HESI PN LPN Fundamentals Exam (100 out of 100)
Actual Exam GRADED A)
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the LPN\/LVN implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
A. Give an around-the-clock schedule for administration of analgesics.
When assessing a client with wrist restraints, the nurse observes that the fingers
on the right hand are blue. What action should the LPN implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse
A. Loosen the right wrist restraint.
The LPN\/LVN is assessing the nutritional status of several clients. Which client has
the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.<\/p>\n\n\n\n
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
B. A lactating woman nursing her 3-day-old infant.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the LPN\/LVN to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
While instructing a male client’s wife in the performance of passive range-ofmotion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the
LPN\/LVN implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion
A. Acknowledge that she is supporting the arm correctly.<\/p>\n\n\n\n
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles. B. A
decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
B. A decreased flow rate could result in the formation of a thrombosis.
The LPN observes an unlicensed assistive personnel (UAP) taking a client’s blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client’s usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client’s blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure
B. Reassess the client’s blood pressure using a larger cuff.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The LPN plans to
administer the IVPB dose over 20 minutes. For how many ml\/ hr should the
infusion pump be set to deliver the secondary infusion?<\/p>\n\n\n\n
150 mL\/Hr
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the
LPN\/LVN?
A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.
C. We will increase the temperature 5 degrees when the pad no longer feels
warm.
D. The body’s receptors adapt over time as they are exposed to heat
D. The body’s receptors adapt over time as they are exposed to heat
The LPN is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
C. I will limit my intake of beef to 4 ounces per week.<\/p>\n\n\n\n
HESI Exit V2 (100 out of 100) Questions and Answers
(100% Verified Answers)
The LPN\/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation?
Premedicate the client with an analgesic before ambulating.
A client is wearing a continuous cardiac monitor, which begins to alarm at the
nurse’s station. The nurse sees no electrocardiographic complexes on the screen.
The nurse should do which first?
Check the client status and lead placement.
The LPN\/LVN in a medical unit is caring for a client with heart failure. The client
suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the
nurse suspects pulmonary edema. The nurse immediately notifies the registered
nurse and expects which interventions to be prescribed? Select all that apply.<\/p>\n\n\n\n
The nurse is assisting in caring for the client immediately after insertion of a
permanent demand pacemaker via the right subclavian vein. The nurse prevents
dislodgement of the pacing catheter by implementing which intervention?
Limiting movement and abduction of the right arm
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest
pain and shortness of breath, and the client is visibly anxious. The LPN\/LVN
understands that a life-threatening complication of this condition is which?
Pulmonary embolism
A 24-year-old man seeks medical attention for complaints of claudication in the
arch of the foot. The nurse also notes superficial thrombophlebitis of the lower
leg. The nurse should check the client for which next?
Smoking history
The nurse has reinforced instructions to the client with Raynaud’s disease about
self-management of the disease process. The nurse determines that the client
needs further teaching if the client states which?
“Moving to a warmer climate should help.”<\/p>\n\n\n\n
A client with myocardial infarction suddenly becomes tachycardic, shows signs of
air hunger, and begins coughing frothy, pink-tinged sputum. The nurse listens to
breath sounds, expecting to hear which breath sounds bilaterally?
Crackles
The LPN\/LVN is collecting data on a client with a diagnosis of rightsided heart failure. The nurse should expect to note which specific characteristic
of this condition?
Dependent edema
The LPN\/LVN is checking the neurovascular status of a client who returned to the
surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The
affected leg is warm, and the nurse notes redness and edema. The pedal pulse is
palpable and unchanged from admission. The nurse interprets that the
neurovascular status is which?
Normal, caused by increased blood flow through the leg
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the
health care provider is going to perform carotid massage. The LPN\/LVN responds
that this procedure may stimulate which?
Vagus nerve to slow the heart rate<\/p>\n\n\n\n
A client is admitted to the hospital with possible rheumatic endocarditis. The
LPN\/LVN should check for a history of which type of infection?
Staphylococcal infection
client has an Unna boot applied for treatment of a venous stasis leg ulcer. The
LPN\/LVN notes that the client’s toes are mottled, and cool and the client
verbalizes some numbness and tingling of the foot. Which interpretation should
the nurse make of these findings?
The boot has been applied too tightly
A client with angina complains that the anginal pain is prolonged and severe and
occurs at the same time each day, most often in the morning. On further data
collection, the nurse notes that the pain occurs in the absence of precipitating
factors. How should the LPN\/LVN best describe this type of anginal pain?
