HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
22days2after2an2abdominal2hysterectomy,2an2elderly2client2with2diabetes2Mellitus2Type2II2has2a2syncopal2
episode.2Her2vital2signs2are2within2normal2limites2and2her2sugar2is23252mg/dL.2what2intervention2should2
the2nurse2implement2first?
A. Give2the2client242ounces2of2orange2juice
B. Administer2next2scheduled2dose2of2metformin2(Glucophage)2
C.2Cancel2the2clients2dinner2tray
D.2Administer2regular2insulin2per2sliding2scale2-2ANSD.2Administer2regular2insulin2per2sliding2scale
42hours2after2administration2of220U2of2regular2insulin,2the2client2becomes2shake2and2diaphoretic.2What2
action2should2the2nurse2take?
A. Encourage2the2client2to2excercise
B. Administer2a2PRN2dose2of210U2of2regular2insulin2
C.2Give2the2client2crackers2and2milk
D.2Record2the2client's2reaction2on2the2diabetic2flow2sheet2-2ANSC.2Give2the2client2crackers2and2milk
362hours2after2delivery,2the2nurse2determines2a2client's2fundus2is2just2above2the2umbilicus2and2displaced2to2t
he2right2of2midline.2What2action2should2the2nurse2take2first?
A. Palpate2the2bladder2for2distention
B. Ask2the2client2when2her2last2bowel2movement2occurred2
C.2Catheterize2the2client2and2record2the2amount
D.2Assess2the2amount2of2lochia2-2ANSA.2Palpate2the2bladder2for2distention
A232year-
old2admitted2with2fever2of2unknown2origin2(FUO)2has2begun2vomiting2in2the2past2half2hour.2The2child's2temp
erature2is2101.802F,2and2the2last2dose2of2antipyretic2medication2was2given252hours2ago.2The2child2has2presc
riptions2of2acetaminophen2(Tylenol)21602MG2per252mL2elixir2or21602mg2suppositories2PRN2fever2or2pain.2Wh
at2action2should2the2nurse2take2at2this2time?
A.2Make2the2child2NPO2and2hold2all2medications2untill2the2vomiting2has2stopped2
B.2Give2acetaminophen2elixir2to2ensure2the2child's2cooperation2with2swallowing
C.2Notify2the2healthcare2provider2that2the2child's2fever2has2become2dangerously2high
D.2Use2an2acetaminophen2suppository2for2the2fever2since2the2child2is2vomiting2-
2ANSA.2Make2the2child2 NPO2and2hold2all2medications2untill2the2vomiting2has2stopped
A23-week-
old2infant2is2admitted2for2surgical2repair2of2Pyloric2Stenosis.2What2interventions2should2the2nurse2expect2to2i
mplement2to2establish2hydration2in2the2immediate2postoperative2period?
A.2Diaper2weights2and2urin2specific2gravity2
B.2Gastronomy2feedings2in2supine2position2
C.2Nipple2feedings2with2glucose2water
D.2Gavage2feedings2with215mL2of2formula2-2ANSC.2Nipple2feedings2with2glucose2water
A26-
month2old2male2with2Bronchiolitis2is2admitted2to2the2hospital.2In2monitoring2the2respiratory2status2of2this2chi
ld,2which2symptom2indicates2the2nurse2that2he2is2experiencing2Respiratory2Distress?
A.2Respiratory2of2622breaths/minute2
B.2Abdominal2breathing
C.2A2high-pitched2cry
D.2Dry2flushed2skin2-2ANSC.2A2high-pitched2cry
A2262year-old2primigravida2who2delivered2a27-
pound2male2infant2262hours2ago2tells2the2nurse2that2she2is2confused2about2when2she2and2her2husband2can2
return2to2having2sexual2intercourse.2What2info2should2the2nurse2reinforce2with2this2client?
,HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
A. They2can2have2intercourse2when2the2episiotomy2is2healed2and2the2lochial2flow2has2stopped
B. They2should2wait2to2resume2sexual2activities2until2the2fatigue2assorted2with2a2new2baby2has2passed2
C.2They2can2resume2sexual2activity2at262weeks2postpartum
D.2It2is2best2to2wait2until2both2parties2feel2up2to2having2sexual2intercourse2-2ANSA.2They2can2have
intercourse2when2the2episiotomy2is2healed2and2the2lochial2flow2has2stopped
A226-year-old2gravida24,2para202had2a2spontaneous2abortion2at292weeks2gestation.2At2one-
house2post2dilation2and2curettage2(D&C)2the2nurse2assess2the2vital2signs2and2vaginal2bleeding.2The2client
2begins2to2
cry2softly.2How2should2the2nurse2intervene?
