HESI MENTAL HEALTH RN V1-V3/ CHEMISTRY V1/V2 /HESI A2 2020... - $175.45 Add To Cart
HESI PN MENTAL HEALTH (VERSION 1). LATEST UPDATE 1. The LPN/LVN calls security and has physical restrains applied when a client who was admitted volunta... [Show More] rily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply. 1) Libel 2) Battery 3) Assault 4) Slander 5) False Imprisonment Correct Answer: 2) Battery 3) Assault 5) False Imprisonment 2) A nurse is working with a client who has sought counseling after trying to rescue a neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship? 1) Exploring the client's ability to function 2) Exploring the client's potential for self-harm 3) Inquiring about the client's perception of appraisal of the neighbor's death 4) Inquiring about and examine the client's feelings that may block adaptive coping Correct Answer:4) Inquiring about and examine the client's feelings that may block adaptive coping 3) A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as indicating which defense mechanism? 1) Denial 2) Projection 3) Rationalization 4) IntellectualizationCorrect Answer:1) Denial 4) Unresolved feelings related to loss most likely may be recognized during which phase of the therapeutic nurse-client relationship? 1) Working 2) Trusting 3) Orientation 4) Termination Correct Answer: 4) Termination [Show Less]
HESI PN FUNDAMENTAL (VERSION 2). LATEST UPDATE 1) During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observ... [Show More] es 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 resultof a work injury. What nursing considerations should be made when determining the client's plan of care? Select all that apply. A Ask the client what is the client's acceptable level of pain. B Eliminate all activities that precipitate the pain. C Administer the pain medications regularly around the clock. D Use a different pain scale each time to promote patient education. E Assess the client's pain every 15 minutes Correct Answer: A, C 5) The LPN/LVN is preparing to administer eardrops to a client that has impacted cerumen. Before administering the drops, the nurse will assess the client for which contraindications? Select all that apply. A Allergy to the medication B Itching in the ear canal C Drainage from the ear canal D Tympanic membrane rupture E Partial hearing loss in the affected ear Correct Answer:A,C,D [Show Less]
Study Guide HESI V5 Note: The blue highlighted questions came out also on my V2 exam. 1.) Something about a breast cancer patient refusing drugs: ANS: G... [Show More] o find out why she is refusing 2.) How would you relieve MASTITIS and what is it caused from? Mastitis is an inflammation of the breast, caused by blocked milk ducts/ there is NON-Infective or BACTERIAL infective/ Treatment for mastitis should begin immediately. Your doctor may not immediately be able to distinguish between simple inflammation and a bacterial infection, but will usually treat you as if it is infected. Options include: • Continued breastfeeding and/or expressing to drain the breast • Antibiotics (for example, flucloxacillin or cephalexin) • Anti-inflammatory medication (such as ibuprofen) or analgesia (such as paracetamol) to relieve pain, if necessary • Rest and adequate fluid intake • Heat to breasts (such as hot showers) before a feed and cold after • Varying the feeding position to increase breast drainage 3.) SEPSIS- Related to endotoxins release by bacteria, which cause vascular pooling, diminished venous return, and reduced cardiac output Medical Treatment for SHOCK A. Correct decreased tissue perfusion and restore cardiac output A.1. OXYGENATION & VENTILATION A.2. FLUID RESUSITATION : Rapid infusion of volume-expanding fluids(colloids), whole blood plasma, iso’s such as Ringers Lactate A.3. DRUG THERAPY: Restoration of cardiac function is priority, drugs will be based on effect of shock on preload, afterload, or contractility A.3.a. Drugs that increase preload (blood products, crystalloids)/ decrease preload (morphine, nitrates, diuretics) A.3.b. Drugs that increase afterload ( vasopressors, dopamine)/ decrease afterload ( nitroprusside, ACE-I, ARB) A.3.c. Drugs that decrease contractility (beta blockers, calcium channel blockers)/ increase contractility (digoxin [Lanoxin], dobutamine) A.4. MONITOR: CVP, LOC, ABG’s, VITALS, Skin changes, Fluid status 4.) There will be a question relating to anti-infective meds, and your ANS: is anti-effective meds Anti-effectives Anti-infective are drugs that can either kill an infectious agent or inhibit it from spreading. Anti-infective include antibiotics and antibacterial, antifungals, antivirals and antiproatozoans 5.) Question will state something about the kids want the nurse to force their mom whom is refusing her meds to take them, so the nurse should go in the room and… ANS: is D you will go and in to find out why she don’t want meds and treatment 6) A Girl patient eats a handful of pills… ANS: find out what pills she took 7) A nurse arrives on the scene of an