HESI LPN
HESI PN Exit Exam Questions
Question 1 of 5
A Native American client is admitted with a diagnosis of psychosis not otherwise specified. The client's family seems to regard the client's hallucinations as normal. What assessment can be made?
Correct Answer: A
Rationale:
Choice A is correct because the family may interpret the client's hallucinations through their cultural lens, potentially viewing them as normal or spiritually significant. Understanding and acknowledging the cultural context is essential for providing culturally sensitive care.
Choices B, C, and D are incorrect because while talking circles and seeking guidance from a medicine man may be culturally relevant interventions in some contexts, the priority in this situation is to recognize and respect the family's perspective on the client's hallucinations.
Question 2 of 5
An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35 units in the morning. Which finding should the nurse document as evidence that the amount of insulin is inadequate?
Correct Answer: C
Rationale: The correct answer is C. Consistently high evening glucose levels indicate that the current insulin dosage is inadequate to maintain proper glucose control.
Choice A is incorrect because cold and numb feet are more indicative of peripheral vascular disease rather than inadequate insulin dosage.
Choice B describes a wound that may be related to poor circulation or neuropathy but not necessarily inadequate insulin dosage.
Choice D suggests gastrointestinal issues that are not directly related to insulin dosage adequacy.
Question 3 of 5
What is the primary function of surfactant in the lungs?
Correct Answer: A
Rationale: The primary function of surfactant in the lungs is to reduce surface tension in the alveoli. This reduction in surface tension prevents lung collapse and allows for easier breathing. It is particularly crucial in premature infants to help with lung expansion.
Choice B is incorrect because surfactant primarily affects surface tension, not oxygen absorption.
Choice C is incorrect because surfactant's main role is not in facilitating carbon dioxide release.
Choice D is incorrect because surfactant does not directly increase lung volume; its main role is in reducing surface tension.
Question 4 of 5
A client who had an abdominal hysterectomy is experiencing minimal urine output despite adequate fluid intake. What should the nurse assess first?
Correct Answer: C
Rationale: Assessing the patency of the urinary catheter is crucial in this situation. A blocked catheter could be a common cause of decreased urine output following surgery. While checking the IV catheter insertion site (
Choice
B) is important, it is not the priority in this case. Examining the client's bladder for distension (
Choice
A) is relevant, but assessing the patency of the catheter takes precedence in resolving the issue of decreased urine output. Monitoring vital signs (
Choice
D) is a routine nursing task but not the priority when dealing with decreased urine output post-surgery.
Question 5 of 5
A nurse is reviewing the basal body temperature method with a couple. Which of the following statements would indicate that the teaching has been successful?
Correct Answer: C
Rationale: The correct answer is C. Basal body temperature must be taken before getting out of bed in the morning to get an accurate reading, as even slight activity can raise body temperature and affect the results.
Choice A is incorrect because a special type of thermometer is not required for basal body temperature measurement.
Choice B is incorrect because smoking can affect body temperature, but the timing mentioned is not relevant to basal body temperature measurement.
Choice D is incorrect because while it is essential to take the temperature consistently each day, the duration of temperature measurement is not specified, making this choice less specific compared to the correct answer.