2017 Pharmacology PN Hesi V1 Question And
Answers( Download To Score An A)
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. Correct
Answer: 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 Correct Answer: 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. Correct Answer: 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. Correct Answer: 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 Correct Answer: 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. Correct Answer: 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 Correct
Answer: 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? Correct Answer: 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.
D. The body's receptors adapt over time as they are exposed to heat Correct
Answer: D. The body's receptors adapt over time as they are exposed to heat
The LPN is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase. Correct Answer:
C. I will limit my intake of beef to 4 ounces per week.
The UAPs working on a chronic neuro unit ask the LPN/LVN to help them
determine the safest way to transfer an elderly client with left-sided weakness from
the bed to the chair. What method describes the correct transfer procedure for this
client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. Correct Answer: D. Move the chair parallel to the right side of the bed,
and stand the client on the right foot.
An unlicensed assistive personnel (UAP) places a client in a left lateral position
prior to administering a soap suds enema. Which instruction should the LPN/LVN
provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level.
Correct Answer: C. Reposition in a Sim's position with the client's weight on the
anterior ilium.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the LPN have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited. B. Blood transfusions are forbidden. C.
Alcohol use in any form is not allowed.
, D. A vegetarian diet must be followed. Correct Answer: B. Blood transfusions are
forbidden.
The LPN/LVN observes that a male client has removed the covering from an ice
pack applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. Correct Answer: A.
Observe the appearance of the skin under the ice pack.
The LPN/LVN mixes 50 mg of Nipride in 250 ml of D5W and plans to administer
the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a
drip factor of 60 gtt/ml, how many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. Correct Answer: D. 124 gtt/min
A hospitalized male client is receiving nasogastric tube feedings via a small-bore
tube and a continuous pump infusion. He reports that he had a bad bout of severe
coughing a few minutes ago, but feels fine now. What action is best for the
LPN/LVN to take?
A. Record the coughing incident. No further action is required at this time. B. Stop
the feeding, explain to the family why it is being stopped, and notify the healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
Correct Answer: C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of the
medication each day. Since, at the time of discharge, timed-release capsules are not
available, which dosing schedule should the LPN advise the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
Answers( Download To Score An A)
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. Correct
Answer: 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 Correct Answer: 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. Correct Answer: 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. Correct Answer: 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 Correct Answer: 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. Correct Answer: 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 Correct
Answer: 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? Correct Answer: 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.
D. The body's receptors adapt over time as they are exposed to heat Correct
Answer: D. The body's receptors adapt over time as they are exposed to heat
The LPN is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase. Correct Answer:
C. I will limit my intake of beef to 4 ounces per week.
The UAPs working on a chronic neuro unit ask the LPN/LVN to help them
determine the safest way to transfer an elderly client with left-sided weakness from
the bed to the chair. What method describes the correct transfer procedure for this
client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. Correct Answer: D. Move the chair parallel to the right side of the bed,
and stand the client on the right foot.
An unlicensed assistive personnel (UAP) places a client in a left lateral position
prior to administering a soap suds enema. Which instruction should the LPN/LVN
provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level.
Correct Answer: C. Reposition in a Sim's position with the client's weight on the
anterior ilium.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the LPN have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited. B. Blood transfusions are forbidden. C.
Alcohol use in any form is not allowed.
, D. A vegetarian diet must be followed. Correct Answer: B. Blood transfusions are
forbidden.
The LPN/LVN observes that a male client has removed the covering from an ice
pack applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. Correct Answer: A.
Observe the appearance of the skin under the ice pack.
The LPN/LVN mixes 50 mg of Nipride in 250 ml of D5W and plans to administer
the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a
drip factor of 60 gtt/ml, how many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. Correct Answer: D. 124 gtt/min
A hospitalized male client is receiving nasogastric tube feedings via a small-bore
tube and a continuous pump infusion. He reports that he had a bad bout of severe
coughing a few minutes ago, but feels fine now. What action is best for the
LPN/LVN to take?
A. Record the coughing incident. No further action is required at this time. B. Stop
the feeding, explain to the family why it is being stopped, and notify the healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
Correct Answer: C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of the
medication each day. Since, at the time of discharge, timed-release capsules are not
available, which dosing schedule should the LPN advise the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
