2022 Fundamental PN Hesi Specialty V2
2022 Fundamental PN Hesi Specialty V2
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
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, 2022 Fundamental PN Hesi Specialty V2
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
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, 2022 Fundamental PN Hesi Specialty V2
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.
B Close the doors to both clients' rooms at night.
C Give the complaining client the prescribed as needed sedative.
D Move the neighboring client to a room at the end of the hall
Correct Answer:D
10) The nurse is providing postoperative care to a client who had a
submucosal resection (SMR) for a deviated septum. The LPN should
monitor for what complication associated with this type of surgery?
A Occipital headache
B Periorbital crepitus
C Expectoration of blood
D Changes in vocalization
Correct Answer:C
11) A nurse is reviewing a plan of care for a client who was admitted
with dehydration as a result of prolonged watery diarrhea. Which
prescription should the LPN/LVN question?
A Oral psyllium (Metamucil)
B Oral potassium supplement
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2022 Fundamental PN Hesi Specialty V2
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
1
, 2022 Fundamental PN Hesi Specialty V2
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
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, 2022 Fundamental PN Hesi Specialty V2
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.
B Close the doors to both clients' rooms at night.
C Give the complaining client the prescribed as needed sedative.
D Move the neighboring client to a room at the end of the hall
Correct Answer:D
10) The nurse is providing postoperative care to a client who had a
submucosal resection (SMR) for a deviated septum. The LPN should
monitor for what complication associated with this type of surgery?
A Occipital headache
B Periorbital crepitus
C Expectoration of blood
D Changes in vocalization
Correct Answer:C
11) A nurse is reviewing a plan of care for a client who was admitted
with dehydration as a result of prolonged watery diarrhea. Which
prescription should the LPN/LVN question?
A Oral psyllium (Metamucil)
B Oral potassium supplement
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