HESI LPN-ADN MOBILITY
HESI LPN-ADN MOBILITYEXAM 3 Questions
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
The practical nurse (PN) is caring for a client receiving a prescription for paroxetine who
suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action
should the PN implement first?
A. Obtain a cooling blanket from the hospital central supply department.
A+ TEST BANK 1
, HESI LPN-ADN MOBILITY
B. Administer a prn prescription for benzodiazepine and acetaminophen.
C. Take the client to a quiet area and provide reassurance.
D. Withhold the next dose and contact the health care provider. –
Correct Answer :Correct Answer : D
Withhold the next dose and contact the health care provider: The client's symptoms indicate
possible serotonin syndrome, a medical emergency. The priority is to stop further
administration of paroxetine and notify the healthcare provider immediately for evaluation
and potential pharmacologic reversal or supportive care.
The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is
counting a client's radial pulse as seen in the picture. Which action should the PN take?
A. Confirm accuracy of the pulse rate obtained by the UAP
B. Instruct the UAP to report any abnormal findings.
C. Demonstrate the correct pulse site to the UAP.
D. Remind the UAP to check the client's pulse volume. –
Correct Answer :C. Demonstrate the correct pulse site to the UAP.
Demonstrate the correct pulse site to the UAP: The practical nurse should demonstrate the
correct placement of fingers over the radial artery to ensure accurate assessment. Teaching
proper technique prevents future errors, promotes competency, and upholds patient safety.
An older client tells the home health care practical nurse (PN) about experiencing dizziness
when getting out of bed. Which assessment is most important for the PN to obtain?
A+ TEST BANK 2
, HESI LPN-ADN MOBILITY
A. Oxygen saturation.
B. Standing blood pressure.
C. Pulse deficit
D. Apical heart rate. –
Correct Answer :Correct Answer : B
Standing blood pressure: Measuring standing blood pressure is most important to assess for
orthostatic hypotension, a common cause of dizziness in older adults. A significant drop in
blood pressure upon standing indicates impaired vascular response, which increases the risk
of falls and injury.
An older client who had a colon resection 8 days ago is straining at stool. The practical nurse
(PN) observes sudden spillage of serosanguinous drainage from the client's wound followed
by appearance of bowel on the skin. Which complication has occurred?
A. Hemorrhage.
B. Dehiscence.
C. Infection.
D. Evisceration. –
Correct Answer :Correct Answer : D
Evisceration: Evisceration is the protrusion of internal organs, such as the bowel, through a
surgical incision following wound separation. It is a surgical emergency requiring immediate
intervention to cover the exposed organs with a sterile, moist dressing and notify the surgeon
promptly.
A+ TEST BANK 3
, HESI LPN-ADN MOBILITY
A client is diagnosed with Clostridium difficile. Which action should the practical nurse (PN)
implement to prevent the spread of the organism?
A. Keep the door closed to the client's room at all times.
B. Wear a particulate respirator mask when in the room.
C. Place a surgical mask on the client during transport.
D. Don non-sterile gloves when performing direct care –
Correct Answer :Correct Answer : D
Don non-sterile gloves when performing direct care: Wearing non-sterile gloves during all
direct care is essential because C. difficile spores are highly contagious and resistant to many
disinfectants. Gloves protect the nurse from contact with infectious fecal matter and help
prevent cross-contamination to other clients.
The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN)
what originally motivated them to seek medical care. Which sign is the child most likely to
have exhibited?
A. Hematuria
B. Polydipsia.
C. A sore throat
D. Weight loss –
Correct Answer :Correct Answer : A
Hematuria: Hematuria, often described by parents as cola- or tea-colored urine, is the
hallmark sign of acute glomerulonephritis. It results from glomerular inflammation that allows
A+ TEST BANK 4
HESI LPN-ADN MOBILITYEXAM 3 Questions
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
The practical nurse (PN) is caring for a client receiving a prescription for paroxetine who
suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action
should the PN implement first?
A. Obtain a cooling blanket from the hospital central supply department.
A+ TEST BANK 1
, HESI LPN-ADN MOBILITY
B. Administer a prn prescription for benzodiazepine and acetaminophen.
C. Take the client to a quiet area and provide reassurance.
D. Withhold the next dose and contact the health care provider. –
Correct Answer :Correct Answer : D
Withhold the next dose and contact the health care provider: The client's symptoms indicate
possible serotonin syndrome, a medical emergency. The priority is to stop further
administration of paroxetine and notify the healthcare provider immediately for evaluation
and potential pharmacologic reversal or supportive care.
The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is
counting a client's radial pulse as seen in the picture. Which action should the PN take?
A. Confirm accuracy of the pulse rate obtained by the UAP
B. Instruct the UAP to report any abnormal findings.
C. Demonstrate the correct pulse site to the UAP.
D. Remind the UAP to check the client's pulse volume. –
Correct Answer :C. Demonstrate the correct pulse site to the UAP.
Demonstrate the correct pulse site to the UAP: The practical nurse should demonstrate the
correct placement of fingers over the radial artery to ensure accurate assessment. Teaching
proper technique prevents future errors, promotes competency, and upholds patient safety.
An older client tells the home health care practical nurse (PN) about experiencing dizziness
when getting out of bed. Which assessment is most important for the PN to obtain?
A+ TEST BANK 2
, HESI LPN-ADN MOBILITY
A. Oxygen saturation.
B. Standing blood pressure.
C. Pulse deficit
D. Apical heart rate. –
Correct Answer :Correct Answer : B
Standing blood pressure: Measuring standing blood pressure is most important to assess for
orthostatic hypotension, a common cause of dizziness in older adults. A significant drop in
blood pressure upon standing indicates impaired vascular response, which increases the risk
of falls and injury.
An older client who had a colon resection 8 days ago is straining at stool. The practical nurse
(PN) observes sudden spillage of serosanguinous drainage from the client's wound followed
by appearance of bowel on the skin. Which complication has occurred?
A. Hemorrhage.
B. Dehiscence.
C. Infection.
D. Evisceration. –
Correct Answer :Correct Answer : D
Evisceration: Evisceration is the protrusion of internal organs, such as the bowel, through a
surgical incision following wound separation. It is a surgical emergency requiring immediate
intervention to cover the exposed organs with a sterile, moist dressing and notify the surgeon
promptly.
A+ TEST BANK 3
, HESI LPN-ADN MOBILITY
A client is diagnosed with Clostridium difficile. Which action should the practical nurse (PN)
implement to prevent the spread of the organism?
A. Keep the door closed to the client's room at all times.
B. Wear a particulate respirator mask when in the room.
C. Place a surgical mask on the client during transport.
D. Don non-sterile gloves when performing direct care –
Correct Answer :Correct Answer : D
Don non-sterile gloves when performing direct care: Wearing non-sterile gloves during all
direct care is essential because C. difficile spores are highly contagious and resistant to many
disinfectants. Gloves protect the nurse from contact with infectious fecal matter and help
prevent cross-contamination to other clients.
The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN)
what originally motivated them to seek medical care. Which sign is the child most likely to
have exhibited?
A. Hematuria
B. Polydipsia.
C. A sore throat
D. Weight loss –
Correct Answer :Correct Answer : A
Hematuria: Hematuria, often described by parents as cola- or tea-colored urine, is the
hallmark sign of acute glomerulonephritis. It results from glomerular inflammation that allows
A+ TEST BANK 4
