HESI PN Fundamental V2: Questions

HESI PN Fundamental V2: Questions&

Answers

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?

• The nurse also should have instituted a plan to increase activity.
• The nurse provided supportive nursing care for the well-being of the

client.

• Debridement of the pressure ulcer should have been done before the

dressing was applied.

• Treatment should not have been instituted until the health care

provider's prescriptions were received.(Ans- B. The nurse provided supportive nursing care for the well-being of the client.

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 (Ans- D. Ask security to make sure the room is safe

To ensure the safety of a client who is receiving a continuous intravenous normal saline infusion, the LPN should change the administration set every

• 4 to 8 hours
• 12 to 24 hours 1 / 3

• 24 to 48 hours
• 72 to 96 hours

(Ans- D. 72 to 96 hours

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.

• Ask the client what is the client's acceptable level of pain.
• Eliminate all activities that precipitate the pain.
• Administer the pain medications regularly around the clock.
• Use a different pain scale each time to promote patient education.
• Assess the client's pain every 15 minutes

(Ans-

• Ask the client what is the client's acceptable level of pain.
• Administer the pain medications regularly around the clock

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

• Allergy to the medication
• Itching in the ear canal
• Drainage from the ear canal
• Tympanic membrane rupture
• Partial hearing loss in the affected ear

(Ans-

• Allergy to the medication
• Drainage from the ear canal
• Tympanic membrane rupture

What clinical indicators should the LPN/LVN expect a client with hyperkalemia to exhibit? Select all that apply A.Tetany 2 / 3

• Seizures
• Diarrhea
• Weakness
• Dysrhythmias

(Ans- C.Diarrhea D.Weakness E.Dysrhythmias

A health care provider has prescribed isoniazid (Laniazid) for a client. Which instruction should the LPN give the client about this medication?

• Prolonged use can cause dark concentrated urine.
• The medication is best absorbed when taken on an empty stomach.
• Take the medication with aluminum hydroxide to minimize GI upset.
• Drinking alcohol daily can cause drug-induced hepatitis

(Ans- D. Drinking alcohol daily can cause drug-induced hepatitis

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 (Ans- C. High in fluids

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.

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