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HESI LPN · HESI LPN Fundamentals of Nursing · Fundamentals HESI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A community health nurse is caring for a group of families. The nurse should identify which of the following families is experiencing a maturational loss?

A. A family whose only child recently died due to cancer.

B. A family whose head of household lost her job.

C. A family whose house was destroyed in a fire.

D. A family whose oldest child is moving away for college.

Expert Explanatory Rationale

Correct Answer: A family whose oldest child is moving away for college.

Question 2 of 5

When assessing a client's skin turgor, a nurse should:

A. Grasp a fold of the skin on the chest under the clavicle, release it, and note the depth of the impression

B. Check skin elasticity on the back of the hand

C. Press on the skin over the abdomen

D. Measure skin turgor on the lower leg

Expert Explanatory Rationale

Correct Answer: Grasp a fold of the skin on the chest under the clavicle, release it, and note the depth of the impression

Question 3 of 5

A group of newly licensed nurses is being taught about the Braden Scale by a nurse. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

A. "The client's age is not a factor in the measurement."

B. "The scale measures six elements."

C. "A lower score indicates a higher risk of pressure ulcers."

D. "Each element is scored on a range from 1 to 4 points."

Expert Explanatory Rationale

Correct Answer: "The scale measures six elements."

Question 4 of 5

A nurse is counseling a middle adult client who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further?

A. "I am struggling to accept that my parents are aging and need so much help."

B. "It's been so stressful for me to think about having intimate relationships."

C. "I know I should volunteer my time for a good cause, but maybe I'm just selfish."

D. "I love my grandchildren, but my child expects me to relive my parenting days."

Expert Explanatory Rationale

Correct Answer: "I am struggling to accept that my parents are aging and need so much help."

Question 5 of 5

A home health nurse is teaching a new caregiver how to care for a client who has had a tracheostomy for 1 year. Which of the following instructions should the nurse include?

A. Use tracheostomy covers when going outdoors.

B. Maintain sterile technique when performing tracheostomy care.

C. Do not remove the outer cannula for routine cleaning.

D. Clean around the stoma with normal saline.

Expert Explanatory Rationale

Correct Answer: Use tracheostomy covers when going outdoors.

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