HESI LPN · LPN Client Safety Nursing Skill Template
Question 1 of 54
In the context of research, validity refers to:
A
The consistency of the measure
B
The accuracy of the measure
C
The reliability of the sample
D
The degree to which data supports a hypothesis
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 2 of 54
The three things needed to start a fire are
A
Air, oxygen, and fuel.
B
Fuel, heat, and oxygen.
C
Fuel, carbon dioxide, and heat.
D
Air, carbon dioxide, and fuel.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 3 of 54
Which statement best describes a sentinel event according to the Joint Commission?
A
A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
B
A sentinel event is an event that occurs at least ten times in one month and requires medication intervention.
C
A sentinel event is a disagreement between the medical staff and the nursing staff which must be resolved in a committee.
D
A sentinel event is an ethical dilemma where the patient's request and the health care team are not congruent.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 4 of 54
During the health history, a client shares that the family attends church every Sunday. Which function of the family does this represent?
A
Physical.
B
Economic.
C
Reproductive.
D
Socialization.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 5 of 54
LASA drugs are labeled by color.
A
Red
B
Yellow
C
Orange
D
Green
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 6 of 54
A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
A
Utility
B
Paternalism
C
Justice
D
Nonmaleficence
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 7 of 54
Mahy is a medical student. She was in emergency room(ER) for the first time in her life. She was very excited to see a case of urine retention. As her supervisor was observing another case, she introduced urinary catheter to the retention patient. Although she introduced the catheter in right site, the supervisor told her thatyou should never perform a procedures or interventions for patients for the first time without supervision". What best describe the action of Mahy?"
A
Cultural variation
B
hazardous attitude
C
hindsight bias
D
Routine violation
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 8 of 54
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
A
A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eyesight
B
A client who has terminal cancer and needs assistance with pain management
C
A client who is recovering from a stroke and needs someone to provide care while his spouse is at work
D
A client who has dementia and needs help with activities of daily living
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 9 of 54
Which of the following client situation is appropriate to delegate to a (n) unlicensed assistive personnel (UAP)? Select all that apply.
A
A client who needs help with a 1:1 feeding.
B
A client who needs their foley catheter drainage bag emptied.
C
A client who reports new onset of shortness of breath and needs vital signs.
D
A client who has questions about discharge home health services.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 10 of 54
A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?
A
Grilled chicken sandwich and skim milk
B
Roast beef, mashed potatoes, and green beans
C
Peanut butter sandwich, banana, and iced tea
D
Barbecue beef, baked beans, and cole slaw
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 11 of 54
How many points of contact should you maintain when climbing a ladder?
A
One
B
Two
C
Three
D
Four
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 12 of 54
A patient arrives at the Emergency Department with nausea, hematemesis, fever, abdominal pain, and severe diarrhea. There is a suspicion the patient has been exposed to the anthrax bacillus. What category of medications will be administered?
A
antimicrobials
B
narcotics
C
antihistamines
D
antacids
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 13 of 54
Expected effect relating to pharmacological effect of drugs
A
adverse reaction
B
medication error
C
near miss
D
side effect
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 14 of 54
A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate?
A
There is such a shortage of organs in this country, so I think you should go ahead and consent to donate your spouse's organs.'
B
What do you think your spouse would have wanted?'
C
Most religions support organ donation, so don't let that stand in the way.'
D
Don't you think you will feel a little better about the situation if you donate your spouse's organs?'
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 15 of 54
A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first?
A
A. Ask what she will be assigned to do.
B
B. Determine if she has the skills to complete the assignment.
C
C. Identify her options.
D
D. Notify the nurse manager about her concerns for client safety.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 16 of 54
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?
A
A. 'I can change who I designate as my health care proxy at any time.'
B
B. 'If I become incapacitated, end-of-life choices will be made by my proxy.'
C
C. 'I have to choose a family member as my health proxy.'
D
D. 'The health care proxy does not go into effect until I am incapable of making decisions.'
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 17 of 54
An older adult client has been moved from home to a skilled nursing facility (SNF). Which behavior, demonstrated by this client, indicates a problem with daily functioning?
A
The client eats 80% of meals.
B
The client watches television with others.
C
The client wants to wear one's own clothing.
D
The client will not use the prescribed walker.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 18 of 54
A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to
A
move any chairs or desks at least 3 feet away from the child
B
note the sequence of movements with the time lapse of the event
C
provide privacy as much as possible to minimize frightening the other children
D
place the hands or a folded blanket under the head of the child
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 19 of 54
Beck's Cognitive therapy for depression requires the individual to:
A
Make an objective assessment of their beliefs.
