HESI LPN- ENTRANCE EXAM
QUESTIONS AND ANSWERS
22fdays2fafter2fan2fabdominal2fhysterectomy,2fan2felderly2fclient2fwith2fdiabetes2fMellitus2fT
ype2fII2fhas2fa2fsyncopal2fepisode.2fHer2fvital2fsigns2fare2fwithin2fnormal2flimits2fand2fher2fsu
gar2fis2f3252fmg/dL.2fwhat2fintervention2fshould2fthe2fnurse2fimplement2ffirst?2f-
2fANSWERS--administer 2fregular2finsulin2fper2fsliding2fscale
A2f3-week-
old2finfant2fis2fadmitted2ffor2fsurgical2frepair2fof2fPyloric2fStenosis.2fWhat2finterventions2fsh
ould2fthe2fnurse2fexpect2fto2fimplement2fto2festablish2fhydration2fin2fthe2fimmediate2fposto
perative2fperiod?2f-2fANSWERS--nipple2ffeedings2fwith2fglucose2fwater
a2f32fyear-
old2fadmitted2fwith2ffever2fof2funknown2f(FUO)2fhas2fbegun2fvomiting2fin2fthe2fpast2fhalf2fho
ur.2fThe2fchild's2ftemp.2fis2f101.8F,2fand2fthe2flast2fdoes2fof2fantipyretic2fmedication2fwas2fg
iven2f52fhours2fago.2fthe2fchild2fhas2fprescriptions2fof2facetaminophen2f(Tylenol)2f1602fmg2
fper2f52fmL2felixir2for2f16o2fmg2fsuppositories2fPRN2ffever2for2fpain.2fwhat2faction2fshould2ft
he2fnurse2ftake2fat2fthis2ftime?2f-2fANSWERS--
make2fthe2fchild2fNPO2fand2fhold2fall2fmediations2funtil2fthe2fvomiting2fhas2fstopped.
42fhours2fafter2fadministration2fof2f20U2fof2fregular2finsulin,2fthe2fclient2fbecomes2fshaky2fa
nd2fdiaphoretic.2fwhat2faction2fshould2fthe2fnurse2ftake?2f-2fANSWERS--
give2fthe2fclient2fcrackers2fand2fmilk
a2f6-
month2fchild2fwith2fbronchiolitis2fis2fadmitted2fto2fthe2fhospital.2fIn2fmonitoring2fthe2frespira
tory2fstatus2fof2fthis2fchild,2fwhich2fsymptom2findicates2fthe2fnurse2fthat2fhe2fis2fexperiencin
g2frespiratory2fdistress?2f-2fANSWERS--A2fhigh2fpitched2fcry.
An2f8-year-
old2frecovering2ffrom2fa2fCeliac2fCrisis2frequests2fa2fbowl2fof2fcereal2ffor2fbreakfast.2fWhich
2fcereal2fshould2fthe2fnurse2fprovide?2f-2fANSWERS--rice
total2fnumber2fof2fconfirmed2fpregnancies2fregardless2fof2fthe2foutcome2f-2fANSWERS--
Gravida
number2fof2fbirths2fafter2f202fweeks2f-2fANSWERS--Para
pregnant2ffor2fthe2ffirst2ftime2f-2fANSWERS--primigravida
a2f262fyear2fold2fgravida-4,2fpara-
02fhad2fa2fspontaneous2fabortion2fat2f92fweeks2fgestation.2fat2fone2fhouse2fpost2fdilation2fa
nd2fcurettage2f(D&C)2fthe2fnurse2fassess2fthe2fvital2fsigns2fand2fvaginal2fbleeding.2fthe2fcli
ent2fbegins2fto2fcry2fsoftly.2fhow2fshould2fthe2fnurse2fintervene?2f-2fANSWERS--
express2fsorrow2ffor2fthe2fclients2fgrief2fand2foffer2fto2fsit2fwith2fher.
