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Hesi Specialiaty-LPN Med Surg Exam.

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Exam Details !

Title : Hesi Specialiaty-LPN Med Surg Exam.

Type : Nursing

Category : LPN Nursing Exam(s)

Subcategory : LPN HESI Exams

Domain : Med-Surgical

Fragment : N/A

Module : LPN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2024

Duration : 90 minutes

Total Questions : 57

Passing Score : 90%

Difficulty : Medium

Instructions : Read each question thoroughly and choose the most appropriate answer based on evidence-based nursing practice. This is a timed, closed-book exam—no outside resources or assistance are permitted

Description : Exam assesses a practical nursing student’s knowledge of adult health conditions and their management. It covers topics such as body system disorders, medication administration, nursing interventions, and patient education in a variety of clinical settings.

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1 :
The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

Coughs over the catheter site while cleansing the skin.

Wears one sterile glove when cleansing the insertion site.

Washes hands before opening the 4 by 4 dressing packet.

Pours antiseptic solution and sterile water on sterile dressings.

Hint : 🧫 Coughing near sterile site = contamination risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
A client has a PRN prescription for a nasal cannula at 2 to 3 L/minute. The client is wearing a nasal cannula at 2 L/minute and asks the practical nurse (PN) if it can be removed. Which client data is most important for the PN to obtain before responding to the client?

Apical heart rate.

Breath sounds.

Oxygen saturation.

Blood pressure.

Hint : 📟 O₂ sat determines oxygen need

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply.

Carry phone number of Epilepsy Foundation at all times.

Stay well rested and avoid a large caffeine intake.

Avoid flashing lights and excessive visual stimuli.

Seek a safe place if sensing dizziness or sensory disturbances.

Generic medications are safe to substitute for trade name brands.

Hint : ⚠️ Recognize triggers and act early

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

Driving a car.

Eating high-fiber foods.

Kegel exercises.

Walking around the house.

Hint : 🚙 Avoid driving until cleared

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

Administer a PRN prescription for an antiemetic.

Flush the IV tubing with sodium chloride.

Notify the healthcare provider.

Stop the blood infusion.

Hint : ⚠️ Stop transfusion immediately

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
Four hours after rhinoplasty, a client is swallowing repeatedly. Which priority action should the practical nurse (PN) take?

Evaluate return of gag reflex.

Demonstrate relaxation techniques.

Use penlight to assess pharynx for bleeding.

Administer intravenous analgesic per PRN protocol.

Hint : 🔍 Check for hidden bleeding

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
An obese client is admitted for treatment of kidney stones. Which action by the practical nurse (PN) takes priority?

Measure intake and output while straining all urine.

Review foods that are high in oxalate.

Monitor the client's serum calcium levels.

Encourage the client to begin a weight loss program.

Hint : 🪥 Strain urine and track output

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

8 :
A client with a history of a right radical mastectomy arrives on the postoperative unit following surgical repair of a fractured left radius and application of a short arm cast. Which action should the practical nurse implement while obtaining the client's blood pressure (BP)?

Use a large cuff to obtain BP readings on either thigh.

Measure all vital signs every 2 hours except the BP.

Obtain manual BP readings with a cuff on the left arm.

Quickly release air from BP cuff on the right arm.

Hint : 💡 Use left arm if right mastectomy

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A client with breast cancer who received chemotherapy two weeks ago returns to the clinic for follow-up. Which priority follow-up assessment should the practical nurse (PN) anticipate for this client?

Serum electrolytes.

Nutritional status.

Hydration status.

Blood cell counts.

Hint : 🧫 Check for bone marrow suppression

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

10 :
The practical nurse (PN) is assisting with blood pressure measurement for adults at a community health fair. Which blood pressure measurement requires the most immediate action by the PN?

80/60 mm Hg.

140/90 mm Hg.

130/85 mm Hg.

120/90 mm Hg.

Hint : ⬇️ Address low BP urgently

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
A female client with asthma arrives at the clinic with severe seasonal allergy congestion. On review of the client's current medication list, the practical nurse (PN) notices the client is taking tiotropium bromide and albuterol inhalation for asthma, as well as oral contraceptive ethinyl estradiol/norethindrone. The client receives new prescriptions for hydrocortisone and pseudoephedrine to treat the allergy symptoms. Which medication(s) should the PN reinforce as having the potential to increase the client's blood pressure?

