HESI EXIT LPN EXAM 1 REAL ACTUAL
150+ QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST 2024.
A client is comatose upon arrival to the emergency
department after falling from a roof. The client flexes with
painful stimuli, and the nurse determines the client's Glasgow
Coma Scale (GCS) is 6. Which intervention should the nurse
prepare to implement to maintain the client's airway? -
ANSWER >>>>Nasopharyngeal tube
A client is receiving a continuous half-strength tube feeding at
50 ml/hr. To prepare enough of the solution for eight hours,
how many ml of full-strength feeding will the nurse need? -
ANSWER >>>>Answer: 200
25 ml x 8 hrs = 200
The alarm of a client's pulse oximeter sounds, and the nurse
notes that the oxygen saturation rate is indicated at 85%.
What action should the nurse take first? - ANSWER
>>>>Check the probe position
A client is known to have an irregular respiratory rate with
periods of apnea lasting 10 to 15 seconds. Currently, the
nurse counts 22 respiratory cycles in a 30-second interval
followed by an apneic period. What intervention should the
nurse implement? - ANSWER >>>>Reassess the respiratory
rate, counting for one full minute
,A retiree with depression complains of feeling 'lonely and
having no purpose' in life. Based on Erikson's developmental
theory, which questions suggest that the nurse understands
the client's most important emotional need? - ANSWER
>>>>'What about your life makes you proud?'
Following a precipitous labor, a client has a continuous
trickling of bright red blood from her vagina. Her uterus is firm,
and her vital signs are within normal limits. The nurse
determines that the client's symptoms may indicate which
condition? - ANSWER >>>>A cervical laceration
In preparing assignments for the shift, which client is best for
the charge nurse to assign to a practical nurse? - ANSWER
>>>>An elderly client with Alzheimer's disease complicated
by dysphagia
The healthcare provider prescribes oxygen per nasal cannula
at 2 L/min. Which action has the highest priority when the
nurse implements this prescription? - ANSWER >>>>Set the
flow meter
A nurse who is new to the pediatric unit is positioning a 6-
month-old for an injection of penicillin V (Pen V) in the
dorsogluteal muscle. Which action should the nurse-manager
who is supervising this nurse take first? - ANSWER
>>>>Instruct the nurse to select another injection site
After diagnosis and initial treatment of a 3-year-old child with
cystic fibrosis, the nurse provides home care instructions to
the mother. Which statement by the child's mother indicates
that she understands home care treatment to promote
, pulmonary function? - ANSWER >>>>'Chest physiotherapy
should be performed at least twice a day'
Encourage Physical Activity - ANSWER >>>>The nurse is
preparing a community education program on osteoporosis.
Which instruction is helpful in preventing bone loss and
promoting bone formation?
Sweating - ANSWER >>>>The nurse reviews the signs of
hypoglycemia with the parents of a child with Type 1 diabetes
mellitus. The parents correctly understand signs of
hypoglycemia if they include which symptom?
Stage 1 Pressure Ulcer on Sacrum - ANSWER >>>>The
nurse observes a 2 cm area of nonblanchable erythema on
the sacrum of an immobile client. What documentation of this
finding is best for the nurse to enter into the client's record?
Report Assessment Findings to the Proper Legal Authorities -
ANSWER >>>>When assessing a 7-year-old girl, the nurse
notes that she has multiple bruises on her back and upper
arms. The child's aunt tells the nurse that the child's parents
abuse drugs and alcohol. What intervention is most essential
for the nurse to implement?
Acute Withdrawal from Anticonvulsant Medication - ANSWER
>>>>A 14-year-old male client arrives at the emergency room
in status epilepticus. He was diagnosed with a seizure
disorder in childhood. What is the most likely cause of his
present condition?
Impaired Tissue Integrity related to Episiotomy - ANSWER
>>>>A Chinese-American client who just delivered a baby
150+ QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST 2024.
A client is comatose upon arrival to the emergency
department after falling from a roof. The client flexes with
painful stimuli, and the nurse determines the client's Glasgow
Coma Scale (GCS) is 6. Which intervention should the nurse
prepare to implement to maintain the client's airway? -
ANSWER >>>>Nasopharyngeal tube
A client is receiving a continuous half-strength tube feeding at
50 ml/hr. To prepare enough of the solution for eight hours,
how many ml of full-strength feeding will the nurse need? -
ANSWER >>>>Answer: 200
25 ml x 8 hrs = 200
The alarm of a client's pulse oximeter sounds, and the nurse
notes that the oxygen saturation rate is indicated at 85%.
What action should the nurse take first? - ANSWER
>>>>Check the probe position
A client is known to have an irregular respiratory rate with
periods of apnea lasting 10 to 15 seconds. Currently, the
nurse counts 22 respiratory cycles in a 30-second interval
followed by an apneic period. What intervention should the
nurse implement? - ANSWER >>>>Reassess the respiratory
rate, counting for one full minute
,A retiree with depression complains of feeling 'lonely and
having no purpose' in life. Based on Erikson's developmental
theory, which questions suggest that the nurse understands
the client's most important emotional need? - ANSWER
>>>>'What about your life makes you proud?'
Following a precipitous labor, a client has a continuous
trickling of bright red blood from her vagina. Her uterus is firm,
and her vital signs are within normal limits. The nurse
determines that the client's symptoms may indicate which
condition? - ANSWER >>>>A cervical laceration
In preparing assignments for the shift, which client is best for
the charge nurse to assign to a practical nurse? - ANSWER
>>>>An elderly client with Alzheimer's disease complicated
by dysphagia
The healthcare provider prescribes oxygen per nasal cannula
at 2 L/min. Which action has the highest priority when the
nurse implements this prescription? - ANSWER >>>>Set the
flow meter
A nurse who is new to the pediatric unit is positioning a 6-
month-old for an injection of penicillin V (Pen V) in the
dorsogluteal muscle. Which action should the nurse-manager
who is supervising this nurse take first? - ANSWER
>>>>Instruct the nurse to select another injection site
After diagnosis and initial treatment of a 3-year-old child with
cystic fibrosis, the nurse provides home care instructions to
the mother. Which statement by the child's mother indicates
that she understands home care treatment to promote
, pulmonary function? - ANSWER >>>>'Chest physiotherapy
should be performed at least twice a day'
Encourage Physical Activity - ANSWER >>>>The nurse is
preparing a community education program on osteoporosis.
Which instruction is helpful in preventing bone loss and
promoting bone formation?
Sweating - ANSWER >>>>The nurse reviews the signs of
hypoglycemia with the parents of a child with Type 1 diabetes
mellitus. The parents correctly understand signs of
hypoglycemia if they include which symptom?
Stage 1 Pressure Ulcer on Sacrum - ANSWER >>>>The
nurse observes a 2 cm area of nonblanchable erythema on
the sacrum of an immobile client. What documentation of this
finding is best for the nurse to enter into the client's record?
Report Assessment Findings to the Proper Legal Authorities -
ANSWER >>>>When assessing a 7-year-old girl, the nurse
notes that she has multiple bruises on her back and upper
arms. The child's aunt tells the nurse that the child's parents
abuse drugs and alcohol. What intervention is most essential
for the nurse to implement?
Acute Withdrawal from Anticonvulsant Medication - ANSWER
>>>>A 14-year-old male client arrives at the emergency room
in status epilepticus. He was diagnosed with a seizure
disorder in childhood. What is the most likely cause of his
present condition?
Impaired Tissue Integrity related to Episiotomy - ANSWER
>>>>A Chinese-American client who just delivered a baby