, A2f262fyear-old2fprimigravida2fwho2fdelivered2fa2f7-
pound2fmale2finfant2f262fhours2fago2ftells2fthe2fnurse2fthat2fshe2fis2fconfused2fabout2fwhen2f
she2fand2fher2fhusband2fcan2freturn2fto2fhaving2fsexual2fintercourse.2fWhat2finfo2fshould2ft
he2fnurse2freinforce2fwith2fthis2fclient?2f-2fANSWERS--
they2fcan2fhave2fintercourse2fwhen2fthe2fepisiotomy2fis2fhealed2fand2fthe2flochial2fflow2fha
s2fstopped
362fhours2fafter2fdelivery,2fthe2fnurse2fdetermines2fa2fclients2ffundus2fis2fjust2fabove2fthe2fu
mbilicus2fand2fdisplaced2fto2fthe2fright2fof2fmidline.2fwhat2faction2fshould2fthe2fnurse2ftake2ff
irst?2f-2fANSWERS--palpate2fthe2fbladder2ffor2fdistention
a2f602fyear2fold2fclient2fwith2fcancer2fof2fthe2fliver2fis2fin2fhepatic2fcoma2fand2funresponsive.
2fwhat2fshould2fthe2fnurse2fsay2fto2ffamily2fmembers2fwere2finquiring2fabout2fthe2fcondition
2fof2ftheir2floved2fone?2f-
2fANSWERS--"Your2floved2fones2fcondition2fis2fvery2fcritical,2fand2fthere2fhas2fbeen2fno2fr
esponse2fin2fthe2flast2f242fhours"
a2f672fyear2fold2fwoman2fwho2flives2falone2ftripped2fon2fa2frug2fin2fher2fhome2fand2ffracture
d2fher2fright2fhip.2fthe2fnurse2fknows2fthat2fwhich2fpredisposing2ffactor2fcontributes2fto2fthe2
foccurrence2fof2fhip2ffractures2famong2felderly2fwomen.2f-2fANSWERS--
osteoporosis2fresulting2ffrom2fhormonal2fchanges.
a2f752fyear2fold2fmale2fclient2fwith2fAlzheimer2fdisease2fis2fadmitted2fto2fan2fextended2fcare
2ffacility.2fwhat2fintervention2fshould2fthe2fnurse2finclude2finto2fthe2fhis2fclients2fNursing2fca
re2fplan?2f-2fANSWERS--
plan2fto2fhave2fthe2fsame2fnursing2fstaff2fprovide2fcare2ffor2fthe2fclient2fwhenever2fpossible
.
an2f82-
year2fold2fclient2fis2fadmitted2fto2fthe2fhospital2fwith2fa2ffractured2fright2fhip.2ffollowing2fsurgi
cal2frepair,2fa2ffootboard2fis2fplaced2fat2fthe2fclients2ffeet.2fwhat2fis2fthe2freason2fthe2fnurse2f
will2foffer2fconcerning2fthe2ffootboard?2f-2fANSWERS--
footboard2fis2fused2fto2fprevent2ffoot2fdrop.
An2fadult2ffemale2fclient2fis2fadmitted2fto2fthe2fpsychiatric2funit2fwith2fdiagnosis2fof2fmajor2fd
epression.2fAfter2f22fweeks2fof2fantidepressant2fmedication2ftherapy,2fthe2fnurse2fnotices2
fthe2fclient2fhas2fmore2fenergy,2fis2fgiving2fher2fbelongings2faway2fto2fher2fvisitors,2fand2fis2fi
n2fan2foverall2fbetter2fmood.2fWhich2fintervention2fis2fbest2ffor2fthe2fnurse2fto2fimplement?
2f-2fANSWERS--
ask2fthe2fclient2fif2fshe2fhas2fhad2fany2frecent2fthoughts2fof2fharming2fherself.