Hydrocortisone.

Tiotropium bromide.

Ethinyl estradiol/norethindrone.

Pseudoephedrine.

Albuterol sulfate.

Hint : 🫁 Monitor for cardiovascular stimulation with asthma and allergy medications

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

12 :
The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

Coughs over the catheter site while cleansing the skin.

Wears one sterile glove when cleansing the insertion site.

Washes hands before opening the 4 by 4 dressing packet.

Pours antiseptic solution and sterile water on sterile dressings.

Hint : 🦠 Avoid contamination of catheter site

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

Check mucous membranes.

Ensure catheter tubing is straight.

Auscultate lung sounds.

Determine dryness of bed linens.

Irrigate catheter to assess patency.

Hint : 🔍 Rule out mechanical issues first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
When preparing a client for a Papanicolaou (Pap) test, which equipment is necessary for the practical nurse (PN) to provide the healthcare provider? Select all that apply.

Water-based lubricant.

Specimen bottle.

Microscopic slide and spray cell fixative.

Disposable vaginal speculum.

Cytobrush or plastic spatula cervical sampling device.

Hint : 🧪 Prepare for collection and preservation

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

Check mucous membranes.

Ensure catheter tubing is straight.

Auscultate lung sounds.

Determine dryness of bed linens.

Irrigate catheter to assess patency.

Hint : 🧪 Eliminate catheter issues before clinical concerns

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
The most important complication for the practical nurse (PN) to observe for when caring for a client who had a long bone fracture repaired yesterday is:

Fat embolism.

Urinary retention.

Nonunion.

Muscular spasms.

Hint : 🫀 Watch for sudden respiratory changes

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
The practical nurse (PN) is evaluating a client who is admitted to the hospital with a diagnosis of cholelithiasis. Which finding should the practical nurse (PN) report to the charge nurse?

Yellow urine.

Restlessness.

Persistent nausea.

Clay-colored stools.

Hint : ⚠️ Indicates possible bile duct obstruction

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
When providing preoperative care for a client with an abdominal aneurysm, changes in which assessment finding are most important for the practical nurse (PN) to report to the registered nurse (RN)?

Respiratory rate.

Urinary output.

Temperature.

Blood pressure.

Hint : 🩸 Monitor closely for rupture risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

19 :
When providing care for a client on the first postoperative day following an appendectomy, which intervention should the practical nurse implement?

Maintain client in recumbent position.

Apply moist heat for reports of pain.

Restrict ambulation to bathroom only.

Document the first bowel movement.

Hint : 💩 Watch for signs of bowel activity

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
The practical nurse (PN) is caring for a client scheduled for a bronchoscopic procedure. After the charge nurse administers the IV sedative, which action should the PN implement?

Reinforce expected outcomes of surgery.

Determine if the client needs to void.

Auscultate all lung fields.

Monitor blood pressure.

Hint : 🩺 Watch for sedation-related drops in

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
A client with heart failure requests two more pillows to sleep with at night. Which area should the practical nurse (PN) evaluate when responding to the client's request?

Neuro vital signs.

Urinary output.

Blood pressure.

Breath sounds.

Hint : 🌬️ Check for pulmonary congestion

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
A client with diabetes mellitus is admitted with an infected foot pressure injury. During a routine assessment, the practical nurse (PN) notes a pattern of deep, rapid respirations and a fruity breath odor. Which action should the PN take first?

Assess urine for ketones.

Auscultate breath sounds.

Elevate the head of the bed.

Measure the blood glucose.

Hint : 🧪 Check for severe hyperglycemia first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
The practical nurse (PN) is assigned to care for a client with Guillain-Barré syndrome (GBS). Which problem has the highest priority for this client's care?

Impaired communication.

Ascending paralysis.

Fear and anxiety.

Immobility.

Hint : 🫁 Monitor for respiratory muscle involvement

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
A client fell 20 feet (6.1 meters) from the tree stand while deer hunting, sustaining a ruptured spleen. The client is receiving blood and fluid replacement while being prepared for a splenectomy. Which finding should the practical nurse (PN) report to the charge nurse?

Respiratory rate 28 breaths/minute.

Blood pressure 110/90 mm Hg.

Urine output of 20 mL in the last hour.

Pain score 8 out of 10.

Hint : 🚨 Low urine = low perfusion

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
While performing a routine assessment of a bedfast client who has bilateral cataracts, the practical nurse (PN) observes that the client's pupils appear milky white. Which action should the PN take next?

