HESI** Bold indicates the question as well as the answer that goes with the question** LPN PRACTICE EXAM AND QUESTIONS
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HESI** Bold indicates the question as well as the
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HESI** Bold Indicates The Question As Well As The
HESI** Bold indicates the question as well as the answer
that goes with the question** LPN PRACTICE EXAM AND
QUESTIONS
The nurse in the question is you as a practical nurse
1. The nurse is assessing a client with dark skin who is in Respiratory Distress. Which client response
should the nurse ...
HESI** Bold indicates the question as well as the answer
that goes with the question** LPN PRACTICE EXAM AND
QUESTIONS
The nurse in the question is you as a practical nurse
1. The nurse is assessing a client with dark skin who is in Respiratory Distress. Which client response
should the nurse evaluate to determine cyanosis in this particular client?
A. Abnormal skin color changes in a client with dark skin cannot be determined
B. Blanching the soles of the feet in a client with dark skin reveals cyanosis
C. The lips and mucus membranes of a client with dark skin are dusky in color
D. Cyanosis in a client with dark skin is seen in the sclera
2. When inserting an indwelling urinary catheter (Foley) in a female client, the nurse observes urine
flow into the tubing. What action is taken next?
A.Document the color and clarity of the urine
B.Insert the catheter an additional inch
C.Ask the client to breathe deeply and slowly exhale
D . In f l a t e t h e b a l l o o n w i t h 5 m L o f s t e r i l e w a t e r
3. A client has a prescription for a Transcutaneous Electrical Nerve Stimulator (TENS) unit for pain
management during the postoperative period following a Lumbar Laminectomy. What information
should the nurse reinforce about the action of this adjuvant pain modality?
A.Mild electrical stimulus on the skin surface closes the gates of nerve conduction for
severe pain
B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus
C. An infusion of medication in the spinal canal will block pain perception
,D. The discharge of electricity will distract the client's focus on the pain
4. Based on the Nursing diagnosis of "Potential for infection related to second and third degree
burns," which intervention has the highest priority?
A.Application of topical antibacterial cream
B.Use of careful hand washing technique
C.Administration of plasma expanders
D.Limiting visitors to the burned client
5. The mother of an 8-year-old boy tells the nurse that he fell out of a tree and hurt his arm and
shoulder. Which assessment finding is the most significant indicator of possible child abuse?
A. The child looks at the floor when answering the nurse's questions
B. The mother's version of the injury is different from the child's version
C. The child has several abrasions on the chest and legs
D. The mother refuses to answer questions about family history
6. A client has a prescription for enteric-coated (EC) aspirin 325mg PO daily. The medication drawer
contains one 325mg aspirin. What action should the nurse take?
A. Contact the pharmacy and request the prescribed form of aspirin
B. Instruct the client about the effects when given the medication
C. Administer the aspirin with a full glass of water or a small snack
D.Withhold the aspirin until consulting with the healthcare provider
7. The nurse explains the 2-week dosage prescription of prednisone (Deltasone) to a client who has
poison ivy over multiple skin surfaces. What should the nurse emphasize about the dosing schedule?
A.Decrease dosage daily as prescribed
B.Monitor oral t emperature daily
C.Take the prednisone with meals
D. Return for blood glucose monitoring in one week
8. The nurse is preparing to administer a 1.2mL injection to a 4-year-old. Which are the best sites to
administeran IM injection? Select all that apply.
A.Vastus Lateralis
B.Ventrogluteal
C.Dorsogluteal
D.Rectus femoris
C .D e l t o i d
9. Which nonfood item is the most common cause of respiratory arrest in young children?
A. Broken rattles
B . Buttons
C. . P a c i f i e r s
D. . L a t e x b a l l o o n s
10. A new mother is at the clinic with her 4-week-old for a well baby check up. The nurse should tell
the mother to anticipate that the infant will demonstrate which millstone by 2-months of age.
A.Turns from side to back and returns
B.Consistently returns smiles to mother
C.Finds hands and plays with fingers
D.Holds head up and supports weight with arms
,11. The nurse is monitoring a client's intravenous infusion and observes that the venipuncture site is
cool to the touch, swollen and the infusion rate is slower than the prescribed rate. What is the most
likely cause of this finding?
A.The solution's rate is too rapid
B.The client has phlebitis
C.The infusion site is infected
D.The infusion is infiltrated
12. The nurse observes that a male client's urinary catheter (Foley) drainage tubing is secured with
tape to his abdomen and then attached to the bed frame. What action should the nurse implement?
