HESI LPN
Fundamentals HESI Questions
Question 1 of 5
A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which laboratory value should the LPN/LVN monitor closely while the client is taking this medication?
Correct Answer: B
Rationale: The LPN/LVN should closely monitor Prothrombin time (PT) and INR (
Choice
B) levels in a client receiving warfarin. These values are crucial to ensure the medication's effectiveness and prevent complications like bleeding. Monitoring blood glucose level (
Choice
A) is not directly relevant to warfarin therapy. While serum potassium level (
Choice
C) and serum creatinine level (
Choice
D) are important for other conditions or medications, they are not specifically required to be monitored when a client is on warfarin.
Question 2 of 5
A client with type 1 diabetes mellitus is resistant to learning self-injection of insulin. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A. Asking the client what can be done to help overcome the fear of self-injections demonstrates empathy, understanding, and a willingness to support the client in addressing their barriers. This approach facilitates open communication, acknowledges the client's feelings, and involves them in the decision-making process.
Choices B and C are authoritarian and may increase resistance in the client by being directive and not considering the client's perspective.
Choice D, while positive, does not directly address the client's fear and resistance to self-injections, missing the opportunity to explore the underlying issues.
Question 3 of 5
During a blood transfusion, which observation indicates that the client is experiencing a transfusion reaction?
Correct Answer: D
Rationale: Complaints of back pain and shortness of breath are classic signs of a transfusion reaction, specifically indicating a hemolytic reaction. This reaction can lead to the release of hemoglobin into the bloodstream, causing back pain and shortness of breath due to clot formation in the blood vessels, leading to decreased oxygen delivery. Warmth, flushing, rash, chills, and fever are more commonly associated with allergic reactions or febrile non-hemolytic reactions during transfusions.
Therefore, options A, B, and C are incorrect in this context.
Question 4 of 5
Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose?
Correct Answer: C
Rationale: The correct answer is C: Rash, blood dyscrasias, and severe depression are serious side effects of haloperidol that necessitate withholding the dose and prompt further evaluation. Rash can indicate an allergic reaction, blood dyscrasias are serious blood disorders that can be life-threatening, and severe depression may worsen with haloperidol use.
Choices A, B, and D are incorrect because drowsiness, lethargy, inactivity, dry mouth, nasal congestion, blurred vision, hyperglycemia, weight gain, and edema are common side effects of haloperidol that may not necessarily contraindicate its use but should be monitored and managed appropriately.
Question 5 of 5
Why should a client with an ileal conduit be instructed to empty the collection device frequently?
Correct Answer: C
Rationale: A full urine collection bag can cause the device to pull away from the skin, leading to potential leakage and skin irritation.
Choice A is incorrect because a full urine collection bag does not force urine to back up into the kidneys.
Choice B is incorrect as a full collection bag does not suppress the production of urine.
Choice D is incorrect as a full collection bag is unlikely to tear the ileal conduit.