HESI LPN
Fundamentals of Nursing HESI Questions
Question 1 of 5
A client is admitted with a tentative diagnosis of congestive heart failure. Which of the following assessments would the nurse expect to be consistent with this problem?
Correct Answer: C
Rationale: Inspiratory crackles are a common finding in patients with congestive heart failure due to the accumulation of fluid in the lungs, leading to crackling sounds during inspiration. Chest pain (
Choice
A) is more commonly associated with conditions like angina or myocardial infarction and is not a typical symptom of congestive heart failure. Pallor (
Choice
B) is a general symptom of various conditions and not specific to congestive heart failure. While a heart murmur (
Choice
D) may be heard in some cases of congestive heart failure, it is not as consistent as inspiratory crackles in indicating the condition.
Question 2 of 5
A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is likely to be most appropriate?
Correct Answer: A
Rationale: In this situation, it is crucial to involve the wife in the care of the client to provide support and empower her. Asking the wife how she would like to participate allows her to be actively involved in decision-making and caregiving. Providing information about hospice (choice
B) might be premature as the couple may still be digesting the diagnosis. Encouraging the wife to visit during the treatment process (choice
C) may not address her immediate need for involvement and support. Referring her to a support group for family members (choice
D) is helpful but involving her directly in the client's care is a more immediate and personalized approach.
Question 3 of 5
When should discharge planning for a patient admitted to the neurological unit with a diagnosis of stroke begin?
Correct Answer: A
Rationale: Discharge planning for a patient admitted to the neurological unit with a stroke diagnosis should begin at the time of admission. Initiating discharge planning early allows for a comprehensive assessment of the patient's needs, enables better coordination of care, and ensures a smooth transition from the hospital to the next level of care. Option B is incorrect because waiting until the day before discharge does not provide enough time for adequate planning. Option C is incorrect because waiting until outpatient therapy is no longer needed delays the planning process. Option D is incorrect because waiting until the discharge destination is known may result in rushed planning and inadequate preparation for the patient's needs.
Question 4 of 5
A client with a diagnosis of Guillain-Barre syndrome is in a non-responsive state, yet vital signs are stable and breathing is independent. What should the nurse document to most accurately describe the client's condition?
Correct Answer: B
Rationale: The correct answer is B. A Glasgow Coma Scale of 8 with regular respirations accurately describes a non-responsive state with independent breathing.
Choice A is incorrect because 'comatose' implies a deeper state of unconsciousness than what is described in the scenario.
Choice C is inaccurate as the client is not merely sleeping but non-responsive.
Choice D is incorrect as a Glasgow Coma Scale of 13 indicates a higher level of consciousness than what is presented in the scenario.
Question 5 of 5
During a mass casualty event, a nurse is caring for multiple clients. Which of the following clients is the nurse's priority?
Correct Answer: C
Rationale: During a mass casualty event, the priority client for the nurse is the one with partial-thickness and full-thickness burns to the face, neck, and chest. Clients with severe burns in critical areas require immediate attention due to the potential for life-threatening complications such as airway compromise, fluid loss, and infection. Crush injuries and fractures, although serious, are generally less urgent in comparison and can be managed after addressing the burns.
Therefore, the client with burns to the face, neck, and chest should be the nurse's priority over the other clients described.