HESI LPN
Practice HESI Fundamentals Exam Questions
Question 1 of 5
A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take in this situation is to carefully remove the gloves and follow with hand hygiene. This is important to prevent potential contamination and maintain infection control practices. Option B is incorrect because cleaning hands later may lead to the spread of potential contaminants. Option C is unnecessary as starting over is not required if proper hand hygiene is performed. Option D is not sufficient in ensuring proper hygiene after a blood spill, as hand sanitizer may not effectively remove all contaminants.
Question 2 of 5
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: 'Carbon monoxide binds with hemoglobin in the body.' Carbon monoxide is an odorless, colorless gas, so it does not have a distinct odor (Choice A). While regular inspection of appliances like water heaters is important for safety, it is not directly related to carbon monoxide poisoning (Choice B). Carbon monoxide primarily affects the cardiovascular system by binding with hemoglobin, reducing the blood's ability to carry oxygen, rather than causing direct lung damage (Choice C). Understanding how carbon monoxide binds with hemoglobin is crucial in recognizing the mechanism of poisoning and its potential consequences.
Question 3 of 5
The client is post-operative following abdominal surgery. Which of the following assessment findings would require immediate intervention?
Correct Answer: B
Rationale: A saturated abdominal dressing is a critical finding that may indicate active bleeding or wound complications. Immediate intervention is necessary to prevent further complications, such as hypovolemic shock or infection. Absent bowel sounds, though abnormal, are a common post-operative finding and do not require immediate intervention. Pain level of 8/10 can be managed effectively with appropriate pain control measures and does not indicate an urgent issue. A temperature of 100.4�F is slightly elevated but may be a normal post-operative response to surgery and does not typically require immediate intervention unless accompanied by other concerning signs or symptoms.
Question 4 of 5
During the stages of dying, a client reaches the point of acceptance. What response should the LPN/LVN expect the client to exhibit?
Correct Answer: C
Rationale: During the stages of dying, when a client reaches the point of acceptance, the expected response is 'Detachment.' This is characterized by the individual withdrawing emotionally and psychologically from their surroundings as they come to terms with their impending death. Apathy (Choice A) refers to a lack of interest, enthusiasm, or concern, which is not typically associated with the acceptance stage. Euphoria (Choice B) is an intense feeling of happiness or excitement, which is less likely during the acceptance stage of dying. Emotionalism (Choice D) involves exaggerated or uncontrollable emotional reactions, which are not commonly seen during the acceptance phase.
Question 5 of 5
A healthcare professional is preparing to administer 750 mL of 0.9% sodium chloride IV to infuse over 7 hr. The professional should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: To calculate the infusion rate, divide the total volume (750 mL) by the total time (7 hr). 750 � 7 ≈ 107 mL/hr. Choice A is correct because it accurately calculates the infusion rate based on the total volume and time. Choices B, C, and D are incorrect as they do not reflect the correct calculation for the infusion rate in this scenario.
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