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HESI LPN · HESI LPN Adult Health Nursing · Adult Health Exam 1

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client postoperatively following a hip replacement. Which intervention is most important to prevent dislocation of the prosthesis?

A. Keep the client in a low Fowler's position
B. Maintain hip abduction with pillows
C. Encourage early ambulation
D. Place the client in a prone position

Expert Explanatory Rationale

Correct Answer: Maintain hip abduction with pillows

Question 2 of 5

A client reports feeling isolated and lonely two weeks after the death of a spouse. What is the most appropriate nursing intervention?

A. Encourage talking about the spouse
B. Provide information on grief counseling
C. Suggest joining a support group
D. All of the above

Expert Explanatory Rationale

Correct Answer: All of the above

Question 3 of 5

A client with a severe headache is being assessed by a nurse. What should the nurse do first?

A. Administer pain relief medication
B. Check the client's blood pressure
C. Assess for associated symptoms such as nausea or photophobia
D. Offer a quiet environment

Expert Explanatory Rationale

Correct Answer: Check the client's blood pressure

Question 4 of 5

A client is admitted with Atrial Fibrillation and is administered amiodarone (Cordarone). What therapeutic response should the nurse anticipate?

A. Conversion of irregular heart rate to regular heart rhythm
B. Pulse oximetry readings within normal range during activity
C. Peripheral pulse points with adequate capillary refill
D. Increase in exercise tolerance without shortness of breath

Expert Explanatory Rationale

Correct Answer: Conversion of irregular heart rate to regular heart rhythm

Question 5 of 5

A client has a prescription for a Transcutaneous Electrical Nerve Stimulator (TENS) unit for pain management during the postoperative period following a Lumbar Laminectomy. What information should the nurse reinforce about the action of this adjuvant pain modality?

A. Mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe pain
B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus
C. An infusion of medication in the spinal canal will block pain perception
D. The discharge of electricity will distract the client's focus on the pain

Expert Explanatory Rationale

Correct Answer: Mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe pain

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