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HESI LPN- ENTRANCE EXAM FULLY UPDATED.
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HESI LPN- ENTRANCE EXAM FULLY UPDATED. 2ydaysyafteryanyabdominalyhysterectomy,yanyelderlyyclientywithydiabetesyMellitusyTy peyIIyhasyaysyncopalyepisode.yHeryvitalysignsyareywithinynormalylimitsyandyherysugary isy325ymg/dL.ywhatyinterventionyshouldytheynurseyimplementyfirst?y- yCORRECTyANSWER-admin...

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  • October 7, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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HESI LPN- ENTRANCE EXAM FULLY UPDATED.

2ydaysyafteryanyabdominalyhysterectomy,yanyelderlyyclientywithydiabetesyMellitusyTy
peyIIyhasyaysyncopalyepisode.yHeryvitalysignsyareywithinynormalylimitsyandyherysugary
isy325ymg/dL.ywhatyinterventionyshouldytheynurseyimplementyfirst?y-
yCORRECTyANSWER-administeryregularyinsulinyperyslidingyscale



Ay3-week-
oldyinfantyisyadmittedyforysurgicalyrepairyofyPyloricyStenosis.yWhatyinterventionsysho
uldytheynurseyexpectytoyimplementytoyestablishyhydrationyinytheyimmediateypostope
rativeyperiod?y-yCORRECTyANSWER-nippleyfeedingsywithyglucoseywater

ay3yyear-
oldyadmittedywithyfeveryofyunknowny(FUO)yhasybegunyvomitingyinytheypastyhalfyhour
.yTheychild'sytemp.yisy101.8F,yandytheylastydoesyofyantipyreticymedicationywasygiveny
5yhoursyago.ytheychildyhasyprescriptionsyofyacetaminopheny(Tylenol)y160ymgypery5y
mLyelixiryory16oymgysuppositoriesyPRNyfeveryorypain.ywhatyactionyshouldytheynursey
takeyatythisytime?y-yCORRECTyANSWER-
makeytheychildyNPOyandyholdyallymediationsyuntilytheyvomitingyhasystopped.

4yhoursyafteryadministrationyofy20Uyofyregularyinsulin,ytheyclientybecomesyshakyyand
ydiaphoretic.ywhatyactionyshouldytheynurseytake?y-yCORRECTyANSWER-

giveytheyclientycrackersyandymilk

ay6-
monthychildywithybronchiolitisyisyadmittedytoytheyhospital.yInymonitoringytheyrespira
toryystatusyofythisychild,ywhichysymptomyindicatesytheynurseythatyheyisyexperiencingy
respiratoryydistress?y-yCORRECTyANSWER-Ayhighypitchedycry.

Any8-year-
oldyrecoveringyfromyayCeliacyCrisisyrequestsyaybowlyofycerealyforybreakfast.yWhichyce
realyshouldytheynurseyprovide?y-yCORRECTyANSWER-rice

totalynumberyofyconfirmedypregnanciesyregardlessyofytheyoutcomey-
yCORRECTyANSWER-Gravida



numberyofybirthsyaftery20yweeksy-yCORRECTyANSWER-Para

pregnantyforytheyfirstytimey-yCORRECTyANSWER-primigravida

ay26yyearyoldygravida-4,ypara-
0yhadyayspontaneousyabortionyaty9yweeksygestation.yatyoneyhouseypostydilationyandyc
urettagey(D&C)ytheynurseyassessytheyvitalysignsyandyvaginalybleeding.ytheyclientybegi
nsytoycryysoftly.yhowyshouldytheynurseyintervene?y-yCORRECTyANSWER-
expressysorrowyforytheyclientsygriefyandyofferytoysitywithyher.

, Ay26yyear-oldyprimigravidaywhoydeliveredyay7-
poundymaleyinfanty26yhoursyagoytellsytheynurseythatysheyisyconfusedyaboutywhenyshe
yandyheryhusbandycanyreturnytoyhavingysexualyintercourse.yWhatyinfoyshouldytheynur

seyreinforceywithythisyclient?y-yCORRECTyANSWER-
theyycanyhaveyintercourseywhenytheyepisiotomyyisyhealedyandytheylochialyflowyhasyst
opped

36yhoursyafterydelivery,ytheynurseydeterminesyayclientsyfundusyisyjustyaboveytheyumb
ilicusyandydisplacedytoytheyrightyofymidline.ywhatyactionyshouldytheynurseytakeyfirst?y
-yCORRECTyANSWER-palpateytheybladderyforydistention

ay60yyearyoldyclientywithycanceryofytheyliveryisyinyhepaticycomayandyunresponsive.yw
hatyshouldytheynurseysayytoyfamilyymembersywereyinquiringyaboutytheyconditionyofyt
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"Yourylovedyonesyconditionyisyveryycritical,yandythereyhasybeenynoyresponseyinytheyla
sty24yhours"

ay67yyearyoldywomanywhoylivesyaloneytrippedyonyayrugyinyheryhomeyandyfracturedyh
eryrightyhip.ytheynurseyknowsythatywhichypredisposingyfactorycontributesytoytheyocc
urrenceyofyhipyfracturesyamongyelderlyywomen.y-yCORRECTyANSWER-
osteoporosisyresultingyfromyhormonalychanges.

ay75yyearyoldymaleyclientywithyAlzheimerydiseaseyisyadmittedytoyanyextendedycareyfa
cility.ywhatyinterventionyshouldytheynurseyincludeyintoytheyhisyclientsyNursingycareyp
lan?y-yCORRECTyANSWER-
planytoyhaveytheysameynursingystaffyprovideycareyforytheyclientywheneverypossible.

any82-
yearyoldyclientyisyadmittedytoytheyhospitalywithyayfracturedyrightyhip.yfollowingysurgi
calyrepair,yayfootboardyisyplacedyatytheyclientsyfeet.ywhatyisytheyreasonytheynurseywilly
offeryconcerningytheyfootboard?y-yCORRECTyANSWER-
footboardyisyusedytoypreventyfootydrop.

Anyadultyfemaleyclientyisyadmittedytoytheypsychiatricyunitywithydiagnosisyofymajoryde
pression.yAftery2yweeksyofyantidepressantymedicationytherapy,ytheynurseynoticesythe
yclientyhasymoreyenergy,yisygivingyherybelongingsyawayytoyheryvisitors,yandyisyinyanyo

verallybetterymood.yWhichyinterventionyisybestyforytheynurseytoyimplement?y-
yCORRECTyANSWER-

askytheyclientyifysheyhasyhadyanyyrecentythoughtsyofyharmingyherself.

anyadultymaleyclientytellsytheynurseythatyheybelievesysomeoneyisytryingytoyobtainyhisy
cpuyrecords,ywhichyhisywifeyreportsyareyrecreationalyinynature.ytheyclientyinsistythaty
anyelaborateyalarmysystemyneedsytoybeyinstalledyinyhisyhome.ytheynurseyknowsythatyt
hisyclientyisyexhibitingywhichysignsyorysymptoms?y-yCORRECTyANSWER-
delusionsyofypersecution

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