HESI LPN
HESI Fundamental Practice Exam Questions
Question 1 of 5
When communicating with a client who is hearing impaired, what should the nurse do?
Correct Answer: A
Rationale: When communicating with a client who is hearing impaired, it is important to face the client and speak slowly. This helps the individual lip-read and understand the communication more easily. Speaking loudly can distort speech and make it harder for the person to understand. Written communication may not always be practical or accessible for the client, especially in real-time interactions. Gestures and body language can actually aid in communication by providing visual cues and context.
Therefore, the best approach is to face the client, speak clearly at a moderate pace, and use gestures and body language to enhance understanding.
Question 2 of 5
A client is admitted to the hospital in the terminal stage of cancer. The nurse enters the client's room to administer medications and finds the client crying. The appropriate nursing action is to:
Correct Answer: A
Rationale: In end-of-life care, providing comfort and emotional support is essential. Sitting with the client, holding their hand, and offering a compassionate presence can help the client feel supported during a difficult time. Asking why the client is crying may not always be necessary as the focus should be on providing comfort rather than probing for information. Leaving the room to provide privacy or just administering medications and leaving may neglect the client's emotional needs and miss an opportunity to provide holistic care.
Question 3 of 5
The healthcare provider is preparing to administer a subcutaneous injection of heparin. Which site is most appropriate for the healthcare provider to use?
Correct Answer: C
Rationale: The abdomen is the most appropriate site for administering subcutaneous heparin injections. The abdomen has a layer of subcutaneous fat and a good blood supply, making it an ideal site for subcutaneous injections. Using the deltoid muscle for heparin injections is not appropriate as it is typically used for intramuscular injections. The ventrogluteal site is more suitable for intramuscular injections rather than subcutaneous injections. The dorsogluteal site is no longer recommended for injections due to the risk of injury to the sciatic nerve.
Question 4 of 5
The mother of a 2 year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. What is the best response by the nurse?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Correct Answer: C
Rationale: The correct answer is C - 'Reapplying a condom catheter for a client who has urinary incontinence.' This task falls within the scope of duties for an assistive personnel (AP). Updating care plans (
Choice
A), reinforcing teaching (
Choice
B), and applying sterile dressings (
Choice
D) typically require a higher level of training and expertise, making them tasks that should not be assigned to an AP. Assigning appropriate tasks based on skill levels ensures safe and effective patient care.