HESI LPN Module 6 Exam Questions and Answers 100% Pass

HESI LPN Module 6 Exam Questions and Answers 100% Pass Which event would require a nurse to complete and file an incident report? A) A client has a seizure. B) The nurse determines that a client would benefit from the use of a walker to ambulate. C) The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working. D) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure and takes the visitor to the emergency department for treatment. - Answer- D) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure and takes the visitor to the emergency department for treatment. Rationale: An incident is any event that is not consistent with the routine operation of a health care unit or routine care of a client. Examples of incidents include client falls, needlestick injuries, a visitor having symptoms of illness, medication administration errors, accidental omission of prescribed therapies, and circumstances leading to injury or a risk for injury. An incident report does not need to be filed if a client has a seizure unless the client sustains injury as a result of the seizure. If the nurse determines that a client would benefit from the use of a walker to ambulate, he or she should take the appropriate action to obtain one. If the nurse notes that the battery of an intravenous infusion pump is not working, he or she should obtain a functioning pump and send the nonfunctioning pump to the appropriate department for repair. A nurse, charting the administration of medications to an assigned client at 9 p.m., notes that atenolol (Tenormin) was prescribed to be administered at 9 a.m. instead of 9 p.m. The nurse checks the client's vital signs, completes an incident report, and calls the health care provider to report the error. The health care provider tells the nurse that an incident report is not needed but instructs her to monitor the client during the night for hypotension. What action should the nurse take? A) Notifying the nursing supervisor B) Tearing up and discarding the incident report C) Telling the HCP that the error warrants the completion of an incident report D) Telling the nursing supervisor that the HCP did not want an incident report completed and filed - Answer- C) Telling the HCP that the error warrants the completion of an incident report Rationale: Incident reports are an important part of a health care agency's quality improvement program. An incident is any event that is not consistent with the routine operation of a health care unit or routine care of a client. An example of an incident is administering a medication at a time at which it is not prescribed to be given. Whenever an incident occurs, an incident report is completed and filed in accordance with agency guidelines. The nursing supervisor would be notified of the incident; however, on the basis of the data in the question, the nurse should tell the health care provider that the error warrants completion and follow-through with an incident report. Therefore, the other options are incorrect. Contact precautions are initiated for a client with methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse, providing instructions to a nursing assistant about caring for the client, tells the assistant to take which action? A)To transfer the client to a semiprivate room B That gloves only are needed to care for the client C) To wear gloves and a gown when changing the client's bed linen D)To wear a gown when caring for the client and remove the gown immediately after leaving the client s room - Answer- C) To wear gloves and a gown when changing the client's bed linen Rationale: Contact precautions require the use of gloves, gown, and goggles if direct client contact is anticipated. The client should be placed in a private room or, if a private room is not available, in a semiprivate room with another client who has active infection with the same microorganism but no other infection. The nursing assistant would remove the protective gear before leaving the client's room. The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child just drank some window cleaner that had been stored in a cabinet. The nurse should instruct the mother to immediately take which action? - Answer- A) Call a poison control center When a poisoning occurs, a poison center should be called immediately. Vomiting should not be induced if the victim is unconscious or if the substance ingested was a strong corrosive or petroleum product. Also, vomiting should not be induced unless a health care provider has given specific instructions to induce vomiting. Neither calling an ambulance nor calling the health care provider's answering service is the immediate action, because either would delay treatment. Additionally, the health care provider would immediately make a referral to the poison control center. The poison control center may advise the mother to bring the child to the emergency department; if this is the case, the mother should then call an ambulance. A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an area hospital is advised to prepare for casualties. Which action should the nurse who receives the telephone call regarding this warning take first? - Answer- Activating the agency disaster plan Rationale: In an external disaster, many people may be brought to the emergency department for treatment. Although increasing the nursing staff and supplying the triage rooms with additional equipment may be steps in preparing for casualties, the initial action by the nurse manager must be activation of the disaster plan. Calling the hospital maintenance department to secure the building from the storm is not a responsibility that falls within the scope of nursing management. *A home health nurse has instructed a client about safety measures during the use of an oxygen concentrator in the home. Which statements by the client indicate to the nurse that the client has understood the directions? Select all that apply. - Answer- I need to follow the oxygen prescription exactly I have to keep the oxygen concentrator out of direct sunlight I have to tell everyone that they can't smoke or have an open flame within 10 feet of the oxygen concentrator *A nurse is providing instructions to a nursing student who will be caring for a client in hand restraints. The nurse instructs the nursing student to release the restraints to permit muscle exercise how frequently? - Answer- Every 2 hours