Hesi lpn exit proctored exam

The practical nurse (PN) observes a male client grimacing and holding his head. The PN determines that the client is in pain. To validate this assessment with subjective data, which action should the

The nurse observes an unlicensed assistive personnel (UAP) begin to remove exam gloves after emptying a bedpan containing feces. The UAP slides two fingers inside one of the gloves and begins to roll

At the end of a 12-hour shift, the practical nurse (PN) observes the urine in a client's drainage bag as seen in the picture. Which action should the PN take next?

A female client with immune thrombocytopenic purpura is transferred to a long term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse

Which intervention should the practical nurse (PN) reinforce for a client with pruritis?

The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's room and find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction shoul

The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Wh

The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior should the PN document as evidence of cocaine withdrawal?

A client who is primigravida at term comes to the prenatal clinic and tells the practical nurse (PN) that she is having contractions every 5 minutes. The PN monitors the client for one hour using an e

Which statement by an older female client who lost her spouse 2 years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?

A male client with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection. The client has been taking antitubercular medications for 10 weeks and states he has ring

Which location should the practical nurse palpate to determine if a client's submandibular lymph nodes are enlarged?

While turning and positioning a bedfast client, the practical (PN) observes that the client is dyspneic. Which action should the PN take first?

At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which

An older female adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that she was confused prior to admission. What

A client who is being cared for in her home has a low serum sodium level of 125 mEqL. To determine the cause of this value, which information should the practical nurse (PN) request from the client?

While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most impor

In caring for a client with Buck's traction, the practical nurse (PN) observes that the prescribed amount of weights are hanging freely and the traction rope is on the pulley. Which action should the

The practical nurse (PN) is changing the abdominal dressing of a male client who was discharged home following a colon resection. Which information should the PN report to the healthcare provider?

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

The practical nurse (PN) overhears a female client with Cushing's syndrome tell her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on rec

Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)?

A client receives a prescription for cefaclor suspension 325 mg by mouth every 8 hours. The bottle is labeled, "Cefaclor for Oral Suspension, USP 375 mg per 5 mL." How many mL should the practical nur

A male client with bipolar disorder reports to the practical nurse (PN) that he has not taken his prescribed medication, divalproex sodium, for the last 6 months. Assessment of which parameter is most

A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 oz of flavored gelatin and 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL tota