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Exam (elaborations)

HESI LPN Medical-Surgical Specialty Exam – Practice Questions, Answers & Rationales

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Prepare for the HESI LPN Medical-Surgical Specialty Exam with this focused study resource covering essential medical-surgical nursing concepts. Ideal for LPN/PN nursing students preparing for HESI specialty exams, course assessments, and comprehensive nursing review. Topics include: Medical-surgical nursing Adult health nursing Patient assessment Nursing interventions Pharmacology and medication administration Fluid and electrolyte balance Cardiovascular disorders Respiratory disorders Gastrointestinal disorders Neurological conditions Endocrine disorders Renal and urinary disorders Infection control Prioritization and clinical judgment

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HESIBFSpecialityBFLPNBFMedBFS
urg
1. TheB F practicalB F nurseB F (PN)B F isB F assistingB F aB F clientB F whoB F isB F performingB F p
eritonealBFdialysisB F catheterB F self-
careB F beforeB F beingB F dischargedB F home.B F WhichB F behaviorB F indicatesBFthatBFtheB
FclientBFneedsBFadditionalBFteaching?:BFCoughsBFoverBFtheBFcatheterBFsiteBFwhileBFcleansingBFtheBFs


kin.
2. ABFclientBFhasBFaBFPRNBFprescriptionBFforBFaBFnasalBFcannulaBFatBF2BFtoBF3BFL/mi
nute.BFTheBFclientBFisBFwearingBFaBFnasalBFcannulaBFatBF2BFL/minuteBFandBFasksBF
theBFpracticalBFnurseBF(PN)BFifBFitBFcanBFbeBFremoved.BFWhichBFclientBFdataBFisBF
mostBFimportantBFforBFtheBFPNBFtoBFobtainBFbeforeBFrespondingBFtoBFtheBFclient?:BFOx
ygenBFsaturation
3. ABFclientBFisBFdiagnosedBFwithBFaBFseizureBFdisorderBFandBFisBFcompletingBFtestingBFb
eforeBFdischargeBFfromBFtheBFhealthcareBFfacility.BFWhatBFinformationBFshouldBFtheBFpr
acticalBFnurseBF(PN)BFreinforceBFtoBFavoidBFtheBFincidenceBFofBFseizureBFepisodes?BFS
electBFallBFthatBFapply.:BF-BFStayBFwellBFrestedBFandBFavoidBFaBFlargeBFcatteineBFintake.
- AvoidBFflashingBFlightsBFandBFexcessiveBFvisualBFstimuli
- SeekBFaBFsafeBFplaceBFifBFsensingBFdizzinessBForBFsensoryBFdisturbances
4. ABFclientBFisBFrecoveringBFfromBFaBFtransurethralBFprostatectomy.BFWhichBFactivi
tyBFshouldBFtheBFpracticalBFnurseBF(PN)BFreinforceBFwithBFtheBFclientBFtoBFlimitBFuntil
BFafterBFtheBFfirstBFpostoperativeBFvisit?:BFDrivingBFaBFcar.


5. AB F clientB F isB F receivingB F aB F unitB F ofB F packedB F redB F bloodB F cellsB F (PRBCs).B F W
hichB F isB F theBFfirstB F actionB F theB F practicalB F nurseB F (PN)B F shouldB F takeB F ifB F theB F
clientB F beginsB F toB F shakeBFandBFreportsBFfeelingsBFofBFnauseaBFandBFvomiting?:BFTurnB
FottBFtheBFbloodBFinfusion


6. FourB F hoursB F afterB F rhinoplasty,B F aB F clientB F isB F swallowingB F repeatedly.B F Which
B F priorityBFactionBFshouldBFtheBFpracticalBFnurseBF(PN)BFtake?:BFUseBFpenlightBFtoBFassessBFpharyn


xBFforBFbleeding
7. AnB F obeseB F clientB F isB F admittedB F forB F treatmentB F ofB F kidneyB F stones.B F WhichB F
actionB F byBFtheBFpracticalBFnurseBF(PN)BFtakesBFpriority?:BFMeasureBFintakeBFandBFoutputBFwhileBFst
rainingBFallBFurine
8. AB F clientB F withB F aB F historyB F ofB F aB F rightB F radicalB F mastectomyB F arrivesB F on
B F theB F postop-


erativeB F unitB F followingB F surgicalB F repairB F ofB F aB F fracturedB F leftB F radiusB F andB F ap
BF
BF

, HESIBFSpecialityBFLPNBFMedBFS
urg
plicationB F ofB F aB F shortB F armB F cast.B F WhichB F actionB F shouldB F theB F practicalB F nur
seB F implementB F whileBFobtainingBFtheBFclient'sBFbloodBFpressureBF(BP)?:BFUseBFaBFlargeBFcuttBF
toBFobtainBFBPBFreadingsBFonBFeitherBFthigh.
9. ABFclientBFwithBFbreastBFcancerBFwhoBFreceivedBFchemotherapyBFtwoBFweeksBFa
goBFreturnsBFtoBFtheBFclinicBFforBFfollow-up.BFWhichBFpriorityBFfollow-
upBFassessmentBFshouldBFtheBFpracticalBFnurseBF(PN)BFanticipateBFforBFthisBFclient?:BFB
loodBFcellBFcounts




BF
BF

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