A.2Offer2to2call2the2social2worker2to2discuss2the2possiblity2of2abortion2
B.2Reassure2the2client2that2the2infertility2specialist2can2help
C.2Express2sorrow2for2the2client's2grief2and2offer2to2sit2with2her
D.2Chart2the2vital2signs2and2amount2of2vaginal2bleeding2 -
2ANSC.2Express2sorrow2for2the2client's2grief2and2 offer2to2sit2with2her
A2602year-
old2client2with2cancer2of2the2liver2is2in2Hepatic2Coma2and2unresponsive.2What2should2the2nurse2say2to2fam
ily2members2who2are2inquiring2about2the2condition2of2their2loved2one?
A. "Your2loved2one's2condition2is2very2critical,2and2there2has2been2no2response2in2the2last2242hours"
B. "The2nurses2have2not2been2able2to2arouse2the2client2and2the2healthcare2provider2knows2the2outcome."2
C.2"You2need2to2discuss2the2condition2with2the2charge2nurse2in2a2family2conference."
D.2"The2client's2condition2is2extremely2critical.2Has2 your2family2made2funeral2arrangements?"2-
2ANSA.2"Your2loved2one's2condition2is2very2critical,2and2there2has2been2no2response2in2the2last2242hour
s"
A267-year-
old2woman2who2lives2alone2tripped2on2a2rug2in2her2home2and2fractured2her2right2hip.2The2nurse2knows2that2
which2predisposing2factor2contributes2to2the2occurrence2of2hip2fractures2among2elderly2women.
A.2Urinary2retention2resulting2in2renal2calculi2formation2
B.2Failing2eyesight2resulting2in2an2unsafe2environment2
C.2Osteoporosis2resulting2from2hormonal2changes
D.2Transient2ischemic2attacks2(TIAs)2which2impair2mental2activity2-
2ANSC.2Osteoporosis2resulting2from 2 hormonal2changes
A275-year-old2male2client2with2Alzheimer's2Disease2(AD)2is2admitted2to2an2extended2care2facility.2What
intervention2should2the2nurse2include2into2his2client's2Nursing2care2plan?
A.2Describe2the2activities2available2to2the2residents2and2encourage2him2to2choose2the2ones2he2prefers2
B.2Introduce2the2client2to2the2Nursing2staff2and2the2residents2as2soon2as2possible
C.2Plan2to2have2the2same2Nursing2staff2provide2care2for2the2client2whenever2possible
D.2Encourage2the2client2to2remain2on2the2unit2for232weeks2until2he2is2oriented2to2his2new2surroundings2 -
ANSC.2Plan2to2have2the2same2Nursing2staff2provide2care2for2the2client2whenever2possible
2
A2child2with2Chronic2Asthma2is2scheduled2for2Chest2Physiotherapy.2When2should2the2nurse2administer2the2
meter-dosed2inhalar2(MDI)2puff2of2bronchodilator2relative2to2postural2drainage2treatments?
A.2Before2postural2drainage
B.2During2postural2drainag
2
e2C.2After2postural2drainage
D.2Between2treatements2-2ANSC.2After2postural2drainage
A2client2asks2the2nurse2to2explain2the2location2of2the2prostate2gland.2What2is2the2best2response?
A. Close2the2rectal2wall2the2prostate2gland2sits2behind2the2symphysis2pubis2extending2around2the2
beginning2of2the2urethra
B. At2the2bottom2of2the2scrotal2sac,2the2prostate2gland2rests2beneath2the2testes,2held2in2place2by2the
,HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
spermatic2fascia
C. Attach2to2the2front2and2sides2of2the2pubic2arch,2the2prostate2is2a2mess2of2cavernous2tissue2held2
together2by2fibrous2tissue
D. Located2at2the2lateral2edge2of2the2posterior2segment2of2the2testes,2the2prostate2creates2a2bulge2
continuous2with2the2vas2deferens2-
2ANSA.2Close2the2rectal2wall2the2prostate2gland2sits2behind2the2 symphysis2pubis2extending2aroun
d2the
beginning2of2the2urethra
A2client2at2282weeks2gestation2is2admitted2to2the2antepartum2unit2and2is2being2treated2for2preterm2labor.2
She2has2a2prescription2for2brethine2(Terbutaline)22502micrograms2subcutaneously2q4h.2The2medication2is2
available2for2injection2in212mg2per2ML2vials.2How2many2mL2should2the2nurse2administer?
