HESI LPN
HESI Fundamentals Exam Questions
Question 1 of 5
A client who has been experiencing frequent tonic-clonic seizures is being admitted by a nurse. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Maintaining the bed in the lowest position is crucial in reducing the risk of injury during tonic-clonic seizures. This action helps prevent falls and minimizes potential harm to the client. Wrapping blankets around all four sides of the bed (
Choice
A) may restrict movement during a seizure and increase the risk of injury. Placing the client in a padded room (
Choice
B) is not a practical approach in a healthcare setting and may not be feasible. Ensuring the client has a soft mattress (
Choice
D) alone does not address the safety concerns during seizures, unlike keeping the bed in the lowest position.
Question 2 of 5
How can the LPN/LVN best handle the situation of a postoperative client being kept awake by a neighboring client with dementia who sings all night?
Correct Answer: D
Rationale: The best way to handle the situation in this scenario is to move the neighboring client to a room at the end of the hall. This solution is considerate to both clients because it addresses the issue by providing a quieter environment for the client with dementia while allowing the postoperative client to rest.
Choice A is inappropriate as it does not address the root cause of the problem and may not be feasible or respectful.
Choice B of closing the doors may not effectively reduce the noise disturbance.
Choice C of giving the complaining client sedatives should be the last resort and not the initial solution, as it does not address the underlying issue causing the disturbance.
Question 3 of 5
How should the nurse transcribe the dosage of this medication on the client's medical record?
Correct Answer: B
Rationale: The correct way to transcribe the dosage of three tenths of a milligram of levothyroxine IV STAT is 0.3 mg. When expressing decimals less than 1, there should be a leading zero before the decimal point.
Choice A is incorrect (.3 mg) because it lacks the leading zero.
Choice C (0.30 mg) is incorrect as it includes a trailing zero after the decimal point, which is unnecessary.
Choice D (3/10 mg) is incorrect as it presents the dosage as a fraction, which is not the standard format for transcribing medication dosages.
Therefore, B (0.3 mg) is the most appropriate and accurate way to document this prescription on the client's medical record.
Question 4 of 5
A nurse is preparing to administer methylprednisolone 10 mg by IV bolus. The amount available is methylprednisolone injection 40-mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the mL to administer, use the formula: Dose required (mg) · Stock concentration (mg/mL) = Volume to administer (mL). In this case, 10 mg · 40 mg/mL = 0.25 mL. However, when rounding to the nearest tenth, the answer should be 0.3 mL.
Therefore, the nurse should administer 0.3 mL.
Choice A is the correct answer.
Choice B (0.25 mL) is the result obtained before rounding.
Choice C (0.4 mL) and
Choice D (0.5 mL) are incorrect calculations.
Question 5 of 5
When developing a plan of care for a client with dementia, what should the LPN/LVN remember about confusion in the elderly?
Correct Answer: B
Rationale: When caring for a client with dementia, it is crucial to understand that confusion often arises after relocating to new surroundings. This change can disrupt familiar routines and trigger increased disorientation and confusion.
Choice A is correct because confusion in the elderly is not a normal part of aging.
Choice C is incorrect because confusion in dementia is primarily due to changes in the brain associated with the disease, not just irreversible brain pathology.
Choice D is incorrect because while adequate sleep is important for overall health, it alone cannot prevent or cure confusion associated with dementia.