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HESI LPN · HESI LPN Medical Surgical Nursing · HESI Test Bank Medical Surgical Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is providing discharge teaching for a client with heart failure. Which instruction should be included to prevent fluid overload?

A. Weigh yourself daily and report a gain of 2 pounds in 24 hours
B. Increase fluid intake to stay hydrated
C. Consume a high-sodium diet to retain fluids
D. Engage in vigorous exercise daily

Expert Explanatory Rationale

Correct Answer: Weigh yourself daily and report a gain of 2 pounds in 24 hours

Question 2 of 5

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?

A. Abduction
B. Adduction
C. Flexion
D. Extension

Expert Explanatory Rationale

Correct Answer: Abduction

Question 3 of 5

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?

A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger

Expert Explanatory Rationale

Correct Answer: Collect the blood sample

Question 4 of 5

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?

A. Compare the client's pain scale rating with the prescribed dosing.
B. Determine which prescription will have the quickest onset of action.
C. Ask the client to choose which medication is needed for the pain.
D. Document the client's report of pain in the electronic medical record.

Expert Explanatory Rationale

Correct Answer: Compare the client's pain scale rating with the prescribed dosing.

Question 5 of 5

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?

A. Limited eye movement.
B. Decreased peripheral vision.
C. Blurred distance vision.
D. Photosensitivity.

Expert Explanatory Rationale

Correct Answer: Decreased peripheral vision.

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