Practice Question
The practical nurse (PN) receives a report of a stable client who experienced partial-thickness burns over 30% of the body surface area (BSA) 3 days ago. Which complication is most important for the PN to anticipate?
Answer Choices:
Correct Answer:
Curling's ulcer.
Rationale:
⚫ Curling’s ulcer is an acute gastric erosion that can occur 3–10 days after major burns, due to stress-induced decreased perfusion to the GI tract.
⚫ This can lead to GI bleeding, which may be life-threatening.
⚫ Preventative measures include proton pump inhibitors (PPIs) and early enteral nutrition.
⚫ It is a critical complication despite the client appearing stable.
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This question is from PN HESI Exit-2023 Exam 1 which contains 148 questions.
More Questions from This Exam
A male preoperative client who has already signed the informed consent for a surgical procedure confides in the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?
Answer Choices:
A. Encourage the client to continue with the scheduled surgery.
B. Document that the client has expressed concerns about the surgery.
C. Notify the charge nurse of the client's concerns about surgery.
D. Remind the client that the consent has already been obtained.
The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?
Answer Choices:
A. Whatever the parents decide, the staff will be available to support the decision.
B. The child's prognosis will not develop complications if surgery is delayed.
C. Some children do outgrow this type of problem and waiting may be beneficial.
D. Ask the parents to explain what they understand about the child's diagnosis.
Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?
Answer Choices:
A. Serum calcium
B. Hemoglobin and hematocrit
C. White blood cell count (WBC)
D. Blood urea nitrogen (BUN) and creatinine
The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?
Answer Choices:
A. Inspect for sacral edema.
B. Measure urinary output.
C. Auscultate all lung fields.
D. Check mental acuity.
The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?
Answer Choices:
A. Check for changes in vision.
B. Monitor the client's hearing.
C. Observe the skin for a rash.
D. Measure the urinary output.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2023
- Answer Choices: 4