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) 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
