HESI LPN Entrance Exam Complete Resource Reading, Math, Vocabulary & Science

Hesi Lpn Entrance Exam Complete Resourceb b b b b bb




Reading, Math, Vocabulary & Science
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While reviewing the laboratory reports of a client, the nurse finds that the client has low sodium levels.
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Which hormonal imbalance should the nurse suspect in the client?
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Epinephrine
b




Glucagon
b




Calcitonin
b




Cortisol - CORRECT ANSWER✔✔Cortisol
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Cortisol is the glucocorticoid secreted by the adrenal cortex that maintains sodium and water balance.
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Therefore, reduced sodium levels in the client indicate a cortisol imbalance. Additionally, depleted sodium
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levels in a client indicate hyponatremia. Epinephrine is a catecholamine, which helps in maintaining
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homeostasis. Glucagon increases blood glucose levels and does not play a role in maintaining electrolyte
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balance. Calcitonin helps in regulating serum calcium levels.
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A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the
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production of milk during lactation?
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b Inhibin
b




Estrogen
b

, Prolactin
b




Progesterone - CORRECT ANSWER✔✔Prolactin b b b




Prolactin is the hormone that initiates and produces milk during lactation. Inhibin prevents the secretions of
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follicle stimulating hormone and gonadotropin releasing hormone. Estrogen and progesterone are the sex
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hormones produced by the ovaries.
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While performing patterned, paced breathing during the transition phase of labor, a client experiences
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tingling and numbness of the fingertips. What should the nurse do?
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b Multiple choice question b b




b




Tell the client to breathe into a paper bag.
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b




Place an oxygen mask over the client's face.
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b




Call the primary healthcare provider to report the client's response.
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b




Instruct the client to begin taking slow deep breaths. - CORRECT ANSWER✔✔Tell the client to breathe into a
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paper bag.
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A paper bag enables the client to rebreathe carbon dioxide, which helps correct the respiratory alkalosis
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resulting from hyperventilation. The client's oxygen level is increased; the client needs to increase the
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carbon dioxide level and decrease the oxygen level. The client should rebreathe her own exhalations first; if
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alkalosis persists, more intensive treatment may be needed. Carbon dioxide is too dilute in room
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atmosphere; deep breaths will not resolve the alkalosis.
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A nurse is caring for a client with the diagnosis of schizophrenia, paranoid type. What should the nurse plan
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for the client's initial care?
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b Multiple choice question b b




Discussing important life events b b b




b




Providing a nonthreatening environment b b b