HESI LPN · HESI LPN Medical Surgical Nursing · Medical Surgical HESI
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
How should the nurse record the observation of a child with Duchenne muscular dystrophy rising from the floor by walking up the thighs with the hands?
Expert Explanatory Rationale
Correct Answer: Gowers sign
When selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse?
Expert Explanatory Rationale
Correct Answer: Skin impairment
A client is currently receiving an infusion labeled as 5% dextrose injection 500 ml with heparin sodium 25,000 units at 14 mL/hour per pump. A prescription is received to change the rate of the infusion to heparin 1,000 units/hour. How many ml/hour should the nurse program the infusion pump?
Expert Explanatory Rationale
Correct Answer: 20 ml/hour.
During the admission interview, an older client answers some questions inappropriately. The nurse notes that a hearing aid is in one ear. Which intervention is most helpful in assisting the client to hear the nurse's question?
Expert Explanatory Rationale
Correct Answer: Restate questions articulating consonants carefully.
A client with rheumatoid arthritis has elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?
Expert Explanatory Rationale
Correct Answer: Confirmation of the autoimmune disease process.
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