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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Introduction to Nursing Final Exam Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client refuses to have pain medication administered by injection. The nurse states, 'If you don't let me give you the shot, I will get help to hold you down and give it.' What tort may the nurse be committing?

A. Battery

B. Negligence

C. Assault

D. Defamation

Expert Explanatory Rationale

Correct Answer: Assault

Question 2 of 5

A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test is most specific for the nurse to monitor in determining whether the patient has had an AMI?

A. Myoglobin

B. Homocysteine

C. C-reactive protein

D. Cardiac-specific troponin

Expert Explanatory Rationale

Correct Answer: Cardiac-specific troponin

Question 3 of 5

Which nursing diagnosis is in PES format?

A. Fluid volume deficit related to prolonged vomiting.

B. Risk for impaired skin integrity as manifested by poor skin turgor and old age.

C. Ineffective airway clearance related to retained secretions as manifested by infectious process.

D. Self-esteem disturbance related to rejection by the husband as manifested by crying and isolation.

Expert Explanatory Rationale

Correct Answer: Self-esteem disturbance related to rejection by the husband as manifested by crying and isolation.

Question 4 of 5

When auscultating a client's chest, the nurse assesses a second heart sound (S2). This sound results from:

A. Opening of the mitral and tricuspid valves

B. Closing of the mitral and tricuspid valves

C. Opening of the aortic and pulmonic valves

D. Closing of the aortic and pulmonic valves

Expert Explanatory Rationale

Correct Answer: Closing of the aortic and pulmonic valves

Question 5 of 5

What condition does a 56-year-old client with a chronic cough, peripheral edema, and cyanotic nail beds likely have?

A. Adult respiratory distress syndrome (ARDS)

B. Asthma

C. Chronic obstructive bronchitis

D. Emphysema

Expert Explanatory Rationale

Correct Answer: Chronic obstructive bronchitis

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