an2fadult2fmale2fclient2ftells2fthe2fnurse2fthat2fhe2fbelieves2fsomeone2fis2ftrying2fto2fobtain2fh
is2fcpu2frecords,2fwhich2fhis2fwife2freports2fare2frecreational2fin2fnature.2fthe2fclient2finsist2ft
hat2fan2felaborate2falarm2fsystem2fneeds2fto2fbe2finstalled2fin2fhis2fhome.2fthe2fnurse2fknow
s2fthat2fthis2fclient2fis2fexhibiting2fwhich2fsigns2for2fsymptoms?2f-2fANSWERS--
delusions2fof2fpersecution
After2fa2fchange2fof2fshift2freport,2fthe2fnurse2fmakes2frounds2fon2fa2fpostoperative2funit.2f
Which2fclient2ffinding2fnecessitates2fthe2fimmediate2fattention2fof2fthe2fnurse?2f-
2fANSWERS--
QUESTIONS AND ANSWERS
22fdays2fafter2fan2fabdominal2fhysterectomy,2fan2felderly2fclient2fwith2fdiabetes2fMellitus2fT
ype2fII2fhas2fa2fsyncopal2fepisode.2fHer2fvital2fsigns2fare2fwithin2fnormal2flimits2fand2fher2fsu
gar2fis2f3252fmg/dL.2fwhat2fintervention2fshould2fthe2fnurse2fimplement2ffirst?2f-
2fANSWERS--administer 2fregular2finsulin2fper2fsliding2fscale
A2f3-week-
old2finfant2fis2fadmitted2ffor2fsurgical2frepair2fof2fPyloric2fStenosis.2fWhat2finterventions2fsh
ould2fthe2fnurse2fexpect2fto2fimplement2fto2festablish2fhydration2fin2fthe2fimmediate2fposto
perative2fperiod?2f-2fANSWERS--nipple2ffeedings2fwith2fglucose2fwater
a2f32fyear-
old2fadmitted2fwith2ffever2fof2funknown2f(FUO)2fhas2fbegun2fvomiting2fin2fthe2fpast2fhalf2fho
ur.2fThe2fchild's2ftemp.2fis2f101.8F,2fand2fthe2flast2fdoes2fof2fantipyretic2fmedication2fwas2fg
iven2f52fhours2fago.2fthe2fchild2fhas2fprescriptions2fof2facetaminophen2f(Tylenol)2f1602fmg2
fper2f52fmL2felixir2for2f16o2fmg2fsuppositories2fPRN2ffever2for2fpain.2fwhat2faction2fshould2ft
he2fnurse2ftake2fat2fthis2ftime?2f-2fANSWERS--
make2fthe2fchild2fNPO2fand2fhold2fall2fmediations2funtil2fthe2fvomiting2fhas2fstopped.
42fhours2fafter2fadministration2fof2f20U2fof2fregular2finsulin,2fthe2fclient2fbecomes2fshaky2fa
nd2fdiaphoretic.2fwhat2faction2fshould2fthe2fnurse2ftake?2f-2fANSWERS--
give2fthe2fclient2fcrackers2fand2fmilk
a2f6-
month2fchild2fwith2fbronchiolitis2fis2fadmitted2fto2fthe2fhospital.2fIn2fmonitoring2fthe2frespira
tory2fstatus2fof2fthis2fchild,2fwhich2fsymptom2findicates2fthe2fnurse2fthat2fhe2fis2fexperiencin
g2frespiratory2fdistress?2f-2fANSWERS--A2fhigh2fpitched2fcry.
An2f8-year-
old2frecovering2ffrom2fa2fCeliac2fCrisis2frequests2fa2fbowl2fof2fcereal2ffor2fbreakfast.2fWhich
2fcereal2fshould2fthe2fnurse2fprovide?2f-2fANSWERS--rice
total2fnumber2fof2fconfirmed2fpregnancies2fregardless2fof2fthe2foutcome2f-2fANSWERS--
Gravida
number2fof2fbirths2fafter2f202fweeks2f-2fANSWERS--Para
pregnant2ffor2fthe2ffirst2ftime2f-2fANSWERS--primigravida
a2f262fyear2fold2fgravida-4,2fpara-
02fhad2fa2fspontaneous2fabortion2fat2f92fweeks2fgestation.2fat2fone2fhouse2fpost2fdilation2fa
nd2fcurettage2f(D&C)2fthe2fnurse2fassess2fthe2fvital2fsigns2fand2fvaginal2fbleeding.2fthe2fcli
ent2fbegins2fto2fcry2fsoftly.2fhow2fshould2fthe2fnurse2fintervene?2f-2fANSWERS--
express2fsorrow2ffor2fthe2fclients2fgrief2fand2foffer2fto2fsit2fwith2fher.