Ask the client about any changes in vision.

Notify the charge nurse of the finding.

Assist the client to a semi-Fowler's position.

Assess the client using the Glasgow Coma Scale.

Hint : 👓 First, assess for any new visual symptoms

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

26 :
A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the PN to make to this client's question?

"Hair loss is not usually permanent, but the color and texture may change when it grows back."

"We can never tell. People with cancer react differently to chemotherapy."

"It is likely that your hair will grow back, but if it does not there are very good wigs available."

"It depends on the amount of drug you receive with your particular treatment."

Hint : 👩‍🦲 Hair usually grows back—changes are possible

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

27 :
A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the PN to make to this client's question?

"Hair loss is not usually permanent, but the color and texture may change when it grows back."

"We can never tell. People with cancer react differently to chemotherapy."

"It is likely that your hair will grow back, but if it does not there are very good wigs available."

"It depends on the amount of drug you receive with your particular treatment."

Hint : 👩‍🦲 Hair usually grows back—changes are possible

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A client with leukemia who is receiving chemotherapy has a hemoglobin of 10 g/dL (6.21 mmol/L), hematocrit of 38% (0.38 volume fraction), a white blood cell (WBC) count of 2,500/mm³ (2.5 x 10⁹/L), and a platelet count of 250,000/mm³ (250 x 10⁹/L). Which is the most significant problem that the practical nurse (PN) should consider when planning care for this client?
Reference Range:
Hemoglobin (Hgb): 14 to 18 g/dL (8.69 to 11.17 mmol/L)
Hematocrit (Hct): 42% to 52% (0.42 to 0.52 volume fraction)
White Blood Cell (WBC): 5,000 to 10,000/mm³ (5 to 10 x 10⁹/L)
Platelets: 150,000 to 400,000/mm³ (150 to 400 x 10⁹/L)

Nausea.

Fatigue.

Infection.

Bleeding.

Hint : 🧫 Low WBC = high infection risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

29 :
The practical nurse (PN) is monitoring a client who was admitted following a motor vehicle collision (MVC). The PN is unable to auscultate breath sounds on the left side, and the healthcare provider is notified. While awaiting the arrival of the healthcare provider, which action should the PN take?

Demonstrate the use of an incentive spirometer.

Monitor the client for increasing respiratory distress.

Administer a PRN dose of a diuretic medication.

Encourage the client to use pursed-lip breathing.

Hint : 🆘 Watch for signs of worsening breathing difficulty

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

30 :
A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

Smokes two packs of cigarettes a day.

Expresses a desire to change one's lifestyle.

Drinks 1 to 2 glasses of red wine daily.

Walks four city blocks to work each day.

Hint : 🧠 Motivation drives recovery

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

31 :
A male client is admitted to the stroke rehabilitation unit and is demonstrating right homonymous hemianopsia. The practical nurse (PN) observes that the client only eats the foods on the left side of the plate and tray. Which is the best action for the PN to use with this client to compensate for the visual field deficit?

Place the food and utensils in the client's left visual field and leave him alone.

Feed the client foods that are on the right side of his visual field.

Remind the client to look all over the tray to view and eat all the foods provided.

Prompt the client to rotate his plate to see foods on the right side of the tray.

Hint : 👀 Encourage scanning to retrain vision

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

32 :
The practical nurse (PN) is caring for a client with type 1 diabetes mellitus. Which intervention should the PN implement immediately after a below-the-knee (BKA) amputation due to gangrene?

Position the client supine and flat to prevent phantom pain.

Turn the client prone every 2 hours to prevent hip flexion contractures.

Elevate the residual limb on pillows to prevent bleeding and swelling.

Position the residual limb below the heart to promote healing for prosthetic fitting.

Hint : 🛌 Elevate limb early to reduce swelling

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

33 :
The practical nurse (PN) is preparing a client for a mammogram. Which instruction should the PN provide the client?

Do not exercise the upper body on the day of the procedure.

Do not use underarm deodorant on the day of the procedure.

Avoid taking aspirin for one week prior to the procedure.

Avoid eating or drinking 6 hours prior to the procedure.

Hint : 🚫 No deodorant or powders before mammogram

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

34 :
A client with a fractured femur is placed in Buck's traction to immobilize the fracture. When transporting this client to another room, how should the practical nurse (PN) handle the traction?

