HESI LPN
HESI PN Exit Exam Questions
Question 1 of 5
What is the function of the epiglottis during swallowing?
Correct Answer: A
Rationale: The epiglottis is a flap of tissue that closes over the trachea during swallowing to prevent food and liquids from entering the airway.
Choice A is correct because the primary function of the epiglottis is to act as a lid over the trachea, ensuring that food goes down the esophagus and not into the windpipe.
Choices B, C, and D are incorrect as they do not describe the specific role of the epiglottis during swallowing.
Question 2 of 5
A client is post-operative day two from an abdominal surgery and reports feeling weak and lightheaded when attempting to get out of bed. What is the nurse's priority action?
Correct Answer: B
Rationale: The nurse's priority action should be to assist the client back to bed and monitor vital signs. The client's symptoms of feeling weak and lightheaded could indicate potential issues like hypotension or dehydration, which need to be assessed promptly. Encouraging fluids (
Choice
A) could be beneficial but is not the immediate priority. Administering an antiemetic (
Choice
C) may not address the underlying cause of the client's symptoms. Notifying the healthcare provider (
Choice
D) can be done after the client has been stabilized and assessed.
Question 3 of 5
When assisting an older male client recovering from a stroke to ambulate with a cane, where should the nurse place the cane in relation to the client's body?
Correct Answer: B
Rationale: The correct answer is B: 'On the opposite side of the affected extremity.' Placing the cane on the opposite side of the affected extremity provides maximum support and stability during ambulation for a client recovering from a stroke. This positioning helps to offload weight from the affected side and improves balance.
Choice A is incorrect because placing the cane in front of the body can lead to incorrect weight distribution and instability.
Choice C is incorrect as placing the cane one foot away from the body may not provide adequate support and can compromise balance.
Choice D is incorrect as placing the cane on the same side as the affected extremity does not offer the necessary balance and support needed for safe ambulation.
Question 4 of 5
A female client taking a liquid iron preparation expresses concern that her tooth color has darkened since starting the medication. What action should the PN implement?
Correct Answer: A
Rationale: The correct action for the PN to implement is to teach the client to use a straw when taking the medication to reduce further tooth staining. Using a straw minimizes contact between the iron preparation and the teeth, helping prevent additional staining.
Choice B is incorrect because withholding doses without consulting the healthcare provider could be detrimental to the client's health.
Choice C is incorrect because darkening of tooth color is not an expected effect of liquid iron preparation and should not be reassured as a desired effect.
Choice D is incorrect as it does not directly address the client's concern about tooth staining.
Question 5 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.