HESI PN LPN FUNDAMENTALS EXAM
g g g g
Agclientgwhogisginghospicegcaregcomplainsgofgincreasinggamountsgofgpain.gTheghealt
hcaregprovidergprescribesganganalgesicgeverygfourghoursgasgneeded.gWhichgactiongsh
ouldgthegLPN/LVNgimplement?
A.gGivegangaround-the-clockgschedulegforgadministrationgofganalgesics.
B.gAdministerganalgesicgmedicationgasgneededgwhengthegpaingisgsevere.
C.gProvidegmedicationgtogkeepgthegclientgsedatedgandgunawaregofgstimuli.
D.gOffergagmedication-freegperiodgsogthatgthegclientgcangdogdailygactivities.
(Ans-gA.gGivegangaround-the-clockgschedulegforgadministrationgofganalgesics.
Whengassessinggagclientgwithgwristgrestraints,gthegnursegobservesgthatgthegfingersgong
thegrightghandgaregblue.gWhatgactiongshouldgthegLPNgimplementgfirst?
A.gLoosengthegrightgwristgrestraint.
B.gApplygagpulsegoximetergtogthegrightghand.
C.gCompareghandgcolorgbilaterally.
D.gPalpategthegrightgradialgpulse
(Ans-gA.gLoosengthegrightgwristgrestraint.
ThegLPN/LVNgisgassessinggthegnutritionalgstatusgofgseveralgclients.gWhichgclientgh
asgtheggreatestgnutritionalgneedgforgadditionalgintakegofgprotein?
,A.gAgcollege-agegtrackgrunnergwithgagsprainedgankle.
B.gAglactatinggwomangnursinggherg3-day-oldginfant.
C.gAgschool-agedgchildgwithgTypeg2gdiabetes.
D.gAngelderlygmangbeinggtreatedgforgagpepticgulcer.
(Ans-gB.gAglactatinggwomangnursinggherg3-day-oldginfant.
Agclientgisgingthegradiologygdepartmentgatg0900gwhengthegprescriptionglevofloxacin
(Levaquin)g500gmggIVgq24hgisgscheduledgtogbegadministered.gThegclientgreturnsgt
g
ogthegunitgatg1300.gWhatgisgthegbestginterventiongforgthegLPN/LVNgtogimplement?
A.gContactgtheghealthcaregprovidergandgcompletegagmedicationgvariancegform.
B.gAdministergthegLevaquingatg1300gandgresumegtheg0900gschedulegingthegmorning.
C.gNotifygthegchargegnursegandgcompletegangincidentgreportgtogexplaingthegmissedgdo
se.
D.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadministergdailygatg130
0.
(Ans-gD.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadminister
dailygatg1300.
Whileginstructinggagmalegclient'sgwifegingthegperformancegofgpassivegrange-of-
gmotiongexercisesgtoghisgcontractedgshoulder,gthegnursegobservesgthatgshegisgholding
,hisgarmgabovegandgbelowgthegelbow.gWhatgnursinggactiongshouldgthegLPN/LVNgimp
lement?
A.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
B.gEncourageghergtogkeepgthegjointgcoveredgtogmaintaingwarmth.
C.gReinforcegthegneedgtoggripgdirectlygundergthegjointgforgbettergsupport.
D.gInstructghergtoggripgdirectlygovergthegjointgforgbettergmotion
(Ans-gA.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
Whatgisgthegmostgimportantgreasongforgstartinggintravenousginfusionsgingtheguppergex
tremitiesgrathergthangtheglowergextremitiesgofgadults?
A.gItgisgmoregdifficultgtogfindgagsuperficialgveingingthegfeetgandgankles.gB.gAgdecreas
edgflowgrategcouldgresultgingthegformationgofgagthrombosis.
C.gAgcannulatedgextremitygisgmoregdifficultgtogmovegwhengthegleggorgfootgisgused.
D.gVeinsgareglocatedgdeepgingthegfeetgandgankles,gresultinggingagmoregpainfulgprocedu
re.
