HESI PN LPN FUNDAMENTALS EXAM
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes 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.
(Ans- A. Give an around-the-clock schedule for administration of analgesics.
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
(Ans- A. Loosen the right wrist restraint.
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.
(Ans- B. A lactating woman nursing her 3-day-old infant.
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.
(Ans- D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300.
While instructing a male client's wife in the performance of passive range-of-
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
(Ans- A. Acknowledge that she is supporting the arm correctly.
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles. B. A
decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.
The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
, within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure
(Ans- B. Reassess the client's blood pressure using a larger cuff.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to
administer the IVPB dose over 20 minutes. For how many ml/ hr should the
infusion pump be set to deliver the secondary infusion?
(Ans- 150 mL/Hr
Twenty minutes after beginning a heat application, the client states that the heating
pad no longer feels warm enough. What is the best response by the LPN/LVN?
A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes 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.
(Ans- A. Give an around-the-clock schedule for administration of analgesics.
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
(Ans- A. Loosen the right wrist restraint.
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.
(Ans- B. A lactating woman nursing her 3-day-old infant.
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.
(Ans- D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300.
While instructing a male client's wife in the performance of passive range-of-
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
(Ans- A. Acknowledge that she is supporting the arm correctly.
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles. B. A
decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
(Ans- B. A decreased flow rate could result in the formation of a thrombosis.
The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
, within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure
(Ans- B. Reassess the client's blood pressure using a larger cuff.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to
administer the IVPB dose over 20 minutes. For how many ml/ hr should the
infusion pump be set to deliver the secondary infusion?
(Ans- 150 mL/Hr
Twenty minutes after beginning a heat application, the client states that the heating
pad no longer feels warm enough. What is the best response by the LPN/LVN?
A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
