HESI LPN-ADN HESI ENTRANCE EXAM
(2024/2025)MOBILITY EXAMS (A+ GRADED 100%
VERIFIED)
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus
Type II has a syncopal episode. Her vital signs are within normal limits and her
sugar is 325 mg/dL. what intervention should the nurse implement first? - ans -
administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in the
immediate postoperative period? - ans -nipple feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in the
past half hour. The child's temp. is 101.8F, and the last does of antipyretic
medication was given 5 hours ago. the child has prescriptions of acetaminophen
(Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories PRN fever or pain. what
action should the nurse take at this time? - ans -make the child NPO and hold all
mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client becomes shaky
and diaphoretic. what action should the nurse take? - ans -give the client crackers
and milk
A client is complaining of muscle fatigue in the lower extremities. What is the
physiological cause of muscle fatigue? - ans -A. The depletion of glycogen and
energy stores
A client is diagnosed with Clostridium Difficile (CDIFF). What action should the
nurse implement to prevent the spread of the organism? - ans -B. Don non-sterile
gloves when performing direct care
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the
respiratory status of this child, which symptom indicates the nurse that he is
experiencing respiratory distress? - ans -A high pitched cry.
, An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide? - ans -rice
total number of confirmed pregnancies regardless of the outcome - ans -Gravida
number of births after 20 weeks - ans -Para
pregnant for the first time - ans -primigravida
a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks gestation.
at one house post dilation and curettage (D&C) the nurse assess the vital signs
and vaginal bleeding. the client begins to cry softly. how should the nurse
intervene? - ans -express sorrow for the clients grief and offer to sit with her.
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to
having sexual intercourse. What info should the nurse reinforce with this client? -
ans -they can have intercourse when the episiotomy is healed and the lochial flow
has stopped
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? - ans -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? - ans -"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. - ans -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
(2024/2025)MOBILITY EXAMS (A+ GRADED 100%
VERIFIED)
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus
Type II has a syncopal episode. Her vital signs are within normal limits and her
sugar is 325 mg/dL. what intervention should the nurse implement first? - ans -
administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in the
immediate postoperative period? - ans -nipple feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in the
past half hour. The child's temp. is 101.8F, and the last does of antipyretic
medication was given 5 hours ago. the child has prescriptions of acetaminophen
(Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories PRN fever or pain. what
action should the nurse take at this time? - ans -make the child NPO and hold all
mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client becomes shaky
and diaphoretic. what action should the nurse take? - ans -give the client crackers
and milk
A client is complaining of muscle fatigue in the lower extremities. What is the
physiological cause of muscle fatigue? - ans -A. The depletion of glycogen and
energy stores
A client is diagnosed with Clostridium Difficile (CDIFF). What action should the
nurse implement to prevent the spread of the organism? - ans -B. Don non-sterile
gloves when performing direct care
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the
respiratory status of this child, which symptom indicates the nurse that he is
experiencing respiratory distress? - ans -A high pitched cry.
, An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide? - ans -rice
total number of confirmed pregnancies regardless of the outcome - ans -Gravida
number of births after 20 weeks - ans -Para
pregnant for the first time - ans -primigravida
a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks gestation.
at one house post dilation and curettage (D&C) the nurse assess the vital signs
and vaginal bleeding. the client begins to cry softly. how should the nurse
intervene? - ans -express sorrow for the clients grief and offer to sit with her.
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to
having sexual intercourse. What info should the nurse reinforce with this client? -
ans -they can have intercourse when the episiotomy is healed and the lochial flow
has stopped
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? - ans -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? - ans -"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. - ans -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
