HESI PN LPN FUNDAMENTALS EXAM g g g g
A client who is in hospice care complains of increasing amounts of pain. The healthc
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are provider prescribes an analgesic every four hours as needed. Which action should
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the LPN/LVN implement?
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A. Give an around-the-clock schedule for administration of analgesics.
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B. Administer analgesic medication as needed when the pain is severe.
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C. Provide medication to keep the client sedated and unaware of stimuli.
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D. Offer a medication-free period so that the client can do daily activities.
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(Ans- A. Give an around-the-clock schedule for administration of analgesics.
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When assessing a client with wrist restraints, the nurse observes that the fingers on the
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g right hand are blue. What action should the LPN implement first?
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A. Loosen the right wrist restraint.
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B. Apply a pulse oximeter to the right hand.
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C. Compare hand color bilaterally.
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D. Palpate the right radial pulse
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(Ans- A. Loosen the right wrist restraint.
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The LPN/LVN is assessing the nutritional status of several clients. Which client has
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the greatest nutritional need for additional intake of protein?
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,A. A college-age track runner with a sprained ankle.
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B. A lactating woman nursing her 3-day-old infant.
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C. A school-aged child with Type 2 diabetes.
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D. An elderly man being treated for a peptic ulcer.
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(Ans- B. A lactating woman nursing her 3-day-old infant.
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A client is in the radiology department at 0900 when the prescription levofloxacin (
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Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
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g unit at 1300. What is the best intervention for the LPN/LVN to implement?
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A. Contact the healthcare provider and complete a medication variance form.
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B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
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C. Notify the charge nurse and complete an incident report to explain the missed dose.
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D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
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(Ans- D. Give the missed dose at 1300 and change the schedule to administer
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daily at 1300. g g
While instructing a male client's wife in the performance of passive range-of-
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g motion exercises to his contracted shoulder, the nurse observes that she is holding
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,his arm above and below the elbow. What nursing action should the LPN/LVN imple
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ment?
A. Acknowledge that she is supporting the arm correctly.
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B. Encourage her to keep the joint covered to maintain warmth.
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C. Reinforce the need to grip directly under the joint for better support.
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D. Instruct her to grip directly over the joint for better motion
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(Ans- A. Acknowledge that she is supporting the arm correctly.
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What is the most important reason for starting intravenous infusions in the upper extre
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mities rather than the lower extremities of adults?
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A. It is more difficult to find a superficial vein in the feet and ankles. B. A decreased
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flow rate could result in the formation of a thrombosis.
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C. A cannulated extremity is more difficult to move when the leg or foot is used.
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D. Veins are located deep in the feet and ankles, resulting in a more painful procedure.
g g g g g g g g g g g g g g g
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.
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The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood pre
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ssure with a cuff that is too small, but the blood pressure reading obtained is
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, within the client's usual range. What action is most important for the nurse to impleme
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nt?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
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B. Reassess the client's blood pressure using a larger cuff.
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C. Have the unit educator review this procedure with the UAPs.
g g g g g g g g g g
D. Teach the UAP the correct technique for assessing blood pressure
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(Ans- B. Reassess the client's blood pressure using a larger cuff.
g g g g g g g g g g
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrive
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s from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to administer the
g g g g g g g g g g g g g g g g g
IVPB dose over 20 minutes. For how many ml/ hr should the infusion pump be set to
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deliver the secondary infusion?
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(Ans- 150 mL/Hr g g
Twenty minutes after beginning a heat application, the client states that the heating pa
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d no longer feels warm enough. What is the best response by the LPN/LVN?
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A. That means you have derived the maximum benefit, and the heat can be removed.
g g g g g g g g g g g g g g
B. Your blood vessels are becoming dilated and removing the heat from the site.
g g g g g g g g g g g g g
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
g g g g g g g g g g g g g g
A client who is in hospice care complains of increasing amounts of pain. The healthc
g g g g g g g g g g g g g g
are provider prescribes an analgesic every four hours as needed. Which action should
g g g g g g g g g g g g g
the LPN/LVN implement?
g g
A. Give an around-the-clock schedule for administration of analgesics.
g g g g g g g g
B. Administer analgesic medication as needed when the pain is severe.
g g g g g g g g g g
C. Provide medication to keep the client sedated and unaware of stimuli.
g g g g g g g g g g g
D. Offer a medication-free period so that the client can do daily activities.
g g g g g g g g g g g g
(Ans- A. Give an around-the-clock schedule for administration of analgesics.
