Practice Question
The practical nurse (PN) applies and then releases pressure to a client's fingernail as seen in the photo. Normal nail color returns in 2 seconds. Which action should the PN take?
Answer Choices:
Correct Answer:
Document the capillary refill time.
Rationale:
⭐ Verifying new prescriptions ensures that all urgent treatments and medications are addressed without delay.
⭐ Missed or delayed prescriptions can compromise client safety, making this the top priority before shift handover.
⭐ This action directly impacts continuity of care, ensuring clients’ immediate needs are not overlooked.
⭐ Tasks like organizing, charting, or I&O calculation are important but not time-sensitive compared to verifying new orders.
⭐ This aligns with the safety and priority principle in nursing (ABCs & Maslow’s hierarchy).
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This question is from Hesi PN Exit~2024 Exam 3 which contains 150 questions.
More Questions from This Exam
In caring for a client who requires seizure precautions, the practical nurse (PN) should ensure the ready availability of equipment to perform which procedure?
Answer Choices:
A. Suction the trachea.
B. Insert a urinary catheter.
C. Apply soft restraints.
D. Insert a nasogastric tube.
The practical nurse (PN) is told that she keeps her 2-year-old child in a playpen so he will not get dirty. Which statement should the PN use in responding to this concern about using a playpen?
Answer Choices:
A. Overconcern about appearance can be harmful.
B. Playpens provide a sense of security for the child.
C. Playpens provide a safe environment for a toddler.
D. Children need time to actively explore their environment.
At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best
Answer Choices:
A. "It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready."
B. "Would you like me to call another nurse to be here while I show you the wound?"
C. "Part of recovery is accepting your new body image, and you will need to look at your incision."
D. "You will feel better when you see that the incision is not as bad as you may think."
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this finding, what action should the PN take?
Answer Choices:
A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1 hour.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2024
- Answer Choices: 4