HESI LPN FUNDAMENTALS 2 EXAM NEWEST ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
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The nurse is caring for a client who had a hip replacement 2 days prior. Which
nursing intervention would the nurse perform next?
A. Provide perineal care
B. Turn and position the client
C. Give a complete bed bath
D. Document the bowel movement - Correct Answer-A. Provide perineal care
Rationale:
Providing perineal care helps preserve skin integrity for the client who is
incapable of providing self-care. Turning and positioning a client who has
decreased physical mobility after hip surgery is important in preventing skin
breakdown, but it is not an immediate client need. Giving a complete bed bath
is not necessary after each bowel movement because only the perineal area is
typically soiled. Documenting the bowel movement should be done only after
meeting immediate needs of the client.
To ensure the safety of a client who is receiving a continuous intravenous normal
saline infusion, the nurse would change the administration set how often?
A. Every 4 to 8 hours
B. Every 12 to 24 hours
C. Every 24 to 48 hours
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, HESI LPN Fundamentals 2 Exam NEWEST ACTUAL EXAM
D. Every 72 to 96 hours - Correct Answer-D. Every 72 to 96 hours
Rationale:
Best practice guidelines recommend replacing administration sets no more
frequently than 72 to 96 hours after initiation of use in clients not receiving
blood, blood products, or fat emulsions. This evidence-based practice is safe and
cost effective. Changing the administration set every 4 to 48 hours is not a cost-
effective practice.
Which disease process places a client at increased risk for infection? Select all that
apply.
A. Leukemia
B. Lymphoma
C. Emphysema
D. Schizophrenia
E. Osteoarthritis - Correct Answer-A. Leukemia
B. Lymphoma
C. Emphysema
Rationale:
Disease processes that increase the client's risk for infection include leukemia,
lymphoma, and emphysema, which lead to a diminished immune system.
Schizophrenia and osteoarthritis do not impair a person's immune system.
Which critical thinking skill demonstrates maturity in the nurse?
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, HESI LPN Fundamentals 2 Exam NEWEST ACTUAL EXAM
A. Eagerness to acquire knowledge
B. Being tolerant of different views
C. Trust in own reasoning processes
D. Ability to reflect on own judgements - Correct Answer-D. Ability to reflect on
own judgements
Rationale:
Maturity is the ability of a critical thinker to reflect on his or her own judgments.
A critical thinker realizes that multiple solutions are acceptable. Inquisitiveness
is the eagerness to acquire knowledge. A critical thinker is considered open-
minded if he or she respects the right of others to have different opinions and is
tolerant of different views. The critical thinker possesses self-confidence and
trusts in his or her own reasoning process.
Which documentation is most informative for an assessment of drainage on a
surgical dressing?
A. "Moderate amount of drainage."
B. "No change in drainage since yesterday."
C. "A 10 mm-diameter area of drainage at 1900 hours."
D. "Drainage is doubled in size since last dressing change." - Correct Answer-C. "A
10 mm-diameter area of drainage at 1900 hours."
Rationale:
A 10 mm-diameter area of drainage at 1900 hours is objective data and gives
specific details regarding the assessment and a time frame. By providing size, it
establishes parameters to compare with previous assessments and to further
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, HESI LPN Fundamentals 2 Exam NEWEST ACTUAL EXAM
evaluate the drainage. "Moderate amount of drainage," "No change in drainage
since yesterday," and "Drainage is doubled in size since last dressing change" are
not specific, objective, or measurable.
The advanced practice registered nurse (APRN) is caring for a pregnant woman
ready to deliver. Which type of APRN would care for this client?
A. Clinical nurse specialist (CNS)
B. Certified nurse midwife (CNM)
C. Certified nurse practitioner (CNP)
D. Certified registered nurse anesthetist (CRNA) - Correct Answer-B. Certified
nurse midwife (CNM)
Rationale:
The CNM is qualified and has the skills to care for a pregnant woman. The CNS is
an advanced practice registered nurse (APRN) who is an expert clinician in a
specialized area of practice. The CNP is an APRN who provides health care to a
group of clients, usually in an outpatient, ambulatory care, or community-based
setting. The CRNA is an APRN with an advanced education in the nurse
anesthesia accredited program.
Which intervention improves client satisfaction?
A. Recording the vital signs and leaving the room
B. Adjusting the bed and asking if the client is comfortable
C. Leaving the door of the room open while attending to the client
D. Telling the client that the primary health care provider will visit soon - Correct
Answer-B. Adjusting the bed and asking if the client is comfortable
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