HESI LPN COMPREHENSIVE EXIT FINAL EXAM
2024-2025 /LPN HESI EXIT COMPREHENSIVE
EXIT REAL EXAM 160 QUESTIONS AND DETAILED
ANSWERS
Terms in this set (237)
Week 1 Acid/base, electrolytes, and IV therapy
When do we use an 18 blood transfusions and massive amounts of fluid
gauge or bigger needle?
When do we use 22 gauge elderly patients and children
or smaller?
Why do we avoid putting Risk for blood clot
IVs in the feet of adults?
How often are gauze Every 48 hours
dressings changed?
What is phlebitis? Irritation and inflammation of the vein (graded 1-4)
The inadvertent administration of a NONVESICANT
What is infiltration?
medication into the surrounding tissue
inadvertent administration of a vesicant medication into
What is extravasation?
surrounding tissue
STOP the infusion immediately
notify healthcare provider
What is the first thing you alternate cold and warm compresses depending on
do if you notice infiltration med
or extravasation? elevate extremity
document and assess frequently
antidote if applicable
, Sudden, involuntary contraction of a vein resulting in
What is a venous spasm?
temporary cessation of blood flow through a vessel
What can air embolism Death, stroke, MI, pulmonary hypoxia
potentially lead to?
Place patient in left lateral Trendelenburg and activate
Treatment of air embolism
code and administer 100% O2
Orange 14G
Gray 16G
Green 18G
Pink 20G
Blue 22G
Yellow 24G
Violet 26G
Where do you place an IV Feet or scalp if less than 18 months
in a child
What are the types of Nontunneled, PICC, Subcutaneously tunneled cuffed
CVADS catheter, Implanted vascular access port
Placed at bedside. Not used for more than 14 days. Goes
What is a nontunneled
into neck. Nurse can remove.
must be trained. Can go home with them. can stay up to
a year. Can be difficult to manage if not placed
PICC
correctly. Goes into arm and then heart. Measure arm
circumference every day. Risk for blood clot
Placed in surgery. Must keep clean. Patient can have
Subcutaneously tunneled
image disturbances. In chest. It can be in for years. Dont
catheter
need dressing after healed.
Surgically placed. Used for chemo. Pain from placement.
Implanted Vascular Access
Can use numbing cream. Can shower and swim. Painful
Port
prick with access.
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