Have someone hold the weights up during transport.

Prevent movement of the weights by resting them on top of the bed until the transport is completed.

Release the weights during transport and reconnect them when the transport is completed.

Leave the weights in place during transport.

Hint : ⚖️ Maintain continuous traction force during transport

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

35 :
The practical nurse (PN) is monitoring a client who was admitted following a motor vehicle collision (MVC). The PN is unable to auscultate breath sounds on the left side, and the healthcare provider is notified. While awaiting the arrival of the healthcare provider, which action should the PN take?

Demonstrate the use of an incentive spirometer.

Monitor the client for increasing respiratory distress.

Administer a PRN dose of a diuretic medication.

Encourage the client to use pursed-lip breathing.

Hint : 🆘 Watch for signs of pneumothorax or distress

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

36 :
The practical nurse (PN) is caring for a client admitted with a diagnosis of herpes zoster. The client has draining lesions and reports that the affected area is painful. Which action should the PN take first?

Administer a prescribed analgesic.

Measure the client's temperature.

Initiate contact isolation precautions.

Apply cool, wet compresses to the lesions.

Hint : 🧤 Isolate first to prevent spread

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

37 :
A client receives a 12-lead electrocardiogram (ECG) and asks the practical nurse (PN) what the test is measuring. Which information should the PN explain about this diagnostic test?

It detects and maps electrical activity in areas of the brain.

It uses X-rays and a computer to produce pictures of organs.

It records eye and muscle movements in response to sounds.

It graphs electrical impulses to show how the heart is functioning.

Hint : 💓 Shows electrical activity of the heart

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

38 :
The practical nurse (PN) knows that AIDS is a viral infection that compromises the effectiveness of the immune system. Which component of the immune system is characteristically affected?

Lymph nodes.

Spleen.

T cells.

B cells.

Hint : 🧬 HIV destroys CD4+ T helper cells

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

39 :
A male client who recently had a myocardial infarction tells the practical nurse (PN) that he refuses to give up his habit of smoking two packs of cigarettes daily. Which intervention(s) should the PN implement? Select all that apply.

Ask if he understands the consequences of continuing to smoke.

Encourage the client to substitute cigars for the cigarettes.

Recommend an acupuncturist to assist with smoking cessation efforts.

Reinforce information about consequences related to smoking and heart disease.

Record the client's exact words in the electronic medical record.

Hint : 🚭 Support informed choices and document accurately

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

40 :
A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the PN to make to this client's question?

"Hair loss is not usually permanent, but the color and texture may change when it grows back."

"We can never tell. People with cancer react differently to chemotherapy."

"It is likely that your hair will grow back, but if it does not there are very good wigs available."

"It depends on the amount of drug you receive with your particular treatment."

Hint : 👩‍🦲 Hair usually regrows with changes

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

41 :
A client with chronic cirrhosis has esophageal varices. It is most important for the practical nurse (PN) to report which finding to the charge nurse?

Hematemesis.

Anorexia.

Clay-colored stools.

Brown, foamy urine.

Hint : 🚨 Blood in vomit = emergency in varices

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

42 :
When obtaining a fingerstick blood sugar, the practical nurse (PN) uses the lancet to prick the client's finger. After observing that a drop of blood is visible on the finger, which action should the PN take?

Apply direct pressure over the area that is bleeding.

Wipe off the drop of blood with a gauze pad.

Clean the finger with an alcohol prep pad.

Apply the drop of blood to the test strip.

Hint : 🧪 Use the drop for testing immediately

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

43 :
A client with a tentative diagnosis of a gastric ulcer is scheduled for an endoscopy. Which concern should the practical nurse (PN) expect this client to have after the procedure is completed?

Sore throat.

Clay-colored stools.

Pain in the mid-abdominal area.

White, chalky emesis.

Hint : 👅 Mild throat irritation is expected

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

44 :
The practical nurse (PN) is performing a focused assessment on a client with hyperthyroidism. To confirm the presence of exophthalmos, which action should the PN include in the assessment?

Palpating the client's neck gently.

Measuring the client's vital signs.

Compressing the client's pretibial area.

Observing the client's face and eyes.

Hint : 👀 Look at the eyes for protrusion

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

45 :
A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?

Initiate contact isolation precautions.

Explain the need to keep the affected areas dry.

Prepare the client for allergen testing.

Review stress reduction strategies with the client.

