Hesi PN Fundamental v2 practice Questions and Answers 2023

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 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. - 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 - 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. 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 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 - Diarrhea Weakness Dysrhythmias