HESI LPN-ADN ENTRANCE EXAM 2024 – ACTUAL
EXAM QUESTION AND ANSWERS GRADED A (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?
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?
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?
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?
give the client crackers and milk
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?
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?
rice
total number of confirmed pregnancies regardless of the outcome
Gravida
number of births after 20 weeks
Para
, pregnant for the first time
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?
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?
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?
palpate the bladder for distention
EXAM QUESTION AND ANSWERS GRADED A (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?
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?
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?
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?
give the client crackers and milk
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?
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?
rice
total number of confirmed pregnancies regardless of the outcome
Gravida
number of births after 20 weeks
Para
, pregnant for the first time
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?
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?
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?
palpate the bladder for distention