(Ans-gB.gAgdecreasedgflowgrategcouldgresultgingthegformationgofgagthrombosis.
ThegLPNgobservesgangunlicensedgassistivegpersonnelg(UAP)gtakinggagclient'sgbloodg
pressuregwithgagcuffgthatgisgtoogsmall,gbutgthegbloodgpressuregreadinggobtainedgis
, withingthegclient'sgusualgrange.gWhatgactiongisgmostgimportantgforgthegnursegtogimple
ment?
A.gTellgthegUAPgtogusegaglargergcuffgatgthegnextgscheduledgassessment.
B.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
C.gHavegthegunitgeducatorgreviewgthisgproceduregwithgthegUAPs.
D.gTeachgthegUAPgthegcorrectgtechniquegforgassessinggbloodgpressure
(Ans-gB.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
Agclientgisgtogreceivegcimetidineg(Tagamet)g300gmggq6hgIVPB.gThegpreparationgarri
vesgfromgthegpharmacygdilutedging50gmlgofg0.9%gNaCl.gThegLPNgplansgtogadministe
rgthegIVPBgdosegoverg20gminutes.gForghowgmanygml/ghrgshouldgtheginfusiongpumpgb
egsetgtogdelivergthegsecondaryginfusion?
(Ans-g150gmL/Hr
Twentygminutesgaftergbeginninggagheatgapplication,gthegclientgstatesgthatgthegheatingg
padgnoglongergfeelsgwarmgenough.gWhatgisgthegbestgresponsegbygthegLPN/LVN?
A.gThatgmeansgyoughavegderivedgthegmaximumgbenefit,gandgthegheatgcangbegremov
ed.
B.gYourgbloodgvesselsgaregbecominggdilatedgandgremovinggthegheatgfromgthegsite.
C.gWegwillgincreasegthegtemperatureg5gdegreesgwhengthegpadgnoglongergfeelsgwarm.
g g g g
Agclientgwhogisginghospicegcaregcomplainsgofgincreasinggamountsgofgpain.gTheghealt
hcaregprovidergprescribesganganalgesicgeverygfourghoursgasgneeded.gWhichgactiongsh
ouldgthegLPN/LVNgimplement?
A.gGivegangaround-the-clockgschedulegforgadministrationgofganalgesics.
B.gAdministerganalgesicgmedicationgasgneededgwhengthegpaingisgsevere.
C.gProvidegmedicationgtogkeepgthegclientgsedatedgandgunawaregofgstimuli.
D.gOffergagmedication-freegperiodgsogthatgthegclientgcangdogdailygactivities.
(Ans-gA.gGivegangaround-the-clockgschedulegforgadministrationgofganalgesics.
Whengassessinggagclientgwithgwristgrestraints,gthegnursegobservesgthatgthegfingersgong
thegrightghandgaregblue.gWhatgactiongshouldgthegLPNgimplementgfirst?
A.gLoosengthegrightgwristgrestraint.
B.gApplygagpulsegoximetergtogthegrightghand.
C.gCompareghandgcolorgbilaterally.
D.gPalpategthegrightgradialgpulse
(Ans-gA.gLoosengthegrightgwristgrestraint.
ThegLPN/LVNgisgassessinggthegnutritionalgstatusgofgseveralgclients.gWhichgclientgh
asgtheggreatestgnutritionalgneedgforgadditionalgintakegofgprotein?
,A.gAgcollege-agegtrackgrunnergwithgagsprainedgankle.
B.gAglactatinggwomangnursinggherg3-day-oldginfant.
C.gAgschool-agedgchildgwithgTypeg2gdiabetes.
D.gAngelderlygmangbeinggtreatedgforgagpepticgulcer.
(Ans-gB.gAglactatinggwomangnursinggherg3-day-oldginfant.
Agclientgisgingthegradiologygdepartmentgatg0900gwhengthegprescriptionglevofloxacin
(Levaquin)g500gmggIVgq24hgisgscheduledgtogbegadministered.gThegclientgreturnsgt
g
ogthegunitgatg1300.gWhatgisgthegbestginterventiongforgthegLPN/LVNgtogimplement?