B
Keep a dream diary.
C
Keep a mood diary.
D
Set attainable life goals.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 20 of 54
A nurse prepares to insert a peripheral venous catheter in an older adult client. Which action should the nurse take to protect the client's skin during this procedure?
A
Lower the extremity below the level of the heart.
B
Apply warm compresses to the extremity.
C
Tap the skin lightly and avoid slapping.
D
Place a washcloth between the skin and tourniquet.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 21 of 54
The five rights for medication administration are RIGHT:
A
patient, route, formulation, doctor, and time
B
patient, dose, formulation, doctor, and time
C
patient, medication, dose, route, and time
D
patient, dose, symptoms, document, and route
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 22 of 54
A client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) pneumonia. What type of isolation is most appropriate for this client?
A
Reverse
B
Airborne
C
Standard precautions
D
Contact
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 23 of 54
An encounter group:
A
Enables individuals to interact with others in a social setting.
B
Encourages team building.
C
Aids the therapist in diagnosis.
D
Encourages therapy and self-growth through disclosure and interaction.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 24 of 54
A client diagnosed with schizophrenia states, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate nursing reply?
A
Did you take your medicine this morning?
B
You are not going to hell. You are a good person.
C
I'm sure the voices sound scary. The devil is not talking to you. This is part of your illness.
D
The devil only talks to people who are receptive to his influence.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 25 of 54
Which of the following is an example of a psychological hazard?
A
Slippery floors
B
High noise levels
C
Inadequate lighting
D
Workplace bullying
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 26 of 54
A nurse enters a client's room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?
A
Call the emergency response team.
B
Seek immediate help from the risk manager.
C
Call the provider for a stat DNR order.
D
Respect the family's wishes and do nothing.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 27 of 54
A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?
A
I do not know how to make the remote control work.
B
Do you know when I will be going home?
C
My dressing was changed earlier this morning.
D
I have not received any of my medications today.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 28 of 54
The priority of palliative care is:
A
to provide assisted suicide.
B
to provide comfort measures.
C
to aggressively treat the disease.
D
to aggressively treat the symptoms.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 29 of 54
Dr Maher is a general practitioner; he is assisting doctor Nady the surgery specialist. Doctor Nady want to leave for his private clinic, so he let dr Maher to complete the operation without supervision. What is the best term describe this situation?
A
Violation
B
Near miss
C
Sentinel event
D
Mistake
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 30 of 54
Which type of research design is most appropriate for investigating cause-and-effect relationships?
A
Descriptive research design
B
Correlational research design
C
Experimental research design
D
Qualitative research design
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 31 of 54
Hand rub performing within time.
A
25-30 seconds
B
45 seconds
C
Two minutes
D
Five minutes
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 32 of 54
Which physiological mechanism primarily contributes to hypoxemia in ARDS?
A
Reduced hemoglobin levels.
B
Impaired gas exchange due to alveolar-capillary membrane damage.
C
Decreased perfusion to pulmonary capillaries.
D
Increased airway resistance due to bronchoconstriction.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 33 of 54
A patient with ARDS is receiving mechanical ventilation with high PEEP levels. What should the nurse prioritize monitoring to detect complications?
A
Respiratory rate and depth.
B
Cardiac output and blood pressure.
C
White blood cell count.
D
Sputum production and characteristics.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 34 of 54
A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?
A
HICS ensures that necessary antibiotics and antidotes are available.
B
HICS is focused on having multidisciplinary responders available.
C
HICS identifies facility responsibilities and channels of reporting.
D
HICS provides additional responders when needs exceed the ability of local or state agencies.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 35 of 54
During a night shift in the ICU, the cardiac monitor sound is suddenly changed, so that the physician is alerted and hurried up to see the case. What is the cause of this rapid response?
A
Adaptation
B
Distractibility
C
Flexibility
D
Self-awareness
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 36 of 54
A client has just been intubated for placement on a mechanical ventilator. What is the first assessment of the tube placement?
A
Chest X-Ray
B
Auscultation of breath sounds
C
Pulse oximetry reading of 95%
D
End tidal CO2 monitoring
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 37 of 54
The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?
A
Confirm that the ventilator settings are correct.
B
Verify that the ventilator alarms are functioning properly.
C
Assess the respiratory status and pulse oximeter reading.