A.20.025
B.20.0025
C.20.25
D.225.02-2ANSC.20.25
A2client2begins2an2antidepressant2drug2during2the2second2day2of2hospitalization.2Which2assessment2is2
most2important2for2the2nurse2to2include2in2this2client's2plan2of2care2while2the2client2is2taking2the2antidep
ressant?
A.2Appetite2
B.2Mood
C.2Withdrawl
D.2Energy2level2-2ANSB.2Mood
A2client2comes2to2the2antepartal2clinic2and2tells2the2nurse2that2she2is262weeks2pregnant.2Which2sign2is2she2
most2likely2to2report?
A.2Decreased2sexual2libido2
B.2Amenorrhea
C.2Quickening
D.2Nocturia2-2ANSB2Amenorrhea
A2client2complains2of2kidney2pain.2The2nurse2understands2that2the2kidneys2are2located2where?
A.2On2the2retroperitoneal2posterior2abdominal2wall2at2the2costovertebral2angle2
B.2Within2the2curve2of2the2duodenum,2posterior2to2the2spleen
C.2Lateral2to2the2stomach2in2the2hypochondriac2region
D.2Superior2aspect2of2the2bladder2in2right2and2left2iliac2region2-
2ANSA.2On2the2retroperitoneal2posterior2 abdominal2wall2at2the2costovertebral2angle
A2client2has2a2prescription2for2a2Transcutaneous2Electrical2Nerve2Stimulator2(TENS)2unit2for2pain2manag
ement2during2the2postoperative2period2following2a2lumber2Laminectomy.2What2information2should2the2nur
se2reinforce2about2the2action2of2this2adjuvant2pain2modality?
A.2Mild2electrical2stimulus2on2the2skin2surface2closes2the2gates2of2nerve2conduction2for2sever2pain2
B.2Pain2perception2in2the2cerebral2cortex2is2dulled2by2the2unit's2discharge2of2an2electrical2stimulus2
C.2An2infusion2of2medication2in2the2spinal2canal2will2block2pain2perception
D.2The2discharge2of2electricity2will2distract2the2client's2focus2on2the2pain2-
2ANSB.2Pain2perception2in2the2 cerebral2cortex2is2dulled2by2the2unit's2discharge2of2an2electrical2stimulus
A2client2has2a2prescription2for2enteric-
coated2(EC)2aspirin2325mg2PO2daily.2The2medication2drawer2contains2one2325mg2aspirin.2What2action
2should2the2nurse2take?
A. Contact2the2pharmacy2and2request2the2prescribed2form2of2aspirin
, HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
B. Instruct2the2client2about2the2effects2when2given2the2medication2
C.2Administer2the2aspirin2with2a2full2glass2of2water2or2a2small2snack
D.2Withhold2the2aspirin2until2consulting2with2the2healthcare2provider2-
2ANSC.2Administer2the2aspirin2with2a2 full2glass2of2water2or2a2small2snack
A2client2has2a2prescription2for2lorazepam2(ativan)212mg2for2anxiety.2The2medication2is2supplied2as20.5mg2tabl
ets.2How2many2tablets2should2the2client2take?2(enter2numeric2value2only.2 -2ANS2
A2client2is2adminitted2to2the2hosptial2with2a2diagnosis2of2Pneumonia.2Which2intervetion2should2the2nurse
implement2to2prevent2complications2associated2with2Pneumonia?
A. Enourage2mobilization2and2ambulation
B. Encourage2energy2conservation2with2complete2bed2rest2
C.2Provide2humidified2oxygen2per2nasal2cannula
D.2Restrict2PO2and2intravenous2fluids2-2ANSA.2Enourage2mobilization2and2ambulation
A2client2is2admitted2for2observation2after2experiencing2a2Transient2Ischemic2Attack2(TIA).2The2nurse2anticipat
es2implementing2care2for2which2client2problem?
