Hesi LPN practice
1. A client with cancer who has been taking opioid analgesics for two years now requires
increased doses to obtain pain relief. The
... [Show More] client expresses fear about becoming addicted to these
drugs. What information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction.
C. Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and
maintain quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented assessment requires
further intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void.
B. A client is due to void within 8 hours of catheter removal, so at 5:30 PM. Longer than 8 hours
after removal, catheter reinsertion may be necessary. If the bladder is not distended, further
action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a
rectal suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position.
C. Left side-lying Sims' position lessens the likelihood that the suppository or feces will be
expelled, exposes the anus for visualization during insertion, and helps the client to relax the
external anal sphincter
4. The practical nurse (PN) is adding tap water to several medications for administration via
feeding tube. Which preparation should the PN administer without delay?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension.
B. Although the gelatin capsule can be opened to administer the spansule's granules, the PN
should not crush or allow the timed-released granules to dissolve before administering this
preparation via feeding tube since the timed-release function can be compromised.
What action should the practical nurse (PN) take when drawing medication from an ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. [Show Less]