HESI LPN PRACTICE FINAL EXAM (DUE
15TH OCTOBER) WITH QUESTIONS &
ANSWERS 100% CORRECT.
1.kAkclientkwithkcancerkwhokhaskbeenktakingkopioidkanalgesicskforktwokyearsknowkrequiresk
increasedkdosesktokobtainkpainkrelief.kThekclientkexpresseskfearkaboutkbecomingkaddicted
ktokthesekdrugs.kWhatkinformationkshouldkthekpracticalknursek(PN)kprovide?
A.kOpioidkusekwithkcancerkdoesknotkcausekaddiction.k
B.kAddictionkiskeasilykreversedkifkitkoccurskduringkpainkmanagement.k
C.kPrescribedkopiateskforkcancerkpainkreliefkimprovekqualifykofklife.k
D.kOpioidkdosageskcankbektaperedkifkakclientkfearskaddiction.k-kCORRECTkANSWER-
C.kPrescribedkopiateskforkcancerkpainkreliefkimprovekqualifykofklife
Thekgoalkofkpainkmanagementkforkclientskwithkcancerkusingkopiateskisktokminimizekpainkan
dkmaintainkqualitykofklife
2.kAkclient'skindwellingkurinarykcatheterkiskremovedkatk9:30kAM.kThekpracticalknursek(PN)k
assesseskthekclientkeveryktwokhourskforkthekdesirektokvoid.kWhichkdocumentedkassessme
ntkrequireskfurtherkinterventionkbykthekPN?
A.k1:30kpm:kunablektokvoid.k
B.k5:30kpm:kunablektokvoid.k
C.k3:30kpm:kunablektokvoid.k
D.k11:30kam:kunablektokvoid.k-kCORRECTkANSWER-
B.kAkclientkiskduektokvoidkwithink8khourskofkcatheterkremoval,ksokatk5:30kPM.kLongerkthank8
khourskafterkremoval,kcatheterkreinsertionkmaykbeknecessary.kIfkthekbladderkisknotkdistend
ed,kfurtherkactionkmayknotkbekneeded
3.kWhichkpositionkiskbestkforkthekpracticalknursektokplacekthekclientkinkduringkadministration
kofkakrectalksuppositorykforkconstipation?
A.kPronekwithkpillowskunderkthekclient'skabdomen.k
B.kSupinekwithkthekclientkonkakbedkpan.k
C.kLeftkSims'kpositionkwithkupperklegkflexed.k
D.kRight-sideklyingkknee-chestkposition.k-kCORRECTkANSWER-C.kLeftkside-
lyingkSims'kpositionklessensktheklikelihoodkthatktheksuppositorykorkfeceskwillkbekexpelled,ke
xposeskthekanuskforkvisualizationkduringkinsertion,kandkhelpskthekclientktokrelaxkthekextern
alkanalksphincter
4.kThekpracticalknursek(PN)kiskaddingktapkwaterktokseveralkmedicationskforkadministrationk
viakfeedingktube.kWhichkpreparationkshouldkthekPNkadministerkwithoutkdelay?
A.kReconstitutedkpowder.k
B.kTimedkreleasekcapsule.
C.kCherrykflavoredkelixir.k
,D.kFlavorlessksuspension.k-kCORRECTkANSWER-
B.kAlthoughkthekgelatinkcapsulekcankbekopenedktokadministerkthekspansule'skgranules,kth
ekPNkshouldknotkcrushkorkallowkthektimed-
releasedkgranulesktokdissolvekbeforekadministeringkthiskpreparationkviakfeedingktubeksinc
ekthektimed-releasekfunctionkcankbekcompromised.
Whatkactionkshouldkthekpracticalknursek(PN)ktakekwhenkdrawingkmedicationkfromkankamp
ule?
