HESI LPN- ENTRANCE EXAM QUESTIONS
AND ANSWERS
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? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-rice
total number of confirmed pregnancies regardless of the outcome - ANS-Gravida
number of births after 20 weeks - ANS-Para
pregnant for the first time - ANS-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? - ANS-
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? - ANS-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? -
ANS-palpate the bladder for distention
a 60 year old client with cancer of the liver is in hepatic coma and unresponsive. what
should the nurse say to family members were inquiring about the condition of their loved
one? - ANS-"Your loved ones condition is very critical, and there has been no response
in the last 24 hours"
a 67 year old woman who lives alone tripped on a rug in her home and fractured her
right hip. the nurse knows that which predisposing factor contributes to the occurrence
of hip fractures among elderly women. - ANS-osteoporosis resulting from hormonal
changes.
a 75 year old male client with Alzheimer disease is admitted to an extended care facility.
what intervention should the nurse include into the his clients Nursing care plan? - ANS-
plan to have the same nursing staff provide care for the client whenever possible.
an 82-year old client is admitted to the hospital with a fractured right hip. following
surgical repair, a footboard is placed at the clients feet. what is the reason the nurse will
offer concerning the footboard? - ANS-footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit with diagnosis of major
depression. After 2 weeks of antidepressant medication therapy, the nurse notices the
client has more energy, is giving her belongings away to her visitors, and is in an overall
better mood. Which intervention is best for the nurse to implement? - ANS-ask the client
if she has had any recent thoughts of harming herself.
an adult male client tells the nurse that he believes someone is trying to obtain his cpu
records, which his wife reports are recreational in nature. the client insist that an
elaborate alarm system needs to be installed in his home. the nurse knows that this
client is exhibiting which signs or symptoms? - ANS-delusions of persecution
After a change of shift report, the nurse makes rounds on a postoperative unit. Which
client finding necessitates the immediate attention of the nurse? - ANS-A. A client who
is having bright red drainage from the rectum following a colonoscopy with a polyp
removal
After a client returns from Hemodialysis, the nurse measures the client's weight and
notes a 3-poundweight loss from the pre-dialysis weight. The client reports feeling weak
AND ANSWERS
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? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-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? - ANS-rice
total number of confirmed pregnancies regardless of the outcome - ANS-Gravida
number of births after 20 weeks - ANS-Para
pregnant for the first time - ANS-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? - ANS-
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? - ANS-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? -
ANS-palpate the bladder for distention
a 60 year old client with cancer of the liver is in hepatic coma and unresponsive. what
should the nurse say to family members were inquiring about the condition of their loved
one? - ANS-"Your loved ones condition is very critical, and there has been no response
in the last 24 hours"
a 67 year old woman who lives alone tripped on a rug in her home and fractured her
right hip. the nurse knows that which predisposing factor contributes to the occurrence
of hip fractures among elderly women. - ANS-osteoporosis resulting from hormonal
changes.
a 75 year old male client with Alzheimer disease is admitted to an extended care facility.
what intervention should the nurse include into the his clients Nursing care plan? - ANS-
plan to have the same nursing staff provide care for the client whenever possible.
an 82-year old client is admitted to the hospital with a fractured right hip. following
surgical repair, a footboard is placed at the clients feet. what is the reason the nurse will
offer concerning the footboard? - ANS-footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit with diagnosis of major
depression. After 2 weeks of antidepressant medication therapy, the nurse notices the
client has more energy, is giving her belongings away to her visitors, and is in an overall
better mood. Which intervention is best for the nurse to implement? - ANS-ask the client
if she has had any recent thoughts of harming herself.
an adult male client tells the nurse that he believes someone is trying to obtain his cpu
records, which his wife reports are recreational in nature. the client insist that an
elaborate alarm system needs to be installed in his home. the nurse knows that this
client is exhibiting which signs or symptoms? - ANS-delusions of persecution
After a change of shift report, the nurse makes rounds on a postoperative unit. Which
client finding necessitates the immediate attention of the nurse? - ANS-A. A client who
is having bright red drainage from the rectum following a colonoscopy with a polyp
removal
After a client returns from Hemodialysis, the nurse measures the client's weight and
notes a 3-poundweight loss from the pre-dialysis weight. The client reports feeling weak