A. Raise the bed to ensure the drainage bag remains off the floor
B. Attach the drainage bag to the side rail instead of the bed frame
C. Observe the appearance of the urine in the drainage tubing
D. Secure the tubing to the client's gown instead of his abdomen
13. In assisting a client to obtain a sputum specimen, the nurse observes the client cough and spit a
large amount of frothy saliva in the specimen collection cup. What action should the nurse implement
next?
A. Advise the client that suctioning will be used to obtain another specimen
B. Re-instruct the client in coughing techniques to obtain another specimen
C. Provide the client a glass of water and mouthwash to rinse the mouth
D. Label the container and place the container in a biohazard transport bag
14. After report, the nurse receives the laboratory values for 4 clients. Which client requires the nurse’s
immediate intervention? The client who is…
A. Short of breath after a shower and has a hemoglobin of 8 grams
B. Bleeding from a finger stick and has a prothrombin time of 30 seconds
C.Febrile and has a WBC count of 14,000/mm3
D.Trembling and has a glucose level of 50 mg/dL
15. 4 hours after administration of 20U of regular insulin, the client becomes shake and diaphoretic.
What action should the nurse take?
A.Encourage the client to exerci se
B.Administer a PRN dose of 10U of regular insulin
C.Give the client crackers and milk
D.Record the client's reaction on the diabetic flow sheet
16. The nurse is changing the colostomy bag for a client who is complaining of leakage of diarrheal
stool under the disposable ostomy bag. What action should the nurse implement to prevent leakage?
A.Place a 4x4 wick in the stoma opening
B.Apply a layer of zinc oxide ointment to the perimeter of the stoma
C.Cut the bag opening to the measurement of the stoma size
D.Administer a PRN antidiarrheal agent
17. Prior to administering morphine sulfate (Morphine), the nurse takes the client's vital signs. Based
on which finding should the nurse withhold administration of the medication until the charge nurse is
notified?
A.Temperature of 100.8F
B.A pulse rate of 150 beats per minute
C.A respiratory rate of 10 breaths per minute
D.A blood pressure of 180/110
, 18. Following an open reduction of the tibia, the nurse notes fresh bleeding on the client's cast. Which
intervention should the nurse implement?
A. Assess the client's hemoglobin to determine if the client is in shock
B. Call the surgeon and prepare to take the client back to the operating room
C. Outline the area with ink and check it q15 minutes to see if the area has increased
D. No action is required since postoperative bleeding can be expected
19. The nurse is with a client when the healthcare provider explains that the biopsy classifies the
results as aT1N0M0 tumor. Later in the morning, the client asks the nurse, "What do these letters
T1N0M0, stand for?" Which response should the nurse provide first?
A. “The letters are used to predict the prognosis of the cancer or tumor.”
B. “The letters stand for tumor size, node involvement and metastasis.”
C.“Let me refer you to the charge nurse.”
D.“Are you confused? Would you like to talk?”
20. The nurse plans to administer the rubella vaccine to a postpartum client whose titer is < 1:8 and
who is breastfeeding? What information should the nurse provide this client?
A. The client should bottle feed and pump her breast for 3 days following immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
C. The infant will receive immunization through the mother's breast milk
D. The client should not get pregnant for 3 months after immunization
21. In counting a client's radial pulse, the nurse notes the pulse is weak and irregular. To record the
most accurate heart rate, what should the nurse take?
A. Rech eck t he radi al pulse in thirty minut es
B. Palpate the radial pulse for thirty seconds and double the rate
C. Count the apical pulse rate for sixty seconds
D. Compare the radial pulse rate bilaterally and record the higher rate
22. Which structures are located in the subcutaneous layer of the skin?
A.Sebaceous and sweat glands
B.Melaninandkeratin
C.Sensory receptors and hair follicles
D.Adipose cells and blood vessels
23. The nurse is in charge of a Nursing unit in a long term care facility. Which task is best for
the nurse to assign to an unlicensed assistive personnel (UAP) who is helping with the care of
severalclients?
A. Measure the amount of a client's residual urine after voiding
B. Cleanse the perineal area of a client with urinary incontinence
C. Insert a straight catheter to obtain a urine specimen for culture
D. Provide catheter care for a client with a suprapubic catheter
24. A client requires application of an eye shield to the right eye. What should the nurse do in order to
apply tape in which direction to anchor the shield most effectively?
A. Across the eye from the bridge of the nose to the right temple
B. Longitudinally from the right forehead to the right cheek
C. From the mid-forehead over to the right zygomatic process
D. From the right lateral forehead surface to the medial nasal crease
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