HESI LPN
HESI PN Exit Exam 2024
1. Which type of isolation precaution is required for a patient with tuberculosis (TB)?
- A. Droplet precautions
- B. Contact precautions
- C. Airborne precautions
- D. Standard precautions
Correct answer: C
Rationale: The correct answer is C: Airborne precautions. Tuberculosis (TB) is transmitted via airborne particles, thus requiring airborne precautions to prevent the spread of infection. This includes using an N95 respirator to filter out small infectious particles. Droplet precautions (Choice A) are used for diseases that spread through large respiratory droplets. Contact precautions (Choice B) are for direct or indirect contact with the patient or their environment. Standard precautions (Choice D) are used for all patients to prevent the spread of infection through blood, bodily fluids, non-intact skin, and mucous membranes.
2. What is the primary goal in managing a child with asthma?
- A. Prevent triggering asthma attacks
- B. Avoid triggering asthma attacks
- C. Administer corticosteroids
- D. Increase physical activity
Correct answer: B
Rationale: The primary goal in managing a child with asthma is to avoid triggering asthma attacks. This involves managing allergens, ensuring proper medication use, and creating an asthma action plan. Choice A is incorrect because the goal is to avoid triggering asthma attacks, not necessarily to prevent recurrent infections. Choice C is incorrect as corticosteroids are a treatment option but not the primary goal of asthma management. Choice D is incorrect because although physical activity is important, the primary goal is to prevent asthma attacks and manage symptoms effectively.
3. Which of the following best describes the purpose of dietary guidelines?
- A. To ensure food safety and sanitation.
- B. To promote overall health and reduce the risk of chronic diseases.
- C. To prevent foodborne illnesses.
- D. To provide recommendations for physical activity.
Correct answer: B
Rationale: The correct answer is B: 'To promote overall health and reduce the risk of chronic diseases.' Dietary guidelines aim to improve public health by providing recommendations on dietary patterns and nutrient intake. While ensuring food safety and sanitation (choice A) is important, it is not the primary purpose of dietary guidelines. Preventing foodborne illnesses (choice C) is more related to food safety practices rather than dietary guidelines. Recommendations for physical activity (choice D) are important for overall health but are separate from dietary guidelines, which primarily focus on nutrition.
4. When caring for a client with diabetes insipidus (DI), it is most important for the nurse to include frequent assessment for which conditions in the client’s plan of care?
- A. Dry mucous membranes, hypotension
- B. Decreased appetite, headache
- C. Nausea and vomiting, muscle weakness
- D. Elevated blood pressure, petechiae
Correct answer: A
Rationale: Dry mucous membranes and hypotension are key indicators of dehydration in clients with diabetes insipidus. The excessive urination associated with DI can lead to fluid loss, resulting in dehydration. Therefore, monitoring for signs such as dry mucous membranes and hypotension is crucial to assess the client's hydration status. Choices B, C, and D are not directly related to the characteristic symptoms of DI and are less relevant in the context of this condition. Decreased appetite and headache (Choice B) are nonspecific symptoms that may occur in various conditions. Nausea, vomiting, and muscle weakness (Choice C) are not typical manifestations of DI. Elevated blood pressure and petechiae (Choice D) are not commonly associated with DI; instead, hypotension is more commonly observed due to volume depletion.
5. A client with a history of severe anxiety is scheduled for surgery. Which preoperative medication is the most appropriate for the LPN/LVN to administer to this client?
- A. Lorazepam (Ativan)
- B. Morphine sulfate
- C. Meperidine (Demerol)
- D. Promethazine (Phenergan)
Correct answer: A
Rationale: Lorazepam (Ativan) is the most appropriate preoperative medication for a client with severe anxiety. Lorazepam belongs to the benzodiazepine class and is commonly used to manage anxiety before surgical procedures due to its anxiolytic properties. Morphine sulfate and Meperidine (Demerol) are opioid analgesics, not typically indicated for preoperative anxiety. Promethazine (Phenergan) is an antihistamine used for nausea and vomiting, not anxiety management.