A.kAspiratekwithkakfilterkneedlekandksyringe.k
B.kTapkthekbottomkofkthekampuleklightly.k
C.kSnapkthekneckkofkampulektowardsknurse.k
D.kUsekankalcoholkswabktokopenkampule.k-kCORRECTkANSWER-
A.kAnkampulekiskmadekofkglasskwithkakconstrictedkneckkthatkisksnappedkoffktokallowkaccess
ktokthekmedication.kMedicationskarekeasilykwithdrawnkfromkthekampulekbykaspiratingkthekfl
uidkwithkakfilterkneedlekandksyringe.kFilterkneedleskarekusedkwhenkwithdrawingkmedication
kfromkakglasskampulektokpreventkglasskparticleskfromkbeingkdrawnkintoktheksyringekwithkthe
kmedication.kTapkthektop,knotkthekbottomk(B),kofkthekampuleklightlyktokallowkallkofkthekmedic
ationktokdropktokthekbottom.kWhenkopeningkthekampule,kthektopkshouldkbeksnappedkawaykf
romktheknurse'skfacekandkbodyk(C).kAnkopenedkalcoholkswabkwrappedkaroundkthektopkofkt
hekampulekmaykallowkalcoholktokleakkintokthekampule
Thekpracticalknursek(PN)kiskpreparingktokreconstitutekakdrugkfromkpowderkformkforkIMkadmi
nistration.kWhichkstepkshouldkthekPNkimplementkfirst?
A.kVerifykthekdrugkwithkthekmedicationkadministrationkrecord.k
B.kMixkthekpowderkwithktheksolution.k
C.kAttachkthekneedlektoktheksyringe.k
D.kReadktheklabelktokdeterminekthekamountkofkdiluentktokuse.k-kCORRECTkANSWER-
A.kThekFivekRightskofkmedicationkadministrationkincludekthekrightkdrug,krightkdose,krightkro
ute,krightktime,kandkrightkclient.kThekfirstkactionkshouldkbekverificationkofkthekrightkdrugkinkth
ekpowderkformkforkreconstitution.
Whichkactionkshouldkthekpracticalknursek(PN)kimplementkwhenkadministeringkaksubcutane
ouskinjectionktokakclientkwhokweighsk325kpounds?
A.kProducekakblebkatkthekinjectionksite.k
B.kInsertkthekneedlekatkak15-degreekangle.k
C.kSelectkakneedlekwithkaklongerkshaft.k
D.kRubkvigorouslykforkakfasterkresponse.k-kCORRECTkANSWER-
C.kTokensurekpenetrationkintokthekdeepklayerkofksubcutaneuoskadiposekforkakclientkwhokisk
obese,kthekneedleklengthkshouldkbeklongerkthankthekusualkneedlek(preferablyk3/8ktok5/8kin
chkinklength)kforksubcutaneouskinjection.
Whichkfindingkindicatesktokthekpracticalknursek(PN)kthatkankolderkclientkwhokiskreceivingkint
ravenousktherapykiskexperiencingkfluidkoverload?
A.kEdemakinklowerkextremities.k
B.kCrackleskinktheklungkfields.k
C.kPulsekratekofk64kbeats/min.k
, D.kRespirationskofk16kbreaths/min.k-kCORRECTkANSWER-
B.kIVkfluidkoverloadkinkankolderkclientkisklikelyktokcausekankincreasekinkthekworkloadkofkthek
heartkcausingkakdecreasekinkcardiackoutput
Thekpracticalknursek(PN)kiskcheckingktheksurgicalkdressingkforkakclientkwhokarrivedkonkthek
postoperativekunitkankhourkago.kThekdressingkhaskankincreasekinkthekaccumulationkofkser
osanguinouskdrainage.kWhatknursingkactionkshouldkthekPNktake?
A.kReinforcekthekdressingkwithkcleankgauzekspongeskandktape.k
B.kChangektheksurgicalkdressingkimmediatelyktokpreventkinfection.
C.kMarkkthekoutlinedkareakofkdrainagekwithkdate,ktimekandkinitials.k
D.kCollectkaksamplekofkthekdrainagekforkakculturekandksensitivityk-kCORRECTkANSWER-
C.kThekareakofkbleedingkonkthekdressingkshouldkbekoutlined,kdated,ktimedkandkinitialedkfork
furturekcomparisonkandkevaluation
Akmalekclientkwhokisk2kdayskpostoperativekforkexploratorykabdominalksurgerykiskambulatin
gkinkthekhallkwithkthekpracticalknursek(PN).kThekclientktellskthekPN,k"Ikthinkksomethingkinkmy
kincisionkjustkletkgo."kWhichkactionkshouldkthekPNkimplementkfirst?