accident and there is a person face down in water but her phone is however many feet away what the nurse would do first ANS: Immobilize neck ASSESS for LOC, check or reassess Airway 8) Question about restraints and where and how you would tie them ANS: bed frame with a quick release knot 9) PAGE 270 HESI: HYDATIDIFORM MOLE- a chorionic villi degenerate into a bunch of clear vesicles in grapelike clusters, this is developmental anomaly and predisposes client to choriocarcinoma Nursing Assessment *Vaginal bleeding in first trimester *Uterus larger than expected for gestational age *Anemia/ excessive N/V, Abdominal cramping, early s/s of preeclampsia Nursing plans and Interventions • Provide preoperative and postoperative D&C care. • *****Instruct patient to prevent pregnancy for 1 year in the (HESI) book, on hesi exam the answer will be 6 months for some reason • Instruct patient to obtain monthly serum hCG levels for 1 year 10) Mouth care for dentures: ANS: Put towel in sink and place dentures on towel then clean 11) You suspect that a Patient is being abused what would you do? ANS: go check it out, as in doing a home visit 12) Question about a patient presenting with decreased BP ANS: Give IV fluids 13) Question relating to stoma care, you will assess and note that the stoma is dusty, this means that there is necrotic tissue; what do you do? ANS: Call surgeon 14) Question about a baby on digoxin and the mother just administered it and then the baby vomits and it will ask what you do about next dose ANS: Hold Digoxin 15) Drag and Drop Question: Patient has adverse reaction to meds: This is the order [Show Less]
1. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his... [Show More] blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? • Stroke secondary to hemorrhage 2. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? • Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows. 3. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? • Describes life without purpose 4. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client’s teaching plan? • Further evaluation involving surgery may be needed 5. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? • Teach tracheal suctioning techniques 6. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is 14 breaths / minute. What action should the nurse implement? • Document the assessment data • Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory rate is within normal limits. 7. During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate firs? • Respiratory apnea of 30 seconds 8. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first? • Check the client for lacerations or fractures 9. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? • Inform the anesthesia care provider 10. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart sound is present, what action should the nurse take first? • Listen with the bell at the same location 11. A 66-year-old woman is retiring and will no longer have a health insurance through her place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs? • Medicare 12. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline? • Toasted wheat bread and jelly 13. Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse that the client is experiencing a complication? • “I have a headache that gets worse when I sit up” • “I am having pain in my lower back when I move my legs” • “My throat hurts when I swallow” • “I feel sick to my stomach and am going to throw up” 14. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with incontinence. Which action should the nurse implement? • Obtain a clean catch mid-stream specimen 15. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are in keeping with the child’s dietary restrictions. Which foods are contraindicated for this child? • Foods sweetened with aspartame 16. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide? • Direct the nurse to continue the surgical hand scrub for a 5 minute duration 17. Which breakfast selection indicates that the client understands the nurse’s instructions about the dietary management of osteoporosis? • Bagel with jelly and skim milk 18. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of registered nurses will be working that shift. In planning assignments, which client should receive the most care hours by a registered nurse (RN)? • An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied [Show Less]
