HESI LPN
HESI PN Exit Exam 2024 Quizlet Questions
Question 1 of 5
In what order should the PN implement these steps to provide wound care? (Place in correct order.)
Correct Answer: D
Rationale: The correct answer is 'D - All of the Above.' The PN should first don procedure gloves to maintain aseptic technique, then remove the dressing to assess the wound, and finally apply prescribed medications to the wound. This sequence ensures that non-sterile tasks like donning gloves are done before sterile tasks like applying medications, reducing the risk of wound contamination.
Choices A, B, and C are all essential steps in providing effective wound care.
Question 2 of 5
A client who had a thyroidectomy 24 hours ago reports tingling around the mouth and in the fingertips. What should the nurse do first?
Correct Answer: A
Rationale: Tingling around the mouth and in the fingertips can indicate hypocalcemia, a potential complication after thyroidectomy due to accidental damage to the parathyroid glands. Checking calcium levels is crucial as it helps in diagnosing hypocalcemia accurately. Administering calcium without knowing the actual calcium levels can be dangerous. Assessing the incision site for bleeding is important but not the priority in this situation. Notifying the healthcare provider can be done after assessing and managing the immediate concern of hypocalcemia.
Question 3 of 5
A client with peripheral neuropathy due to cirrhosis is at risk for injury. What should the nurse do?
Correct Answer: A
Rationale: Protecting the client's feet from injury is critical as peripheral neuropathy can lead to decreased sensation and increased risk of trauma. This measure helps prevent wounds, ulcers, and other complications. Applying a heating pad (
Choice
B) can worsen symptoms and cause burns due to decreased sensation. Keeping the client's feet elevated (
Choice
C) may help reduce swelling but does not directly address the risk of injury. Assessing for jaundice (
Choice
D) is important in cirrhosis but is not directly related to the client's risk of injury due to peripheral neuropathy.
Question 4 of 5
A nurse is completing a focused assessment of an older adult's skin. The nurse notes a crusted 0.7 cm lesion on the client's forehead. Which action should the nurse take in response to this finding?
Correct Answer: A
Rationale: A crusted lesion, especially in an older adult, could be indicative of skin cancer or another serious condition.
Therefore, reporting this finding to the healthcare provider is crucial for further evaluation and appropriate management. Placing an occlusive dressing (
Choice
B) could prevent proper assessment and treatment. Applying a warm compress (
Choice
C) may not be suitable for a suspicious skin lesion as it could worsen the condition. Explaining it as a normal skin change (
Choice
D) without proper evaluation can delay necessary interventions and potentially harm the patient.
Question 5 of 5
A nurse is caring for a 60-year-old man who is scheduled to have coronary bypass surgery in the morning. He tells the nurse that he is afraid that he will die and he is scared of the surgery. What is the best reply for this nurse to give him?
Correct Answer: C
Rationale: The best reply for the nurse to give the patient is option C: 'You're scared?' This response reflects empathy and understanding, acknowledging the patient's feelings of fear. By directly addressing the patient's emotions, the nurse encourages further expression of concerns, which is crucial in providing emotional support.
Choices A and D may come off as dismissive of the patient's feelings by downplaying his fear or shifting the focus to others' experiences.
Choice B, although acknowledging the patient's fear, does not actively engage with the patient's emotions or encourage further discussion.