1|P A G E
HESI LPN-ADN ENTRANCE EXAM LATEST
COMPLETE VERSION QUESTIONS AND
CORRECT ANSWERS| GRADED 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-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
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.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide? - ANSWER: rice
,2|P a g e
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 when the episiotomy is healed and the
lochia 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? - ANSWER: 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? - ANSWER: "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
,3|P a g e
occurrence of hip fractures among elderly women. - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? -
ANSWER: 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? - ANSWER: 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? -
ANSWER: A. A client who is having bright red drainage from the rectum
following a colonoscopy with a polyp removal
, 4|P a g e
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 fatigued. What action should the nurse take next? - ANSWER:
A. Measure the client's blood pressure
After morning dressing changes are completed, a male client who has paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is
best for the nurse to assign to the unlicensed assistive personnel? - ANSWER: B.
Provide perianal care and collect clean linens for the dressing change
After report, the nurse receives the laboratory values for 4 clients. Which client
requires the nurse's immediate intervention? The client who is..... - ANSWER: D.
Trembling and has a glucose level of 50 mg/dL
An ambulatory client with an indwelling urinary catheter (Foley) is requesting to
take a shower for the first time. What is the best intervention for the nurse to
implement? - ANSWER: B. Keep the catheter intact and assist the client with a
shower
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client's care effectively, what should the nurse administer? -
ANSWER: A. Orange juice
Augmentin (amoxicillin/clavulanate) 500mg suspension is prescribed for an older
adult client who has trouble swallowing . The suspension is available in
125mg/5mL solution. How many ml should the client receive? (enter the numeric
value only) - ANSWER: 20
Based on the documentation in the medical record, which action should the nurse
implement next? - ANSWER: A. Give the rubella vaccine subcutaneously
HESI LPN-ADN ENTRANCE EXAM LATEST
COMPLETE VERSION QUESTIONS AND
CORRECT ANSWERS| GRADED 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-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
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.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide? - ANSWER: rice
,2|P a g e
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 when the episiotomy is healed and the
lochia 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? - ANSWER: 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? - ANSWER: "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
,3|P a g e
occurrence of hip fractures among elderly women. - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? -
ANSWER: 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? - ANSWER: 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? -
ANSWER: A. A client who is having bright red drainage from the rectum
following a colonoscopy with a polyp removal
, 4|P a g e
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 fatigued. What action should the nurse take next? - ANSWER:
A. Measure the client's blood pressure
After morning dressing changes are completed, a male client who has paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is
best for the nurse to assign to the unlicensed assistive personnel? - ANSWER: B.
Provide perianal care and collect clean linens for the dressing change
After report, the nurse receives the laboratory values for 4 clients. Which client
requires the nurse's immediate intervention? The client who is..... - ANSWER: D.
Trembling and has a glucose level of 50 mg/dL
An ambulatory client with an indwelling urinary catheter (Foley) is requesting to
take a shower for the first time. What is the best intervention for the nurse to
implement? - ANSWER: B. Keep the catheter intact and assist the client with a
shower
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To
manage this client's care effectively, what should the nurse administer? -
ANSWER: A. Orange juice
Augmentin (amoxicillin/clavulanate) 500mg suspension is prescribed for an older
adult client who has trouble swallowing . The suspension is available in
125mg/5mL solution. How many ml should the client receive? (enter the numeric
value only) - ANSWER: 20
Based on the documentation in the medical record, which action should the nurse
implement next? - ANSWER: A. Give the rubella vaccine subcutaneously
