Question

A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for the client?

Answer 1

Correct Answers:

Gravida2, Para 1

Rationale :

🔵 The client is currently pregnant for the 2nd time → Gravida 2.

🔵 She has one prior birth that reached viability (2-year-old at home) → Para 1.

🔵 The current pregnancy does not increase Para until delivery.

🔵 G/P summarizes total pregnancies (G) and births ≥20 wks (P) for risk planning.

🔵 Accurate G/P reduces errors in documentation and obstetric decision-making.

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Answer 2

Correct Answers:

Culture for sensitive organisms

Rationale :

🟣 Redness, swelling, purulent/odorous drainage suggest infection; obtain a culture first.

🟣 Culturing allows organism identification and antibiogram-guided therapy.

🟣 Starting antibiotics before culture risks false-negative cultures and resistance.

🟣 Other labs (e.g., CRP) show inflammation, not the causative microbe.

🟣 Correct source control plus targeted antibiotics improve outcomes.

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Answer 3

Correct Answers:

“Tell me more about your concerns regarding an abdominal scar.”

Rationale :

🔵 This open-ended, therapeutic statement invites feelings and specific worries.

🔵 It avoids false reassurance or minimizing appearance concerns.

🔵 Facilitates assessment of body image/self-esteem needs.

🔵 Supports trust/rapport, enabling personalized teaching on scar care.

🔵 Sets the stage for shared decision-making about management options.

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Answer 4

Correct Answers:

Hyperactivity

Rationale :

🟣 Divalproex is a mood stabilizer; no use for 6 months increases mania relapse risk.

🟣 Hyperactivity, pressured speech, ↓ need for sleep are cardinal manic signs.

🟣 Early recognition prevents impulsivity-related harm (finances, driving, risk-taking).

🟣 Assessment of behavior/energy changes is more sensitive than nonspecific symptoms.

🟣 Prompt reporting supports medication re-initiation and stabilization.

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Answer 5

Correct Answers:

joint pain

Rationale :

🔵 Vaso-occlusion in sickle crisis → ischemic bone/joint pain (classic presentation).

🔵 Pain often surpasses fatigue/infection as chief complaint needing opioids/fluids.

🔵 Adequate hydration reduces sickling; pain control prevents stress-induced worsening.

🔵 Untreated pain may signal acute chest, stroke, or splenic sequestration.

🔵 Functionally, pain limits mobility and breathing, increasing complications.

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Answer 6

Correct Answers:

Folic acid deficiency

Rationale :

🟣 Neural tube closure occurs by week 4; folate deficiency increases defect risk.

🟣 Spina bifida occulta is a milder NTD but shares the folate link.

🟣 Preconception folic acid (≥400 mcg/day) is most protective.

🟣 Education reduces recurrence risk in future pregnancies.

🟣 Factors like preeclampsia/tobacco are not primary NTD drivers.

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Answer 7

Correct Answers:

Anemia

Rationale :

🔵 CKD → ↓ erythropoietin → ↓ RBC production → anemia.

🔵 Epoetin replaces the deficiency, raising Hgb/Hct and energy.

🔵 Monitor for hypertension/thrombotic events as RBC mass rises.

🔵 Improved O₂ delivery reduces fatigue/SOB and hospitalizations.

🔵 Not for edema, anuria, hypertension—those need other strategies.

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Answer 8

Correct Answers:

Blood pressure

Rationale :

🟣 Large sanguineous drainage raises concern for active bleeding.

🟣 First verify hemodynamic stability—blood pressure drives emergent actions.

🟣 Hypotension = occult blood loss → rapid escalation (fluids, surgeon notify).

🟣 Other assessments (pain/temp/bowel sounds) don’t triage shock risk.

🟣 Early vitals trend prevents delay to resuscitation.

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Answer 9

Correct Answers:

Place client in a recovery lateral position

Rationale :

🔵 Post-seizure priority is airway protection—lateral position prevents aspiration.

🔵 UAP can safely assist positioning under nurse supervision.

🔵 Neuro checks and suctioning require clinician judgment/skill.

🔵 Immediate reporting is the nurse’s role, not a delegated task.

🔵 Positioning decreases hypoxia while the client regains reflexes.

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Answer 10

Correct Answers:

1

Rationale :

🔵 Supply: 10 mg / 2 mL → 5 mg / 1 mL.

🔵 Order: 5 mg → draw 1 mL (no rounding).

🔵 Correct math avoids underdose/overdose in delirium tremens.

🔵 Label-matching prevents look-alike/sound-alike errors.

🔵 Use IM technique and monitor sedation/respirations.

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HESI EXIT-PN August 27th 2025

No.

1 :
A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for the client?

3 :
Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?

4 :
A male client with bipolar disorder reports to the practical nurse (PN) that has not taken his prescribes medication, divalproex sodium, for the last 6 months. Assessments of which parameter is most important for the PN to obtain?

5 :
When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing a sickle cell crisis?

6 :
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?

7 :
The practical nurse (PN) is administering a subcutaneous injection of epoetin to a client with chronic kidney disease (CKD). This medication is being administered to treat which manifestation of chronic kidney disease (CKD)?

8 :
When monitoring a client’s abdominal incision, the practical nurse (PN) observes a large amount of sanguineous drainage on the dressing. Which client data collection should the PN complete first?

9 :
In providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse PN to assign to the unlicensed assistive personnel (UAP) working with the PN?

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HESI EXIT-PN August 27th 2025

No.

1 : A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for the client?

3 : Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?

4 : A male client with bipolar disorder reports to the practical nurse (PN) that has not taken his prescribes medication, divalproex sodium, for the last 6 months. Assessments of which parameter is most important for the PN to obtain?

5 : When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing a sickle cell crisis?

6 : 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?

7 : The practical nurse (PN) is administering a subcutaneous injection of epoetin to a client with chronic kidney disease (CKD). This medication is being administered to treat which manifestation of chronic kidney disease (CKD)?

8 : When monitoring a client’s abdominal incision, the practical nurse (PN) observes a large amount of sanguineous drainage on the dressing. Which client data collection should the PN complete first?

9 : In providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse PN to assign to the unlicensed assistive personnel (UAP) working with the PN?

1 :
A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for the client?

3 :
Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?

4 :
A male client with bipolar disorder reports to the practical nurse (PN) that has not taken his prescribes medication, divalproex sodium, for the last 6 months. Assessments of which parameter is most important for the PN to obtain?

5 :
When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing a sickle cell crisis?

6 :
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?

7 :
The practical nurse (PN) is administering a subcutaneous injection of epoetin to a client with chronic kidney disease (CKD). This medication is being administered to treat which manifestation of chronic kidney disease (CKD)?

8 :
When monitoring a client’s abdominal incision, the practical nurse (PN) observes a large amount of sanguineous drainage on the dressing. Which client data collection should the PN complete first?

9 :
In providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse PN to assign to the unlicensed assistive personnel (UAP) working with the PN?