HESI LPN
HESI Fundamentals 2023 Quizlet
1. A healthcare professional is preparing to perform a sterile dressing change for a client. Which of the following actions should the healthcare professional plan to take?
- A. Don sterile gloves after opening sterile dressing supplies
- B. Set up the sterile field at waist level
- C. Consider the entire border of the sterile field as contaminated
- D. Place the cap of a sterile solution inside the sterile field
Correct answer: B
Rationale: Setting up the sterile field at waist level is crucial to maintaining its sterility during a dressing change. Choice A is incorrect because sterile gloves should be worn after opening sterile dressing supplies to prevent contamination. Choice C is incorrect as the entire border of the sterile field should be considered contaminated to maintain sterility. Choice D is incorrect because the cap of a sterile solution should never be placed inside the sterile field to prevent contamination.
2. While ambulating an unsteady client who begins to fall, which of the following actions should the nurse take?
- A. Allow the client to slide down their outstretched leg.
- B. Place their arms around the client to prevent the fall.
- C. Remain upright as the client falls toward them.
- D. Move quickly to a position in front of the client.
Correct answer: A
Rationale: When a client is falling, allowing them to slide down your leg can help control the descent and prevent injury. This technique ensures a more controlled fall compared to attempting to catch or stop the client abruptly, which could lead to both the client and the nurse getting injured. Placing arms around the client may not provide enough support or control during the fall. Remaining upright or moving quickly in front of the client might not be practical or safe in this scenario.
3. A healthcare professional is preparing to administer an opioid medication to a client for pain management. Which of the following actions should the healthcare professional take?
- A. Administer the medication as prescribed without any additional monitoring.
- B. Monitor the client for respiratory depression.
- C. Administer the medication only when the client requests it.
- D. Ask another healthcare professional to verify the medication before administration.
Correct answer: B
Rationale: When administering opioid medications, it is crucial to monitor the client for respiratory depression, which is a potential side effect of opioids. Monitoring for respiratory depression is a critical safety measure to ensure the client's well-being during opioid therapy. Option A is incorrect because additional monitoring, especially for respiratory depression, is necessary when giving opioids to prevent adverse effects. Option C is incorrect as administering the medication only upon client request may compromise effective pain management and adherence to the prescribed regimen. Option D is incorrect as medication verification by another healthcare professional is essential for safety but not directly related to monitoring the client for respiratory depression after opioid administration.
4. A healthcare professional is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the healthcare professional take next?
- A. Assess the client for orthostatic hypotension
- B. Obtain a gait belt
- C. Ensure the client has proper footwear
- D. Ask the client to perform range-of-motion exercises
Correct answer: A
Rationale: Assessing the client for orthostatic hypotension is the priority before transferring a client who can bear weight on one leg. This assessment helps identify the risk of dizziness or fainting when the client moves from a supine to an upright position. Obtaining a gait belt may be necessary for the transfer, but assessing for orthostatic hypotension comes first to ensure the safety of the client. Ensuring the client has proper footwear is important for preventing falls during ambulation but is not the immediate next step in this situation. Asking the client to perform range-of-motion exercises is not necessary before the transfer and does not address the immediate safety concern of orthostatic hypotension.
5. A client with chronic back pain asks a nurse about receiving acupuncture for relief. Which of the following findings should the nurse identify as a contraindication to receiving this treatment?
- A. Obesity
- B. Hypertension
- C. Migraines
- D. Cellulitis
Correct answer: D
Rationale: The correct answer is D, Cellulitis. Cellulitis is a contraindication for acupuncture due to the risk of infection. Acupuncture involves inserting needles into the skin, and if a person has cellulitis, which is a bacterial skin infection, there is a higher risk of introducing the infection deeper into the body. Obesity (choice A), hypertension (choice B), and migraines (choice C) are not contraindications for receiving acupuncture. These conditions do not pose a direct risk of complications related to acupuncture treatment.
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