HESI LPN- Entrance Real Exam Latest Updated 2024 With Satisfied Solutions

HESI LPN- Entrance Real Exam Latest Updated 2024 With Satisfied Solutions

A client at 28 weeks gestation is admitted to the antepartum unit and is being treated for
preterm labor. She has a prescription for brethine (Terbutaline) 250 micrograms
subcutaneously q4h. The medication is available for injection in 1 mg per ML vials. How many
mL should the nurse administer? - C. 0.25
A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the
client is taking the antidepressant? - Mood
a client comes to the antepartal clinic and tells the nurse that she is 6 weeks pregnant.
which sign is the most likely to report? - amenorrhea
A client complains of kidney pain. The nurse understands that the kidneys are located
where? - A. On the retroperitoneal posterior abdominal wall at the costovertebral angle
A client has a prescription for a Transcutaneous Electrical Nerve Stimulator (TENS) unit for
pain management during the postoperative period following a lumber Laminectomy. What
information should the nurse reinforce about the action of this adjuvant pain modality? - B.
Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical
stimulus
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? - C. Administer the
aspirin with a full glass of water or a small snack
A client returns to the unit following a cardiac catheterization with a Femoral artery Access.
Which objective criteria is most important for the nurse to obtain immediately upon the
clients return? - B. Pedal pulses
A client's chief complaint is being able to swallow only small bites of solid food and liquid's
for the last 3months. The nurse should assess the client for what additional information? -
A. History of alcohol and tobacco use
A client's daughter phones the charge nurse to report that the night nurse did not provide
good care for her mother. What response should the nurse make? - A. Ask for a description
of what happened during the night
A client who had a lobectomy two days ago has 2 chest tubes, each attached to a watersealed drainage system, Pleur-Evac. The nurse observes that in the last 8 hours the
serosanguineous fluid has diminished to output in the drainage chamber. What is the most
likely outcome of this observation? - B. Change the Pleur-Evac system and re-assess output
in the empty chamber
A client with diabetes is admitted with a 1cm size ulcer on the left great toe. The nurse
observes that the left foot has a dusky color. In planning the client's care, which intervention
should the nurse implement first? - D. Check the client's dorsalis pedis and posterior tibialis
pulse point
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? - 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? - 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? - 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? - "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. - 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? - 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? - footboard is used to prevent foot drop.
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? - administer regular insulin per sliding scale