LPN FUNDAMENTALS HESI PN ACTUAL EXAM 2024-2025 COMPLETE
REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED ANSWERS) LATEST UPDATES
|GUARANTEED PASS.
A client's indwelling urinary catheter is removed at 9:30 AM. The
practical nurse (PN) assesses the client every two hours for the desire
to void. Which documented assessment requires further intervention
by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - Answer-B. A client is due to void within 8
hours of catheter removal, so at 5:30 PM. Longer than 8 hours after
removal, catheter reinsertion may be necessary. If the bladder is not
distended, further action may not be needed
Which position is best for the practical nurse to place the client in
during administration of a rectal suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - Answer-C. Left side-lying Sims'
position lessens the likelihood that the suppository or feces will be
expelled, exposes the anus for visualization during insertion, and helps
the client to relax the external anal sphincter
,The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN
administer without delay?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - Answer-B. Although the gelatin capsule can
be opened to administer the spansule's granules, the PN should not
crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release
function can be compromised.
What action should the practical nurse (PN) take when drawing
medication from an ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - Answer-A. An ampule is made
of glass with a constricted neck that is snapped off to allow access to
the medication. Medications are easily withdrawn from the ampule by
aspirating the fluid with a filter needle and syringe. Filter needles are
used when withdrawing medication from a glass ampule to prevent
glass particles from being drawn into the syringe with the medication.
Tap the top, not the bottom (B), of the ampule lightly to allow all of the
medication to drop to the bottom. When opening the ampule, the top
,should be snapped away from the nurse's face and body (C). An opened
alcohol swab wrapped around the top of the ampule may allow alcohol
to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from
powder form for IM administration. Which step should the PN
implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - Answer-
A. The Five Rights of medication administration include the right drug,
right dose, right route, right time, and right client. The first action
should be verification of the right drug in the powder form for
reconstitution.
Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs 325
pounds?
A. Produce a bleb at the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - Answer-C. To ensure
penetration into the deep layer of subcutaneuos adipose for a client
who is obese, the needle length should be longer than the usual needle
(preferably 3/8 to 5/8 inch in length) for subcutaneous injection.
, A client with cancer who has been taking opioid analgesics for two
years now requires increased doses to obtain pain relief. The client
expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - Answer-C.
Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to
minimize pain and maintain quality of life
Which finding indicates to the practical nurse (PN) that an older client
who is receiving intravenous therapy is experiencing fluid overload?
A. Edema in lower extremities.
B. Crackles in the lung fields.
C. Pulse rate of 64 beats/min.
D. Respirations of 16 breaths/min. - Answer-B. IV fluid overload in an
older client is likely to cause an increase in the workload of the heart
causing a decrease in cardiac output
The practical nurse (PN) is checking the surgical dressing for a client
who arrived on the postoperative unit an hour ago. The dressing has an
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