HESI PN V2 FUNDAMENTALS EXAM
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 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
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.
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 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
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.