A.kNotifykthekhealthcarekprovider.k
B.kAssistkthekclientktokaksupinekposition.k
C.kInstructkthekclientktokavoidkdeepkbreathing.k
D.kRequestkankabdominalkbinderkfromkakcoworker.k-kCORRECTkANSWER-
B.kTheksensationkofktheksurgicalksiteklettingkgokiskcharacteristickofkwoundkdehiscencekinkth
ekearlykpostoperativekperiod.kThekclientkshouldkbekplacedkintokaksupinekposition
Thekpracticalknursek(PN)kiskapplyingkakdry,ksterilekdressingktokakclient'skabdominalkwound.
kWhichkallergykshouldkthekPNkverifykwithkthekclient?
A.kTape.k
B.kAntibiotickointment.k
C.kPovidone-iodine.k
D.kHydrogenkperoxide.k-kCORRECTkANSWER-
A.kakdry,ksterilekdressingkincludeskthekusekofkgauzekandktapek.kAlthoughkakclientkmaykbekal
lergicktokthekotherksubstanceskusedkinkwoundkcare,k(B,kC,kandkD)kareknotkusedkforkakdry,kst
erilekdressing.
Thekpracticalknursek(PN)kiskchangingkakpostoperativekdressingkforkakclientkwithkakhorizont
alklowerkabdominalkincision.kWhatkmethodkshouldkthekPNkusektokremovekthektapekfromkth
ekdressing?
A.kPullkfromkthekleftktokrightkacrosskthekabdomen.k
B.kPeelkacrosskthekabdomenkfromkthekrightktokthekleft.k
C.kStartkfromkthektopkofkthekincisionkmovingktokthekbottom.k
D.kRemovekallkfourksideskbykmovingktokthekcenterkofkthekincision.k-kCORRECTkANSWER-
D.kThektapekshouldkbekremovedkbykstartingkallkfourksideskandkmovingktowardskthekcenterk
ofkthekincisionktokpreventkdisruptionkofkthekwound.
Whichkactionkshouldkthekpracticalknursek(PN)kfollowkwhenkapplyingkankelasticizedkbandag
ektokakclient'skleg?
15TH OCTOBER) WITH QUESTIONS &
ANSWERS 100% CORRECT.
1.kAkclientkwithkcancerkwhokhaskbeenktakingkopioidkanalgesicskforktwokyearsknowkrequiresk
increasedkdosesktokobtainkpainkrelief.kThekclientkexpresseskfearkaboutkbecomingkaddicted
ktokthesekdrugs.kWhatkinformationkshouldkthekpracticalknursek(PN)kprovide?
A.kOpioidkusekwithkcancerkdoesknotkcausekaddiction.k
B.kAddictionkiskeasilykreversedkifkitkoccurskduringkpainkmanagement.k
C.kPrescribedkopiateskforkcancerkpainkreliefkimprovekqualifykofklife.k
D.kOpioidkdosageskcankbektaperedkifkakclientkfearskaddiction.k-kCORRECTkANSWER-
C.kPrescribedkopiateskforkcancerkpainkreliefkimprovekqualifykofklife
Thekgoalkofkpainkmanagementkforkclientskwithkcancerkusingkopiateskisktokminimizekpainkan
dkmaintainkqualitykofklife
2.kAkclient'skindwellingkurinarykcatheterkiskremovedkatk9:30kAM.kThekpracticalknursek(PN)k
assesseskthekclientkeveryktwokhourskforkthekdesirektokvoid.kWhichkdocumentedkassessme
ntkrequireskfurtherkinterventionkbykthekPN?
A.k1:30kpm:kunablektokvoid.k
B.k5:30kpm:kunablektokvoid.k
C.k3:30kpm:kunablektokvoid.k
D.k11:30kam:kunablektokvoid.k-kCORRECTkANSWER-
B.kAkclientkiskduektokvoidkwithink8khourskofkcatheterkremoval,ksokatk5:30kPM.kLongerkthank8
khourskafterkremoval,kcatheterkreinsertionkmaykbeknecessary.kIfkthekbladderkisknotkdistend
ed,kfurtherkactionkmayknotkbekneeded
3.kWhichkpositionkiskbestkforkthekpracticalknursektokplacekthekclientkinkduringkadministration
kofkakrectalksuppositorykforkconstipation?
