LPN Exit Exam IV Proctored Exam85
The practical nurse (PN) plans to use distraction techniques while a client undergoes a brief painful procedure. Which action should the PN implement during the procedure?
A. Describe the procedure to the client using a step-B. Ask the client to describe the intensity of the paC. Encourage the client to reminisce about a favoriteD. Explain the benefits of various alternative strate
HESI LPN Exit Exam IV Proctored Exam86
An older adult client who was admitted to a long-term care facility yesterday is confused about what day of the week it is. The history does not indicate that the client was confused prior to admissio
A. Document the client's loss of memory in the recordB. Remind the client what day of the week it is.C. Notify the family of the change in the client's coD. Encourage the client to rest during the day.
HESI LPN Exit Exam IV Proctored Exam87
The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?
A. Slide hands under the client's lumbar area and kneB. Turn the client away from the PN using a turning sC. Put the bed rails up on the opposite side of the bD. Grasp the client's hand to pull the client towards
HESI LPN Exit Exam IV Proctored Exam88
An older adult man who manages all his personal affairs is admitted to a long-term care facility because of mobility problems related to rheumatoid arthritis. When the practical nurse (PN) presents th
A. Explain that the form identifies his personal healB. Acknowledge the client's concerns and notify the hC. Ask a family member to describe the client's stateD. Document his refusal in his electronic medical rec
HESI LPN Exit Exam IV Proctored Exam89
A client is receiving an epidural anesthesia during labor. Which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the ep
A. Maternal hypotension.B. A vaginal hematoma.C. A continuous headache.D. Urinary retention.
HESI LPN Exit Exam IV Proctored Exam90
The practical nurse (PN) assesses a child in 90-90 skeletal traction. It is most important for the PN to assess for signs of inflammation at which location?
A. AB. BC. CD. D
HESI LPN Exit Exam IV Proctored Exam91
An older adult client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused,
A. Administer a prescribed PRN benzodiazepine at the B. Ensure that the client is assigned to a room closeC. Postpone administration of nighttime medications uD. Ask family members to remain with the client in th
HESI LPN Exit Exam IV Proctored Exam92
The mother of a young child with eczema asks about the type of clothing that is best for her child's comfort. Which choice should the practical nurse (PN) recommend?
A. Rayon.B. Polyester.C. Cotton.D. Silk.
HESI LPN Exit Exam IV Proctored Exam93
A client receives a prescription for digoxin 0.25 mg by mouth. The medication is available in 0.125 mg tablets. How many tablets should the practical nurse (PN) administer? (Enter numeric value only.
HESI LPN Exit Exam IV Proctored Exam94
The practical nurse (PN) observes an unlicensed assistive personnel (UAP) obtain a client's vital signs. The PN should intervene when observing the UAP performing which technique?
A. Palpates brachial artery before inflating the blooB. Counts the client's respirations while palpating tC. Asks the client to relax the arm before taking theD. Inserts the thermometer into the sublingual pocket
HESI LPN Exit Exam IV Proctored Exam95
The practical nurse (PN) is caring for a hospice client who requests a priest for the "Last Rites." Which should be the next response by the PN?
A. Explore the client's thoughts about dying.B. Propose to notify the family of the request.C. Suggest that the hospital chaplain is available.D. Offer to contact the priest for the client.
HESI LPN Exit Exam IV Proctored Exam96
At the outpatient clinic, the practical nurse (PN) talks to a male client whose spouse is being treated for cancer with chemotherapy. The client tells the PN the reason he does not want a seasonal inf
A. Review the overall prognosis for the spouse who isB. Explain that he will reduce the risk to his spouseC. Plan his vaccination for a day when his spouse is D. Determine when his spouse will be finished with he
HESI LPN Exit Exam IV Proctored Exam97
The practical nurse (PN) notes that a client has truncal obesity, a moon face, and a buffalo hump. The PN should question the client about recent use of which type of medication?
A. Non-steroidal anti-inflammatory drug (NSAID).B. Corticosteroids.C. Thyroid replacement hormone.D. Insulin.
HESI LPN Exit Exam IV Proctored Exam98
The practical nurse (PN) is assisting with data collection for clients who have been admitted to the emergency department. What clients should the PN report to the nurse for further intervention for p
A. A same-sex partner who broke her arm during a vollB. A 3-year-old with multiple old fractures of the arC. A married man with multiple bruises to his hands aD. A homeless man whose clothing is soiled and has a
HESI LPN Exit Exam IV Proctored Exam99
A 56-year-old female client has discovered a new breast lump. The practical nurse (PN) recognizes that this client's greatest risk for a diagnosis of breast cancer is related to which factor?
A. She is postmenopausal and has been using herbal esB. There is a history of fibrocystic breast changes aC. The client is of normal weight and height and has D. She describes the lump as non-tender and says her
HESI LPN Exit Exam IV Proctored Exam100
A new protocol for fall prevention is being implemented on the medical unit. During safety rounds, the practical nurse (PN) identifies that an unlicensed assistive personnel (UAP) has omitted a vital
A. Assign the UAP to more stable clients the next dayB. Complete an unusual occurrence report.C. Report the UAP's omission to the charge nurse.D. Supervise the UAP after reviewing the protocol.
HESI LPN Exit Exam IV Proctored Exam