Hint : 🧘 Stress management helps reduce flare-ups

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

46 :
The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position?

Left lateral recumbent position with the right leg supported in proper alignment.

Dorsal recumbent with the right leg elevated on two pillows.

Supine with a foot board and a trochanter roll to the right leg.

Right lateral with a pillow between the legs.

Hint : 🛏️ Elevate fractured limb above heart level

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

47 :
A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?

Initiate contact isolation precautions.

Explain the need to keep the affected areas dry.

Prepare the client for allergen testing.

Review stress reduction strategies with the client.

Hint : 🧠 Stress is a major trigger

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

48 :
The practical nurse (PN) is assigned to care for a client who underwent fixation of a mandible fracture. Upon entering the client's room, the PN should confirm the presence of which item(s) in the client's room? Select all that apply.

Suction equipment.

Crash cart.

Non-rebreather mask.

Nasogastric tube.

Wire cutters.

Hint : ✂️ Ensure suction and wire cutters are present for safety

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

49 :
An adult male client is admitted to the medical unit because of a loss of appetite and generalized malaise. His complete blood count (CBC) results indicate a white blood cell (WBC) count of 8,000/mm³ (8 x 10⁹/L), basophils 1% (0.01 fraction), platelets 98,000/mm³ (98 x 10⁹/L), hemoglobin of 14 g/dL (8.7 mmol/L), and hematocrit of 44.9% (0.44 volume fraction). The practical nurse (PN) should assess the client for which finding?
Reference Range:
White Blood Cell (WBC): 5,000 to 10,000/mm³ (5 to 10 x 10⁹/L)
Basophils: 0.5 to 1.0% (0.01 to 0.05 x 10⁹/L)
Platelets: 150,000 to 400,000/mm³ (150 to 400 x 10⁹/L)
Hemoglobin (Hgb): 14 to 18 g/dL (8.69 to 11.17 mmol/L)
Hematocrit (Hct): 42% to 52% (0.42 to 0.52 volume fraction)

Flushed, hot skin.

Hives.

Inelastic turgor.

Bruising.

Hint : 💧 Assess for dehydration signs

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

50 :
The practical nurse (PN) enters the room of a client scheduled for a bone density test later in the morning. The client is preparing to eat breakfast and states, "I drink a lot of orange juice because I have osteoporosis. My test today will tell me if the osteoporosis has worsened." How should the PN respond?

Commend the client for ensuring an adequate source of vitamin C in the diet.

Advise the client of the need to remain NPO until the test is completed.

Determine if the client drinks orange juice that has been fortified with calcium.

Correct the client's misunderstanding of the purpose of bone density testing.

Hint : 🧂 Check for calcium fortification in juice

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

51 :
The practical nurse (PN) is caring for a client with pyelonephritis who is admitted for parenteral anti-infective therapy. Prior to discharge home with an oral medication regimen, which instruction is most important for the practical nurse (PN) to reinforce with the client?

Return for urine culture and imaging.

Use nonsteroidal anti-inflammatory drug (NSAID) for pain.

Adhere strictly to medication regimen.

Ensure effective perineal hygiene.

Hint : 📅 Complete all antibiotics as directed

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

52 :
A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

Smokes two packs of cigarettes a day.

Expresses a desire to change one's lifestyle.

Drinks 1 to 2 glasses of red wine daily.

Walks four city blocks to work each day.

Hint : 🧠 Motivation drives recovery success

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

53 :
A client with Crohn's disease has a serum sodium level of 130 mEq/L (130 mmol/L). Which foods should the practical nurse (PN) encourage the client to eat?
Reference Range:
Sodium: 136 to 145 mEq/L (136 to 145 mmol/L)

Red meats.

Salted crackers.

Fresh fruits.

Green vegetables.

Hint : 🧂 Mild salty snacks support sodium balance

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

54 :
A client is admitted with the diagnosis of possible pneumonia, and laboratory studies are prescribed to rule out the etiology. Which specimen should the practical nurse (PN) collect prior to the beginning of antibiotic therapy?

Sputum.

Urine.

Throat smear.

Blood.

Hint : 🧪 Collect sputum before antibiotics

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

55 :
The practical nurse (PN) is completing a focused assessment of a client who was admitted yesterday with polycythemia vera. Which finding should the PN report to the charge nurse immediately?

Facial pallor, particularly around lips.

Increased heart rate in the last 4 hours.

