HESI LPN · HESI LPN Mental Health Nursing · HESI Core Concepts of Family Centered Care
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
Expert Explanatory Rationale
Correct Answer: Report any yellowing of the skin.
A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, 'Bugs are crawling on my bed. I’ve got to get out of here.' What is the most accurate assessment of the situation? The patient:
Expert Explanatory Rationale
Correct Answer: has symptoms of alcohol withdrawal delirium.
Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %). Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient:
Expert Explanatory Rationale
Correct Answer: has a high tolerance to alcohol.
A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
Expert Explanatory Rationale
Correct Answer: tell the patient, 'We cannot see you today because you’ve been drinking.'
A nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use. What early indicator of the nurse’s drug use was evident?
Expert Explanatory Rationale
Correct Answer: Seeking to be assigned as the medication nurse.
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