HESI LPN
HESI PN Exit Exam
1. Which intervention is most appropriate when caring for a patient experiencing a tonic-clonic seizure?
- A. Restrain the patient to prevent injury
- B. Place a tongue depressor in the patient's mouth
- C. Turn the patient to the side to maintain an open airway
- D. Attempt to stop the seizure by holding the patient’s arms
Correct answer: C
Rationale: During a tonic-clonic seizure, the priority is to ensure patient safety by maintaining an open airway to prevent aspiration. Turning the patient to the side helps achieve this goal by allowing any fluids to drain out of the mouth, reducing the risk of choking or aspiration. Restraint can lead to injury, placing a tongue depressor can cause harm or obstruct the airway further, and attempting to stop the seizure by holding the patient's arms is ineffective and can also result in injury. Therefore, the most appropriate intervention is to turn the patient to the side.
2. Occupational health nursing is concerned with the following except:
- A. educating workers about health
- B. immediate diagnosis of illness prevailing in the work field
- C. appropriate and effective ways of promoting health
- D. planning of administering health services
Correct answer: B
Rationale: Occupational health nursing focuses on educating workers about health, promoting health through appropriate and effective ways, and planning and administering health services in the workplace. Immediate diagnosis of illness prevailing in the work field is typically not the primary role of occupational health nursing, as it usually involves prevention, education, and health promotion rather than diagnosing acute conditions.
3. During preoperative teaching, a client in a surgeon’s office expresses intent to prepare advance directives before surgery. Which statement by the client indicates understanding of advance directives?
- A. “I’d prefer my brother to make decisions, but I understand it must be my wife.”
- B. “I understand the surgery won’t proceed unless I fill out these forms.”
- C. “I plan to specify my wish to avoid being kept on a breathing machine.”
- D. “I will have my primary doctor review my plan before submitting it at the hospital.”
Correct answer: C
Rationale: The correct answer is C. This statement reflects the client's understanding of advance directives, as it indicates a specific preference regarding life-sustaining treatment. Advance directives enable individuals to outline their healthcare preferences, including decisions about treatments they wish to receive or avoid. Choice A mentions family members but doesn't address specific healthcare wishes; choice B focuses on the surgery rather than personal directives; choice D discusses doctor approval but lacks details about the directive itself.
4. What title should be given to this occupational health nurse job description?
- A. manager
- B. case manager
- C. health educator
- D. nurse consultant
Correct answer: D
Rationale: The correct title for this occupational health nurse job description is 'nurse consultant.' A nurse consultant is a registered professional nurse with expertise in occupational and environmental health nursing, effective communication skills, and good administrative and consultative abilities. Choice A, 'manager,' is incorrect as the job description does not primarily focus on managerial duties. Choice B, 'case manager,' is incorrect as it does not fully cover the scope of the described role. Choice C, 'health educator,' is incorrect as it does not encompass the administrative and consultative skills mentioned in the job description.
5. What should be obtained prior to starting olanzapine for a male client with bipolar disorder?
- A. Complete blood count
- B. Family history of hypertension
- C. History of erectile dysfunction
- D. Baseline weight
Correct answer: D
Rationale: Baseline weight should be obtained prior to starting olanzapine in a male client with bipolar disorder to monitor for potential weight gain associated with the medication. Olanzapine is known to cause weight gain and monitoring the baseline weight can help in assessing any changes during treatment.