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HESI LPN-ADN MOBILITY ENTRANCE EXAM - Exam Coverage
The exam coverage includes foundational nursing knowledge assessed in the
HESI LPN-to-ADN Mobility Entrance Exam, developed by Elsevier. It focuses
on core subjects such as reading comprehension, vocabulary, grammar, math
skills, and basic science concepts including anatomy and physiology. The exam
also evaluates essential nursing knowledge from practical nursing practice,
including fundamentals of patient care, pharmacology basics, and clinical
reasoning. Emphasis is placed on critical thinking, problem-solving, and
readiness to transition from LPN to ADN-level nursing education
1. 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
2. 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
3. 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. 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
5. 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.
6. A client with recurrent urinary tract infections (UTI) is being discharged.
What instruction is appropriate for the nurse to include in the discharge
teaching plan? - ANSWER ✔ A. Drink 3 quarts of water daily
7. During CPR, when attempting to ventilate a client's lungs, the nurse notes
that the chest is not rising. What action should the nurse take first? -
ANSWER ✔ A. Reposition the head to ensure an open airway
8. During immediate postoperative period, which condition has the highest
priority when planning Nursing care? - ANSWER ✔ B. Respiratory
obstruction
9. During preoperative preparation, the nurse should offer the client which
explanation about why deep breathing exercising with an incentive
spirometer are necessary after surgery? - ANSWER ✔ A. "Deep breathing
exercises using spirometer will help prevent postoperative complications."
10.During the past 30 days an elderly client has exhibited a progressively
decreasing appetite, is spending increasing amounts of the daytime hours in
bed, and refuses to participate in planned daytime activities. Which action
should the nurse take? - ANSWER ✔ D. Record the findings and report the
symptoms to the charge nurse
11.During vital sign assessment of a client, the nurse counts the left radial pulse
at 88, and the pulse oximeter clipped to a finger on the left hand records a
, pulse rate of 68 with an oxygen saturation of 95%. What is the best initial
action by the nurse? - ANSWER ✔ B. Reposition the oximeter clip
12.An elderly client at an adult daycare center with Type2 Diabetes Mellitus
becomes unresponsive verbally and then tells the nurse, "I just don't feel
right" Which initial action should the nurse take? - ANSWER ✔ C. Give 4
ounces of apple juice
13.An elderly client in the early postoperative period requires close monitoring
due to aging and multisystem changes. The nurse monitors respirations and
auscultates breath sounds frequently. What other intervention should the
nurse implement related to the client's decreased vital capacity? - ANSWER
✔ A. Evaluate pulse oxygen saturation
14.An elderly client is admitted for evaluation of Alzheimer's disease. At 2AM,
the nurse finds the client trying to open the emergency door. What is the
most appropriate response for the nurse to make in this situation? -
ANSWER ✔ A. "This is the emergency door. Are you looking for the
bathroom?"
15.An elderly female client tells the nurse that she does not do regular Breast
Self Examinations (BSE) because she is too old. The nurse's response to the
client is based on what information? - ANSWER ✔ A. The incidence of
breast cancer increases with age
16.An elderly male client is planning to vacation with a group of senior
citizens. He is concerned about developing constipation during the airplane
flight. He share this concern with the nurse at the retirement home. Which
recommendation is best for the nurse to provide? - ANSWER ✔ C Increase
the fluid intake in your diet
17.RBC count - ANSWER ✔ Male 4.35-5.65
female 3.92-5.13
18.Hemoglobin - ANSWER ✔ Male 13.2-16.6
Female 11.6-15
19.Hematocrit - ANSWER ✔ Male 38.3-48.6
, Female 35.5-44.9
20.WBC - ANSWER ✔ 3.4-9.6 (3,400 to 9,600 cells/mcl)
21.Platelet Count - ANSWER ✔ Male 135-317
Female 157-371
22.Albumin - ANSWER ✔ 3.4-5.4
23.Alkaline phosphate - ANSWER ✔ 20-130 U/L
24.ALT - ANSWER ✔ 4-36
25.AST - ANSWER ✔ 8-33
26.BUN - ANSWER ✔ 6-20
27.Calcium - ANSWER ✔ 8.5-10.2
28.Chloride - ANSWER ✔ 96-106
29.CO2 - ANSWER ✔ 23-29
30.Creatinine - ANSWER ✔ 0.6-1.3 mg/Dl
31.Glucose - ANSWER ✔ 70-100
32.Potassium - ANSWER ✔ 3.7-5.2
33.Sodium - ANSWER ✔ 135-145
34.Total bilirubin - ANSWER ✔ 0.1-1.2
35.Total Protein - ANSWER ✔ 6.0-8.3
36.PH - ANSWER ✔ 7.35-7.45