HESI PN LPN FUNDAMENTALS EXIT EXAM LATEST TEST BANK ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI PN LPN FUNDAMENTALS EXIT EXAM LATEST

2023-2024 TEST BANK ACTUAL EXAM 400 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

An elderly female client calls the clinic and states that she feels very

weak and dizzy. Further assessment by the practical nurse (PN) indicates

that the client self-administered an enema of 3 liters of tap water because

she felt constipated. What is the most likely cause of the client's

symptoms?

A. Mucosal bleeding

B. Sodium retention

C. Fluid volume depletion

D. Water intoxication - ANSWER- D. Water Intoxication

Rationale:

Tap water is a hypotonic fluid, which can leave the intestine and

enter the interstitial fluid by osmosis, ultimately causing systemic

water intoxication (D). This is manifested by weakness, dizziness,

pallor, diaphoresis, and respiratory distress. Excessive use of

enemas can cause mucosal irritation, which might result in some

bleeding (A), but the client would not experience weakness and

dizziness unless she were hemorrhaging. (B and C) can occur with

the use of hypertonic, rather than hypotonic, solutions.

A postoperative client will need to perform daily dressing changes after

discharge. Which outcome statement should the practical nurse (PN)

identify that best demonstrates the client's readiness to manage his

wound care after discharge?

A. The client asks relevant questions regarding the dressing change.

B. The client states that he will be able to complete the wound care

regimen.

C. The client demonstrates the wound care procedure correctly.

D. The client has all the necessary supplies for wound care. - ANSWERC. The client demonstrates the wound care procedure correctly.

Rationale:

A return demonstration of a procedure (C) provides an objective

assessment of the client's ability to perform a task, whereas (A and

B) are subjective measures. (D) is important but is of less priority

before discharge than the practical nurse's assessment of the client's

ability to complete the wound care.

The practical nurse (PN) is applying the finger probe for continuous

pulse oximetry on a client. Which actions should help prevent skin

irritation or breakdown? (Select all that apply.)

A. Rotate the probe location site every 4 to 8 hours.

B. Remove fingernail polish with acetone.

C. Cleanse with soap and water as needed.

D. Secure with gauze if client has allergy to adhesives.

E. Apply lotion before attaching the probe. - ANSWER- A,C, and D

Rationale:

Site rotation (A), skin cleansing (C), and avoidance of adhesives for

allergies (D) should help prevent skin irritation or breakdown.

Removing fingernail polish will not help prevent skin irritation (B),

and application of lotion will not help prevent skin irritation or

breakdown (E).

A 65-year-old client who attends an adult day care program and is

wheelchair-mobile has redness in the sacral area. Which information is

most important for the practical nurse (PN) to provide?

A. Take a vitamin supplement tablet once a day.

B. Change positions in the chair at least every hour.

C. Increase daily intake of water or other fluids.

D. Purchase a newer model wheelchair. - ANSWER- B. Change

positions in the chair at least every hour.

Rationale:

The most important teaching is to change positions frequently (B)

because pressure is the most significant factor related to the

development of pressure ulcers. (A and C) may be beneficial as well

to promote healing and to reduce further risk. (D) is an intervention

of last resort because this will be very expensive for the client.

Which action is most important for the practical nurse (PN) to

implement when donning sterile gloves?

A. Maintain the thumb at a 90-degree angle.

B. Hold the hands with the fingers down while gloving.

C. Keep gloved hands above the elbows.

D. Put the glove on the dominant hand first. - ANSWER- C. Keep

gloved hands above the elbows.

Rationale:

Gloved hands held below waist level are considered unsterile (C). (A

and B) are not essential to maintaining asepsis. Although it may be

helpful to put the glove on the dominant hand first, it is not

necessary to ensure asepsis (D).

The practical nurse (PN) is administering a rectal suppository to a client.

What action should be implemented to prevent discomfort during

administration?

A. Place the suppository high in the rectum.

B. Freeze the suppository before insertion.

C. Allow the suppository to become soft before insertion.

D. Avoid use of a lubricant with insertion. - ANSWER- C. Allow the

suppository to become soft before insertion.