HESI LPN FUNDAMENTALS EXAM PACK-MEREGED FROM 2019/2020/2021 ACTUAL EXAM-BEST FOR 2022 ACTUAL EXAM

HESI LPN

FUNDAMENTALS EXAM

PACK-MEREGED FROM

2019/2020/2021

ACTUAL EXAM-BEST

FOR 2022 ACTUAL

EXAM

HESI LPN Fundamental

1) 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

2) 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

3) 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

4) 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

5) While instructing a male client's wife in the performance of passive rangeof-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

6) 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

7) 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

8) 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

9) 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

10) 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

11) 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

12) 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

13) 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.