Dark brown stools in the last 24 hours.

Right lower leg redness and edema.

Hint : 🩸 Suspect DVT in polycythemia vera with unilateral leg swelling

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

56 :
A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

Administer a PRN prescription for an antiemetic.

Flush the IV tubing with sodium chloride.

Notify the healthcare provider.

Turn off the blood infusion.

Hint : 🚨 Stop transfusion at first reaction sign

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

57 :
A client with diabetes is admitted with a 1 cm size ulcer on the left great toe. The practical nurse (PN) observes that the left foot has a dusky color. While planning the client's care, which intervention should the PN implement first?

Bathe the wound daily with soap and water.

Record the color and temperature of the leg.

Perform dorsiflexion and extension exercises.

Check the client's dorsalis pedis and posterior tibialis pulse points.

Hint : 🔍 Always check circulation first in diabetic foot issues

Correct Answers:

No Correct Answers Available !

Your Feedback & Suggestions !

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1 : The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

2 : A client has a PRN prescription for a nasal cannula at 2 to 3 L/minute. The client is wearing a nasal cannula at 2 L/minute and asks the practical nurse (PN) if it can be removed. Which client data is most important for the PN to obtain before responding to the client?

3 : A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply.

4 : A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

5 : A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

6 : Four hours after rhinoplasty, a client is swallowing repeatedly. Which priority action should the practical nurse (PN) take?

7 : An obese client is admitted for treatment of kidney stones. Which action by the practical nurse (PN) takes priority?

8 : A client with a history of a right radical mastectomy arrives on the postoperative unit following surgical repair of a fractured left radius and application of a short arm cast. Which action should the practical nurse implement while obtaining the client's blood pressure (BP)?

9 : A client with breast cancer who received chemotherapy two weeks ago returns to the clinic for follow-up. Which priority follow-up assessment should the practical nurse (PN) anticipate for this client?

10 : The practical nurse (PN) is assisting with blood pressure measurement for adults at a community health fair. Which blood pressure measurement requires the most immediate action by the PN?

12 : The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

13 : A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

14 : When preparing a client for a Papanicolaou (Pap) test, which equipment is necessary for the practical nurse (PN) to provide the healthcare provider? Select all that apply.

15 : A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

16 : The most important complication for the practical nurse (PN) to observe for when caring for a client who had a long bone fracture repaired yesterday is:

17 : The practical nurse (PN) is evaluating a client who is admitted to the hospital with a diagnosis of cholelithiasis. Which finding should the practical nurse (PN) report to the charge nurse?

18 : When providing preoperative care for a client with an abdominal aneurysm, changes in which assessment finding are most important for the practical nurse (PN) to report to the registered nurse (RN)?

19 : When providing care for a client on the first postoperative day following an appendectomy, which intervention should the practical nurse implement?

20 : The practical nurse (PN) is caring for a client scheduled for a bronchoscopic procedure. After the charge nurse administers the IV sedative, which action should the PN implement?

21 : A client with heart failure requests two more pillows to sleep with at night. Which area should the practical nurse (PN) evaluate when responding to the client's request?

22 : A client with diabetes mellitus is admitted with an infected foot pressure injury. During a routine assessment, the practical nurse (PN) notes a pattern of deep, rapid respirations and a fruity breath odor. Which action should the PN take first?

23 : The practical nurse (PN) is assigned to care for a client with Guillain-Barré syndrome (GBS). Which problem has the highest priority for this client's care?

24 : A client fell 20 feet (6.1 meters) from the tree stand while deer hunting, sustaining a ruptured spleen. The client is receiving blood and fluid replacement while being prepared for a splenectomy. Which finding should the practical nurse (PN) report to the charge nurse?

25 : While performing a routine assessment of a bedfast client who has bilateral cataracts, the practical nurse (PN) observes that the client's pupils appear milky white. Which action should the PN take next?

30 : A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

32 : The practical nurse (PN) is caring for a client with type 1 diabetes mellitus. Which intervention should the PN implement immediately after a below-the-knee (BKA) amputation due to gangrene?

33 : The practical nurse (PN) is preparing a client for a mammogram. Which instruction should the PN provide the client?

34 : A client with a fractured femur is placed in Buck's traction to immobilize the fracture. When transporting this client to another room, how should the practical nurse (PN) handle the traction?

