HESI LPN-ADN MOBILITY
HESI LPN-ADN MOBILITYEXAM 2 Questions
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
A child with growth hormone deficiency will be receiving somatropin. The nurse provides
information to the mother about the medication. Which of the following laboratory values
does the nurse tell the mother will require monitoring?
Creatinine
Hemoglobin
Blood urea nitrogen (BUN)
A+ TEST BANK 1
, HESI LPN-ADN MOBILITY
Thyroid-stimulating hormone (TSH) –
Correct Answer :Thyroid-stimulating hormone (TSH)
Rationale: TSH is the laboratory value the nurse tells the mother to monitor. Somatropin is a
growth hormone. One adverse reaction to somatropin is hypothyroidism. Thyroid function is
assessed before treatment and periodically thereafter. Creatinine and BUN are used to
evaluate renal function, and hemoglobin reflects hematologic activity.
Laboratory studies are performed on a client diagnosed with suspected sickle cell disease,
and electrophoresis reveals a large percentage of hemoglobin S (HbS). Which additional
laboratory finding will the nurse expect to note that is a characteristic of this disease?
Low reticulocyte count
Low total bilirubin level
Increased hematocrit count
Increased white blood cell (WBC) count –
Correct Answer :Increased white blood cell (WBC) count
Rationale: Sickle cell disease is a genetic disorder that results in chronic anemia, pain,
disability, organ damage, increased risk for infection, and early death. The WBC count is
usually higher than normal in clients with sickle cell disease. Also, the red blood cells assume a
sickle shape, become rigid, and clump together. The main laboratory finding associated with
sickle cell disease is the large percentage of HbS present on electrophoresis. The reticulocyte
count is increased, indicating anemia of long duration, and the total bilirubin level is increased.
The hematocrit level is low and decreases during crisis, because the bone marrow fails to
produce cells during stressful periods. It is believed that this increase is related to chronic
inflammation resulting from tissue hypoxia and ischemia.
A+ TEST BANK 2
, HESI LPN-ADN MOBILITY
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are
performed because the primary health care provider suspects iron-deficiency anemia. After
reviewing the laboratory results, which finding indicative of this type of anemia does the nurse
expect to note?.
An increased RBC count
An increased hematocrit level
An increased hemoglobin level
Microcytic red blood cells (RBCs) –
Correct Answer :Microcytic red blood cells (RBCs)
Rationale: The nurse expects to note a low RBC count and microcytic (small) RBCs. In iron-
deficiency anemia, laboratory testing will reveal low hemoglobin and hematocrit levels. In
iron-deficiency anemia, iron stores are depleted first, followed by hemoglobin stores.
Alendronate is prescribed for a client with postmenopausal osteoporosis. The nurse provides
information on the medication to the client. When does the nurse tell the client to take the
alendronate?
At bedtime
With orange juice, to enhance absorption at night
Every morning before breakfast, with a full glass of water
Every morning after breakfast, after which the client should lie down for 30 minutes –
Correct Answer :Every morning before breakfast, with a full glass of water
A+ TEST BANK 3
, HESI LPN-ADN MOBILITY
Rationale: Alendronate should be taken in the morning before breakfast with a full glass of
water and on an empty stomach to maximize its bioavailability. It is a medication used to treat
postmenopausal osteoporesis, glucocorticoid-induced osteoporosis, and Paget's disease of
bone. Proper administration is necessary to maximize bioavailability and minimize the risk of
esophagitis. No food, including orange juice or coffee, should be consumed for at least 30
minutes after alendronate is taken. To minimize the risk of esophagitis, the client should take
the medication with a full glass of water and remain upright (seated or standing) for at least
30 minutes. Therefore taking the medication at bedtime, with orange juice to help with
absorption, and every morning after breakfast, followed by a 30-minute period of lying down,
are all incorrect.
Calcium carbonate is prescribed for a client with mild hypocalcemia. What food does the
nurse instruct the client to avoid consuming while taking this medication?
Fish
Milk
Spinach
Watermelon –
Correct Answer :Spinach
Rationale: The nurse instructs the client to avoid consuming spinach while taking calcium
carbonate. Oral calcium salts are used to treat mild hypocalcemia and to supplement dietary
calcium. The client is instructed to take oral calcium with a large glass of water with or after a
meal to promote absorption. The client is also instructed to avoid taking calcium with foods
that can suppress calcium absorption. Such foods include not only spinach, but Swiss chard,
beets, bran, and whole-wheat cereals. The client does not need to avoid fish, milk, or
watermelon.
An emergency department nurse is caring for a client in hypovolemic shock, a result of
external hemorrhage caused by a gunshot wound. Which nursing interventions should the
nurse take? Select all that apply.