HESI A2 Critical Thinking Questions and Answers With Rationale, 100% Correct. A Graded.1. The nurse is working in the emergency department (ED) of a childr... [Show More] en's medical center. Which client should the nurse assess first? 1. The 1-month-old infant who has developed colic and is crying. 2. The 2-year-old toddler who was bitten by another child at the day-care center. 3. The 6-year-old school-age child who was hit by a car while riding a bicycle. 4. The 14-year-old adolescent whose mother suspects her child is sexually active. Rationale Correct - 3-The child hit by a car should be assessed first because he or she may have life- threatening injuries that must be assessed and treated promptly. 2. The 8-year-old client diagnosed with a vaso-occlusive sickle cell crisis is complaining of a severe headache. Which intervention should the nurse implement first? 1. Administer 6 L of oxygen via nasal cannula. 2. Assess the client's neurological status. 3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase the client's intravenous (IV) rate. Rationale Correct - 2-Because the client is complaining of a headache, the nurse should first rule out cerebrovascular accident (CVA) by assess- ing the client's neurological status and then determine whether it is a headache that can be treated with medication. 3. The 6-year-old client who has undergone abdominal surgery is attempting to make a pinwheel spin by blowing on it with the nurse's assistance. The child starts crying because the pinwheel won't spin. Which action should the nurse implement first? 1. Praise the child for the attempt to make the pinwheel spin. 2. Notify the respiratory therapist to implement incentive spirometry. 3. Encourage the child to turn from side to side and cough. 4. Demonstrate how to make the pinwheel spin by blowing on it. Rationale Correct -1. The nurse should always praise the child for attempts at cooperation even if the child did not accomplish what the nurse asked. 4. The nurse is caring for clients on the pediatric medical unit. Which client should the nurse assess first? 1. The child diagnosed with type 1 diabetes who has a blood glucose level of 180 mg/dL. 2. The child diagnosed with pneumonia who is coughing and has a temperature of 100°F. 3. The child diagnosed with gastroenteritis who has a potassium (K+) level of 3.9 mEq/L. 4. The child diagnosed with cystic fibrosis who has a pulse oximeter reading of 90%. Rationale Correct - 4. A pulse oximeter reading of less than 93% is significant and indicates hypoxia, which is life threatening; therefore, this child should be assessed first. 5. The nurse has received the a.m. shift report for clients on a pediatric unit. Which medication should the nurse administer first? 1. The third dose of the aminoglycoside antibiotic to the child diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). 2. The IVP steroid methylprednisolone (Solu-Medrol) to the child diagnosed with asthma. 3. The sliding scale insulin to the child diagnosed with type 1 diabetes mellitus. 4. The stimulant methylphenidate (Ritalin) to a child diagnosed with attention deficit-hyperactivity disorder (ADHD). Rationale Correct - 3-Sliding scale insulin is ordered ac, which is before meals; therefore, this medication must be administered first after receiving the a.m. shift report. 4-Routine medications have a 1-hour leeway before and after the scheduled time; therefore, this medication does not have to be adminis- tered first. 6. The nurse enters the client's room and realizes the 9-month-old infant is not breath- ing. Which interventions should the nurse implement? Prioritize the nurse's actions from first (1) to last (5). 1. Perform cardiac compression 30:2. 2. Check the infant's brachial pulse. 3. Administer two puffs to the infant. 4. Determine unresponsiveness. 5. Open the infant's airway. Rationale Correct Answer: 4, 5, 3, 2, 1 4. The nurse must first determine the infant's responsiveness by thumping the baby's feet. 5. The nurse should then open the child's airway using the head-tilt chin-lift tech- nique, with care taken not to hyperextend the neck. Then the nurse should look, listen, and feel for respirations. 3. The nurse then administers quick puffs of air while covering the child's mouth and nose, preferably with a rescue mask. 2. The nurse should determine whether the infant has a pulse by checking the brachial artery. 1. If the infant has no pulse, the nurse should begin chest compressions using two fingers at a rate of 30:2. [Show Less]
HESI A2 BIOLOGY LATEST 2020.HESI A2 BIOLOGY LATEST 2020.1. Which movement requires carrier protein but noo direct cellular energy? Facilitated transport ... [Show More] 2. Which term denotes the movement of glucose molecules from an area of lower concentration to an area of higher concentreation? Active transport 3. Plasmolysis is a term describing? Cellular shrinkage, which occurs when cells are immersed in hypertonic solurion 4. The movement of substances from lesser concentration to higher concentration is called? Active transport 5. Which particular structure is present in both eucaryotic and prokaryotic cells? Cell membrane 6. Plant cells differ from animal cells in? The plant cells have a cell wall and animal cells do not 7. Which cell type is characterized by the lack of true nucleus and the absence of membrane-bound organelle? Prokaryotic cell 8. Which organelle is associated with hydrolytic enzymes and is sometimes reffered to as a "suicide bag" Lysosomes 9. Pinocytosis is the process of? Enclosing a liquid substance in a membrane and secreting it into the cell 10. The plasma membrane of the eurokaryotic cell determines selectively which substances can enter and leave the cell. Such a membrane is said to be ? Selectively permeable 11. What primarily determines the shape of cells that lack cell walls? Microtubule and microfilaments 12. Which pair of organelles is responsible foe energy supply to eurokaryotic cells? Chloroplast and mitochondria 13. Whit which organelle is the synthesis of ATP associated? [Show Less]