Variant angina
The LPN\/LVN is monitoring a client with an abdominal aortic aneurysm (AAA).
Which finding is probably unrelated to the AAA?
Hyperactive bowel sounds in the area
An emergency department client who complains of slightly improved but
unrelieved chest pain for 2 days is reluctant to take a nitroglycerin sublingual
tablet offered by the nurse. The client states, “I don’t need that\u2014my dad takes<\/p>\n\n\n\n
HESI LPN- Entrance Exam (100% Verified
Questions & Answers) Already GRADED A
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?
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?
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?
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?
give the client crackers and milk<\/p>\n\n\n\n
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?
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?
rice
total number of confirmed pregnancies regardless of the outcome
Gravida
number of births after 20 weeks
Para
pregnant for the first time
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<\/p>\n\n\n\n
and vaginal bleeding. the client begins to cry softly. how should the nurse
intervene?
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?
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?
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?
“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.<\/p>\n\n\n\n
HESI Mobility Exam (GRADED A) Questions & Answers
(Download To Score An A)
Which information is most important for the nurse to obtain in the initial
assessment?
“Tell me about concerns you have about being hospitalized.”
What action should the nurse implement to help reduce Mr. Mathis’ anxiety
during the admission process?
Explain the room environment to Mr. and Mrs. Mathis.
When care is planned for Mr. Mathis, which nursing diagnosis should take
priority?
Impaired physical mobility.
Which goal is correct for Mr. Mathis’ diagnosis of impaired physical mobility?
The client will sit in the chair for each meal beginning on the day of admission.
Which instructions should the nurse convey to help prevent venous
thromboembolism (VTE) in Mr. Mathis’ legs?
-Teach Mr. Mathis to dorsal flex and plantar flex his feet while in the bed and
chair.<\/p>\n\n\n\n
-Instruct Mr. Mathis to wear sequential compression stockings.
-Explain that enoxaparin injections will be administered routinely.
The nurse is observing a student nurse perform a peripheral assessment on Mr.
Mathis. Which action requires the nurse to intervene?
Assessing the Homan’s sign in bilateral extremities.
The HCP has prescribed thigh-high antiembolic hose for Mr. Mathis. The nurse
assesses the client’s legs every 8 hours. Which assessment finding reflects signs of
possible thrombophlebitis that should be reported to the HCP?
Unilateral calf edema.
Which instruction should the nurse give to the unlicensed assistive personnel
(UAP) for positioning Mr. Mathis’ legs?
Use two pillows and place one lengthwise under each calf.
Which nursing diagnosis best applies to Mr. Mathis’ nutritional assessment?
Imbalanced nutrition: less than body requirements.
The nurse instructs Mr. Mathis to increase his intake of which foods to prevent a
decrease in bone density?<\/p>\n\n\n\n
HESI PN Mobility Exam Review Questions & Answers
(100% CORRECT SOLUTIONS)
What term is used to describe the direction or prevention of disorder of body
function that is used in locomotion?
orthopedics
What function of the skeletal system is essential to all other cells and tissues?
producing blood cells
A patient with severe osteoarthritis is having a surgical hip replacement that is
possible because the hip join found in the hip is?
ball and socket
A nurse is teach an older adult about activity. What information should be
included in the teaching?
importance of regular exercise
Charles Yu is a 15 year old pt who is complaining of left ankle pain from being
tackled while playing football. He’s asking the nurse what tests needs to be done
to determine if its a sprain or a break?
xray<\/p>\n\n\n\n
The nurse caring for a immobile malnourished patient recognizes the best
treatment to protect the patients integument is to?
turning the patient every 2 hours
Which of the following patients would you expect to have decreased activity?
a) 80 years old
b) obese
Which of the following posture deformities might be assessed in a teenager?
scoliosis
A nurse is assessing the muscles of an older adult what would be assessed?
mass, tone, strength
A 32 year old male construction work presents to the ER with complaints of
headache, abdominal cramps, nausea, light headiness and extreme fatigue. The
patient states that he started feeling ill at the job. the nurse gathered the
following data: temp 99.8, pulse 96, RR 30, BP 136\/72. The patients skin is cold
and clammy, and the patient is having difficulty answering questions. He tells the
nurse he is never sick and he’s never been in the hospital. What additional<\/p>\n","protected":false},"excerpt":{"rendered":"
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