g g g g g g g g g
When assessing a client with wrist restraints, the nurse observes that the fingers on the
g g g g g g g g g g g g g g
g right hand are blue. What action should the LPN implement first?
g g g g g g g g g g
A. Loosen the right wrist restraint.
g g g g g
B. Apply a pulse oximeter to the right hand.
g g g g g g g g
C. Compare hand color bilaterally.
g g g g
D. Palpate the right radial pulse
g g g g g
(Ans- A. Loosen the right wrist restraint.
g g g g g g
The LPN/LVN is assessing the nutritional status of several clients. Which client has
g g g g g g g g g g g g g
the greatest nutritional need for additional intake of protein?
g g g g g g g g
,A. A college-age track runner with a sprained ankle.
g g g g g g g g
B. A lactating woman nursing her 3-day-old infant.
g g g g g g g
C. A school-aged child with Type 2 diabetes.
g g g g g g g
D. An elderly man being treated for a peptic ulcer.
g g g g g g g g g
(Ans- B. A lactating woman nursing her 3-day-old infant.
g g g g g g g g
A client is in the radiology department at 0900 when the prescription levofloxacin (
g g g g g g g g g g g g g
Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
g g g g g g g g g g g g g g
g unit at 1300. What is the best intervention for the LPN/LVN to implement?
g g g g g g g g g g g g
A. Contact the healthcare provider and complete a medication variance form.
g g g g g g g g g g
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
g g g g g g g g g g g g g
C. Notify the charge nurse and complete an incident report to explain the missed dose.
g g g g g g g g g g g g g g
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
g g g g g g g g g g g g g g g
(Ans- D. Give the missed dose at 1300 and change the schedule to administer
g g g g g g g g g g g g g
daily at 1300. g g
While instructing a male client's wife in the performance of passive range-of-
g g g g g g g g g g g
g motion exercises to his contracted shoulder, the nurse observes that she is holding
g g g g g g g g g g g g
,his arm above and below the elbow. What nursing action should the LPN/LVN imple
g g g g g g g g g g g g g
ment?
A. Acknowledge that she is supporting the arm correctly.
g g g g g g g g
B. Encourage her to keep the joint covered to maintain warmth.
g g g g g g g g g g
C. Reinforce the need to grip directly under the joint for better support.
g g g g g g g g g g g g
D. Instruct her to grip directly over the joint for better motion
g g g g g g g g g g g
(Ans- A. Acknowledge that she is supporting the arm correctly.
g g g g g g g g g
What is the most important reason for starting intravenous infusions in the upper extre
g g g g g g g g g g g g g
mities rather than the lower extremities of adults?
g g g g g g g
A. It is more difficult to find a superficial vein in the feet and ankles. B. A decreased
g g g g g g g g g g g g g g g g g g
flow rate could result in the formation of a thrombosis.
g g g g g g g g g
C. A cannulated extremity is more difficult to move when the leg or foot is used.
g g g g g g g g g g g g g g g
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure.
g g g g g g g g g g g g g g g
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.
g g g g g g g g g g g g g
The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood pre
g g g g g g g g g g g g
ssure with a cuff that is too small, but the blood pressure reading obtained is
g g g g g g g g g g g g g g
, within the client's usual range. What action is most important for the nurse to impleme
g g g g g g g g g g g g g g
nt?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
g g g g g g g g g g g g g
B. Reassess the client's blood pressure using a larger cuff.
g g g g g g g g g
C. Have the unit educator review this procedure with the UAPs.
g g g g g g g g g g
D. Teach the UAP the correct technique for assessing blood pressure
g g g g g g g g g g
(Ans- B. Reassess the client's blood pressure using a larger cuff.
g g g g g g g g g g
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrive
g g g g g g g g g g g g g
s from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to administer the
g g g g g g g g g g g g g g g g g
IVPB dose over 20 minutes. For how many ml/ hr should the infusion pump be set to
g g g g g g g g g g g g g g g g g
deliver the secondary infusion?
g g g
(Ans- 150 mL/Hr g g
Twenty minutes after beginning a heat application, the client states that the heating pa
g g g g g g g g g g g g g
d no longer feels warm enough. What is the best response by the LPN/LVN?
g g g g g g g g g g g g g
A. That means you have derived the maximum benefit, and the heat can be removed.
g g g g g g g g g g g g g g
B. Your blood vessels are becoming dilated and removing the heat from the site.
g g g g g g g g g g g g g
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
g g g g g g g g g g g g g g