A. High2risk2for2injury
B. Altered2 breathing2 patters2
C.2Ineffective2airway2clearance
D.2High2risk2infection2-2ANSB.2Altered2breathing2patters
A2Client2is2admitted2to2the2hospital2with2second2and2third2degree2burns2to2the2face2and2neck.2How2should2t
he2nurse2best2position2the2client2to2maximize2function2of2the2neck2and2face2and2prevent2contracture?
A. The2neck2extended2backward2using2a2rolled2towel2behind2the2neck
B. Prone2position2using2pillows2to2support2both2arms2outward2from2the2torso2
C.2Side-lying2position2using2pillows2to2support2the2abdomen2and2back
D.2The2neck2forward2using2pillows2under2the2head2and2sandbags2on2both2sides2-
2ANSA.2The2neck 2 extended2backward2using2a2rolled2towel2behind2the2neck
A2client2is2admitted2to2the2rehabilitation2unit2after2a2Thrombotic2Cerebrovascular2Accident2(CVA)2with2Right2
Hemiplegia2and2expressive2aphasia.2What2intervention2should2the2nurse2implement2to2communicate2with2th
e
client?
A. Picture2communication2board
B. Request2a2family2member2to2interpret2
C.2Electronic2larynx2device
D.2Dysphagia2precautions2-2ANSD.2Dysphagia2precautions
A2client2is2admitted2with2a2fever2of2undermined2origin2(FUO).2During2rounds,2the2nurse2finds2the2client2diap
horetic,2and2the2linens2are2damp.2What2should2the2nurse2do2first?
A. Change2the2bed2linen2to2prevent2chilling
B. Check2the2client's2vital2signs2and2pain2scale2
C.2Assess2the2client2for2urinary2incontinence
D.2Determine2fluid2intake2for2the2past282hours2-2ANSB.2Check2the2client's2vital2signs2and2pain2scale
A2client2is2admitted2with2a2newly2diagnosed2case2of2active2tuberculosis2(TB).2Which2intervention2should2th
e2nurse2teach2the2client2about2controlling2transmission2of2tuberculosis2(TB)?
A.2Proper2disposal2of2tissues2when2coughing2
B.2Importance2of2an2adequate2diet
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
22days2after2an2abdominal2hysterectomy,2an2elderly2client2with2diabetes2Mellitus2Type2II2has2a2syncopal2
episode.2Her2vital2signs2are2within2normal2limites2and2her2sugar2is23252mg/dL.2what2intervention2should2
the2nurse2implement2first?
A. Give2the2client242ounces2of2orange2juice
B. Administer2next2scheduled2dose2of2metformin2(Glucophage)2
C.2Cancel2the2clients2dinner2tray
D.2Administer2regular2insulin2per2sliding2scale2-2ANSD.2Administer2regular2insulin2per2sliding2scale
42hours2after2administration2of220U2of2regular2insulin,2the2client2becomes2shake2and2diaphoretic.2What2
action2should2the2nurse2take?
A. Encourage2the2client2to2excercise
B. Administer2a2PRN2dose2of210U2of2regular2insulin2
C.2Give2the2client2crackers2and2milk
D.2Record2the2client's2reaction2on2the2diabetic2flow2sheet2-2ANSC.2Give2the2client2crackers2and2milk
362hours2after2delivery,2the2nurse2determines2a2client's2fundus2is2just2above2the2umbilicus2and2displaced2to2t
he2right2of2midline.2What2action2should2the2nurse2take2first?
A. Palpate2the2bladder2for2distention
B. Ask2the2client2when2her2last2bowel2movement2occurred2
C.2Catheterize2the2client2and2record2the2amount
D.2Assess2the2amount2of2lochia2-2ANSA.2Palpate2the2bladder2for2distention
A232year-
old2admitted2with2fever2of2unknown2origin2(FUO)2has2begun2vomiting2in2the2past2half2hour.2The2child's2temp
erature2is2101.802F,2and2the2last2dose2of2antipyretic2medication2was2given252hours2ago.2The2child2has2presc
riptions2of2acetaminophen2(Tylenol)21602MG2per252mL2elixir2or21602mg2suppositories2PRN2fever2or2pain.2Wh
at2action2should2the2nurse2take2at2this2time?
