HESI PN V2 FUNDAMENTALS EXAM
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 adequ...
hesi pn v2 fundamentals exam 1 during the initial physical assessment of a newly admitted client with a pressure ulcer
a lpn observes that the clients skin is dry and scaly the nurse applies e
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HESI PN V2 FUNDAMENTALS EXAM
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.
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