Review HESI LPN EXIT TEST 11

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HESI LPN EXIT TEST 11

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Total Questions : 71

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Question 1:

The practical nurse (PN) is observing a newly hired PN who is preparing to administer a liquid medication via a client's feeding tube system using the wrong procedure. What action should the PN take?

A. Demonstrate how to administer medication via a feeding tube. B. Confirm that the medication is only administered once daily. C. Determine if the medication is compatible with the solution. D. Oﬀer to assist in calculating the rate of ﬂow for the mixture.

Answer and Explanation

Choice A:

The picture shows that the newly hired PN is about to make a serious error by adding the medication directly to the feeding bag, which can cause clogging, contamination, or inaccurate dosing of the medication. The PN should demonstrate how to administer medication via a feeding tube correctly, which involves stopping the feeding, ﬂushing the tube with water, instilling the medication, ﬂushing again, and resuming the feeding.

Choice B:

Confirming that the medication is only administered once daily is not relevant or helpful, as it does not address the error or teach the correct technique of administering medication via a feeding tube.

Choice C:

Determining if the medication is compatible with the solution is not necessary or appropriate, as the medication should not be mixed with the solution in the first place, but given separately through the feeding tube.

Choice D:

Oﬀering to assist in calculating the rate of ﬂow for the mixture is not relevant or helpful, as there should be no mixture of medication and solution in the feeding bag, but separate administration of each through the feeding tube.

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Question 2:

Which intervention should the practical nurse (PN) reinforce for a client with pruritus?

A. Encourage a warm sleeping environment. B. Keep fingernails trimmed short. C. Discourage use of skin lubricants. D. Do not take any type of tub bath.

Answer and Explanation

Choice A:

Encouraging a warm sleeping environment might exacerbate itching for some individuals.

Choice B:

Keeping fingernails trimmed short prevents skin damage from scratching and reduces the risk of infection.

Choice C:

Using skin lubricants can often alleviate pruritus by moisturizing the skin.

Choice D:

Tub baths with certain additives can exacerbate itching, but not all types of tub baths need to be avoided.

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Question 3:

The practical nurse (PN) is reinforcing teaching to a group of evacuees in a mass casualty center after a natural flooding disaster. Which information should the PN include in the review? (Select all that apply.)

A. Take all doses of prophylactic prescriptions for diarrhea. B. Drink only boiled water or bottled oral rehydration solutions. C. Wash all fruits and vegetables thoroughly in running tap water. D. Clean hands using soap, clean water, or waterless antibacterial solutions.

Answer and Explanation

Choice A:

Taking prophylactic prescriptions for diarrhea can prevent or minimize gastrointestinal issues post-disaster.

Choice B:

Drinking boiled water or bottled oral rehydration solutions reduces the risk of waterborne diseases.

Choice C:

Washing fruits and vegetables in running tap water removes contaminants.

Choice D:

Cleaning hands with soap, clean water, or antibacterial solutions prevents the spread of infections.

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Question 4:

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

A. Ensure the client has minimal clutter in the room. B. Monitor the client's blood cell laboratory values. C. Assess the client for nerve pain or paralysis. D. Evaluate client's neurological status after exercising.

Answer and Explanation

Choice A:

Ensuring minimal clutter reduces the risk of falls and injury due to potential bleeding episodes from ITP.

Choice B:

Monitoring blood cell laboratory values is important but doesn’t directly prevent physical injury.

Choice C:

Assessing for nerve pain or paralysis is essential for overall health but doesn't specifically prevent injury.

Choice D:

Evaluating neurological status after exercising is crucial but doesn't directly address the risk of physical injury associated with ITP.

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Question 5:

An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?

A. Last time food was consumed. B. Presence of a metal implant. C. History of previous myelogram. D. Allergy to iodine-based dyes.

Answer and Explanation

Choice A:

The last time food was consumed may be relevant for some medical procedures but isn't directly related to an MRI.

Choice B:

Knowing the presence of a metal implant is crucial before an MRI due to potential interference with the machine.

Choice C:

History of previous myelogram might be relevant but is not as critical for an MRI.

Choice D:

Allergy to iodine-based dyes is more pertinent for procedures like a CT scan with contrast, not necessarily an MRI.

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Question 6:

What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

A. Oxygen concentration of the ambient air. B. Whether or not anyone witnessed the fall into the pool. C. Temperature of water. D. The amount of time the child was submerged.

Answer and Explanation

Choice A:

Oxygen concentration in the air affects the available oxygen for breathing during submersion.

Choice B:

While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.

Choice C:

Water temperature impacts the body's response to submersion, affecting oxygen utilization.

Choice D:

The duration of submersion directly correlates with the level of hypoxemia.

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Question 7:

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

A. Mood alterations. B. Hearing loss. C. Impaired cognition. D. Memory loss.

Answer and Explanation

Choice A:

Mood alterations, including irritability and emotional lability, are common in individuals with Cushing's syndrome due to hormonal imbalances.

Choice B:

Hearing loss is not a known symptom or manifestation of Cushing's syndrome.

Choice C:

Impaired cognition might occur but isn't typically associated with overt anger or mood swings.

Choice D:

Memory loss isn't a primary symptom of Cushing's syndrome.

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Question 8:

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?

A. A Observe how UAP obtains temperatures. B. B Return the thermometer for recalibration. C. C Show UAP how to chart temperatures, D. D Demonstrate how to use the equipment.

Answer and Explanation

Choice A:

Observing the method of temperature measurement by the UAP helps identify any incorrect technique or error in obtaining readings.

Choice B:

Returning the thermometer for recalibration assumes the issue is with the equipment, which might not be the case.

Choice C:

Showing the UAP how to chart temperatures assumes the problem is with documentation, not measurement.

Choice D:

Demonstrating how to use the equipment might not address the specific error observed in temperature readings.

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Question 9:

After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

A. A Eat green leafy vegetables high in vitamin K. B. B Use electric razor when shaving. C. C If a dose is missed, double the next dose. D. D Take the medication before meals.

Answer and Explanation

Choice A:

Eating green leafy vegetables high in vitamin K can interfere with the action of certain anticoagulants; however, it's not the primary instruction given post-cardioversion.

Choice B:

Using an electric razor helps prevent cuts and bleeding, which can be more significant due to anticoagulant therapy.

Choice C:

Doubling the dose after a missed dose is incorrect and potentially dangerous.

Choice D:

Taking the medication before meals might not be the primary concern regarding anticoagulant use.

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Question 10:

A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives on the unit to perform the procedure?

A. Cleanse the site and cover with a sterile towel. B. Gather the procedure tray and equipment. C. Place the client in an orthopneic position. D. Keep the client NPO and encourage to void.

Answer and Explanation

Choice A:

Cleansing the site and covering with a sterile towel is typically done by the healthcare provider performing the procedure.

Choice B:

Gathering the procedure tray and equipment ensures everything necessary for the thoracentesis is ready.

Choice C:

Placing the client in an orthopneic position may be part of the positioning during the procedure but is not the primary preparation.

Choice D:

Keeping the client NPO and encouraging voiding might be necessary for some procedures but isn't specific to thoracentesis preparation.

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Total Questions : 71

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HESI LPN EXIT TEST 11

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