HESI PN LPN FUNDAMENTALS EXAM
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A client who is in hospice care complains of increasing amounts of pain. The heal
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thcare provider prescribes an analgesic every four hours as needed. Which action s
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hould the LPN/LVN implement?
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A. Give an around-the-clock schedule for administration of analgesics.
m m m m m m m m
B. Administer analgesic medication as needed when the pain is severe.
m m m m m m m m m m
C. Provide medication to keep the client sedated and unaware of stimuli.
m m m m m m m m m m m
D. Offer a medication-free period so that the client can do daily activities.
m m m m m m m m m m m m
(Ans- A. Give an around-the-clock schedule for administration of analgesics.
m m m m m m m m m
When assessing a client with wrist restraints, the nurse observes that the fingers on
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the right hand are blue. What action should the LPN implement first?
m m m m m m m m m m m m
A. Loosen the right wrist restraint.
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B. Apply a pulse oximeter to the right hand.
m m m m m m m m
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.
m m m m m m
The LPN/LVN is assessing the nutritional status of several clients. Which client h
m m m m m m m m m m m m
as the greatest nutritional need for additional intake of protein?
m m m m m m m m m
,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.
m m m m m m m m
A client is in the radiology department at 0900 when the prescription levofloxaci
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n (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns
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to the unit at 1300. What is the best intervention for the LPN/LVN to implemen
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t?
A. Contact the healthcare provider and complete a medication variance form.
m m m m m m m m m m
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
m m m m m m m m m m m m m
C. Notify the charge nurse and complete an incident report to explain the missed d
m m m m m m m m m m m m m m
ose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 13
m m m m m m m m m m m m m m m
00.
(Ans- D. Give the missed dose at 1300 and change the schedule to administer
m m m m m m m m m m m m m
daily at 1300.
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While instructing a male client's wife in the performance of passive range-of-
m m m m m m m m m m m
motion exercises to his contracted shoulder, the nurse observes that she is holding
m m m m m m m m m m m m m
,his arm above and below the elbow. What nursing action should the LPN/LVN im
m m m m m m m m m m m m m
plement?
A. Acknowledge that she is supporting the arm correctly.
m m m m m m m m
B. Encourage her to keep the joint covered to maintain warmth.
m m m m m m m m m m
C. Reinforce the need to grip directly under the joint for better support.
m m m m m m m m m m m m
D. Instruct her to grip directly over the joint for better motion
m m m m m m m m m m m
(Ans- A. Acknowledge that she is supporting the arm correctly.
m m m m m m m m m
What is the most important reason for starting intravenous infusions in the upper e
m m m m m m m m m m m m m
xtremities rather than the lower extremities of adults?
m m m m m m m
A. It is more difficult to find a superficial vein in the feet and ankles. B. A decrea
m m m m m m m m m m m m m m m m m
sed flow rate could result in the formation of a thrombosis.
m m m m m m m m m m
C. A cannulated extremity is more difficult to move when the leg or foot is used.
m m m m m m m m m m m m m m m
D. Veins are located deep in the feet and ankles, resulting in a more painful proced
m m m m m m m m m m m m m m m
ure.
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.
m m m m m m m m m m m m m
The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood
m m m m m m m m m m m m
pressure with a cuff that is too small, but the blood pressure reading obtained is
m m m m m m m m m m m m m m
, within the client's usual range. What action is most important for the nurse to impl
m m m m m m m m m m m m m m
ement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
m m m m m m m m m m m m m
B. Reassess the client's blood pressure using a larger cuff.
m m m m m m m m m
C. Have the unit educator review this procedure with the UAPs.
m m m m m m m m m m
D. Teach the UAP the correct technique for assessing blood pressure
m m m m m m m m m m
(Ans- B. Reassess the client's blood pressure using a larger cuff.
m m m m m m m m m m
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arri
m m m m m m m m m m m m m
ves from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to administ
m m m m m m m m m m m m m m m
er the IVPB dose over 20 minutes. For how many ml/ hr should the infusion pump
m m m m m m m m m m m m m m m
be set to deliver the secondary infusion?
m m m m m m m
(Ans- 150 mL/Hr m m
Twenty minutes after beginning a heat application, the client states that the heating
m m m m m m m m m m m m
pad no longer feels warm enough. What is the best response by the LPN/LVN?
m m m m m m m m m m m m m m
A. That means you have derived the maximum benefit, and the heat can be remo
m m m m m m m m m m m m m m
ved.