36 : The practical nurse (PN) is caring for a client admitted with a diagnosis of herpes zoster. The client has draining lesions and reports that the affected area is painful. Which action should the PN take first?

37 : A client receives a 12-lead electrocardiogram (ECG) and asks the practical nurse (PN) what the test is measuring. Which information should the PN explain about this diagnostic test?

38 : The practical nurse (PN) knows that AIDS is a viral infection that compromises the effectiveness of the immune system. Which component of the immune system is characteristically affected?

39 : A male client who recently had a myocardial infarction tells the practical nurse (PN) that he refuses to give up his habit of smoking two packs of cigarettes daily. Which intervention(s) should the PN implement? Select all that apply.

41 : A client with chronic cirrhosis has esophageal varices. It is most important for the practical nurse (PN) to report which finding to the charge nurse?

42 : When obtaining a fingerstick blood sugar, the practical nurse (PN) uses the lancet to prick the client's finger. After observing that a drop of blood is visible on the finger, which action should the PN take?

43 : A client with a tentative diagnosis of a gastric ulcer is scheduled for an endoscopy. Which concern should the practical nurse (PN) expect this client to have after the procedure is completed?

44 : The practical nurse (PN) is performing a focused assessment on a client with hyperthyroidism. To confirm the presence of exophthalmos, which action should the PN include in the assessment?

45 : A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?

46 : The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position?

47 : A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?

48 : The practical nurse (PN) is assigned to care for a client who underwent fixation of a mandible fracture. Upon entering the client's room, the PN should confirm the presence of which item(s) in the client's room? Select all that apply.

51 : The practical nurse (PN) is caring for a client with pyelonephritis who is admitted for parenteral anti-infective therapy. Prior to discharge home with an oral medication regimen, which instruction is most important for the practical nurse (PN) to reinforce with the client?

52 : A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

53 : A client with Crohn's disease has a serum sodium level of 130 mEq/L (130 mmol/L). Which foods should the practical nurse (PN) encourage the client to eat?Reference Range:Sodium: 136 to 145 mEq/L (136 to 145 mmol/L)

54 : A client is admitted with the diagnosis of possible pneumonia, and laboratory studies are prescribed to rule out the etiology. Which specimen should the practical nurse (PN) collect prior to the beginning of antibiotic therapy?

55 : The practical nurse (PN) is completing a focused assessment of a client who was admitted yesterday with polycythemia vera. Which finding should the PN report to the charge nurse immediately?

56 : A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

57 : A client with diabetes is admitted with a 1 cm size ulcer on the left great toe. The practical nurse (PN) observes that the left foot has a dusky color. While planning the client's care, which intervention should the PN implement first?

1 :
The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

2 :
A client has a PRN prescription for a nasal cannula at 2 to 3 L/minute. The client is wearing a nasal cannula at 2 L/minute and asks the practical nurse (PN) if it can be removed. Which client data is most important for the PN to obtain before responding to the client?

3 :
A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply.

4 :
A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

5 :
A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

6 :
Four hours after rhinoplasty, a client is swallowing repeatedly. Which priority action should the practical nurse (PN) take?

7 :
An obese client is admitted for treatment of kidney stones. Which action by the practical nurse (PN) takes priority?

8 :
A client with a history of a right radical mastectomy arrives on the postoperative unit following surgical repair of a fractured left radius and application of a short arm cast. Which action should the practical nurse implement while obtaining the client's blood pressure (BP)?

9 :
A client with breast cancer who received chemotherapy two weeks ago returns to the clinic for follow-up. Which priority follow-up assessment should the practical nurse (PN) anticipate for this client?

10 :
The practical nurse (PN) is assisting with blood pressure measurement for adults at a community health fair. Which blood pressure measurement requires the most immediate action by the PN?

12 :
The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?

13 :
A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

14 :
When preparing a client for a Papanicolaou (Pap) test, which equipment is necessary for the practical nurse (PN) to provide the healthcare provider? Select all that apply.

15 :
A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

16 :
The most important complication for the practical nurse (PN) to observe for when caring for a client who had a long bone fracture repaired yesterday is:

17 :
The practical nurse (PN) is evaluating a client who is admitted to the hospital with a diagnosis of cholelithiasis. Which finding should the practical nurse (PN) report to the charge nurse?

18 :
When providing preoperative care for a client with an abdominal aneurysm, changes in which assessment finding are most important for the practical nurse (PN) to report to the registered nurse (RN)?

