LPN TO ADN HESI ENTRANCE EXAM
2025 TESTBANK ACTUAL EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES | LATEST
VERSION 2024-2025
A client with type 2 diabetes mellitus states, "I am so
frustrated. I cannot stick to the diet that I am supposed to."
Which intervention should the nurse consider most helpful
in supporting the client?
A. Instructing the client to engage in more exercise
B. Scheduling the client to revisit the dietician
C. Instructing the client to maintain a food log for 24 hours
D. Obtaining a consult for behavioral therapy Correct
Answer Answer: D
Rationale: The intervention that will be most helpful to
the client is to obtain a consult for behavioral therapy.
A behavioral therapist may be helpful for clients who
have difficulty making changes on their own.
Revisiting the dietician will not change the client's
behavior. A food log may be incorporated into the
behavioral therapy, but maintaining a food log alone
will not be helpful in changing the client's behavior.
Dietary behavior cannot be corrected through
exercise.
The nurse is caring for a client who has been in good
health up to the present and is admitted with cellulitis of
,the hand. The client's serum potassium level was 4.5
mEq/L yesterday. Today the level is 7 mEq/L. Which of the
following is the next appropriate nursing action?
A. Call the physician and report results
B. Question the results and redraw the specimen
C. Encourage the client to increase the intake of bananas
D. Initiate seizure precautions Correct Answer B. Question
the results and redraw the specimen
A client is receiving an intravenous magnesium infusion to
correct a serum level of 1.4 mEq/L. Which of the following
assessments would alert the nurse to immediately stop the
infusion?
A. Absent patellar reflex
B. Diarrhea
C. Premature ventricular contractions
D. Increase in blood pressure Correct Answer A. Absent
patellar reflex
A client with chronic renal failure reports a 10 pound
weight loss over 3 months and has had difficulty taking
calcium supplements. The total calcium is 6.9 mg/dl.
Which of the following would be the first nursing action?
A. Assess for depressed deep tendon reflexes
B. Call the physician to report calcium level
C. Place an intravenous catheter in anticipation of
administering calcium gluconate
,D. Check to see if a serum albumin level is available
Correct Answer D. Check to see if a serum albumin level
is available
A client with heart failure is complaining of nausea. The
client has received IV furosemide (Lasix), and the urine
output has been 2500 ml over the past 12 hours. The
client's home drugs include metoprolol (Lopressor),
digoxin (Lanoxin), furosemide, and multivitamins. Which of
the following are the appropriate nursing actions before
administering the digoxin? Select all that apply.
A. Administer an antiemetic prior to giving the digoxin
B. Encourage the client to increase fluid intake
C. Call the physician
D. Report the urine output
E. Report indications of nausea Correct Answer C. Call
the physician
D. Report the urine output
E. Report indications of nausea
The nurse is caring for a bedridden client admitted with
multiple myeloma and a serum calcium level of 13 mg/dl.
Which of the following is the most appropriate nursing
action?
A. Provide passive ROM exercises and encourage fluid
intake
B. Teach the client to increase intake of whole grains and
nuts
C. Place a tracheostomy tray at the bedside
, D. Administer calcium gluconate IM as ordered Correct
Answer A. Provide passive ROM exercises and encourage
fluid intake
An older adult client admitted with heart failure and a
sodium level of 113 mEq/L is behaving aggressively
toward staff and does not recognize family members.
When the family expresses concern about the client's
behavior, the nurse would respond most appropriately by
stating
A. "The client may be suffering from dementia, and the
hospitalization has worsened the confusion."
B. "Most older adults get confused in the hospital."
C. "The sodium level is low, and the confusion will resolve
as the levels normalize."
D. "The sodium level is high and the behavior is a result of
dehydration." Correct Answer C. "The sodium level is low,
and the confusion will resolve as the levels normalize."
A client with a serum sodium of 115 mEq/L has been
receiving 3% NS at 50 ml/hr for 16 hours. This morning
the client feels tired and short of breath. Which of the
following interventions is a priority?
A. Turn down the infusion
B. Check the latest sodium level
C. Assess for signs of fluid overload
D. Place a call to the physician Correct Answer C. Assess
for signs of fluid overload
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