A.2Make2the2child2NPO2and2hold2all2medications2untill2the2vomiting2has2stopped2
B.2Give2acetaminophen2elixir2to2ensure2the2child's2cooperation2with2swallowing
C.2Notify2the2healthcare2provider2that2the2child's2fever2has2become2dangerously2high
D.2Use2an2acetaminophen2suppository2for2the2fever2since2the2child2is2vomiting2-
2ANSA.2Make2the2child2 NPO2and2hold2all2medications2untill2the2vomiting2has2stopped
A23-week-
old2infant2is2admitted2for2surgical2repair2of2Pyloric2Stenosis.2What2interventions2should2the2nurse2expect2to2i
mplement2to2establish2hydration2in2the2immediate2postoperative2period?
A.2Diaper2weights2and2urin2specific2gravity2
B.2Gastronomy2feedings2in2supine2position2
C.2Nipple2feedings2with2glucose2water
D.2Gavage2feedings2with215mL2of2formula2-2ANSC.2Nipple2feedings2with2glucose2water
A26-
month2old2male2with2Bronchiolitis2is2admitted2to2the2hospital.2In2monitoring2the2respiratory2status2of2this2chi
ld,2which2symptom2indicates2the2nurse2that2he2is2experiencing2Respiratory2Distress?
A.2Respiratory2of2622breaths/minute2
B.2Abdominal2breathing
C.2A2high-pitched2cry
D.2Dry2flushed2skin2-2ANSC.2A2high-pitched2cry
A2262year-old2primigravida2who2delivered2a27-
pound2male2infant2262hours2ago2tells2the2nurse2that2she2is2confused2about2when2she2and2her2husband2can2
return2to2having2sexual2intercourse.2What2info2should2the2nurse2reinforce2with2this2client?
,HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
A. They2can2have2intercourse2when2the2episiotomy2is2healed2and2the2lochial2flow2has2stopped
B. They2should2wait2to2resume2sexual2activities2until2the2fatigue2assorted2with2a2new2baby2has2passed2
C.2They2can2resume2sexual2activity2at262weeks2postpartum
D.2It2is2best2to2wait2until2both2parties2feel2up2to2having2sexual2intercourse2-2ANSA.2They2can2have
intercourse2when2the2episiotomy2is2healed2and2the2lochial2flow2has2stopped
A226-year-old2gravida24,2para202had2a2spontaneous2abortion2at292weeks2gestation.2At2one-
house2post2dilation2and2curettage2(D&C)2the2nurse2assess2the2vital2signs2and2vaginal2bleeding.2The2client
2begins2to2
cry2softly.2How2should2the2nurse2intervene?
A.2Offer2to2call2the2social2worker2to2discuss2the2possiblity2of2abortion2
B.2Reassure2the2client2that2the2infertility2specialist2can2help
C.2Express2sorrow2for2the2client's2grief2and2offer2to2sit2with2her
D.2Chart2the2vital2signs2and2amount2of2vaginal2bleeding2 -
2ANSC.2Express2sorrow2for2the2client's2grief2and2 offer2to2sit2with2her
A2602year-
old2client2with2cancer2of2the2liver2is2in2Hepatic2Coma2and2unresponsive.2What2should2the2nurse2say2to2fam
ily2members2who2are2inquiring2about2the2condition2of2their2loved2one?
A. "Your2loved2one's2condition2is2very2critical,2and2there2has2been2no2response2in2the2last2242hours"
B. "The2nurses2have2not2been2able2to2arouse2the2client2and2the2healthcare2provider2knows2the2outcome."2
C.2"You2need2to2discuss2the2condition2with2the2charge2nurse2in2a2family2conference."
D.2"The2client's2condition2is2extremely2critical.2Has2 your2family2made2funeral2arrangements?"2-
2ANSA.2"Your2loved2one's2condition2is2very2critical,2and2there2has2been2no2response2in2the2last2242hour
s"
A267-year-
old2woman2who2lives2alone2tripped2on2a2rug2in2her2home2and2fractured2her2right2hip.2The2nurse2knows2that2
which2predisposing2factor2contributes2to2the2occurrence2of2hip2fractures2among2elderly2women.
A.2Urinary2retention2resulting2in2renal2calculi2formation2
B.2Failing2eyesight2resulting2in2an2unsafe2environment2
C.2Osteoporosis2resulting2from2hormonal2changes
D.2Transient2ischemic2attacks2(TIAs)2which2impair2mental2activity2-
2ANSC.2Osteoporosis2resulting2from 2 hormonal2changes
A275-year-old2male2client2with2Alzheimer's2Disease2(AD)2is2admitted2to2an2extended2care2facility.2What
intervention2should2the2nurse2include2into2his2client's2Nursing2care2plan?
