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Practice Question

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:

Correct Answer:

Suction the trachea.

Rationale:

✔️ During a seizure, clients are at high risk for airway obstruction due to increased oral secretions, tongue relaxation, or aspiration.

✔️ Suctioning the airway—especially the oropharynx—is critical to maintaining a patent airway once the seizure subsides.

✔️ Suction equipment must be readily available at the bedside as part of standard seizure precaution protocols to manage secretions and prevent hypoxia.

✔️ Although tracheal suctioning may not always be required, having equipment for oral or nasopharyngeal suctioning ensures that nurses can respond immediately to airway compromise, which is a priority during and after seizures.

Educational Insight

Seizure precautions focus on preventing injury and ensuring airway protection. While maintaining safety with padding and positioning is important, the primary concern is airway patency. Nurses must be prepared with suction equipment, oxygen supplies, and monitoring tools, as postictal periods can lead to decreased consciousness and inability to manage secretions.

Want to practice more questions like this?

This question is from HESI PN EXIT (IV) which contains 149 questions.

More Practice Questions
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:

A. Report abnormal findings to the charge nurse.
B. Observe for blanching of the nailbed.
C. Repeat the process with a different nailbed.
D. Document the capillary refill time.
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.
From Exam
HESI PN EXIT (IV)

149 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: Exit Exams
  • Domain: HESI Exit - LPN
  • Answer Choices: 4
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