HESI LPN
Community Health HESI Practice Exam Questions
Question 1 of 5
A client with a urinary tract infection is receiving ciprofloxacin (Cipro). The nurse should monitor the client for which of the following side effects?
Correct Answer: D
Rationale: Ciprofloxacin can cause tendonitis and an increased risk of tendon rupture. Monitoring for tendonitis is crucial as it can lead to significant musculoskeletal issues. Choices A, B, and C are incorrect as hypertension, hypoglycemia, and hyperkalemia are not typically associated with ciprofloxacin use.
Question 2 of 5
In a long term rehabilitation care unit a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television in the assigned room. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should do which action next?
Correct Answer: C
Rationale: In this scenario, the correct action for the nurse to take next is option C: Check the client for bladder distention and the client's urinary catheter for kinks. This is the most appropriate action because the client's symptoms of pounding headache, excessive sweating, splotchy rash, pilomotor erection, facial flushing, congested nasal passages, and bradycardia (heart rate of 50) could indicate autonomic dysreflexia, a potentially life-threatening condition in individuals with spinal cord injury. Checking for bladder distention is crucial as a full bladder is a common trigger for autonomic dysreflexia. By ensuring the urinary catheter is not kinked, the nurse can address a potential cause for the client's symptoms. Prompt assessment and intervention can prevent complications such as hypertensive crisis or seizures. Option A is incorrect as it focuses on assessing vital signs and pupillary responses, which are not the priority in this situation. Option B is inappropriate as administering an analgesic without addressing the underlying cause can be harmful. Option D is also incorrect as relaxation techniques would not address the urgent need to rule out autonomic dysreflexia. This scenario highlights the importance of understanding the unique health risks faced by clients with spinal cord injuries in rehabilitation settings. Nurses must be vigilant in recognizing and responding to potential complications promptly to ensure the safety and well-being of their clients.
Question 3 of 5
The client with asthma who is sensitive to house dust-mites is being instructed by the nurse. Which information about prevention of asthma episodes would be the most helpful to include during the teaching?
Correct Answer: C
Rationale: The correct answer is to wash and rinse the bed linens in hot water to help eliminate dust mites, a common trigger for asthma episodes. Washing in hot water is more effective in killing dust mites compared to warm water. Changing pillow covers every month may help but is not as effective as washing bed linens in hot water. Using air filters in the furnace system may improve air quality but does not directly target dust mites on bed linens.
Question 4 of 5
The nurse is teaching childbirth preparation classes. One woman asks about her rights to develop a birthing plan. Which response made by the nurse would be best?
Correct Answer: C
Rationale: The correct answer is option C: "Let us discuss your rights as a couple." This response is the best choice because it acknowledges the woman's question about her rights in developing a birthing plan and focuses on her agency as an individual and as part of a couple. By discussing her rights, the nurse empowers the woman to make informed decisions about her birth plan based on her preferences and values. Option A is incorrect because it deflects the woman's question and does not address her rights or autonomy in developing a birthing plan. Option B is also incorrect as it focuses on the healthcare provider's role rather than the woman's rights and preferences. Option D is inappropriate as it simply instructs the woman to write her plan without addressing her concerns about her rights or involving her in a discussion about her preferences. In an educational context, it is crucial for nurses to support women in understanding their rights and choices during pregnancy and childbirth. Empowering women to develop a birth plan that aligns with their values and preferences can lead to better outcomes and experiences for both the mother and the baby. Nurses play a key role in advocating for women's autonomy and supporting them in making informed decisions about their healthcare.
Question 5 of 5
The nurse is planning care for a client with increased intracranial pressure. The best position for this client is
Correct Answer: C
Rationale: The correct answer is C, Semi-Fowler's. This position helps to reduce intracranial pressure by promoting venous drainage from the head while maintaining adequate oxygenation. Option A, Trendelenburg position, is incorrect as it involves placing the patient with the head lower than the body, which can increase intracranial pressure. Option B, Prone position, is also incorrect as it involves lying on the stomach, which can further elevate intracranial pressure. Option D, Side-lying with head flat, does not provide the same benefits as the Semi-Fowler's position in terms of promoting venous drainage and maintaining oxygenation in a client with increased intracranial pressure.