Practice Question
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement?
Answer Choices:
Correct Answer:
Monitor the child's oxygen saturation level via pulse oximetry.
Rationale:
🟠 Resting stridor and tachypnea indicate upper airway obstruction, which is potentially life-threatening.
🟠 Monitoring oxygen saturation helps assess respiratory compromise early.
🟠 Croup can rapidly deteriorate; saturation monitoring is key for timely escalation to oxygen or steroids.
🟠 This objective measure helps guide respiratory interventions like nebulized epinephrine.
🟠 Early detection of hypoxia prevents complications like respiratory arrest in children.
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This question is from Hesi PN Exit~2024 Exam 2 which contains 72 questions.
More Questions from This Exam
The practical nurse (PN) is caring for a client who has a prescription for loratadine by mouth daily as needed. Which sign indicates to the PN that there is a need to administer the medication?
Answer Choices:
A. Ulceration on the corner of the upper lip.
B. Ecchymosis and petechiae on the legs
C. Red welts widespread over the chest.
D. Red papules and pustules on the face.
At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?
Answer Choices:
A. Safety plan to keep in a purse at all times.
B. Paperwork needed to file a restraining order.
C. Visit summary documenting the report of abuse.
D. Contact information for a women's shelter.
The practical nurse (PN) learns that a client who is receiving chemotherapy has developed stomatitis. Which information should the PN obtain from the client during a focused assessment?
Answer Choices:
A. Urinary output.
B. Blood pressure while standing.
C. Ability to swallow.
D. Frequency of bowel movements.
The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding?
Answer Choices:
A. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present.
D. Pupils reactive to accommodation.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2024
- Answer Choices: 4