A.kPronekwithkpillowskunderkthekclient'skabdomen.k
B.kSupinekwithkthekclientkonkakbedkpan.k
C.kLeftkSims'kpositionkwithkupperklegkflexed.k
D.kRight-sideklyingkknee-chestkposition.k-kCORRECTkANSWER-C.kLeftkside-
lyingkSims'kpositionklessensktheklikelihoodkthatktheksuppositorykorkfeceskwillkbekexpelled,ke
xposeskthekanuskforkvisualizationkduringkinsertion,kandkhelpskthekclientktokrelaxkthekextern
alkanalksphincter
4.kThekpracticalknursek(PN)kiskaddingktapkwaterktokseveralkmedicationskforkadministrationk
viakfeedingktube.kWhichkpreparationkshouldkthekPNkadministerkwithoutkdelay?
A.kReconstitutedkpowder.k
B.kTimedkreleasekcapsule.
C.kCherrykflavoredkelixir.k
,D.kFlavorlessksuspension.k-kCORRECTkANSWER-
B.kAlthoughkthekgelatinkcapsulekcankbekopenedktokadministerkthekspansule'skgranules,kth
ekPNkshouldknotkcrushkorkallowkthektimed-
releasedkgranulesktokdissolvekbeforekadministeringkthiskpreparationkviakfeedingktubeksinc
ekthektimed-releasekfunctionkcankbekcompromised.
Whatkactionkshouldkthekpracticalknursek(PN)ktakekwhenkdrawingkmedicationkfromkankamp
ule?
A.kAspiratekwithkakfilterkneedlekandksyringe.k
B.kTapkthekbottomkofkthekampuleklightly.k
C.kSnapkthekneckkofkampulektowardsknurse.k
D.kUsekankalcoholkswabktokopenkampule.k-kCORRECTkANSWER-
A.kAnkampulekiskmadekofkglasskwithkakconstrictedkneckkthatkisksnappedkoffktokallowkaccess
ktokthekmedication.kMedicationskarekeasilykwithdrawnkfromkthekampulekbykaspiratingkthekfl
uidkwithkakfilterkneedlekandksyringe.kFilterkneedleskarekusedkwhenkwithdrawingkmedication
kfromkakglasskampulektokpreventkglasskparticleskfromkbeingkdrawnkintoktheksyringekwithkthe
kmedication.kTapkthektop,knotkthekbottomk(B),kofkthekampuleklightlyktokallowkallkofkthekmedic
ationktokdropktokthekbottom.kWhenkopeningkthekampule,kthektopkshouldkbeksnappedkawaykf
romktheknurse'skfacekandkbodyk(C).kAnkopenedkalcoholkswabkwrappedkaroundkthektopkofkt
hekampulekmaykallowkalcoholktokleakkintokthekampule
Thekpracticalknursek(PN)kiskpreparingktokreconstitutekakdrugkfromkpowderkformkforkIMkadmi
nistration.kWhichkstepkshouldkthekPNkimplementkfirst?
A.kVerifykthekdrugkwithkthekmedicationkadministrationkrecord.k
B.kMixkthekpowderkwithktheksolution.k
C.kAttachkthekneedlektoktheksyringe.k
D.kReadktheklabelktokdeterminekthekamountkofkdiluentktokuse.k-kCORRECTkANSWER-
A.kThekFivekRightskofkmedicationkadministrationkincludekthekrightkdrug,krightkdose,krightkro
ute,krightktime,kandkrightkclient.kThekfirstkactionkshouldkbekverificationkofkthekrightkdrugkinkth
ekpowderkformkforkreconstitution.
Whichkactionkshouldkthekpracticalknursek(PN)kimplementkwhenkadministeringkaksubcutane
ouskinjectionktokakclientkwhokweighsk325kpounds?
A.kProducekakblebkatkthekinjectionksite.k
B.kInsertkthekneedlekatkak15-degreekangle.k
C.kSelectkakneedlekwithkaklongerkshaft.k
D.kRubkvigorouslykforkakfasterkresponse.k-kCORRECTkANSWER-
C.kTokensurekpenetrationkintokthekdeepklayerkofksubcutaneuoskadiposekforkakclientkwhokisk
obese,kthekneedleklengthkshouldkbeklongerkthankthekusualkneedlek(preferablyk3/8ktok5/8kin
chkinklength)kforksubcutaneouskinjection.
