HESI LPN · HESI LPN Medical Surgical Nursing · HESI Test Bank Medical Surgical Nursing
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is providing discharge teaching for a client with heart failure. Which instruction should be included to prevent fluid overload?
Expert Explanatory Rationale
Correct Answer: Weigh yourself daily and report a gain of 2 pounds in 24 hours
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femurs?
Expert Explanatory Rationale
Correct Answer: Abduction
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. What action should the nurse take?
Expert Explanatory Rationale
Correct Answer: Collect the blood sample
Before selecting which medication to administer, which action should the nurse implement if a postoperative client reports incisional pain and has two prescriptions for PRN analgesia?
Expert Explanatory Rationale
Correct Answer: Compare the client's pain scale rating with the prescribed dosing.
When planning care for a client newly diagnosed with open-angle glaucoma, the nurse identifies a priority nursing problem of visual sensory/perceptual alterations. This problem is based on which etiology?
Expert Explanatory Rationale
Correct Answer: Decreased peripheral vision.
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