A.gContactgtheghealthcaregprovidergandgcompletegagmedicationgvariancegform.
B.gAdministergthegLevaquingatg1300gandgresumegtheg0900gschedulegingthegmorning.
C.gNotifygthegchargegnursegandgcompletegangincidentgreportgtogexplaingthegmissedgdo
se.
D.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadministergdailygatg130
0.
(Ans-gD.gGivegthegmissedgdosegatg1300gandgchangegthegschedulegtogadminister
dailygatg1300.
Whileginstructinggagmalegclient'sgwifegingthegperformancegofgpassivegrange-of-
gmotiongexercisesgtoghisgcontractedgshoulder,gthegnursegobservesgthatgshegisgholding
,hisgarmgabovegandgbelowgthegelbow.gWhatgnursinggactiongshouldgthegLPN/LVNgimp
lement?
A.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
B.gEncourageghergtogkeepgthegjointgcoveredgtogmaintaingwarmth.
C.gReinforcegthegneedgtoggripgdirectlygundergthegjointgforgbettergsupport.
D.gInstructghergtoggripgdirectlygovergthegjointgforgbettergmotion
(Ans-gA.gAcknowledgegthatgshegisgsupportinggthegarmgcorrectly.
Whatgisgthegmostgimportantgreasongforgstartinggintravenousginfusionsgingtheguppergex
tremitiesgrathergthangtheglowergextremitiesgofgadults?
A.gItgisgmoregdifficultgtogfindgagsuperficialgveingingthegfeetgandgankles.gB.gAgdecreas
edgflowgrategcouldgresultgingthegformationgofgagthrombosis.
C.gAgcannulatedgextremitygisgmoregdifficultgtogmovegwhengthegleggorgfootgisgused.
D.gVeinsgareglocatedgdeepgingthegfeetgandgankles,gresultinggingagmoregpainfulgprocedu
re.
(Ans-gB.gAgdecreasedgflowgrategcouldgresultgingthegformationgofgagthrombosis.
ThegLPNgobservesgangunlicensedgassistivegpersonnelg(UAP)gtakinggagclient'sgbloodg
pressuregwithgagcuffgthatgisgtoogsmall,gbutgthegbloodgpressuregreadinggobtainedgis
, withingthegclient'sgusualgrange.gWhatgactiongisgmostgimportantgforgthegnursegtogimple
ment?
A.gTellgthegUAPgtogusegaglargergcuffgatgthegnextgscheduledgassessment.
B.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
C.gHavegthegunitgeducatorgreviewgthisgproceduregwithgthegUAPs.
D.gTeachgthegUAPgthegcorrectgtechniquegforgassessinggbloodgpressure
(Ans-gB.gReassessgthegclient'sgbloodgpressuregusinggaglargergcuff.
Agclientgisgtogreceivegcimetidineg(Tagamet)g300gmggq6hgIVPB.gThegpreparationgarri
vesgfromgthegpharmacygdilutedging50gmlgofg0.9%gNaCl.gThegLPNgplansgtogadministe
rgthegIVPBgdosegoverg20gminutes.gForghowgmanygml/ghrgshouldgtheginfusiongpumpgb
egsetgtogdelivergthegsecondaryginfusion?
(Ans-g150gmL/Hr
Twentygminutesgaftergbeginninggagheatgapplication,gthegclientgstatesgthatgthegheatingg
padgnoglongergfeelsgwarmgenough.gWhatgisgthegbestgresponsegbygthegLPN/LVN?
A.gThatgmeansgyoughavegderivedgthegmaximumgbenefit,gandgthegheatgcangbegremov
ed.
B.gYourgbloodgvesselsgaregbecominggdilatedgandgremovinggthegheatgfromgthegsite.
C.gWegwillgincreasegthegtemperatureg5gdegreesgwhengthegpadgnoglongergfeelsgwarm.
