HESI LPN PRACTICE FINAL EXAM QUESTIONS
AND ANSWERS 100% CORRECT!
,1. A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. The client expresses fear about
becoming addicted to these drugs. What information should the practical nurse (PN)
provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - ANSWERC. Prescribed
opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain
and maintain quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented
assessment requires further intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - ANSWERB. A client is due to void within 8 hours of
catheter removal, so at 5:30 PM. Longer than 8 hours after removal, catheter reinsertion
may be necessary. If the bladder is not distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during
administration of a rectal suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - ANSWERC. Left side-lying Sims' position
lessens the likelihood that the suppository or feces will be expelled, exposes the anus
for visualization during insertion, and helps the client to relax the external anal sphincter
4. The practical nurse (PN) is adding tap water to several medications for administration
via feeding tube. Which preparation should the PN administer without delay?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
, D. Flavorless suspension. - ANSWERB. Although the gelatin capsule can be opened to
administer the spansule's granules, the PN should not crush or allow the timed-released
granules to dissolve before administering this preparation via feeding tube since the
timed-release function can be compromised.
What action should the practical nurse (PN) take when drawing medication from an
ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANSWERA. An ampule is made of glass with
a constricted neck that is snapped off to allow access to the medication. Medications
are easily withdrawn from the ampule by aspirating the fluid with a filter needle and
syringe. Filter needles are used when withdrawing medication from a glass ampule to
prevent glass particles from being drawn into the syringe with the medication. Tap the
top, not the bottom (B), of the ampule lightly to allow all of the medication to drop to the
bottom. When opening the ampule, the top should be snapped away from the nurse's
face and body (C). An opened alcohol swab wrapped around the top of the ampule may
allow alcohol to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for IM
administration. Which step should the PN implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - ANSWERA. The Five
Rights of medication administration include the right drug, right dose, right route, right
time, and right client. The first action should be verification of the right drug in the
powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds?
A. Produce a bleb at the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - ANSWERC. To ensure penetration into the
deep layer of subcutaneuos adipose for a client who is obese, the needle length should
be longer than the usual needle (preferably 3/8 to 5/8 inch in length) for subcutaneous
injection.
AND ANSWERS 100% CORRECT!
,1. A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. The client expresses fear about
becoming addicted to these drugs. What information should the practical nurse (PN)
provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - ANSWERC. Prescribed
opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain
and maintain quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented
assessment requires further intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - ANSWERB. A client is due to void within 8 hours of
catheter removal, so at 5:30 PM. Longer than 8 hours after removal, catheter reinsertion
may be necessary. If the bladder is not distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during
administration of a rectal suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - ANSWERC. Left side-lying Sims' position
lessens the likelihood that the suppository or feces will be expelled, exposes the anus
for visualization during insertion, and helps the client to relax the external anal sphincter
4. The practical nurse (PN) is adding tap water to several medications for administration
via feeding tube. Which preparation should the PN administer without delay?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
, D. Flavorless suspension. - ANSWERB. Although the gelatin capsule can be opened to
administer the spansule's granules, the PN should not crush or allow the timed-released
granules to dissolve before administering this preparation via feeding tube since the
timed-release function can be compromised.
What action should the practical nurse (PN) take when drawing medication from an
ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANSWERA. An ampule is made of glass with
a constricted neck that is snapped off to allow access to the medication. Medications
are easily withdrawn from the ampule by aspirating the fluid with a filter needle and
syringe. Filter needles are used when withdrawing medication from a glass ampule to
prevent glass particles from being drawn into the syringe with the medication. Tap the
top, not the bottom (B), of the ampule lightly to allow all of the medication to drop to the
bottom. When opening the ampule, the top should be snapped away from the nurse's
face and body (C). An opened alcohol swab wrapped around the top of the ampule may
allow alcohol to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for IM
administration. Which step should the PN implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - ANSWERA. The Five
Rights of medication administration include the right drug, right dose, right route, right
time, and right client. The first action should be verification of the right drug in the
powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds?
A. Produce a bleb at the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - ANSWERC. To ensure penetration into the
deep layer of subcutaneuos adipose for a client who is obese, the needle length should
be longer than the usual needle (preferably 3/8 to 5/8 inch in length) for subcutaneous
injection.
