HESI LPN-ADN HESI ENTRANCE EXAM
(2024/2025)MOBILITY EXAMS (A+ GRADED 100%
VERIFIED)
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.
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? - ANSWER delusions of persecution
After a change of shift report, the nurse makes rounds on a postoperative unit. Which
client finding necessitates the immediate attention of the nurse? - ANSWER A. A client
who is having bright red drainage from the rectum following a colonoscopy with a polyp
removal
, 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 client reports feeling weak
and fatigued. What action should the nurse take next? - ANSWER A. Measure the
client's blood pressure
After morning dressing changes are completed, a male client who has paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is best for
the nurse to assign to the unlicensed assistive personnel? - ANSWER B. Provide
perianal care and collect clean linens for the dressing change
After report, the nurse receives the laboratory values for 4 clients. Which client requires
the nurse's immediate intervention? The client who is..... - ANSWER D. Trembling and
has a glucose level of 50 mg/dL
An ambulatory client with an indwelling urinary catheter (Foley) is requesting to take a
shower for the first time. What is the best intervention for the nurse to implement? -
ANSWER B. Keep the catheter intact and assist the client with a shower
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client's care effectively, what should the nurse administer? - ANSWER A.
Orange juice
Augmentin (amoxicillin/clavulante) 500mg suspension is prescribed for an older adult
client who has trouble swallowing . The suspension is available in 125mg/5mL solution.
How many ml should the client receive? (enter the numberic value only) - ANSWER 20
Based on the documentation in the medical record, which action should the nurse
implement next? - ANSWER A. Give the rubella vaccine subcutaneously
Based on the Nursing diagnosis of "Potential for infection related to second and third
degree burns," which intervention has the highest priority? - ANSWER B. Use of careful
hand washing technique
Based on the Nursing diagnosis of, "Risk for Infection," which intervention should the
nurse implement when providing care for an elderly client with Urinary incontinence? -
ANSWER A. Maintain standard precautions
The care plan for a male client with amyotrophic lateral sclerosis includes the Nursing
diagnosis, "Decisional conflict related to concerns about mechanical ventilation." When
assigned to care for this client, what intervention should the nurse implement based on
this diagnosis ? - ANSWER D. Encourage the client to discuss his feelings and
concerns related to the use of mechanical ventilation
The cervix is the opening into the uterine cavity. What is its function in reproduction? -
ANSWER B. Secretes mucus to facilitate sperm transport
(2024/2025)MOBILITY EXAMS (A+ GRADED 100%
VERIFIED)
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.
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? - ANSWER delusions of persecution
After a change of shift report, the nurse makes rounds on a postoperative unit. Which
client finding necessitates the immediate attention of the nurse? - ANSWER A. A client
who is having bright red drainage from the rectum following a colonoscopy with a polyp
removal
, 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 client reports feeling weak
and fatigued. What action should the nurse take next? - ANSWER A. Measure the
client's blood pressure
After morning dressing changes are completed, a male client who has paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is best for
the nurse to assign to the unlicensed assistive personnel? - ANSWER B. Provide
perianal care and collect clean linens for the dressing change
After report, the nurse receives the laboratory values for 4 clients. Which client requires
the nurse's immediate intervention? The client who is..... - ANSWER D. Trembling and
has a glucose level of 50 mg/dL
An ambulatory client with an indwelling urinary catheter (Foley) is requesting to take a
shower for the first time. What is the best intervention for the nurse to implement? -
ANSWER B. Keep the catheter intact and assist the client with a shower
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client's care effectively, what should the nurse administer? - ANSWER A.
Orange juice
Augmentin (amoxicillin/clavulante) 500mg suspension is prescribed for an older adult
client who has trouble swallowing . The suspension is available in 125mg/5mL solution.
How many ml should the client receive? (enter the numberic value only) - ANSWER 20
Based on the documentation in the medical record, which action should the nurse
implement next? - ANSWER A. Give the rubella vaccine subcutaneously
Based on the Nursing diagnosis of "Potential for infection related to second and third
degree burns," which intervention has the highest priority? - ANSWER B. Use of careful
hand washing technique
Based on the Nursing diagnosis of, "Risk for Infection," which intervention should the
nurse implement when providing care for an elderly client with Urinary incontinence? -
ANSWER A. Maintain standard precautions
The care plan for a male client with amyotrophic lateral sclerosis includes the Nursing
diagnosis, "Decisional conflict related to concerns about mechanical ventilation." When
assigned to care for this client, what intervention should the nurse implement based on
this diagnosis ? - ANSWER D. Encourage the client to discuss his feelings and
concerns related to the use of mechanical ventilation
The cervix is the opening into the uterine cavity. What is its function in reproduction? -
ANSWER B. Secretes mucus to facilitate sperm transport
