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HESI LPN · HESI LPN Exit · PN Exit Exam 2023 Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client who is post-operative from a carotid endarterectomy is experiencing difficulty swallowing. What is the nurse's priority action?

A. Administer a prescribed antiemetic.

B. Assess the client's airway and respiratory status.

C. Elevate the head of the bed.

D. Encourage the client to take small sips of water.

Expert Explanatory Rationale

Correct Answer: Assess the client's airway and respiratory status.

Question 2 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. Which information should the nurse reinforce about the action of this adjuvant pain modality?

A. The discharge of electricity will distract the client's focus from the pain

B. An infusion of medication in the spinal canal will block pain perception

C. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus

D. A mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe pain

Expert Explanatory Rationale

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

Question 3 of 5

A client with uterine cancer asks the nurse, 'Which is the most common type of cancer in women?' The nurse replies that it is breast cancer. Which type of cancer causes the most deaths in women?

A. Breast cancer

B. Lung cancer

C. Brain cancer

D. Colon and rectal cancer

Expert Explanatory Rationale

Correct Answer: Lung cancer

Question 4 of 5

A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The nurse observed that the chambers are set at the prescribed suction of 20 cm water pressure, and tidying occurs with respirations and bubbling. What action should the nurse implement?

A. Clamp the chest tube to see if the bubbling activity stops

B. Notify the registered nurse of the observed bubbling

C. Maintain system integrity to promote lung reexpansion

D. Apply an occlusive dressing to the chest

Expert Explanatory Rationale

Correct Answer: Maintain system integrity to promote lung reexpansion

Question 5 of 5

A client is post-operative day two from a total hip arthroplasty. The nurse notices the surgical wound is red and warm to the touch. What is the most appropriate action?

A. Apply an ice pack to the incision site.

B. Monitor the client's temperature.

C. Document the findings and continue to monitor.

D. Notify the healthcare provider.

Expert Explanatory Rationale

Correct Answer: Notify the healthcare provider.

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