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    HESI LPN EXIT TEST 11 PROCTORED EXAM

    An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings. The practical nurse (PN) enters the room to administer medications and finds the couple in bed together. What action should the PN take?

    Explanation & Rationale

    A. Requesting that the man leave maintains professional boundaries and respects the facility's regulations. B. Exiting the room and closing the door quietly doesn't address the situation or uphold appropriate boundaries. C. Asking when the nurse should return doesn't handle the immediate situation effectively. D. Reporting the incident to the family might be an option, but the immediate action is to maintain appropriate boundaries by asking the man to leave.

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