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    HESI LPN Exit Exam IV Proctored Exam

    Exhibits Review H and P and nurse's note. Which are the first four actions that the practical nurse (PN) should do?

    Explanation & Rationale

    A. Take the child's pulse Assessing the pulse is crucial to determine if the child has a heartbeat and to evaluate the effectiveness of CPR. This helps to determine the current cardiovascular status of the child and the urgency of further resuscitation efforts. F. Determine if the child's airway is clear Ensuring a clear airway is a priority in any emergency situation. A blocked airway can prevent effective ventilation and oxygenation, which is critical for a child who has experienced a near-drowning incident. D. Start a peripheral IV line Starting a peripheral IV line is important for administering fluids and medications that may be necessary for resuscitation and stabilization. It allows for rapid access to the child's circulatory system for necessary interventions. E. Look for any open wounds Checking for open wounds is necessary to identify any immediate sources of bleeding or potential infections that need to be addressed. It is part of a thorough initial assessment to ensure comprehensive care for the child.

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