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HESI PN LPN FUNDAMENTALS EXAM SAMPLE QUESTIONS AND SOLUTIONS GRADED A

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HESI PN LPN FUNDAMENTALS

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hesi pn lpn fundamentals exam sample questions and

Institution HESI PN LPN FUNDAMENTALS
Course HESI PN LPN FUNDAMENTALS

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HESI PN LPN FUNDAMENTALS EXAM SAMPLE QUESTIONS AND
SOLUTIONS GRADED A

The LPN/LVN is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?

A. A college-age track runner with a sprained ankle.

B. A lactating woman nursing her 3-day-old infant.

C. A school-aged child with Type 2 diabetes.

D. An elderly man being treated for a peptic ulcer.

(Ans- B. A lactating woman nursing her 3-day-old infant.

A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin)
500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is
the best intervention for the LPN/LVN to implement? A. Contact the healthcare provider and
complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning. C. Notify the
charge nurse and complete an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
(Ans- D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.

While instructing a male client's wife in the performance of passive range-ofmotion exercises to
his contracted shoulder, the nurse observes that she is holding his arm above and below the
elbow. What nursing action should the LPN/LVN implement?
A. Acknowledge that she is supporting the arm correctly.

B. Encourage her to keep the joint covered to maintain warmth.

C. Reinforce the need to grip directly under the joint for better support.

D. Instruct her to grip directly over the joint for better motion

(Ans- A. Acknowledge that she is supporting the arm correctly.

,What is the most important reason for starting intravenous infusions in the upper extremities
rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles. B. A decreased flow rate
could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used. D. Veins are
located deep in the feet and ankles, resulting in a more painful
procedure.
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.

The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with
a cuff that is too small, but the blood pressure reading obtained is within the client's usual range.
What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.

B. Reassess the client's blood pressure using a larger cuff.

C. Have the unit educator review this procedure with the UAPs.

D. Teach the UAP the correct technique for assessing blood pressure

(Ans- B. Reassess the client's blood pressure using a larger cuff.

A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to administer the IVPB dose over 20
minutes. For how many ml/ hr should the infusion pump be set to deliver the secondary infusion?
(Ans- 150 mL/Hr

Twenty minutes after beginning a heat application, the client states that the heating pad no longer
feels warm enough. What is the best response by the LPN/LVN? A. That means you have
derived the maximum benefit, and the heat can be removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.

C. We will increase the temperature 5 degrees when the pad no longer feels warm.

D. The body's receptors adapt over time as they are exposed to heat

,(Ans- D. The body's receptors adapt over time as they are exposed to heat

The LPN is instructing a client with high cholesterol about diet and life style modification. What
comment from the client indicates that the teaching has been effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.

B. I need to avoid eating proteins, including red meat.

C. I will limit my intake of beef to 4 ounces per week.

D. My blood level of low density lipoproteins needs to increase.

(Ans- C. I will limit my intake of beef to 4 ounces per week.

The UAPs working on a chronic neuro unit ask the LPN/LVN to help them determine the safest
way to transfer an elderly client with left-sided weakness from the bed to the chair. What method
describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.

B. Assist the client to a standing position, then place the right hand on the armrest. C. Have the
client place the left foot next to the chair and pivot to the left before sitting.

D. Move the chair parallel to the right side of the bed, and stand the client on the right foot.
(Ans- D. Move the chair parallel to the right side of the bed, and stand the client on the right
foot.

An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to
administering a soap suds enema. Which instruction should the LPN/LVN provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.

B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.

C. Reposition in a Sim's position with the client's weight on the anterior ilium.

D. Raise the side rails on both sides of the bed and elevate the bed to waist level. (Ans- C.
Reposition in a Sim's position with the client's weight on the anterior
ilium.

, A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the LPN/LVN
implement?
A. Give an around-the-clock schedule for administration of analgesics. B. Administer
analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.

D. Offer a medication-free period so that the client can do daily activities.

(Ans- A. Give an around-the-clock schedule for administration of analgesics.

When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the LPN implement first? A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.

C. Compare hand color bilaterally.

D. Palpate the right radial pulse

(Ans- A. Loosen the right wrist restraint.

A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
LPN have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited. B. Blood transfusions are forbidden. C.

Alcohol use in any form is not allowed. D. A
vegetarian diet must be followed. (Ans- B. Blood
transfusions are forbidden.

The LPN/LVN observes that a male client has removed the covering from an ice pack applied
to his knee. What action should the nurse take first? A. Observe the appearance of the skin
under the ice pack.
B. Instruct the client regarding the need for the covering.

C. Reapply the covering after filling with fresh ice.

D. Ask the client how long the ice was applied to the skin.

(Ans- A. Observe the appearance of the skin under the ice pack.

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Exam (elaborations)

HESI PN LPN FUNDAMENTALS EXAM SAMPLE QUESTIONS AND SOLUTIONS GRADED A

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