Practice Question
The nurse is assessing a client who is experiencing overwhelming anxiety and difficulty performing self-care. Which question should the nurse ask first?
Answer Choices:
Correct Answer:
"Would you like me to sit with you for a while?"
Rationale:
🔴When anxiety is overwhelming, clients may not be able to process complex or abstract questions.
🔴Offering presence provides immediate support and safety, reducing isolation.
🔴Simple, short interactions help the client feel grounded and less threatened.
🔴Once anxiety is reduced, the nurse can then explore causes, coping patterns, and goals.
🔴This approach reflects the principle of Maslow’s hierarchy, prioritizing safety and emotional stabilization.
Want to practice more questions like this?
This question is from PN Hesi Exit-2025 Exam 2 which contains 117 questions.
More Questions from This Exam
The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse delegate to the UAP?
Answer Choices:
A. Monitor an IV infusion rate on an established schedule.
B. Prepare the sterile field for a urinary catheter insertion.
C. Anchor an inserted urinary catheter in place with tape.
D. Begin wound care for a client after an appendectomy.
A client with Alzheimer's disease (AD) is receiving trazodone. a recently prescribed atypical antidepressant. The caregiver tells the home health nurse that the client's mood and sleep patterns are improved, but there is no in cognitive How should the nurse respond to this information?
Answer Choices:
A. Confirm that the desired effect of the medication has been achieved.
B. Evaluate when and how the medication is being administered to the client.
C. Notify the healthcare provider that a change in dosage may be needed.
D. Explain that it may take several weeks for the medication to be effective.
After administering an antipyretic medication, which intervention should the nurse implement?
Answer Choices:
A. Encourage the client to eat a bland diet.
B. Cover the client with warm blankets.
C. Use fans to provide external cooling.
D. Encouraging liberal fluid intake.
A client received a thrombolytic medication following a myocardial infarction. When the client has a bowel movement. Which action should the nurse implement?
Answer Choices:
A. Observe the stool for a clay-colored appearance.
B. Obtain a specimen for culture and sensitivity analysis.
C. Send a stool sample to the lab for a guaiac test.
D. Assess for fatty yellow streaks in the client's stool.
Which situation indicates a need for the nurse to discuss the use of mitten restraints with the healthcare provider?
Answer Choices:
A. A family member expresses concern about their relative -picking" at the nasal gastric tube (NG) tube.
B. A disoriented client removed the mesh wrapped intravenous (IV) line for the second time.
C. A 16-year-old boy swung his fist at the nurse.
D. A client is walking the halls at night rubbing his hands together.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4