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PN HESI LPN FUNDAMENTALS EXAM HESI PN LPN FUNDAMENTALS EXAM ALL REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) A NEW UPDATED VERSION LATEST | GUARANTEED A+ An elderly client with a fractu$21.49
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PN HESI LPN FUNDAMENTALS EXAM HESI PN LPN FUNDAMENTALS EXAM ALL REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) A NEW UPDATED VERSION LATEST | GUARANTEED A+ An elderly client with a fractu
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PN HESI LPN FUNDAMENTALS
Institution
PN HESI LPN FUNDAMENTALS
PN HESI LPN FUNDAMENTALS EXAM HESI PN LPN
FUNDAMENTALS EXAM ALL REAL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH EXPLANATIONS (VERIFIED ANSWERS) A NEW
UPDATED VERSION LATEST |
GUARANTEED A+
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is esse...
PN HESI LPN FUNDAMENTALS EXAM \ HESI PN LPN
FUNDAMENTALS EXAM 2024-2025 ALL REAL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH EXPLANATIONS (VERIFIED ANSWERS) A NEW
UPDATED VERSION LATEST 2024-2025 |
GUARANTEED A+
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface (D).
Reddened areas should not be massaged (A) since this may increase the damage to already traumatized
skin. To control pain and muscle spasms, active range of motion (B) may be limited on the affected leg.
The position described in (C) is contraindicated for a client with a fractured left hip.
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
The NGT should be flushed before, after and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
A. Give an around-the-clock schedule for administration of analgesics.
,The most effective management of pain is achieved using an around-the-clock schedule that provides
analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain
persists until it is severe, so an analgesic medication should be administered before the client's pain
peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's
ability to interact and experience the time before life ends should be minimized (C). Offering a
medication-free period allows the serum drug level to fall, which is not an effective method to manage
chronic pain (D).
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are
blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
A. Loosen the right wrist restraint.
The priority nursing action is to restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not
have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical compression (the restraints).
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional
need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
B. A lactating woman nursing her 3-day-old infant.
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all conditions
that require protein, but do not have the increased metabolic protein demands of lactation.
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV
q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
,To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed
dose as soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of the medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.
While instructing a male client's wife in the performance of passive range-of-motion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What
nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
A. Acknowledge that she is supporting the arm correctly.
The wife is performing the passive ROM correctly, therefore the nurse should acknowledge this fact (A).
The joint that is being exercised should be uncovered (B) while the rest of the body should remain
covered for warmth and privacy. (C and D) do not provide adequate support to the joint while still
allowing for joint movement.
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure.
B. A decreased flow rate could result in the formation of a thrombosis.
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower extremities
increases the risk of thrombus formation (B) which, if dislodged, could be life-threatening. Superficial
veins are often very easy (A) to find in the feet and legs. Handling a leg or foot with an IV (C) is probably
not any more difficult than handling an arm or hand. Even if the nurse did believe moving a cannulated
leg was more difficult, this is not the most important reason for using the upper extremities. Pain (D) is
not a consideration.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff
that is too small, but the blood pressure reading obtained is within the client's usual range. What action
is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
, C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
B. Reassess the client's blood pressure using a larger cuff.
The most important action is to ensure that an accurate BP reading is obtained. The nurse should
reassess the BP with the correct size cuff (B). Reassessment should not be postponed (A). Though (C and
D) are likely indicated, these actions do not have the priority of (B).
Twenty minutes after beginning a heat application, the client states that the heating pad no longer feels
warm enough. What is the best response by the nurse?
A. That means you have derived the maximum benefit, and the heat can be removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
D. The body's receptors adapt over time as they are exposed to heat.
D. The body's receptors adapt over time as they are exposed to heat.
(D) describes thermal adaptation, which occurs 20 to 30 minutes after heat application. (A and B)
provide false information. (C) is not based on a knowledge of physiology and is an unsafe action that
may harm the client.
The nurse is instructing a client with high cholesterol about diet and lifestyle modification. What
comment from the client indicates that the teaching has been effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low-density lipoproteins needs to increase.
C. I will limit my intake of beef to 4 ounces per week.
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an important
diet modification for lowering cholesterol. To be effective in reducing cholesterol, the client should
exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all proteins do not need
to be eliminated (B) to lower cholesterol but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low-density lipoproteins (D) need to decrease rather than increase.
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to
transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the
correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed and stand the client on the right foot.
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