HESI PN FUNDAMENTALS V2
1) During the initial physical assessment of a newly admitted client with
a pressure ulcer, a LPN observes that the client's skin is dry and scaly.
The nurse applies emollients and reinforces the dressing on the pressure
ulcer. Legally, were the nurse's actions adequa...
1) During the initial physical assessment of a newly admitted client with
a pressure ulcer, a LPN observes that the client's skin is dry and scaly.
The nurse applies emollients and reinforces the dressing on the pressure
ulcer. Legally, were the nurse's actions adequate?
A The nurse also should have instituted a plan to increase activity.
B The nurse provided supportive nursing care for the well-being of the
client.
C Debridement of the pressure ulcer should have been done before the
dressing was applied.
D Treatment should not have been instituted until the health care
provider's prescriptions were received.
Correct Answer: B
2) A visitor comes to the nursing station and tells the nurse that a client
and his relative had a fight and that the client is now lying unconscious
on the floor. What is the most important action the LPN/LVN needs to take?
A Ask the client if he is okay.
B Call security from the room.
C Find out if there is anyone else in the room.
D Ask security to make sure the room is safe
Correct Answer: D
3) To ensure the safety of a client who is receiving a continuous
intravenous normal saline infusion, the LPN should change the
administration set every:
A 4 to 8 hours
B 12 to 24 hours
C 24 to 48 hours
D 72 to 96 hours
Correct Answer: D
4) A LPN/LVN is taking care of a client who has severe back pain as a result
,of a work injury. What nursing considerations should be made when
determining the client's plan of care? Select all that apply.
A Ask the client what is the client's acceptable level of pain.
B Eliminate all activities that precipitate the pain.
C Administer the pain medications regularly around the clock.
D Use a different pain scale each time to promote patient education.
E Assess the client's pain every 15 minutes
Correct Answer: A, C
5) The LPN/LVN is preparing to administer eardrops to a client that has
impacted cerumen. Before administering the drops, the nurse will assess
the client for which contraindications? Select all that apply.
A Allergy to the medication
B Itching in the ear canal
C Drainage from the ear canal
D Tympanic membrane rupture
E Partial hearing loss in the affected ear
Correct Answer:A,C,D
6) What clinical indicators should the LPN/LVN expect a client with
hyperkalemia to exhibit? Select all that apply.
A Tetany
B Seizures
C Diarrhea
D Weakness
E Dysrhythmias
Correct Answer:C,D,E
7) A health care provider has prescribed isoniazid (Laniazid) for a
client. Which instruction should the LPN give the client about this
medication?
A Prolonged use can cause dark concentrated urine.
B The medication is best absorbed when taken on an empty stomach.
C Take the medication with aluminum hydroxide to minimize GI upset.
D Drinking alcohol daily can cause drug-induced hepatitis
, Correct Answer:D
8) To minimize the side effects of the vincristine (Oncovin) that a client
is receiving, what does the LPN/LVN expect the dietary plan to include?
A Low in fat
B High in iron
C High in fluids
D Low in residue
Correct Answer:C
9) A postoperative client says to the nurse, "My neighbor, I mean the
person in the next room, sings all night and keeps me awake." The
neighboring client has dementia and is awaiting transfer to a nursing
home. How can the LPN/LVN best handle this situation?
A Tell the neighboring client to stop singing.
B Close the doors to both clients' rooms at night.
C Give the complaining client the prescribed as needed sedative.
D Move the neighboring client to a room at the end of the hall
Correct Answer:D
10) The nurse is providing postoperative care to a client who had a
submucosal resection (SMR) for a deviated septum. The LPN should
monitor for what complication associated with this type of surgery?
A Occipital headache
B Periorbital crepitus
C Expectoration of blood
D Changes in vocalization
Correct Answer:C
11) A nurse is reviewing a plan of care for a client who was admitted
with dehydration as a result of prolonged watery diarrhea. Which
prescription should the LPN/LVN question?
A Oral psyllium (Metamucil)
B Oral potassium supplement
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