, A2f262fyear-old2fprimigravida2fwho2fdelivered2fa2f7-
pound2fmale2finfant2f262fhours2fago2ftells2fthe2fnurse2fthat2fshe2fis2fconfused2fabout2fwhen2f
she2fand2fher2fhusband2fcan2freturn2fto2fhaving2fsexual2fintercourse.2fWhat2finfo2fshould2ft
he2fnurse2freinforce2fwith2fthis2fclient?2f-2fANSWERS--
they2fcan2fhave2fintercourse2fwhen2fthe2fepisiotomy2fis2fhealed2fand2fthe2flochial2fflow2fha
s2fstopped
362fhours2fafter2fdelivery,2fthe2fnurse2fdetermines2fa2fclients2ffundus2fis2fjust2fabove2fthe2fu
mbilicus2fand2fdisplaced2fto2fthe2fright2fof2fmidline.2fwhat2faction2fshould2fthe2fnurse2ftake2ff
irst?2f-2fANSWERS--palpate2fthe2fbladder2ffor2fdistention
a2f602fyear2fold2fclient2fwith2fcancer2fof2fthe2fliver2fis2fin2fhepatic2fcoma2fand2funresponsive.
2fwhat2fshould2fthe2fnurse2fsay2fto2ffamily2fmembers2fwere2finquiring2fabout2fthe2fcondition
2fof2ftheir2floved2fone?2f-
2fANSWERS--"Your2floved2fones2fcondition2fis2fvery2fcritical,2fand2fthere2fhas2fbeen2fno2fr
esponse2fin2fthe2flast2f242fhours"
a2f672fyear2fold2fwoman2fwho2flives2falone2ftripped2fon2fa2frug2fin2fher2fhome2fand2ffracture
d2fher2fright2fhip.2fthe2fnurse2fknows2fthat2fwhich2fpredisposing2ffactor2fcontributes2fto2fthe2
foccurrence2fof2fhip2ffractures2famong2felderly2fwomen.2f-2fANSWERS--
osteoporosis2fresulting2ffrom2fhormonal2fchanges.
a2f752fyear2fold2fmale2fclient2fwith2fAlzheimer2fdisease2fis2fadmitted2fto2fan2fextended2fcare
2ffacility.2fwhat2fintervention2fshould2fthe2fnurse2finclude2finto2fthe2fhis2fclients2fNursing2fca
re2fplan?2f-2fANSWERS--
plan2fto2fhave2fthe2fsame2fnursing2fstaff2fprovide2fcare2ffor2fthe2fclient2fwhenever2fpossible
.
an2f82-
year2fold2fclient2fis2fadmitted2fto2fthe2fhospital2fwith2fa2ffractured2fright2fhip.2ffollowing2fsurgi
cal2frepair,2fa2ffootboard2fis2fplaced2fat2fthe2fclients2ffeet.2fwhat2fis2fthe2freason2fthe2fnurse2f
will2foffer2fconcerning2fthe2ffootboard?2f-2fANSWERS--
footboard2fis2fused2fto2fprevent2ffoot2fdrop.
An2fadult2ffemale2fclient2fis2fadmitted2fto2fthe2fpsychiatric2funit2fwith2fdiagnosis2fof2fmajor2fd
epression.2fAfter2f22fweeks2fof2fantidepressant2fmedication2ftherapy,2fthe2fnurse2fnotices2
fthe2fclient2fhas2fmore2fenergy,2fis2fgiving2fher2fbelongings2faway2fto2fher2fvisitors,2fand2fis2fi
n2fan2foverall2fbetter2fmood.2fWhich2fintervention2fis2fbest2ffor2fthe2fnurse2fto2fimplement?
2f-2fANSWERS--
ask2fthe2fclient2fif2fshe2fhas2fhad2fany2frecent2fthoughts2fof2fharming2fherself.
an2fadult2fmale2fclient2ftells2fthe2fnurse2fthat2fhe2fbelieves2fsomeone2fis2ftrying2fto2fobtain2fh
is2fcpu2frecords,2fwhich2fhis2fwife2freports2fare2frecreational2fin2fnature.2fthe2fclient2finsist2ft
hat2fan2felaborate2falarm2fsystem2fneeds2fto2fbe2finstalled2fin2fhis2fhome.2fthe2fnurse2fknow
s2fthat2fthis2fclient2fis2fexhibiting2fwhich2fsigns2for2fsymptoms?2f-2fANSWERS--
delusions2fof2fpersecution
After2fa2fchange2fof2fshift2freport,2fthe2fnurse2fmakes2frounds2fon2fa2fpostoperative2funit.2f
Which2fclient2ffinding2fnecessitates2fthe2fimmediate2fattention2fof2fthe2fnurse?2f-
2fANSWERS--