A.2Describe2the2activities2available2to2the2residents2and2encourage2him2to2choose2the2ones2he2prefers2
B.2Introduce2the2client2to2the2Nursing2staff2and2the2residents2as2soon2as2possible
C.2Plan2to2have2the2same2Nursing2staff2provide2care2for2the2client2whenever2possible
D.2Encourage2the2client2to2remain2on2the2unit2for232weeks2until2he2is2oriented2to2his2new2surroundings2 -
ANSC.2Plan2to2have2the2same2Nursing2staff2provide2care2for2the2client2whenever2possible
2
A2child2with2Chronic2Asthma2is2scheduled2for2Chest2Physiotherapy.2When2should2the2nurse2administer2the2
meter-dosed2inhalar2(MDI)2puff2of2bronchodilator2relative2to2postural2drainage2treatments?
A.2Before2postural2drainage
B.2During2postural2drainag
2
e2C.2After2postural2drainage
D.2Between2treatements2-2ANSC.2After2postural2drainage
A2client2asks2the2nurse2to2explain2the2location2of2the2prostate2gland.2What2is2the2best2response?
A. Close2the2rectal2wall2the2prostate2gland2sits2behind2the2symphysis2pubis2extending2around2the2
beginning2of2the2urethra
B. At2the2bottom2of2the2scrotal2sac,2the2prostate2gland2rests2beneath2the2testes,2held2in2place2by2the
,HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
spermatic2fascia
C. Attach2to2the2front2and2sides2of2the2pubic2arch,2the2prostate2is2a2mess2of2cavernous2tissue2held2
together2by2fibrous2tissue
D. Located2at2the2lateral2edge2of2the2posterior2segment2of2the2testes,2the2prostate2creates2a2bulge2
continuous2with2the2vas2deferens2-
2ANSA.2Close2the2rectal2wall2the2prostate2gland2sits2behind2the2 symphysis2pubis2extending2aroun
d2the
beginning2of2the2urethra
A2client2at2282weeks2gestation2is2admitted2to2the2antepartum2unit2and2is2being2treated2for2preterm2labor.2
She2has2a2prescription2for2brethine2(Terbutaline)22502micrograms2subcutaneously2q4h.2The2medication2is2
available2for2injection2in212mg2per2ML2vials.2How2many2mL2should2the2nurse2administer?
A.20.025
B.20.0025
C.20.25
D.225.02-2ANSC.20.25
A2client2begins2an2antidepressant2drug2during2the2second2day2of2hospitalization.2Which2assessment2is2
most2important2for2the2nurse2to2include2in2this2client's2plan2of2care2while2the2client2is2taking2the2antidep
ressant?
A.2Appetite2
B.2Mood
C.2Withdrawl
D.2Energy2level2-2ANSB.2Mood
A2client2comes2to2the2antepartal2clinic2and2tells2the2nurse2that2she2is262weeks2pregnant.2Which2sign2is2she2
most2likely2to2report?
A.2Decreased2sexual2libido2
B.2Amenorrhea
C.2Quickening
D.2Nocturia2-2ANSB2Amenorrhea
A2client2complains2of2kidney2pain.2The2nurse2understands2that2the2kidneys2are2located2where?
A.2On2the2retroperitoneal2posterior2abdominal2wall2at2the2costovertebral2angle2
B.2Within2the2curve2of2the2duodenum,2posterior2to2the2spleen
C.2Lateral2to2the2stomach2in2the2hypochondriac2region
D.2Superior2aspect2of2the2bladder2in2right2and2left2iliac2region2-
2ANSA.2On2the2retroperitoneal2posterior2 abdominal2wall2at2the2costovertebral2angle
A2client2has2a2prescription2for2a2Transcutaneous2Electrical2Nerve2Stimulator2(TENS)2unit2for2pain2manag
ement2during2the2postoperative2period2following2a2lumber2Laminectomy.2What2information2should2the2nur
se2reinforce2about2the2action2of2this2adjuvant2pain2modality?
