LATEST FUNDAMENTAL PN HESI SPECIALTY V2
LATEST FUNDAMENTAL PN HESI SPECIALTY V2
1) During the initial physical assessment of a newly admitted client
... [Show More] with a pressure ulcer, a LPN observes 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 result
of 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
6) What clinical indicators should the LPN/LVN expect a client with hyperkalemia to exhibit? Select all that apply.
A Tetany B Seizures C Diarrhea
D Weakness
E Dysrhythmias [Show Less]