A+ TEST BANK 4
HESI LPN-ADN MOBILITYEXAM 2 Questions
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
A child with growth hormone deficiency will be receiving somatropin. The nurse provides
information to the mother about the medication. Which of the following laboratory values
does the nurse tell the mother will require monitoring?
Creatinine
Hemoglobin
Blood urea nitrogen (BUN)
A+ TEST BANK 1
, HESI LPN-ADN MOBILITY
Thyroid-stimulating hormone (TSH) –
Correct Answer :Thyroid-stimulating hormone (TSH)
Rationale: TSH is the laboratory value the nurse tells the mother to monitor. Somatropin is a
growth hormone. One adverse reaction to somatropin is hypothyroidism. Thyroid function is
assessed before treatment and periodically thereafter. Creatinine and BUN are used to
evaluate renal function, and hemoglobin reflects hematologic activity.
Laboratory studies are performed on a client diagnosed with suspected sickle cell disease,
and electrophoresis reveals a large percentage of hemoglobin S (HbS). Which additional
laboratory finding will the nurse expect to note that is a characteristic of this disease?
Low reticulocyte count
Low total bilirubin level
Increased hematocrit count
Increased white blood cell (WBC) count –
Correct Answer :Increased white blood cell (WBC) count
Rationale: Sickle cell disease is a genetic disorder that results in chronic anemia, pain,
disability, organ damage, increased risk for infection, and early death. The WBC count is
usually higher than normal in clients with sickle cell disease. Also, the red blood cells assume a
sickle shape, become rigid, and clump together. The main laboratory finding associated with
sickle cell disease is the large percentage of HbS present on electrophoresis. The reticulocyte
count is increased, indicating anemia of long duration, and the total bilirubin level is increased.
The hematocrit level is low and decreases during crisis, because the bone marrow fails to
produce cells during stressful periods. It is believed that this increase is related to chronic
inflammation resulting from tissue hypoxia and ischemia.
A+ TEST BANK 2
, HESI LPN-ADN MOBILITY
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are
performed because the primary health care provider suspects iron-deficiency anemia. After
reviewing the laboratory results, which finding indicative of this type of anemia does the nurse
expect to note?.
An increased RBC count
An increased hematocrit level
An increased hemoglobin level
Microcytic red blood cells (RBCs) –
Correct Answer :Microcytic red blood cells (RBCs)
Rationale: The nurse expects to note a low RBC count and microcytic (small) RBCs. In iron-
deficiency anemia, laboratory testing will reveal low hemoglobin and hematocrit levels. In
iron-deficiency anemia, iron stores are depleted first, followed by hemoglobin stores.
Alendronate is prescribed for a client with postmenopausal osteoporosis. The nurse provides
information on the medication to the client. When does the nurse tell the client to take the
alendronate?
At bedtime
With orange juice, to enhance absorption at night
Every morning before breakfast, with a full glass of water
Every morning after breakfast, after which the client should lie down for 30 minutes –
Correct Answer :Every morning before breakfast, with a full glass of water
A+ TEST BANK 3
, HESI LPN-ADN MOBILITY
Rationale: Alendronate should be taken in the morning before breakfast with a full glass of
water and on an empty stomach to maximize its bioavailability. It is a medication used to treat
postmenopausal osteoporesis, glucocorticoid-induced osteoporosis, and Paget's disease of
bone. Proper administration is necessary to maximize bioavailability and minimize the risk of
esophagitis. No food, including orange juice or coffee, should be consumed for at least 30
minutes after alendronate is taken. To minimize the risk of esophagitis, the client should take
the medication with a full glass of water and remain upright (seated or standing) for at least
30 minutes. Therefore taking the medication at bedtime, with orange juice to help with
absorption, and every morning after breakfast, followed by a 30-minute period of lying down,
are all incorrect.
Calcium carbonate is prescribed for a client with mild hypocalcemia. What food does the
nurse instruct the client to avoid consuming while taking this medication?
Fish
Milk
Spinach
Watermelon –
Correct Answer :Spinach
Rationale: The nurse instructs the client to avoid consuming spinach while taking calcium
carbonate. Oral calcium salts are used to treat mild hypocalcemia and to supplement dietary
calcium. The client is instructed to take oral calcium with a large glass of water with or after a
meal to promote absorption. The client is also instructed to avoid taking calcium with foods
that can suppress calcium absorption. Such foods include not only spinach, but Swiss chard,
beets, bran, and whole-wheat cereals. The client does not need to avoid fish, milk, or
watermelon.
An emergency department nurse is caring for a client in hypovolemic shock, a result of
external hemorrhage caused by a gunshot wound. Which nursing interventions should the
nurse take? Select all that apply.
A+ TEST BANK 4
