HESI LPN-RN NEWEST VERSION EXAM WITH
COMPLETE SOLUTION 100% VERIFIED
ANSWERS A+ GRADED FREE
While reviewing the laboratory reports of a client, the nurse finds that the client has low
sodium levels. Which hormonal imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol - ANS-Cortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that maintains sodium and
water balance. Therefore, reduced sodium levels in the client indicate a cortisol
imbalance. Additionally, depleted sodium levels in a client indicate hyponatremia.
Epinephrine is a catecholamine, which helps in maintaining homeostasis. Glucagon
increases blood glucose levels and does not play a role in maintaining electrolyte
balance. Calcitonin helps in regulating serum calcium levels.
A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone
stimulates the production of milk during lactation?
Inhibin
Estrogen
Prolactin
Progesterone - ANS-Prolactin
Prolactin is the hormone that initiates and produces milk during lactation. Inhibin
prevents the secretions of follicle stimulating hormone and gonadotropin releasing
hormone. Estrogen and progesterone are the sex hormones produced by the ovaries.
, While performing patterned, paced breathing during the transition phase of labor, a
client experiences tingling and numbness of the fingertips. What should the nurse do?
Multiple choice question
Tell the client to breathe into a paper bag.
Place an oxygen mask over the client's face.
Call the primary healthcare provider to report the client's response.
Instruct the client to begin taking slow deep breaths. - ANS-Tell the client to breathe into
a paper bag.
A paper bag enables the client to rebreathe carbon dioxide, which helps correct the
respiratory alkalosis resulting from hyperventilation. The client's oxygen level is
increased; the client needs to increase the carbon dioxide level and decrease the
oxygen level. The client should rebreathe her own exhalations first; if alkalosis persists,
more intensive treatment may be needed. Carbon dioxide is too dilute in room
atmosphere; deep breaths will not resolve the alkalosis.
A nurse is caring for a client with the diagnosis of schizophrenia, paranoid type. What
should the nurse plan for the client's initial care?
Multiple choice question
Discussing important life events
Providing a nonthreatening environment
Concentrating on the content of delusions
Limiting topics for discussion to recent situations - ANS-Providing a nonthreatening
environment
These clients are hypersensitive to external stimuli and respond with less anxiety to a
minimally threatening environment. Discussing prominent life events is too threatening
an approach and interferes with the goals of therapy. Focusing on delusional material
will reinforce the delusional system. Limiting topics for discussion to recent situations is
not therapeutic; it may trigger suspiciousness and hostile outbursts.
client is hospitalized after four days of epigastric pain, nausea, and vomiting. The nurse
reviews the laboratory test results: plasma pH 7.51, Pco 2 50 mm Hg, bicarbonate 58
mEq/L (58 mmol/L), chloride 55 mEq/L (55 mmol/L), sodium 132 mEq/L (132 mmol/L),
and potassium 3.8 mEq/L (3.8 mmol/L). What condition does the nurse determine the
results to indicate?
COMPLETE SOLUTION 100% VERIFIED
ANSWERS A+ GRADED FREE
While reviewing the laboratory reports of a client, the nurse finds that the client has low
sodium levels. Which hormonal imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol - ANS-Cortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that maintains sodium and
water balance. Therefore, reduced sodium levels in the client indicate a cortisol
imbalance. Additionally, depleted sodium levels in a client indicate hyponatremia.
Epinephrine is a catecholamine, which helps in maintaining homeostasis. Glucagon
increases blood glucose levels and does not play a role in maintaining electrolyte
balance. Calcitonin helps in regulating serum calcium levels.
A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone
stimulates the production of milk during lactation?
Inhibin
Estrogen
Prolactin
Progesterone - ANS-Prolactin
Prolactin is the hormone that initiates and produces milk during lactation. Inhibin
prevents the secretions of follicle stimulating hormone and gonadotropin releasing
hormone. Estrogen and progesterone are the sex hormones produced by the ovaries.
, While performing patterned, paced breathing during the transition phase of labor, a
client experiences tingling and numbness of the fingertips. What should the nurse do?
Multiple choice question
Tell the client to breathe into a paper bag.
Place an oxygen mask over the client's face.
Call the primary healthcare provider to report the client's response.
Instruct the client to begin taking slow deep breaths. - ANS-Tell the client to breathe into
a paper bag.
A paper bag enables the client to rebreathe carbon dioxide, which helps correct the
respiratory alkalosis resulting from hyperventilation. The client's oxygen level is
increased; the client needs to increase the carbon dioxide level and decrease the
oxygen level. The client should rebreathe her own exhalations first; if alkalosis persists,
more intensive treatment may be needed. Carbon dioxide is too dilute in room
atmosphere; deep breaths will not resolve the alkalosis.
A nurse is caring for a client with the diagnosis of schizophrenia, paranoid type. What
should the nurse plan for the client's initial care?
Multiple choice question
Discussing important life events
Providing a nonthreatening environment
Concentrating on the content of delusions
Limiting topics for discussion to recent situations - ANS-Providing a nonthreatening
environment
These clients are hypersensitive to external stimuli and respond with less anxiety to a
minimally threatening environment. Discussing prominent life events is too threatening
an approach and interferes with the goals of therapy. Focusing on delusional material
will reinforce the delusional system. Limiting topics for discussion to recent situations is
not therapeutic; it may trigger suspiciousness and hostile outbursts.
client is hospitalized after four days of epigastric pain, nausea, and vomiting. The nurse
reviews the laboratory test results: plasma pH 7.51, Pco 2 50 mm Hg, bicarbonate 58
mEq/L (58 mmol/L), chloride 55 mEq/L (55 mmol/L), sodium 132 mEq/L (132 mmol/L),
and potassium 3.8 mEq/L (3.8 mmol/L). What condition does the nurse determine the
results to indicate?
