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1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? a) Provide the client with a walker b) Remove the telemetry equipment c) Encourage the client to cough and deep breathe d) Premedicate the client with an analgesic before ambulating Rationale: Premedicating with an analgesic prior to ambulation helps manage incisional and procedural pain, allowing the client to par...

Pharmacology 1. The nurse prepares to administer digoxin 0.01 mg/kg PO to a 2-month-old infant. The infant weighs 5 kg. The sleeping infant's apical pulse is 70 bpm. The nurse takes which most appropriate action? a) Administer the medication as prescribed b) Wake the infant and recheck the pulse c) Withhold the medication and notify the health care provider immediately d) Administer half the dose and recheck in 30 minutes *Rationale: A normal apical pulse for an infant is 100-...

Medical-Surgical Nursing 1. The nurse cares for a client diagnosed with a superficial partial-thickness burn. The nurse should assign the client to a room with which client? a) A client diagnosed with Cushing's Syndrome b) A client diagnosed with cellulitis of the left leg c) A client diagnosed with acute peritonsillar abscess d) A client diagnosed with acute pelvic inflammatory disease Rationale: A client with a superficial partial-thickness burn is at increased risk for infe...

Domain 1: Facilitate Learning 1. When facilitating learning for a group of prelicensure nursing students, which instructional strategy is most effective for promoting critical thinking and clinical judgment? a) Traditional lecture with PowerPoint slides b) Problem-based learning scenarios c) Assigned textbook readings with study questions d) Recorded video demonstrations Rationale: Problem-based learning (PBL) encourages students to apply theoretical knowledge to practical scen...

Fundamentals of Nursing 1. When admitting a client to an acute care facility, an identification bracelet is sent up with the admission form. In the event these do not match, the nurse's best action is to: a) Change whichever item is incorrect to the correct information b) Use the bracelet and admission form until a replacement is supplied c) Notify the admissions office and wait to apply the bracelet d) Make a corrected identification bracelet for the client Rationale: Patient...

11. A patient who had abdominal surgery 6 hours ago has not voided. The nurse notes the bladder is distended to the level of the umbilicus. What is the priority nursing action? A. Notify the healthcare provider. B. Insert a straight catheter. C. Try non-invasive measures to stimulate voiding. D. Increase the patient's IV fluid rate. Answer:

HESI Fundamentals 1. A nurse is planning care for a group of patients. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)? A. Planning the discharge teaching for a patient with new-onset diabetes. B. Administering a scheduled dose of oral pain medication to a stable post-op patient. C. Assessing the lung sounds of a patient who is short of breath. D. Creating the initial plan of care for a newly admitted patient. Answer: B *Rationale: * Th...

HESI Medical-Surgical 1. A patient with heart failure is admitted with shortness of breath, crackles in the lungs, and peripheral edema. What is the priority nursing intervention? A. Administer furosemide as prescribed. B. Place the patient in a high Fowler's position. C. Restrict oral fluids to 1500 mL per day. D. Draw blood for laboratory testing. Answer: B *Rationale: * The priority is to optimize oxygenation. Placing the patient in high Fowler's position uses gravity...

HESI OB/Maternity Practice Exam (150 Questions) 1. Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client? A. The client's educational background. B. The order in which the information is presented. C. The client's readiness to learn. D. The extent to which the pregnancy was planned. Answer: C *Rationale: * Readiness to learn is the most important criterion for effective teac...

HESI Pediatrics Practice Exam (150 Questions) 1. According to Piaget, what is the expected cognitive stage of a 7-year-old child? A. Sensorimotor B. Preoperational C. Concrete Operational D. Formal Operational Answer: C *Rationale: * *In the concrete operational stage (ages 7-11), children develop logical thought about concrete events, understand conservation, and can classify objects. They move beyond the egocentrism of the preoperational stage .* 2. A nurse is assessing a 6...