HESI LPN- Entrance Exam Correctly Solved
with Accurate Solutions
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? - Answer administer regular insulin per sliding scale
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? - Answer
nipple feedings with glucose water
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? - Answer make the child NPO and hold all
mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. what
action should the nurse take? - Answer give the client crackers and milk
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? - Answer A high
pitched cry.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for breakfast. Which cereal should
the nurse provide? - Answer rice
total number of confirmed pregnancies regardless of the outcome - Answer Gravida
number of births after 20 weeks - Answer Para
pregnant for the first time - Answer primigravida
, 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? - Answer express sorrow for the clients grief and offer to sit with
her.
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? - Answer they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
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? - Answer palpate the bladder for
distention
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? - Answer "Your loved ones
condition is very critical, and there has been no response in the last 24 hours"
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. - Answer osteoporosis resulting from hormonal changes.
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? - Answer plan to have the
same nursing staff provide care for the client whenever possible.
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?
- Answer footboard is used to prevent foot drop.
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? - Answer ask the client if she has had any recent thoughts of harming herself.
with Accurate Solutions
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? - Answer administer regular insulin per sliding scale
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? - Answer
nipple feedings with glucose water
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? - Answer make the child NPO and hold all
mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. what
action should the nurse take? - Answer give the client crackers and milk
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? - Answer A high
pitched cry.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for breakfast. Which cereal should
the nurse provide? - Answer rice
total number of confirmed pregnancies regardless of the outcome - Answer Gravida
number of births after 20 weeks - Answer Para
pregnant for the first time - Answer primigravida
, 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? - Answer express sorrow for the clients grief and offer to sit with
her.
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? - Answer they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
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? - Answer palpate the bladder for
distention
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? - Answer "Your loved ones
condition is very critical, and there has been no response in the last 24 hours"
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. - Answer osteoporosis resulting from hormonal changes.
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? - Answer plan to have the
same nursing staff provide care for the client whenever possible.
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?
- Answer footboard is used to prevent foot drop.
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? - Answer ask the client if she has had any recent thoughts of harming herself.
