HESI LPN
HESI PN Exit Exam 2024 Quizlet Questions
Question 1 of 5
What is the most common cause of hyperthyroidism?
Correct Answer: A
Rationale: Corrected
Rationale: Graves' disease is the most common cause of hyperthyroidism. It is characterized by an overactive thyroid gland due to autoantibodies stimulating the thyroid. Hashimoto's thyroiditis is actually a cause of hypothyroidism, not hyperthyroidism. Thyroid nodules and pituitary adenoma are not common causes of hyperthyroidism.
Question 2 of 5
A client who had a thyroidectomy 24 hours ago reports tingling around the mouth and in the fingertips. What should the nurse do first?
Correct Answer: A
Rationale: Tingling around the mouth and in the fingertips can indicate hypocalcemia, a potential complication after thyroidectomy due to accidental damage to the parathyroid glands. Checking calcium levels is crucial as it helps in diagnosing hypocalcemia accurately. Administering calcium without knowing the actual calcium levels can be dangerous. Assessing the incision site for bleeding is important but not the priority in this situation. Notifying the healthcare provider can be done after assessing and managing the immediate concern of hypocalcemia.
Question 3 of 5
A client with a recent total knee replacement is scheduled for physical therapy. The client refuses to participate, stating that the pain is too intense. What should the nurse do first?
Correct Answer: A
Rationale: Administering pain medication before physical therapy helps manage the pain, making it easier for the client to participate in the necessary exercises to improve recovery and prevent complications such as joint stiffness.
Choice B is not the first step as addressing the pain should take precedence.
Choice C is important but should come after managing the pain to facilitate participation.
Choice D involves another healthcare provider and is not the immediate action needed in this situation.
Question 4 of 5
During the immediate postoperative period following a total hip replacement, which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Keeping the client's hip aligned with the knees abducted is crucial to prevent dislocation of the prosthesis, which is a priority immediately after total hip replacement surgery. This position helps maintain the stability of the new hip joint. Encouraging the client to use a walker or cane (
Choice
A) is important but not as critical as ensuring proper hip alignment. Teaching the client to sit on the side of the bed before standing (
Choice
C) is a good practice but not as essential as maintaining hip alignment. Monitoring urinary flow via an indwelling catheter (
Choice
D) is not directly related to preventing complications immediately after a total hip replacement.
Question 5 of 5
At the end of a 12-hour shift, the PN observes the urine in a client's drainage bag as seen in the picture. Which action should the PN take next?
Correct Answer: D
Rationale: Noting the white blood cell count is the most appropriate action in this situation. Changes in urine appearance could indicate infection, and assessing the white blood cell count helps in evaluating the possibility of infection. This is crucial for understanding the client's overall condition. The other options are not directly related to assessing infection based on urine appearance. Offering analgesics, checking glucose levels, or determining bladder distention may not address the underlying issue of a potential infection.