HESI LPN COMPREHENSIVE EXIT EXAM
LATEST 2024 QUESTIONS & ANSWERS WITH
RATIONALE.
A newborn with apnea is being discharged from the hospital
with home monitoring. What information concerning the infant's
care should the practicalnurse review with the parents?
• Cardiopulmonary resuscitation (CPR).
• Administration of intravenous antibiotics.
• Reassurance that the infant cannot be electrocuted during monitoring.
• Advise that the infant not be left with caretakers, such as babysitters.
A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in
parents, and the initiation of home monitoring presents additional
emotional stress. When homemonitoring is required the parents
should receive instructions that include cardiopulmonary
resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions
should the practicalnurse (PN) question?
• All drug prescriptions should have the date, time, and prescriber's
signature.
• Verbal orders are accepted from prescribers and should include
signatures.
,• Prescribers may write specific times at which the medications are to be
given.
• Preoperative prescriptions should be resumed after a patient returns
from surgery
D. Preoperative prescriptions should be resumed after a patient returns
from surgery.
Rationale: A standard policy about preoperative medications
that preoperative prescriptions are automatically canceled
for surgery and should be rewritten, if indicated , in the
postoperatively so the (PN) should question (D). (A,B,C) are
correct statements.
When reviewing the safety precautions regarding newborns,
what informationshould the practical nurse communicate to the
parents?
• Position the infant to sleep on the baby's back.
• Use a crib with slats no more than 4 inches apart.
• Propping a bottle can be done when the infant gets older.
• Place the infant a front-facing car seat in the automobile.
A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death syndrome
(SIDS) decline when infants are positioned on their backs (A),
instead of prone for sleeping. Crib slats
(B) 2.375 inches apart to prevent the baby from slipping. (C)
Never prop a babies bottle. (D)Infant who weighs less than
30lbs should be placed in a rear facing carseat.
When monitoring a newborn, which observation should the
practical nurse reportto the healthcare provider?
,• Rectal temperature of 37.6° C.
• Axillary temperature of 37.1° C.
• Heart rate of 110 beats per minute. Correct
• Respiration rate of 40 breaths per minute.
C. Heart rate of 110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-
160 so a heart rateof 110 should be reported to the healthcare
provider. Newborn temperature ranges from 97.7,99.4,36.5,37.5
and normal respiratory rate is 30-60
After reviewing discharge instructions with a male patient who
has hepatitis C, whatstatement by the patient indicates to the
practical nurse that the patient understands his disease?
• "I will avoid taking any products with acetaminophen, such as Tylenol."
• "I will eliminate alcohol consumption until my infection subsides."
• "I should eat a diet rich in dark green leafy vegetables."
• "I understand that my other medications doses need to be increased."
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
Rationale: Tylenol is metabolized in the liver and should be
avoided with patientswith liver disease
Which action should the practical nurse perform first for a child
who is injured onthe school grounds and has an obvious mis-
alignment of the lower forearm?
• Remove the child's finger rings.
• Assess and document the child's level of pain.
• Evaluate the child's range of motion.
, • Place arm in a sling at level of the child's heart.
A. Remove the child's finger rings.
Rationale: The child is a risk for swelling in the distal areas of the
affected arm andhand. Removal of finger rings (A) should be
implemented first to remove any potential constriction that may
occur after tissue injury or fracture of the lower arm
The practical nurse (PN) is participating in a group interview of
an applicant whowill work in the clinic as a staff PN. Which
question is best to ask the applicant?
• "This position requires working on-call every fourth
weekend. Can you dothat?"
• "Do you have child care arrangements for your children?"
• "Do you have any religious requirements
that need schedulingaccommodation?"
• "Are you going to be the sole supporter for your family?"
A. "This position requires working on-call every fourth
weekend. Can you dothat?"
Rationale: Job interview questions must be specifically job related (A)
A patient in a nursing home becomes violent and verbally
threatens an unlicensed assistive personnel (UAP). Which is
the best way for the practical nurse (PN) in charge during the
shift to handle the staff's reaction to the incident?
• Encourage UAP to deal with it privately to prevent
compromising patientconfidentiality.
• Offer a group discussion session so staff can share their thoughts and
feelings.
• Invite staff out after hours to help distract them from the disturbing
patient event.
