ACTUAL HESI PN LPN FUNDAMENTALS EXAM / HESI PN LPN
FUNDAMENTALS REAL EXAM 2024-2025 COMPLETE APPROVED
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED ANSWERS) |GUARANTEED PASS
A+
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO,
but is unable to swallow. The practical nurse (PN) should consult with
the healthcare provider about which component of the prescription? A.
Time of the dose.
B. The prescribed dosage.
C. The route of administration.
D. Available generic drug. - Answer-C. The healthcare provider should
be consulted to determine if another route of administration is
indicated for the client who is unable to swallow oral tablets. The
drug's time (A), dose (B), and generic name (D) do not need
clarification of the prescription
What is most important for the practical nurse (PN) to include when
performing pain assessment after giving an analgesic? A. Question
the client about precipitating factors.
B. Determine the location of the pain.
C. Inquire about the sensation.
D. Use a pain scale to describe the intensity - Answer-D. A descriptive
scale, such as a pain scale, is the most accurate measure of the
intensity of pain, which can only be described by the client. A
numerical pain scale used before and after implementing measures
to alleviate pain provides a comparison that best determines the
, effectiveness of an analgesic. (A, B, and C) are subjective descriptors
of the client's pain that do not indicate the degree of pain relief after
a medication is given.
Which food should the practical nurse (PN) recommend to a client as a
source of complete protein? A. Oats.
B. Eggs.
C. Lentils.
D. Peanuts. - Answer-B. A complete protein contains all of the essential
amino acids in sufficient quantity to meet the needs of the body.
Excellent sources of a complete are animal based, such as meat,
eggs, and milk. (A, C, and D) are foods that provide incomplete
proteins.
The practical nurse is administering scheduled morning medications to
a client who states, I haven't seen that pill before. Are you sure it's
correct? Which action should the PN take?
A. Verify the prescription before administrating the medication.
B. Withhold the dose to confirm its use with the healthcare provider.
C. Reassure the client that the medication is prescribed for a reason.
D. Check with the pharmacy to ensure the dispensed medication is
correct. - Answer-A. When giving medications, listening to the
concerns expressed by the client provides an opportunity to reassess
the administration of the right drug. The prescriptions should be
verified and validated with the prescription. (B, C, and D) may be
, indicated if a discrepancy is found in the prescription and drug on
hand.
The practical nurse (PN) hears breath sounds that are short, popping,
and discontinuous on inspiration when auscultating a client's lungs.
Which description should the PN document in the client's record? A.
Wheezes present.
B. Crackles auscultated.
C. Pleural friction rub noted.
D. Bronchovesicular sounds heard. - Answer-B. Crackles are short,
popping, discontinuous sounds heard on inspiration. Wheezes (A) are
musical sounds heard on expiration. A pleural friction rub (C)
produces an abnormal grating sound. Bronchovesicular sounds (D)
are normal, breath sounds of equal duration during inspiration and
expiration and are heard in the peripheral lung fields.
Which information should the practical nurse provide a client who is
selecting a site for self-injection of insulin?
A. Avoid the abdomen because absorption is irregular.
B. Choose a different site at random for each injection.
C. Give the injection in the same area each time to promote consistent
absorption.
D. Rotate sites within the same location for a week before choosing a
new location. - Answer-D. Intra-site rotation is preferred to rotation
from one site to another. The preferred site is the abdomen (2-inch
radius around the navel) which provides the most rapid insulin
, absorption, followed by the deltoid, thigh, and buttocks. Rotating
injection sites prevents lipohypertrophy (increased fat deposits in
the skin) or lipoatrophy (loss of fatty tissue, leaving an uneven
appearance), both of which cause absorption inconsistencies
Which intervention should the practical nurse (PN) use to prevent
obstruction of a gastric feeding tube?
A. Obtain a prescription for a liquid drug form instead of crushing
tablets.
B. Instill an acidic juice, such as cranberry, between intermittent
feedings.
C. Flush the feeding tube with an effervescent cola product to
relieve clogs.
D. Use an asepto syringe to plunge and aspirate the contents of the
tube. - Answer-A. The administration of liquid medications rather than
crushed medications, which do not always dissolve well, helps prevent
clogging
Which intervention provides confirmation of nasogastric tube (NGT)
placement before NGT feedings are started? A. Flat plate xray of
the abdomen.
B. Auscultation of the abdomen.
C. Determining stomach content pH.
D. Measuring residual stomach contents. - Answer-A. An x-ray is the
most accurate confirmation method of NGT placement and should
be done before formula feedings are initiated.
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