1. A paroxysm is a sudden spasm. Another word for this might be Symptom Convulsion Efficacy Embolism 2. The meteorologist had forecast rain, ... [Show More] Sheila brought her umbrella to work. Nor Yet Because So 3. Which of the following is spelled correctly? Embarassing Embarrassing Embarassing Embarrasing 4. Select the correct word for the blank in the following sentence. Nurse Junko and will review the patient’s chart. She Them Me Him 5. Which of the following is the plural form of the noun "stimulus"? Stimulus Stimuli Stimulis Stimula 6. Identify the euphemism in the following passage: "Today we gather to remember Thomas the Cat. He was the cutest kitten around. Now that he's gone to the giant catnip patch in the sky, he'll be missed by everyone." Giant catnip patch in the sky The cutest kitten around He’ll be missed by everyone Today we gather to remember 7. The plastic surgery improved the of her face. Choose the option that best completes the above sentence. Bearing Serenity Contour Cataract 8. Most wildlife biologists disapprove of crossbreeding wolves and dogs. Adjective Noun Verb Conjunction 9. To be convoluted is to be . Complex Clever Candid Asinine 10. Choose the option that correctly completes the sentence below. having trouble with new dog. There, their Their, there They’re, their Their, they’re 11. Select the meaning of the "quoted" word in the sentence. Something that remains is referred to as . Resident Residual Resistance Resin 12. Select the meaning of the quoted word in the sentence. That is an 'ominous' sign. A good omen Without deceit Threatening Full of thought 13. Which word is descriptive of a small child just learning to walk? Obese Toddler Geriatric Hale 14. Choose the word or phrase that best indicates the meaning of the "quoted" word. "Rational" means: Angry Reason Rodent Proportion 15. Choose the word or phrase that best indicates the meaning of the "quoted" word. The "insidious" disease was well established before becoming apparent. Sudden Suffer Gradual Graduate 16. Choose the word that best completes the sentence. The came to settle in the United States. Immigrate Migrate Immigrant Emigrant 17. Select the meaning of the quoted word in the sentence. The hospital accepts a certain quota of 'indigent' patients. Uninjured Apathetic Resentful Impoverished [Show Less]
HESI MENTAL HEALTH RN V1-V3 2020 TEST BANKS (ALL TOGETHER) A client with depression remains in bed most of the day, and declines activities. Which nursin... [Show More] g problem has the greatest priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem. The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (Lithotabs) b. Benzotropine (Cogentin). . c. Alprazolam (Xanax). d. Magnesium (Milk of Magnesia). . A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy .between the client’s verbal and nonverbal communication. What action does the RN take? . A. Pay close attention and document the nonverbal messages. B. Ask the client’s husband to interpret the discrepancy.. C. Ignore the nonverbal behavior and focus on the client’s verbal messages. D. Integrate the verbal and nonverbal messages and interpret them as one.. A male client approaches the RN with an angry expression on his face and raises his voice, saying “My roommate is the most selfish, self-centered, angry person I have ever .met. If he loses his temper one more time with me, I am going to punch him out!” The RN recognizes that the client is using which defense mechanism? . A. Denial. B. Projection. C. Rationalization. D. Splitting. A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? A. Report the client’s serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not allowed. The RN is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding? A. Completely abstain from heroin or cocaine use. B. Remain alcohol free for 12 hours prior to the first dose. C. Attend monthly meetings of alcoholics anonymous. D. Admit to others that he is a substance user. A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which question is most important for the RN to ask the client? A. Have you lost interest in the things that you used to enjoy? B. Is your ability to think or concentrate decreased? C. How many continuous hours do you sleep at night? .D. Do you hear sounds or voices that others do not hear? . During an annual physical by the occupational RN working in a corporate clinic, a male employee tells the RN that is high-stress job is causing trouble in his personal life. He further explains that he often gets so angry while driving to and