HESI LPN- Entrance Exam: Questions &
Answers
2 days after an abdominal hysterectomy, an elderly client with diabetes
Mellitus Type II has a syncopal episode. Her vital signs are within normal
limits and her sugar is 325 mg/dL. what intervention should the nurse
implement first?
(Ans- administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in
the immediate postoperative period?
(Ans- nipple feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in
the past half hour. The child’s temp. is 101.8F, and the last does of
antipyretic medication was given 5 hours ago. the child has prescriptions of
acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories
PRN fever or pain. what action should the nurse take at this time?
(Ans- make the child NPO and hold all mediations until the vomiting has
stopped.
4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take?
(Ans- give the client crackers and milk
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring
the respiratory status of this child, which symptom indicates the nurse that
he is experiencing respiratory distress?
(Ans- A high pitched cry.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide?
(Ans- rice
total number of confirmed pregnancies regardless of the outcome
(Ans- Gravida
number of births after 20 weeks
(Ans- Para
pregnant for the first time
(Ans- primigravida
a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse assess
the vital signs and vaginal bleeding. the client begins to cry softly. how
should the nurse intervene?
(Ans- express sorrow for the clients grief and offer to sit with her.
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours
ago tells the nurse that she is confused about when she and her husband
can return to having sexual intercourse. What info should the nurse
reinforce with this client?
(Ans- they can have intercourse when the episiotomy is healed and the
lochial flow has stopped
36 hours after delivery, the nurse determines a clients fundus is just above
the umbilicus and displaced to the right of midline. what action should the
nurse take first?
(Ans- palpate the bladder for distention
a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were inquiring
about the condition of their loved one?
(Ans- “Your loved ones condition is very critical, and there has been no
response in the last 24 hours”
a 67 year old woman who lives alone tripped on a rug in her home and
fractured her right hip. the nurse knows that which predisposing factor
contributes to the occurrence of hip fractures among elderly women.
(Ans- osteoporosis resulting from hormonal changes.
a 75 year old male client with Alzheimer disease is admitted to an extended
care facility. what intervention should the nurse include into the his clients
Nursing care plan?
(Ans- plan to have the same nursing staff provide care for the client
whenever possible.
an 82-year old client is admitted to the hospital with a fractured right hip.
following surgical repair, a footboard is placed at the clients feet. what is
the reason the nurse will offer concerning the footboard?
(Ans- footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit with diagnosis of
major depression. After 2 weeks of antidepressant medication therapy, the
nurse notices the client has more energy, is giving her belongings away to
her visitors, and is in an overall better mood. Which intervention is best for
the nurse to implement?
(Ans- ask the client if she has had any recent thoughts of harming herself.
an adult male client tells the nurse that he believes someone is trying to
obtain his cpu records, which his wife reports are recreational in nature. the
client insist that an elaborate alarm system needs to be installed in his
home. the nurse knows that this client is exhibiting which signs or
symptoms?
(Ans- delusions of persecution