HESI LPN
HESI Fundamentals Test Bank Questions
Question 1 of 5
A healthcare provider is providing discharge teaching to a client about self-administering heparin.
Correct Answer: A
Rationale: Heparin is typically administered in the abdomen for self-injection to avoid muscle tissue and for better absorption. The subcutaneous tissue in the abdomen provides a larger area for injection and is usually recommended for heparin administration. Administering heparin in the thigh, upper arm, or buttock may not be as effective or safe as the abdomen due to variations in absorption rates and potential risks associated with muscle injection.
Question 2 of 5
The nurse is preparing to assist a newly admitted client with personal hygiene measures. The nurse wants to assess the client's gag reflex. Which action should the nurse include?
Correct Answer: B
Rationale: The correct action for the nurse to include when assessing the client's gag reflex is to place a tongue blade on the back half of the tongue. This method effectively tests the gag reflex without causing discomfort.
Choice A is incorrect because offering small sips of water through a straw does not assess the gag reflex.
Choice C is incorrect as using a penlight to observe the back of the oral cavity does not directly assess the gag reflex.
Choice D is incorrect since auscultating breath sounds after the client swallows does not evaluate the gag reflex.
Question 3 of 5
A client with type 2 diabetes mellitus is receiving metformin (Glucophage). Which laboratory test should the LPN/LVN monitor while the client is taking this medication?
Correct Answer: B
Rationale: The correct answer is B: Liver function tests. While a client is taking metformin, monitoring liver function tests is crucial to assess for potential hepatic side effects. Metformin is primarily eliminated by the liver, and monitoring liver function tests helps in early detection of any liver-related complications.
Choices A, C, and D are incorrect. A complete blood count (CB
C) is not specifically required for monitoring metformin therapy. Serum electrolytes are not directly impacted by metformin, making it less relevant for monitoring this medication. Renal function tests are important for some other diabetes medications, but in the case of metformin, liver function tests take precedence due to its hepatic metabolism.
Question 4 of 5
A client requires bed rest and has a prescription for anti-embolic stockings. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to remove the anti-embolic stockings at least once per shift. This is essential to assess the client's circulation and skin integrity. Option A is incorrect because the stockings should be applied without creases to ensure proper compression. Option B is incorrect as the stockings should be applied when the client's legs are elevated, not in a dependent position. Option D is incorrect as removing the stockings while the client is sitting in a reclining chair is not necessary and does not provide the appropriate assessment opportunity.
Question 5 of 5
A client scheduled for abdominal surgery reports being worried. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Offering relaxation techniques addresses the client's immediate concern by providing a proactive approach to managing anxiety. It shows empathy and offers a practical solution. Requesting a social worker for meditation (
Choice
B) may not be the most direct response to the client's immediate worry. Attempting biofeedback (
Choice
C) may not be suitable without the client's interest or consent. Telling the client to think of something else (
Choice
D) dismisses the client's feelings and does not provide constructive support.