HESI LPN- Entrance exam
1. 2 days after an abdominal hysterectomy, an elderly client with diabetes
Mellitus Type II has a syncopal episode. Her vital signs are within normal
limits and her sugar is 325 mg/dL. what intervention should the nurse
implement first?: administer regular insulin per sliding scale
2. A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration
in the immediate postoperative period?: nipple feedings with glucose water
3. a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in
the past half hour. The child's temp. is 101.8F, and the last does of
antipyretic medication was given 5 hours ago. the child has prescriptions
of acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories
PRN fever or pain. what action should the nurse take at this time?: make the
child NPO and hold all mediations until the vomiting has stopped.
4. 4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take?: give the client
crackers and milk
5. a 6-month child with bronchiolitis is admitted to the hospital. In monitoring
the respiratory status of this child, which symptom indicates the nurse that
he is experiencing respiratory distress?: A high pitched cry.
6. An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide?: rice
7. total number of confirmed pregnancies regardless of the outcome: Gravida
8. number of births after 20 weeks: Para
9. pregnant for the first time: primigravida
10. a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse assess
the vital signs and vaginal bleeding. the client begins to cry softly. how
should the nurse intervene?: express sorrow for the clients grief and offer to sit
with her.
11. A 26 year-old primigravida who delivered a 7-pound male infant 26 hours
ago tells the nurse that she is confused about when she and her husband
can return to having sexual intercourse. What info should the nurse
reinforce with this client?: they can have intercourse when the episiotomy is
healed and the lochial flow has stopped
, HESI LPN- Entrance exam
12. 36 hours after delivery, the nurse determines a clients fundus is just
above the umbilicus and displaced to the right of midline. what action
should the nurse take first?: palpate the bladder for distention
13. a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were inquiring
about the condition of their loved one?: "Your loved ones condition is very
critical, and there has been no response in the last 24 hours"
14. a 67 year old woman who lives alone tripped on a rug in her home and
fractured her right hip. the nurse knows that which predisposing factor
contributes to the occurrence of hip fractures among elderly women.:
osteoporosis resulting from hormonal changes.
15. a 75 year old male client with Alzheimer disease is admitted to an
extended care facility. what intervention should the nurse include into the
his clients Nursing care plan?: plan to have the same nursing staff provide care
for the client whenever possible.
16. an 82-year old client is admitted to the hospital with a fractured right hip.
following surgical repair, a footboard is placed at the clients feet. what is
the reason the nurse will offer concerning the footboard?: footboard is used
to prevent foot drop.
17. An adult female client is admitted to the psychiatric unit with diagnosis
of major depression. After 2 weeks of antidepressant medication therapy,
the nurse notices the client has more energy, is giving her belongings away
to her visitors, and is in an overall better mood. Which intervention is best
for the nurse to implement?: ask the client if she has had any recent thoughts
of harming herself.
18. an adult male client tells the nurse that he believes someone is trying to
obtain his cpu records, which his wife reports are recreational in nature.
the client insist that an elaborate alarm system needs to be installed in his
home. the nurse knows that this client is exhibiting which signs or
symptoms?: delusions of persecution
19. After a change of shift report, the nurse makes rounds on a postoperative
unit. Which client finding necessitates the immediate attention of the
nurse?: A. A client who is having bright red drainage from the rectum following
a colonoscopy with a polyp removal
20. After a client returns from Hemodialysis, the nurse measures the client's
weight and notes a 3-poundweight loss from the pre-dialysis weight. The
1. 2 days after an abdominal hysterectomy, an elderly client with diabetes
Mellitus Type II has a syncopal episode. Her vital signs are within normal
limits and her sugar is 325 mg/dL. what intervention should the nurse
implement first?: administer regular insulin per sliding scale
2. A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration
in the immediate postoperative period?: nipple feedings with glucose water
3. a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in
the past half hour. The child's temp. is 101.8F, and the last does of
antipyretic medication was given 5 hours ago. the child has prescriptions
of acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories
PRN fever or pain. what action should the nurse take at this time?: make the
child NPO and hold all mediations until the vomiting has stopped.
4. 4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take?: give the client
crackers and milk
5. a 6-month child with bronchiolitis is admitted to the hospital. In monitoring
the respiratory status of this child, which symptom indicates the nurse that
he is experiencing respiratory distress?: A high pitched cry.
6. An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide?: rice
7. total number of confirmed pregnancies regardless of the outcome: Gravida
8. number of births after 20 weeks: Para
9. pregnant for the first time: primigravida
10. a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse assess
the vital signs and vaginal bleeding. the client begins to cry softly. how
should the nurse intervene?: express sorrow for the clients grief and offer to sit
with her.
11. A 26 year-old primigravida who delivered a 7-pound male infant 26 hours
ago tells the nurse that she is confused about when she and her husband
can return to having sexual intercourse. What info should the nurse
reinforce with this client?: they can have intercourse when the episiotomy is
healed and the lochial flow has stopped
, HESI LPN- Entrance exam
12. 36 hours after delivery, the nurse determines a clients fundus is just
above the umbilicus and displaced to the right of midline. what action
should the nurse take first?: palpate the bladder for distention
13. a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were inquiring
about the condition of their loved one?: "Your loved ones condition is very
critical, and there has been no response in the last 24 hours"
14. a 67 year old woman who lives alone tripped on a rug in her home and
fractured her right hip. the nurse knows that which predisposing factor
contributes to the occurrence of hip fractures among elderly women.:
osteoporosis resulting from hormonal changes.
15. a 75 year old male client with Alzheimer disease is admitted to an
extended care facility. what intervention should the nurse include into the
his clients Nursing care plan?: plan to have the same nursing staff provide care
for the client whenever possible.
16. an 82-year old client is admitted to the hospital with a fractured right hip.
following surgical repair, a footboard is placed at the clients feet. what is
the reason the nurse will offer concerning the footboard?: footboard is used
to prevent foot drop.
17. An adult female client is admitted to the psychiatric unit with diagnosis
of major depression. After 2 weeks of antidepressant medication therapy,
the nurse notices the client has more energy, is giving her belongings away
to her visitors, and is in an overall better mood. Which intervention is best
for the nurse to implement?: ask the client if she has had any recent thoughts
of harming herself.
18. an adult male client tells the nurse that he believes someone is trying to
obtain his cpu records, which his wife reports are recreational in nature.
the client insist that an elaborate alarm system needs to be installed in his
home. the nurse knows that this client is exhibiting which signs or
symptoms?: delusions of persecution
19. After a change of shift report, the nurse makes rounds on a postoperative
unit. Which client finding necessitates the immediate attention of the
nurse?: A. A client who is having bright red drainage from the rectum following
a colonoscopy with a polyp removal
20. After a client returns from Hemodialysis, the nurse measures the client's
weight and notes a 3-poundweight loss from the pre-dialysis weight. The