D
Monitor the client's arterial blood gas results.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 38 of 54
A confused elderly woman who keeps attempting to remove tubes from her surgical incision is placed in wrist restraints. Which of the following diagnoses would be appropriate for this patient?
A
Risk for Contamination
B
Risk for Trauma
C
Risk for Falls
D
Risk for Disuse Syndrome
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 39 of 54
A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. She notes that the patient is very thin and unkempt, has a stage 3 pressure ulcer to her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregiver son who accompanied her to the hospital. The nurse's next step is to:
A
Call social services to begin nursing home placement.
B
Ask the son to step out of the room so she can complete her assessment.
C
Call adult protective services because you suspect elder mistreatment.
D
Assess patient's cognitive status.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 40 of 54
Which of the following types of skills is not needed for nursing leadership?
A
communication skills
B
technical skills
C
problem-solving skills
D
self-evaluation skills
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 41 of 54
After having an argument with a spouse, which defense mechanism is the patient exhibiting when becoming verbally abusive toward the nurse?
A
Denial.
B
Projection.
C
Sublimation.
D
Displacement.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 42 of 54
A family has recently immigrated to the United States. All members are quickly learning the language and the children are all in public school. Both parents are working and adapting to the new culture. What is this family demonstrating?
A
Culture shock.
B
Cultural assimilation.
C
Cultural blindness.
D
Cultural imposition.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 43 of 54
Dr Ali was fixing IV cannula. After he finished. Where to throw his glove which was soiled with a drop of blood?
A
in usual wast
B
in safety box
C
in red bag
D
in black bag
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 44 of 54
dr Medhat was about to introduce an intravenous cannula for his patient. which steps are correct?
A
3,2,1,2,4
B
3,1,4,2
C
3,1,2,4
D
2,3,1,4,2
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 45 of 54
If clozapine (Clozaril) therapy is being considered, the nurse should evaluate which laboratory test to establish a baseline for comparison in order to recognize a potentially life-threatening side effect?
A
White blood cell count
B
Liver function studies
C
Creatinine clearance
D
Blood urea nitrogen
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 46 of 54
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?
A
Inform the staff member of her appraisal time for that day prior to change-of-shift report.
B
Schedule the appraisal interview as early in the shift as possible.
C
Provide a chair directly across the desk for the staff member to sit in.
D
Provide the staff member with a copy of the appraisal form in advance.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 47 of 54
If a venipuncture procedure is almost completed and suddenly you see hints of a hematoma beginning to form, what should you do?
A
Discontinue the procedure and apply pressure with gauze
B
Remove the tube and try another one
C
Finish collecting the tubes as quickly as possible
D
Reinflate the blood pressure cuff to slow bleeding
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 48 of 54
When the V/Q lung scan result returns with a mismatch ratio that is greater than 1, which condition should be suspected?
A
Pain
B
Atelectasis
C
Pulmonary embolus
D
Ventricular septal defect
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 49 of 54
Your patient is a 17-year-old client who lost her right leg in a motor vehicle accident. After her parents leave, she asks you, 'Why did God let this happen to me? I have always followed his commandments.' Which action best depicts the 'Caring' aspect of SENC? Explain your thinking.
A
Let me call your parents back to support you.'
B
I think the Chaplain can provide the support you need.'
C
Cry with the client as you hug her.
D
Hold her hand
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 50 of 54
What are the most common early clinical manifestations of ARDS?
A
Dyspnea and tachypnea
B
Cyanosis and apprehension
C
Hypotension and tachycardia
D
Respiratory distress and frothy sputum
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 51 of 54
A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?
A
Tell the staff that if they dont like it, they can quit.
B
Implement change rapidly and all at once.
C
Encourage open communication and feedback.
D
Let the staff know that the change is mandated.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 52 of 54
Which statement best describes the focus of the NPSG?
A
Reduce the risk of medical errors and to increase patient safety.
B
To prevent sentinel events that has been reported to Joint Commission.
C
NPSG allows hospitals to submit alternative approaches to the requirements.
D
Encourages patient's active involvement in their own care as a patient safety strategy.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 53 of 54
An RN is assigning responsibilities for his team. Which client should he assume responsibility for?
A
A client who requires frequent ambulation
B
A client in protective isolation
C
A client actively dying and requiring IV pain medication
D
A client 3 days postoperative requiring a dressing change
Select an option. Use Strike to cross one out.
HESI LPN · LPN Client Safety Nursing Skill Template
Question 54 of 54
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
A
Utilitarianism
B
Nonmaleficence
C
Fidelity
D
Veracity
Select an option. Use Strike to cross one out.
