HESI LPN-ADN Certified Q&A 2026/2027 –
Comprehensive LPN-to-ADN Transition Competency
Assessment with Practice Questions!!Grade A+!!
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?
- ANSWER-administer regular insulin per sliding scale
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? - ANSWER-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? - ANSWER-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? - ANSWER-A high pitched cry.
,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? - ANSWER-nipple
feedings with glucose water
An 8-year-old recovering from a Celiac Crisis requests a
bowl of cereal for breakfast. Which cereal should the
nurse provide? - ANSWER-rice
total number of confirmed pregnancies regardless of the
outcome - ANSWER-Gravida
number of births after 20 weeks - ANSWER-Para
, pregnant for the first time - ANSWER-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? - ANSWER-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? - ANSWER-they can have intercourse
Comprehensive LPN-to-ADN Transition Competency
Assessment with Practice Questions!!Grade A+!!
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?
- ANSWER-administer regular insulin per sliding scale
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? - ANSWER-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? - ANSWER-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? - ANSWER-A high pitched cry.
,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? - ANSWER-nipple
feedings with glucose water
An 8-year-old recovering from a Celiac Crisis requests a
bowl of cereal for breakfast. Which cereal should the
nurse provide? - ANSWER-rice
total number of confirmed pregnancies regardless of the
outcome - ANSWER-Gravida
number of births after 20 weeks - ANSWER-Para
, pregnant for the first time - ANSWER-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? - ANSWER-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? - ANSWER-they can have intercourse