B. Your blood vessels are becoming dilated and removing the heat from the site.
m m m m m m m m m m m m m
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
m m m m m m m m m m m m m m
m m m m
A client who is in hospice care complains of increasing amounts of pain. The heal
m m m m m m m m m m m m m m
thcare provider prescribes an analgesic every four hours as needed. Which action s
m m m m m m m m m m m m
hould the LPN/LVN implement?
m m m
A. Give an around-the-clock schedule for administration of analgesics.
m m m m m m m m
B. Administer analgesic medication as needed when the pain is severe.
m m m m m m m m m m
C. Provide medication to keep the client sedated and unaware of stimuli.
m m m m m m m m m m m
D. Offer a medication-free period so that the client can do daily activities.
m m m m m m m m m m m m
(Ans- A. Give an around-the-clock schedule for administration of analgesics.
m m m m m m m m m
When assessing a client with wrist restraints, the nurse observes that the fingers on
m m m m m m m m m m m m m
the right hand are blue. What action should the LPN implement first?
m m m m m m m m m m m m
A. Loosen the right wrist restraint.
m m m m m
B. Apply a pulse oximeter to the right hand.
m m m m m m m m
C. Compare hand color bilaterally.
m m m m
D. Palpate the right radial pulse
m m m m m
(Ans- A. Loosen the right wrist restraint.
m m m m m m
The LPN/LVN is assessing the nutritional status of several clients. Which client h
m m m m m m m m m m m m
as the greatest nutritional need for additional intake of protein?
m m m m m m m m m
,A. A college-age track runner with a sprained ankle.
m m m m m m m m
B. A lactating woman nursing her 3-day-old infant.
m m m m m m m
C. A school-aged child with Type 2 diabetes.
m m m m m m m
D. An elderly man being treated for a peptic ulcer.
m m m m m m m m m
(Ans- B. A lactating woman nursing her 3-day-old infant.
m m m m m m m m
A client is in the radiology department at 0900 when the prescription levofloxaci
m m m m m m m m m m m m
n (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns
m m m m m m m m m m m m m
to the unit at 1300. What is the best intervention for the LPN/LVN to implemen
m m m m m m m m m m m m m m m
t?
A. Contact the healthcare provider and complete a medication variance form.
m m m m m m m m m m
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
m m m m m m m m m m m m m
C. Notify the charge nurse and complete an incident report to explain the missed d
m m m m m m m m m m m m m m
ose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 13
m m m m m m m m m m m m m m m
00.
(Ans- D. Give the missed dose at 1300 and change the schedule to administer
m m m m m m m m m m m m m
daily at 1300.
m m
While instructing a male client's wife in the performance of passive range-of-
m m m m m m m m m m m
motion exercises to his contracted shoulder, the nurse observes that she is holding
m m m m m m m m m m m m m
,his arm above and below the elbow. What nursing action should the LPN/LVN im
m m m m m m m m m m m m m
plement?
A. Acknowledge that she is supporting the arm correctly.
m m m m m m m m
B. Encourage her to keep the joint covered to maintain warmth.
m m m m m m m m m m
C. Reinforce the need to grip directly under the joint for better support.
m m m m m m m m m m m m
D. Instruct her to grip directly over the joint for better motion
m m m m m m m m m m m
(Ans- A. Acknowledge that she is supporting the arm correctly.
m m m m m m m m m
What is the most important reason for starting intravenous infusions in the upper e
m m m m m m m m m m m m m
xtremities rather than the lower extremities of adults?
m m m m m m m
A. It is more difficult to find a superficial vein in the feet and ankles. B. A decrea
m m m m m m m m m m m m m m m m m
sed flow rate could result in the formation of a thrombosis.
m m m m m m m m m m
C. A cannulated extremity is more difficult to move when the leg or foot is used.
m m m m m m m m m m m m m m m
D. Veins are located deep in the feet and ankles, resulting in a more painful proced
m m m m m m m m m m m m m m m
ure.
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.
m m m m m m m m m m m m m
The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood
m m m m m m m m m m m m
pressure with a cuff that is too small, but the blood pressure reading obtained is
m m m m m m m m m m m m m m
, within the client's usual range. What action is most important for the nurse to impl
m m m m m m m m m m m m m m
ement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
m m m m m m m m m m m m m
B. Reassess the client's blood pressure using a larger cuff.
m m m m m m m m m
C. Have the unit educator review this procedure with the UAPs.
m m m m m m m m m m
D. Teach the UAP the correct technique for assessing blood pressure
m m m m m m m m m m
(Ans- B. Reassess the client's blood pressure using a larger cuff.
m m m m m m m m m m
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arri
m m m m m m m m m m m m m
ves from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to administ
m m m m m m m m m m m m m m m
er the IVPB dose over 20 minutes. For how many ml/ hr should the infusion pump
m m m m m m m m m m m m m m m
be set to deliver the secondary infusion?
m m m m m m m
(Ans- 150 mL/Hr m m
Twenty minutes after beginning a heat application, the client states that the heating
m m m m m m m m m m m m
pad no longer feels warm enough. What is the best response by the LPN/LVN?
m m m m m m m m m m m m m m
A. That means you have derived the maximum benefit, and the heat can be remo
m m m m m m m m m m m m m m
ved.
B. Your blood vessels are becoming dilated and removing the heat from the site.
m m m m m m m m m m m m m
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
m m m m m m m m m m m m m m