from work that he has .considered “getting even” with other drivers. How should the RN respond? . A. “Anger is contagious and could result in major confrontation.” B. “Try not to let your anger cause you to act impulsively.” C. “Expressing your anger to a stranger could result in an unsafe situation.” . D. “It sounds as if there are many situations that make you feel angry.” . A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the RN is reinforcing the process. Which intervention has the highest . priority for this client’s plan of care? A. Encourage substitution of positive thoughts and negative ones. . B. Establish trust by providing a calm, safe environment. C. Progressively expose the client to larger crowds. D. Encourage deep breathing when anxiety escalates in a crowd. Which nursing actions are likely to help promote the self-esteem of a male client with modern depression? A. Ask the client what his long term goals are. B. Discuss the challenges of his medical condition. C. Include the client in determining treatment protocol. D. Encourage the client to engage in recreational therapy. E. Provide opportunities for the client to discuss his concerns. A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of Risperidone (Risperdal). When the client walks to the nurse’s station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the RN take? A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril). B. Offer the client a prescribed physical therapy hot pack for muscle spasms. C. Direct client to occupational therapy to distract him from somatic complaints. D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia [Show Less]
HESI CHEMISTRY V1/V2 LATEST UPDATE.1. If Hydrogen is in a compound, what would its oxidation number be? +1 2. What is the oxidation number of any simple ... [Show More] ion? The same as the charge of the ion 3. How many kilograms are in a pound? 0.453592 kg 4. What is the temperature for freezing point of water in Celsius? 0 degrees Celsius (32°F for Fahrenheit) 5. What is the conversion of Celsius to Fahrenheit? 5F=9C+160 (remember 5F because you have 5 fingers on a hand & 9C because cats have 9 lives) 6. What is the oxidation number of an element atom? 0 7. What is the freezing point of sea water in Fahrenheit? Below 0C (pick and answer choice around -2C, actual temp depends on how much salt is in the water) 8. How many amino acids are in a dipeptide? 2 9. If Oxygen is in a compound, what would its oxidation number be? -2 10. Which of the following pH values would lemon juice likely have? 2 because the lower the pH value, the more acidic 11. What is a pentose? A 5 carbon sugar (Pent = 5) (ose = sugar) 12. What is the oxidation state of the Sulfur atom in Sulfuric Acid H2SO4? 6 (each H is +1, each O is -2. All charges have to add to 0. 2+S-8=0, so S=6) 13. How many neutrons does carbon 14 have? 8 ( mass# - atomics # = neutrons) 14 - 6 = 8 14. How many protons does Potassium have? 19 (same as the atomic number) [Show Less]
HESI PN FUNDAMENTAL (VERSION 1). LATEST UPDATE 1) A client who is in hospice care complains of increasing amounts of pain. The healthcare provider presc... [Show More] ribes an analgesic every four hours as needed. Which action should the LPN/LVN implement? A. Give an around-the-clock schedule for administration of analgesics. B. Administer analgesic medication as needed when the pain is severe. C. Provide medication to keep the client sedated and unaware of stimuli. D. Offer a medication-free period so that the client can do daily activities. Correct Answer: A 2) When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the LPN implement first? A. Loosen the right wrist restraint. B. Apply a pulse oximeter to the right hand. C. Compare hand color bilaterally. D. Palpate the right radial pulse. Correct Answer: A 3) The LPN/LVN is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein? A. A college-age track runner with a sprained ankle. B. A lactating woman nursing her 3-day-old infant. C. A school-aged child with Type 2 diabetes. D. An elderly man being treated for a peptic ulcer. Correct Answer: B4) A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the LPN/LVN to implement? A. Contact the healthcare provider and complete a medication variance form. B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning. C. Notify the charge nurse and complete an incident report to explain the missed dose. D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. Correct Answer: D 5) While instructing a male client's wife in the performance of passive rangeof-motion exercises to his contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What nursing action should the LPN/LVN implement? A. Acknowledge that she is supporting the arm correctly. B. Encourage her to keep the joint covered to maintain warmth. C. Reinforce the need to grip directly under the joint for better support. D. Instruct her to grip directly over the joint for better motion [Show Less]
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