19 :
When providing care for a client on the first postoperative day following an appendectomy, which intervention should the practical nurse implement?

20 :
The practical nurse (PN) is caring for a client scheduled for a bronchoscopic procedure. After the charge nurse administers the IV sedative, which action should the PN implement?

21 :
A client with heart failure requests two more pillows to sleep with at night. Which area should the practical nurse (PN) evaluate when responding to the client's request?

22 :
A client with diabetes mellitus is admitted with an infected foot pressure injury. During a routine assessment, the practical nurse (PN) notes a pattern of deep, rapid respirations and a fruity breath odor. Which action should the PN take first?

23 :
The practical nurse (PN) is assigned to care for a client with Guillain-Barré syndrome (GBS). Which problem has the highest priority for this client's care?

24 :
A client fell 20 feet (6.1 meters) from the tree stand while deer hunting, sustaining a ruptured spleen. The client is receiving blood and fluid replacement while being prepared for a splenectomy. Which finding should the practical nurse (PN) report to the charge nurse?

25 :
While performing a routine assessment of a bedfast client who has bilateral cataracts, the practical nurse (PN) observes that the client's pupils appear milky white. Which action should the PN take next?

30 :
A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

32 :
The practical nurse (PN) is caring for a client with type 1 diabetes mellitus. Which intervention should the PN implement immediately after a below-the-knee (BKA) amputation due to gangrene?

33 :
The practical nurse (PN) is preparing a client for a mammogram. Which instruction should the PN provide the client?

34 :
A client with a fractured femur is placed in Buck's traction to immobilize the fracture. When transporting this client to another room, how should the practical nurse (PN) handle the traction?

36 :
The practical nurse (PN) is caring for a client admitted with a diagnosis of herpes zoster. The client has draining lesions and reports that the affected area is painful. Which action should the PN take first?

37 :
A client receives a 12-lead electrocardiogram (ECG) and asks the practical nurse (PN) what the test is measuring. Which information should the PN explain about this diagnostic test?

38 :
The practical nurse (PN) knows that AIDS is a viral infection that compromises the effectiveness of the immune system. Which component of the immune system is characteristically affected?

39 :
A male client who recently had a myocardial infarction tells the practical nurse (PN) that he refuses to give up his habit of smoking two packs of cigarettes daily. Which intervention(s) should the PN implement? Select all that apply.

41 :
A client with chronic cirrhosis has esophageal varices. It is most important for the practical nurse (PN) to report which finding to the charge nurse?

42 :
When obtaining a fingerstick blood sugar, the practical nurse (PN) uses the lancet to prick the client's finger. After observing that a drop of blood is visible on the finger, which action should the PN take?

43 :
A client with a tentative diagnosis of a gastric ulcer is scheduled for an endoscopy. Which concern should the practical nurse (PN) expect this client to have after the procedure is completed?

44 :
The practical nurse (PN) is performing a focused assessment on a client with hyperthyroidism. To confirm the presence of exophthalmos, which action should the PN include in the assessment?

45 :
A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?

46 :
The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position?

47 :
A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?

48 :
The practical nurse (PN) is assigned to care for a client who underwent fixation of a mandible fracture. Upon entering the client's room, the PN should confirm the presence of which item(s) in the client's room? Select all that apply.

51 :
The practical nurse (PN) is caring for a client with pyelonephritis who is admitted for parenteral anti-infective therapy. Prior to discharge home with an oral medication regimen, which instruction is most important for the practical nurse (PN) to reinforce with the client?

52 :
A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

53 :
A client with Crohn's disease has a serum sodium level of 130 mEq/L (130 mmol/L). Which foods should the practical nurse (PN) encourage the client to eat?
Reference Range:
Sodium: 136 to 145 mEq/L (136 to 145 mmol/L)

54 :
A client is admitted with the diagnosis of possible pneumonia, and laboratory studies are prescribed to rule out the etiology. Which specimen should the practical nurse (PN) collect prior to the beginning of antibiotic therapy?

55 :
The practical nurse (PN) is completing a focused assessment of a client who was admitted yesterday with polycythemia vera. Which finding should the PN report to the charge nurse immediately?

56 :
A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?

57 :
A client with diabetes is admitted with a 1 cm size ulcer on the left great toe. The practical nurse (PN) observes that the left foot has a dusky color. While planning the client's care, which intervention should the PN implement first?