HESI LPN
HESI Practice Test for Fundamentals Questions
Question 1 of 5
A client with a new colostomy is being taught how to irrigate the ostomy. The healthcare provider realizes that the client needs further teaching when the client:
Correct Answer: A
Rationale: The correct answer is A. Positioning the irrigating solution bag 30 inches below the stoma would cause discomfort and ineffective irrigation as the bag should be positioned at a lower level. Option B is incorrect because a closed system for irrigation is the preferred method for colostomy irrigation. Option C is incorrect as colostomy irrigation is typically done once a day unless otherwise instructed by a healthcare provider. Option D is incorrect as the stoma should be cleaned with mild soap and water to prevent skin irritation and damage.
Question 2 of 5
A client reports increased pain following physical therapy. Which of the following questions should the nurse ask to assess the quality of the pain?
Correct Answer: A
Rationale: When assessing pain quality, asking if the pain is sharp or dull helps determine the nature of the pain. Sharp pain is often associated with acute conditions, while dull pain may indicate a chronic issue.
Choices B, C, and D are incorrect as they do not directly address the quality of the pain in terms of sharpness or dullness.
Question 3 of 5
A client with congestive heart failure (CHF) is receiving furosemide (Lasix). Which laboratory value should the LPN monitor closely while the client is taking this medication?
Correct Answer: B
Rationale: The LPN should monitor potassium levels closely while the client is taking furosemide (Lasix) due to the medication's potential to cause hypokalemia. Furosemide is a loop diuretic that can lead to potassium loss through increased urine output. Hypokalemia can result in serious complications such as cardiac dysrhythmias. Monitoring sodium levels (choice
A) is important but not as critical as monitoring potassium in this context. Calcium (choice
C) and magnesium (choice
D) levels are not typically affected by furosemide and are not the priority for monitoring in this scenario.
Question 4 of 5
During an initial history and physical assessment of a 3-month-old brought into the clinic for spitting up and excessive gas, what would the nurse expect to find?
Correct Answer: B
Rationale: Restlessness and increased mucus production are common signs of gastrointestinal issues or reflux in infants, which could explain the symptoms of spitting up and excessive gas. Increased temperature and lethargy (
Choice
A) are more indicative of an infection rather than gastrointestinal issues. Increased sleeping and listlessness (
Choice
C) are not typical signs associated with the symptoms described. Diarrhea and poor skin turgor (
Choice
D) are not directly related to the symptoms of spitting up and gas in this scenario.
Question 5 of 5
A healthcare professional is screening several clients at a neighborhood health fair. Which of the following assessment findings is the priority for referral for further care?
Correct Answer: D
Rationale: The correct answer is D, 'Glucose 45 mg/dL.' Glucose level of 45 mg/dL indicates hypoglycemia, which is a critical condition requiring immediate attention to prevent complications like seizures, loss of consciousness, and even coma. Hypoglycemia can lead to serious adverse outcomes if not promptly addressed.
Choices A, B, and C do not represent immediate life-threatening conditions and can be managed as part of routine care, unlike hypoglycemia which demands urgent intervention.