HESI LPN
HESI Fundamentals 2023 Test Bank Questions
Question 1 of 5
Upon admission to the hospital, a client presents with decreased circulation in the left leg. What is the most important initial nursing action during the assessment?
Correct Answer: B
Rationale: When a client is admitted with decreased circulation in the left leg, the most critical initial nursing action is to evaluate the pedal pulses. Pedal pulses provide essential information about the circulation status in the affected leg. Assessing the client's mobility (
Choice
A) is important but not as crucial as evaluating pedal pulses in this scenario. Monitoring skin temperature (
Choice
C) and checking for swelling (
Choice
D) are also relevant, but they are secondary to evaluating pedal pulses since the latter directly assesses the circulation in the affected limb.
Question 2 of 5
A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D, Speech-language pathologist. Speech-language pathologists specialize in assessing and treating dysphagia, which is a common issue following a cerebrovascular accident. They are trained to evaluate swallowing function and provide appropriate interventions to help clients improve their ability to swallow safely.
Choice A, Social worker, is incorrect as their role does not typically involve addressing dysphagia specifically.
Choice B, Certified nursing assistant, is not the appropriate professional to address dysphagia concerns as they do not have the training or scope of practice for this specialized area.
Choice C, Occupational therapist, focuses more on activities of daily living and functional abilities rather than the specialized treatment of dysphagia.
Question 3 of 5
When a client files a lawsuit against an LPN for malpractice, the client must prove that there is a link between the harm suffered and actions performed by the nurse that were negligent. This is known as:
Correct Answer: C
Rationale: The correct answer is C, 'Proximate cause.' Proximate cause establishes the link between the harm suffered and the negligent actions performed by the nurse. In a malpractice lawsuit, proving proximate cause is essential to demonstrate that the nurse's actions directly led to the harm experienced by the client.
Choice A, 'Evidence,' is incorrect as evidence is the information presented to support or refute a claim, not specifically the link between harm and negligence.
Choice B, '
Tort discovery,' is incorrect as it does not specifically refer to establishing the link between harm and negligence.
Choice D, 'Common cause,' is incorrect as it does not capture the legal concept of proximate cause in establishing liability in malpractice cases.
Question 4 of 5
A nurse in a provider's office is collecting data from the caregiver of a 12-month-old infant who asks if the child is old enough for toilet training. Following an educational session with the nurse, the client agrees to postpone toilet training until the child is older. Learning has occurred in which of the following domains?
Correct Answer: B
Rationale: The correct answer is B: Affective. The caregiver's decision to postpone toilet training indicates a change in feelings or attitudes, which falls under the affective domain of learning. The affective domain relates to emotions, values, and attitudes. In this scenario, the caregiver's willingness to delay toilet training due to new information reflects a shift in attitude impacted by the educational session provided by the nurse.
Choices A, C, and D are incorrect. The cognitive (choice
A) domain involves intellectual skills and knowledge, the psychomotor (choice
C) domain involves physical skills, and kinesthetic (choice
D) is often used interchangeably with the psychomotor domain, which focuses on physical movement and coordination.
Question 5 of 5
The healthcare provider is teaching a patient about contact lens care. Which instructions will the healthcare provider include in the teaching session?
Correct Answer: B
Rationale: The correct answer is B. Washing and rinsing the lens storage case daily is essential to prevent contamination and infections.
Choice A is incorrect as tap water should not be used to clean soft lenses due to the risk of introducing harmful microorganisms.
Choice C is incorrect as the storage solution should not be reused for longer than recommended to maintain its effectiveness and prevent eye infections.
Choice D is incorrect because lenses should be stored in a clean, disinfected case, not just in a cool, dry place, to avoid contamination.