HESI LPN- Entrance Exam: Questions &
Answers
- 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.
- 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.
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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
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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
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