LATEST 2024 QUESTIONS & ANSWERS WITH
RATIONALE.
A newborn with apnea is being discharged from the hospital
with home monitoring. What information concerning the infant's
care should the practicalnurse review with the parents?
• Cardiopulmonary resuscitation (CPR).
• Administration of intravenous antibiotics.
• Reassurance that the infant cannot be electrocuted during monitoring.
• Advise that the infant not be left with caretakers, such as babysitters.
A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in
parents, and the initiation of home monitoring presents additional
emotional stress. When homemonitoring is required the parents
should receive instructions that include cardiopulmonary
resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions
should the practicalnurse (PN) question?
• All drug prescriptions should have the date, time, and prescriber's
signature.
• Verbal orders are accepted from prescribers and should include
signatures.
,• Prescribers may write specific times at which the medications are to be
given.
• Preoperative prescriptions should be resumed after a patient returns
from surgery
D. Preoperative prescriptions should be resumed after a patient returns
from surgery.
Rationale: A standard policy about preoperative medications
that preoperative prescriptions are automatically canceled
for surgery and should be rewritten, if indicated , in the
postoperatively so the (PN) should question (D). (A,B,C) are
correct statements.
When reviewing the safety precautions regarding newborns,
what informationshould the practical nurse communicate to the
parents?
• Position the infant to sleep on the baby's back.
• Use a crib with slats no more than 4 inches apart.
• Propping a bottle can be done when the infant gets older.
• Place the infant a front-facing car seat in the automobile.
A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death syndrome
(SIDS) decline when infants are positioned on their backs (A),
instead of prone for sleeping. Crib slats
(B) 2.375 inches apart to prevent the baby from slipping. (C)
Never prop a babies bottle. (D)Infant who weighs less than
30lbs should be placed in a rear facing carseat.
When monitoring a newborn, which observation should the
practical nurse reportto the healthcare provider?
,• Rectal temperature of 37.6° C.
• Axillary temperature of 37.1° C.
• Heart rate of 110 beats per minute. Correct
• Respiration rate of 40 breaths per minute.
C. Heart rate of 110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-
160 so a heart rateof 110 should be reported to the healthcare
provider. Newborn temperature ranges from 97.7,99.4,36.5,37.5
and normal respiratory rate is 30-60
After reviewing discharge instructions with a male patient who
has hepatitis C, whatstatement by the patient indicates to the
practical nurse that the patient understands his disease?
• "I will avoid taking any products with acetaminophen, such as Tylenol."
• "I will eliminate alcohol consumption until my infection subsides."
• "I should eat a diet rich in dark green leafy vegetables."
• "I understand that my other medications doses need to be increased."
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
Rationale: Tylenol is metabolized in the liver and should be
avoided with patientswith liver disease
Which action should the practical nurse perform first for a child
who is injured onthe school grounds and has an obvious mis-
alignment of the lower forearm?
• Remove the child's finger rings.
• Assess and document the child's level of pain.
• Evaluate the child's range of motion.
, • Place arm in a sling at level of the child's heart.
A. Remove the child's finger rings.
Rationale: The child is a risk for swelling in the distal areas of the
affected arm andhand. Removal of finger rings (A) should be
implemented first to remove any potential constriction that may
occur after tissue injury or fracture of the lower arm
The practical nurse (PN) is participating in a group interview of
an applicant whowill work in the clinic as a staff PN. Which
question is best to ask the applicant?
• "This position requires working on-call every fourth
weekend. Can you dothat?"
• "Do you have child care arrangements for your children?"
• "Do you have any religious requirements
that need schedulingaccommodation?"
• "Are you going to be the sole supporter for your family?"
A. "This position requires working on-call every fourth
weekend. Can you dothat?"
Rationale: Job interview questions must be specifically job related (A)
A patient in a nursing home becomes violent and verbally
threatens an unlicensed assistive personnel (UAP). Which is
the best way for the practical nurse (PN) in charge during the
shift to handle the staff's reaction to the incident?
• Encourage UAP to deal with it privately to prevent
compromising patientconfidentiality.
• Offer a group discussion session so staff can share their thoughts and
feelings.
• Invite staff out after hours to help distract them from the disturbing
patient event.
