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HESI LPN- ENTRANCE EXAM FULLY UPDATED.

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HESI LPN- ENTRANCE EXAM FULLY UPDATED. 2ydaysyafteryanyabdominalyhysterectomy,yanyelderlyyclientywithydiabetesyMellitusyTy peyIIyhasyaysyncopalyepisode.yHeryvitalysignsyareywithinynormalylimitsyandyherysugary isy325ymg/dL.ywhatyinterventionyshouldytheynurseyimplementyfirst?y- yCORRECTyANSWER-administeryregularyinsulinyperyslidingyscale Ay3-week- oldyinfantyisyadmittedyforysurgicalyrepairyofyPyloricyStenosis.yWhatyinterventionsysho uldytheynurseyexpectytoyimplementytoyestablishyhydrationyinytheyimmediateypostope rativeyperiod?y-yCORRECTyANSWER-nippleyfeedingsywithyglucoseywater ay3yyear- oldyadmittedywithyfeveryofyunknowny(FUO)yhasybegunyvomitingyinytheypastyhalfyhour .yTheychild'101.8F,yandytheylastydoesyofyantipyreticymedicationywasygiveny childyhasyprescriptionsyofyacetaminopheny(Tylenol)y160ymgypery5y mLyelixiryory16oymgysuppositoriesyPRNyactionyshouldytheynursey takeyatythisytime?y-yCORRECTyANSWER- makeytheychildyNPOyandyholdyallymediationsyuntilytheyvomitingyhasystopped. 4yhoursyafteryadministrationyofy20Uyofyregularyinsulin,ytheyclientybecomesyshakyyand yactionyshouldytheynurseytake?y-yCORRECTyANSWER- giveytheyclientycrackersyandymilk ay6- monthychildywithybronchiolitisyisyadmittedytoytheyhospital.yInymonitoringytheyrespira toryystatusyofythisychild,ywhichysymptomyindicatesytheynurseythatyheyisyexperiencingy respiratoryydistress?y-yCORRECTyANSWER-Ayhighypitchedycry. Any8-year- oldyrecoveringyfromyayCeliacyCrisisyrequestsyaybowlyofycerealyforybreakfast.yWhichyce realyshouldytheynurseyprovide?y-yCORRECTyANSWER-rice totalynumberyofyconfirmedypregnanciesyregardlessyofytheyoutcomey- yCORRECTyANSWER-Gravida numberyofybirthsyaftery20yweeksy-yCORRECTyANSWER-Para pregnantyforytheyfirstytimey-yCORRECTyANSWER-primigravida ay26yyearyoldygravida-4,ypara- neyhouseypostydilationyandyc urettagey(D&C)clientybegi shouldytheynurseyintervene?y-yCORRECTyANSWER- expressysorrowyforytheyclientsygriefyandyofferytoysitywithyher.

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HESI LPN- ENTRANCE EXAM FULLY UPDATED.

2ydaysyafteryanyabdominalyhysterectomy,yanyelderlyyclientywithydiabetesyMellitusyTy
peyIIyhasyaysyncopalyepisode.yHeryvitalysignsyareywithinynormalylimitsyandyherysugary
isy325ymg/dL.ywhatyinterventionyshouldytheynurseyimplementyfirst?y-
yCORRECTyANSWER-administeryregularyinsulinyperyslidingyscale



Ay3-week-
oldyinfantyisyadmittedyforysurgicalyrepairyofyPyloricyStenosis.yWhatyinterventionsysho
uldytheynurseyexpectytoyimplementytoyestablishyhydrationyinytheyimmediateypostope
rativeyperiod?y-yCORRECTyANSWER-nippleyfeedingsywithyglucoseywater

ay3yyear-
oldyadmittedywithyfeveryofyunknowny(FUO)yhasybegunyvomitingyinytheypastyhalfyhour
.yTheychild'sytemp.yisy101.8F,yandytheylastydoesyofyantipyreticymedicationywasygiveny
5yhoursyago.ytheychildyhasyprescriptionsyofyacetaminopheny(Tylenol)y160ymgypery5y
mLyelixiryory16oymgysuppositoriesyPRNyfeveryorypain.ywhatyactionyshouldytheynursey
takeyatythisytime?y-yCORRECTyANSWER-
makeytheychildyNPOyandyholdyallymediationsyuntilytheyvomitingyhasystopped.

4yhoursyafteryadministrationyofy20Uyofyregularyinsulin,ytheyclientybecomesyshakyyand
ydiaphoretic.ywhatyactionyshouldytheynurseytake?y-yCORRECTyANSWER-

giveytheyclientycrackersyandymilk

ay6-
monthychildywithybronchiolitisyisyadmittedytoytheyhospital.yInymonitoringytheyrespira
toryystatusyofythisychild,ywhichysymptomyindicatesytheynurseythatyheyisyexperiencingy
respiratoryydistress?y-yCORRECTyANSWER-Ayhighypitchedycry.

Any8-year-
oldyrecoveringyfromyayCeliacyCrisisyrequestsyaybowlyofycerealyforybreakfast.yWhichyce
realyshouldytheynurseyprovide?y-yCORRECTyANSWER-rice

totalynumberyofyconfirmedypregnanciesyregardlessyofytheyoutcomey-
yCORRECTyANSWER-Gravida



numberyofybirthsyaftery20yweeksy-yCORRECTyANSWER-Para

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ay26yyearyoldygravida-4,ypara-
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urettagey(D&C)ytheynurseyassessytheyvitalysignsyandyvaginalybleeding.ytheyclientybegi
nsytoycryysoftly.yhowyshouldytheynurseyintervene?y-yCORRECTyANSWER-
expressysorrowyforytheyclientsygriefyandyofferytoysitywithyher.

, Ay26yyear-oldyprimigravidaywhoydeliveredyay7-
poundymaleyinfanty26yhoursyagoytellsytheynurseythatysheyisyconfusedyaboutywhenyshe
yandyheryhusbandycanyreturnytoyhavingysexualyintercourse.yWhatyinfoyshouldytheynur

seyreinforceywithythisyclient?y-yCORRECTyANSWER-
theyycanyhaveyintercourseywhenytheyepisiotomyyisyhealedyandytheylochialyflowyhasyst
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-yCORRECTyANSWER-palpateytheybladderyforydistention

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eryrightyhip.ytheynurseyknowsythatywhichypredisposingyfactorycontributesytoytheyocc
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cility.ywhatyinterventionyshouldytheynurseyincludeyintoytheyhisyclientsyNursingycareyp
lan?y-yCORRECTyANSWER-
planytoyhaveytheysameynursingystaffyprovideycareyforytheyclientywheneverypossible.

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calyrepair,yayfootboardyisyplacedyatytheyclientsyfeet.ywhatyisytheyreasonytheynurseywilly
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yclientyhasymoreyenergy,yisygivingyherybelongingsyawayytoyheryvisitors,yandyisyinyanyo

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yCORRECTyANSWER-

askytheyclientyifysheyhasyhadyanyyrecentythoughtsyofyharmingyherself.

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anyelaborateyalarmysystemyneedsytoybeyinstalledyinyhisyhome.ytheynurseyknowsythatyt
hisyclientyisyexhibitingywhichysignsyorysymptoms?y-yCORRECTyANSWER-
delusionsyofypersecution

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