HESI LPN
Community Health HESI Practice Exam Questions
Question 1 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 2 of 5
You are teaching a client about the patient-controlled analgesia (PCA) planned for post-operative care. Which statement indicates further teaching may be needed by the client?
Correct Answer: B
Rationale: PCA allows patients to self-administer pain medication within prescribed limits, without the need to call the nurse before taking an additional dose. Choice B suggests a misunderstanding of how PCA works, as the patient should be educated that they can self-administer doses within the safety parameters set by the healthcare provider. Choices A, C, and D demonstrate proper understanding of PCA, hence are not indicative of needing further teaching.
Question 3 of 5
A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago. To confirm the presence or absence of an infection, it is most important for all family members to have a
Correct Answer: D
Rationale: The PPD (purified protein derivative) intradermal test is the standard screening method for detecting tuberculosis infection. It helps identify individuals who have been infected with Mycobacterium tuberculosis. A chest x-ray (Choice A) is used to assess the extent of active disease, not for screening purposes. Blood culture (Choice B) is not typically used for tuberculosis screening. Sputum culture (Choice C) is used to confirm active tuberculosis in symptomatic individuals, not for initial screening purposes.
Question 4 of 5
A 4-month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78; respirations 28, and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?
Correct Answer: A
Rationale: Bradycardia (abnormally slow heart rate) is a key sign of digoxin toxicity. In this scenario, the child's symptoms of irritability, vomiting, along with the resting pulse of 78 despite being on digoxin, suggest an impending bradycardia due to digoxin toxicity. Lethargy can also be a sign, but in this case, the child is irritable rather than lethargic. Vomiting, though a symptom, is not as specific to digoxin toxicity as bradycardia. Irritability, while present, is not the most indicative finding of digoxin toxicity compared to bradycardia.
Question 5 of 5
The client with Raynaud's phenomenon would benefit most by which teaching intervention?
Correct Answer: A
Rationale: The correct answer is A: Stop smoking. Smoking causes vasoconstriction, worsening the symptoms of Raynaud's phenomenon. Quitting smoking is crucial in managing this condition effectively. Choices B, C, and D are not as directly related to the pathophysiology of Raynaud's phenomenon. While keeping feet dry and reducing stress can be beneficial for overall health, they are not as directly linked to managing Raynaud's phenomenon as smoking cessation.