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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Introduction to Critical Care Nursing 8th Edition

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse cares for a client after radiation therapy for neck cancer. The client reports extreme dry mouth. What action by the nurse is most appropriate?

A. Ask the client to gargle with mouthwash containing lidocaine.
B. Administer IV fluid boluses every 2 hours.
C. Explain that xerostomia may be a permanent side effect.
D. Assess the client’s neck for redness and swelling.

Expert Explanatory Rationale

Correct Answer: Explain that xerostomia may be a permanent side effect.

Question 2 of 5

An assistive personnel (AP) was feeding a client with a tracheostomy. Later that evening, the UAP reports that the client had a coughing spell during the meal. What action by the nurse is best?

A. Assess the client’s lung sounds.
B. Assign a different AP to the client.
C. Report the AP to the manager.
D. Request thicker liquids for meals

Expert Explanatory Rationale

Correct Answer: Assess the client’s lung sounds.

Question 3 of 5

What document was developed to improve workplaces and ensure nurses' ability to provide safe, quality patient care?

A. Code of Ethics for Nurses
B. Standards of Clinical Nursing Practice
C. Bioethics Clinical Guidelines
D. Bill of Rights for Registered Nurses

Expert Explanatory Rationale

Correct Answer: Bill of Rights for Registered Nurses

Question 4 of 5

Which flow sheet provides the health care provider with information on an ongoing record of fluid loss?

A. Critical care flow sheet.
B. Vital signs graphic sheet.
C. Health assessment flow sheet.
D. Intake & output (I&O) graphic sheet.

Expert Explanatory Rationale

Correct Answer: Intake & output (I&O) graphic sheet.

Question 5 of 5

The step of the nursing process characterized by systematic collection of all subjective and objective data about the client is known as: -

A. Assessment
B. Planning
C. Implementation
D. Diagnosis

Expert Explanatory Rationale

Correct Answer: Assessment

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