HESI LPN/PN FUNDAMENTALS ACTUAL EXAM
NEWEST 2024 ACTUAL EXAM 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
Practice questions for this set
Learn 1 /7 Study with Learn
D. Establish a 2-hour voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence
management b/c it provides the client who is confused an opportunity to
empty the bladder which minimizes incontinence due to overfilling
Give this one a try later!
An older client who is admitted to the hospital with dehydration and electrolyte
imbalance is confused and incontinent of urine. Which action provides the best
strategy for the practical nurse (PN) to implement for the client's incontinence?
A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule
, A male client is upset with the healthcare provider's recommendation that he should
consent to an above-knee amputation. He tells the practical nurse (PN), if they want to
cut off my leg, they should just shoot me instead. How should the PN respond?
2
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis
Which finding indicates to the practical nurse (PN) that an older client who is receiving
intravenous therapy is experiencing fluid overload?
3 A. Edema in lower extremities
B. Crackles in lungs
C. Pulse rate of 64 beats/minute
D. Respirations of 16 breaths/minute
Which intervention should the practical nurse (PN) implement to reduce the incidence
of urinary tract infections in a client with an indwelling catheter?
4 A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
D. Apply an antibiotic ointment around urinary meatus BID
Don't know?
Terms in this set (80)
,The nurse is assessing a C. The lips and mucus membranes of a client with dark
client with dark skin who is skin are dusky in color
in Respiratory Distress.
Which client response Causes of cyanosis include hypoxemia and decreased
should the nurse evaluate cardiac output, which provides clues to respiratory
to determine cyanosis in status with changes in skin color and mucous
this particular client? membranes. Cyanosis, a late sign of hypoxemia, is
best observed in tissue that has superficial capillary
A. Cyanosis in a client with supply, such as mucous membranes, the conjunctiva,
dark skin is seen in the lips, palms, and under the tongue, which is readily
sclera visible in dark skin
B. Abnormal skin color
changes in a client with
dark skin cannot be
determined
C. The lips and mucus
membranes of a client
with dark skin are dusky in
color
D. Blanching the soles of
the feet in a client with
dark skin reveals cyanosis
, Which technique should A. Measure the pressure in each arm while the client
the PN use to most sits with both arms supported at heart level
accurately assess a client's
baseline BP during a BP should be taken initially in both arms while the
routine health exam? client is seated or supine with the arm bared,
supported, and positioned at the level of the heart
A. Measure the pressure in
each arm while the client
sits with both arms
supported at heart level
B. Calculate avg BP using
readings obtained in both
arms
C. Obtain BP first with
client lying supine and
then when standing
D. Take additional
measurements for
readings with a 10 mm Hg
difference
A client with C. Water
gastroenteritis, nausea,
and vomiting is currently Water or ice chips are the first choices of clear fluids
on Nothing by mouth for rehydration by mouth
(NPO) status. The
healthcare provider
prescribes oral intake to
be advanced as tolerated.
Which fluid should the
practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda
NEWEST 2024 ACTUAL EXAM 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
Practice questions for this set
Learn 1 /7 Study with Learn
D. Establish a 2-hour voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence
management b/c it provides the client who is confused an opportunity to
empty the bladder which minimizes incontinence due to overfilling
Give this one a try later!
An older client who is admitted to the hospital with dehydration and electrolyte
imbalance is confused and incontinent of urine. Which action provides the best
strategy for the practical nurse (PN) to implement for the client's incontinence?
A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule
, A male client is upset with the healthcare provider's recommendation that he should
consent to an above-knee amputation. He tells the practical nurse (PN), if they want to
cut off my leg, they should just shoot me instead. How should the PN respond?
2
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis
Which finding indicates to the practical nurse (PN) that an older client who is receiving
intravenous therapy is experiencing fluid overload?
3 A. Edema in lower extremities
B. Crackles in lungs
C. Pulse rate of 64 beats/minute
D. Respirations of 16 breaths/minute
Which intervention should the practical nurse (PN) implement to reduce the incidence
of urinary tract infections in a client with an indwelling catheter?
4 A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
D. Apply an antibiotic ointment around urinary meatus BID
Don't know?
Terms in this set (80)
,The nurse is assessing a C. The lips and mucus membranes of a client with dark
client with dark skin who is skin are dusky in color
in Respiratory Distress.
Which client response Causes of cyanosis include hypoxemia and decreased
should the nurse evaluate cardiac output, which provides clues to respiratory
to determine cyanosis in status with changes in skin color and mucous
this particular client? membranes. Cyanosis, a late sign of hypoxemia, is
best observed in tissue that has superficial capillary
A. Cyanosis in a client with supply, such as mucous membranes, the conjunctiva,
dark skin is seen in the lips, palms, and under the tongue, which is readily
sclera visible in dark skin
B. Abnormal skin color
changes in a client with
dark skin cannot be
determined
C. The lips and mucus
membranes of a client
with dark skin are dusky in
color
D. Blanching the soles of
the feet in a client with
dark skin reveals cyanosis
, Which technique should A. Measure the pressure in each arm while the client
the PN use to most sits with both arms supported at heart level
accurately assess a client's
baseline BP during a BP should be taken initially in both arms while the
routine health exam? client is seated or supine with the arm bared,
supported, and positioned at the level of the heart
A. Measure the pressure in
each arm while the client
sits with both arms
supported at heart level
B. Calculate avg BP using
readings obtained in both
arms
C. Obtain BP first with
client lying supine and
then when standing
D. Take additional
measurements for
readings with a 10 mm Hg
difference
A client with C. Water
gastroenteritis, nausea,
and vomiting is currently Water or ice chips are the first choices of clear fluids
on Nothing by mouth for rehydration by mouth
(NPO) status. The
healthcare provider
prescribes oral intake to
be advanced as tolerated.
Which fluid should the
practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda
