HESI LPN COMPREHENSIVE
EXAM STUDY GUIDE. GRADED A+.
QUESTIONS AND 100% VERIFIED
ANSWERS. LATEST UPDATE
A newborn with apnea is being discharged from the hospital with home
monitoring. What information concerning the infant's care should the practical
nurse review with the parents? - ANSWERS-A. Cardiopulmonary resuscitation
(CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the
initiation of home monitoring presents additional emotional stress. When home
monitoring is required the parents should receive instructions that include
cardiopulmonary resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions should the
practical nurse (PN) question? - ANSWERS-D. Preoperative prescriptions should
be resumed after a client returns from surgery.
Which task could the practical nurse assign to an unlicensed assistive personnel
(UAP)?
- ANSWERS-C. Verify identification arm bands when infant is left in mom's room.
Rationale: Delivering an infant from the nursery to the mother's room and
verifying the identification on both arm bands is a task that could be assigned to a
UAP (C). The task is a predictable, routine task on a unit. Reinforcing teaching
,HESI LPN COMPREHENSIVE EXAM
about infant sleeping positions
When reviewing the safety precautions regarding newborns, what information
should the syndrome (SIDS) declines when infants are positioned on their
backs
practical nurse communicate to the parents?
. - ANSWERS-A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death
When reviewing the safety precautions regarding newborns, what information
should the syndrome (SIDS) declines when infants are positioned on their
backs
Which action is most important for the practical nurse (PN) to implement for a
client who has a Stage I pressure ulcer? - ANSWERS-D. Monitor client's serum pre-
albumin levels.
Which action should the practical nurse implement when administering an 8
ounce can of a concentrated nutritional formula via a client's gastrostomy tube
(GT)? - ANSWERS-
D. Give 30 ml of tap water after administration of formula.
A 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance? - ANSWERS-A. Pregnancy.
,HESI LPN COMPREHENSIVE EXAM
Rationale: According to the supreme court a minor who is pregnant (A) can make
an autonomous healthcare decision
A child is admitted for severe abdominal pain and possible appendicitis.
Laboratory and x-ray studies are prescribed. During the diagnostic period, the
practical nurse should implement which nursing actions? (Check all that apply.) -
ANSWERS-A. Maintain child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.
A child who is currently undergoing chemotherapy (CT) for leukemia is brought to
the clinic for a possible broken ankle. What priority action should the practical
nurse implement? - ANSWERS-B. Place a mask on the child.
Rationale: The child who is receiving CT for leukemia is immunosuppressed and
should be protected from airborne pathogens and other sick children in the clinic.
Placing a mask on the child
A client arrives in the clinic complaining of radiating back pain. Which finding
related to a possible dissecting aneurysm should the practical nurse (PN) report to
the healthcare provider? - ANSWERS-A. Ripping chest pain and blood pressures of
150/90 in right arm and 120/70 in left arm.
Rationale: A dissecting aneurysm is a tearing of the intima of a major artery, such
as the ascending aorta, and classically presents with the onset of sudden, severe,
ripping pain that moves. Depending on the location, as the intima of the artery
tears, a difference in the extremity perfusion (A), deceased urine output, or
petechiae on the feet occur. (ation
A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in
charge during the shift to handle the staff's reaction to the incident? - ANSWERS-
B.Offer a group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal
feelings, discussion, and working on unresolved emotional issues to minimize post
traumatic stress for the staff member. A CISD is the best action for the PN in
charge to take (B) in conjunction with the guidance and assistance of the nursing
, HESI LPN COMPREHENSIVE EXAM
supervisor in the facility
A client is being discharged after repair of a retinal detachment. The practical
nurse (PN) reviews the written discharge information with the client and family.
Which instruction should the PN emphasize to the client when arriving at home? -
ANSWERS-B. Take a PRN antiemetic with early signs of nausea.