Whichkfindingkindicatesktokthekpracticalknursek(PN)kthatkankolderkclientkwhokiskreceivingkint
ravenousktherapykiskexperiencingkfluidkoverload?
A.kEdemakinklowerkextremities.k
B.kCrackleskinktheklungkfields.k
C.kPulsekratekofk64kbeats/min.k
, D.kRespirationskofk16kbreaths/min.k-kCORRECTkANSWER-
B.kIVkfluidkoverloadkinkankolderkclientkisklikelyktokcausekankincreasekinkthekworkloadkofkthek
heartkcausingkakdecreasekinkcardiackoutput
Thekpracticalknursek(PN)kiskcheckingktheksurgicalkdressingkforkakclientkwhokarrivedkonkthek
postoperativekunitkankhourkago.kThekdressingkhaskankincreasekinkthekaccumulationkofkser
osanguinouskdrainage.kWhatknursingkactionkshouldkthekPNktake?
A.kReinforcekthekdressingkwithkcleankgauzekspongeskandktape.k
B.kChangektheksurgicalkdressingkimmediatelyktokpreventkinfection.
C.kMarkkthekoutlinedkareakofkdrainagekwithkdate,ktimekandkinitials.k
D.kCollectkaksamplekofkthekdrainagekforkakculturekandksensitivityk-kCORRECTkANSWER-
C.kThekareakofkbleedingkonkthekdressingkshouldkbekoutlined,kdated,ktimedkandkinitialedkfork
furturekcomparisonkandkevaluation
Akmalekclientkwhokisk2kdayskpostoperativekforkexploratorykabdominalksurgerykiskambulatin
gkinkthekhallkwithkthekpracticalknursek(PN).kThekclientktellskthekPN,k"Ikthinkksomethingkinkmy
kincisionkjustkletkgo."kWhichkactionkshouldkthekPNkimplementkfirst?
A.kNotifykthekhealthcarekprovider.k
B.kAssistkthekclientktokaksupinekposition.k
C.kInstructkthekclientktokavoidkdeepkbreathing.k
D.kRequestkankabdominalkbinderkfromkakcoworker.k-kCORRECTkANSWER-
B.kTheksensationkofktheksurgicalksiteklettingkgokiskcharacteristickofkwoundkdehiscencekinkth
ekearlykpostoperativekperiod.kThekclientkshouldkbekplacedkintokaksupinekposition
Thekpracticalknursek(PN)kiskapplyingkakdry,ksterilekdressingktokakclient'skabdominalkwound.
kWhichkallergykshouldkthekPNkverifykwithkthekclient?
A.kTape.k
B.kAntibiotickointment.k
C.kPovidone-iodine.k
D.kHydrogenkperoxide.k-kCORRECTkANSWER-
A.kakdry,ksterilekdressingkincludeskthekusekofkgauzekandktapek.kAlthoughkakclientkmaykbekal
lergicktokthekotherksubstanceskusedkinkwoundkcare,k(B,kC,kandkD)kareknotkusedkforkakdry,kst
erilekdressing.
Thekpracticalknursek(PN)kiskchangingkakpostoperativekdressingkforkakclientkwithkakhorizont
alklowerkabdominalkincision.kWhatkmethodkshouldkthekPNkusektokremovekthektapekfromkth
ekdressing?
A.kPullkfromkthekleftktokrightkacrosskthekabdomen.k
B.kPeelkacrosskthekabdomenkfromkthekrightktokthekleft.k
C.kStartkfromkthektopkofkthekincisionkmovingktokthekbottom.k
D.kRemovekallkfourksideskbykmovingktokthekcenterkofkthekincision.k-kCORRECTkANSWER-
D.kThektapekshouldkbekremovedkbykstartingkallkfourksideskandkmovingktowardskthekcenterk
ofkthekincisionktokpreventkdisruptionkofkthekwound.
Whichkactionkshouldkthekpracticalknursek(PN)kfollowkwhenkapplyingkankelasticizedkbandag
ektokakclient'skleg?