A.2Mild2electrical2stimulus2on2the2skin2surface2closes2the2gates2of2nerve2conduction2for2sever2pain2
B.2Pain2perception2in2the2cerebral2cortex2is2dulled2by2the2unit's2discharge2of2an2electrical2stimulus2
C.2An2infusion2of2medication2in2the2spinal2canal2will2block2pain2perception
D.2The2discharge2of2electricity2will2distract2the2client's2focus2on2the2pain2-
2ANSB.2Pain2perception2in2the2 cerebral2cortex2is2dulled2by2the2unit's2discharge2of2an2electrical2stimulus
A2client2has2a2prescription2for2enteric-
coated2(EC)2aspirin2325mg2PO2daily.2The2medication2drawer2contains2one2325mg2aspirin.2What2action
2should2the2nurse2take?
A. Contact2the2pharmacy2and2request2the2prescribed2form2of2aspirin
, HESI2LPN-ADN2ENTRANCE2HESI2LPN-
ADN2ENTRANCE2EXAM2(MOBILITY2EXAMS)2A+2GRADED2100%2VERIFIED2LATEST2UP
DATE22024
B. Instruct2the2client2about2the2effects2when2given2the2medication2
C.2Administer2the2aspirin2with2a2full2glass2of2water2or2a2small2snack
D.2Withhold2the2aspirin2until2consulting2with2the2healthcare2provider2-
2ANSC.2Administer2the2aspirin2with2a2 full2glass2of2water2or2a2small2snack
A2client2has2a2prescription2for2lorazepam2(ativan)212mg2for2anxiety.2The2medication2is2supplied2as20.5mg2tabl
ets.2How2many2tablets2should2the2client2take?2(enter2numeric2value2only.2 -2ANS2
A2client2is2adminitted2to2the2hosptial2with2a2diagnosis2of2Pneumonia.2Which2intervetion2should2the2nurse
implement2to2prevent2complications2associated2with2Pneumonia?
A. Enourage2mobilization2and2ambulation
B. Encourage2energy2conservation2with2complete2bed2rest2
C.2Provide2humidified2oxygen2per2nasal2cannula
D.2Restrict2PO2and2intravenous2fluids2-2ANSA.2Enourage2mobilization2and2ambulation
A2client2is2admitted2for2observation2after2experiencing2a2Transient2Ischemic2Attack2(TIA).2The2nurse2anticipat
es2implementing2care2for2which2client2problem?
A. High2risk2for2injury
B. Altered2 breathing2 patters2
C.2Ineffective2airway2clearance
D.2High2risk2infection2-2ANSB.2Altered2breathing2patters
A2Client2is2admitted2to2the2hospital2with2second2and2third2degree2burns2to2the2face2and2neck.2How2should2t
he2nurse2best2position2the2client2to2maximize2function2of2the2neck2and2face2and2prevent2contracture?
A. The2neck2extended2backward2using2a2rolled2towel2behind2the2neck
B. Prone2position2using2pillows2to2support2both2arms2outward2from2the2torso2
C.2Side-lying2position2using2pillows2to2support2the2abdomen2and2back
D.2The2neck2forward2using2pillows2under2the2head2and2sandbags2on2both2sides2-
2ANSA.2The2neck 2 extended2backward2using2a2rolled2towel2behind2the2neck
A2client2is2admitted2to2the2rehabilitation2unit2after2a2Thrombotic2Cerebrovascular2Accident2(CVA)2with2Right2
Hemiplegia2and2expressive2aphasia.2What2intervention2should2the2nurse2implement2to2communicate2with2th
e
client?
A. Picture2communication2board
B. Request2a2family2member2to2interpret2
C.2Electronic2larynx2device
D.2Dysphagia2precautions2-2ANSD.2Dysphagia2precautions
A2client2is2admitted2with2a2fever2of2undermined2origin2(FUO).2During2rounds,2the2nurse2finds2the2client2diap
horetic,2and2the2linens2are2damp.2What2should2the2nurse2do2first?
A. Change2the2bed2linen2to2prevent2chilling
B. Check2the2client's2vital2signs2and2pain2scale2
C.2Assess2the2client2for2urinary2incontinence
D.2Determine2fluid2intake2for2the2past282hours2-2ANSB.2Check2the2client's2vital2signs2and2pain2scale
A2client2is2admitted2with2a2newly2diagnosed2case2of2active2tuberculosis2(TB).2Which2intervention2should2th
e2nurse2teach2the2client2about2controlling2transmission2of2tuberculosis2(TB)?
A.2Proper2disposal2of2tissues2when2coughing2
B.2Importance2of2an2adequate2diet
