Hesi LPN RN Entrance Exam Mobility Exams 2026
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Free Hesi LPN RN Entrance Exam Mobility Exams 2026 Questions
A client brings the following medications to the clinic for a yearly physical. The LPN/LVN realizes which medication has been prescribed to treat heart failure?
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Digoxin (Lanoxin)
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Warfarin (Coumadin)
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Amiodarone (Cordarone)
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Potassium chloride (K-Dur)
Explanation
Explanation:
Correct Answer: (A) Digoxin (Lanoxin)
Digoxin increases the force of myocardial contraction and is commonly prescribed to manage heart failure by improving cardiac output.
Why Other Options are Incorrect:
B. Warfarin (Coumadin) – Warfarin is an anticoagulant used to prevent blood clots, not to treat heart failure directly.
C. Amiodarone (Cordarone) – Amiodarone is an antiarrhythmic medication used to manage abnormal heart rhythms, not primarily for heart failure.
D. Potassium chloride (K-Dur) – This is a potassium supplement used to treat or prevent hypokalemia, not specifically for heart failure treatment.
The healthcare provider prescribes an IV solution of vancomycin 1000mg in 150 mL of D5W to infuse over 60 minutes. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how many gtt/minute? (Enter numeric value only, if rounding is required round to the nearest whole number)
Explanation
To calculate the IV flow rate in gtt/minute, use the formula: (Volume in mL ÷ Time in minutes) × Drop factor in gtt/mL. Substituting the values gives (150 mL ÷ 60 min) × 20 gtt/mL = 2.5 × 20 = 50 gtt/minute. This calculation ensures the client receives the full prescribed volume of the medication safely within the ordered timeframe.
The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. During the admission, the client reports chest pain. The nurse immediately asks the client which question?
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"Are you having any nausea?"
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"Where is the pain located?"
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"Are you allergic to any medications?"
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"Do you have your nitroglycerin with you?"
Explanation
Explanation:
Correct Answer: (B) "Where is the pain located?"
Immediately assessing the location and characteristics of the pain is a priority to determine the nature of the pain and guide the appropriate immediate intervention.
Why Other Options are Incorrect:
A. "Are you having any nausea?" – While nausea can be associated with cardiac pain, it is not the priority initial question when a client is currently experiencing chest pain.
C. "Are you allergic to any medications?" – This information, while important, is not the priority in the immediate assessment of acute chest pain.
D. "Do you have your nitroglycerin with you?" – Assessing the pain itself takes priority over asking about medication availability at this immediate moment.
An adult male client tells the nurse that he believes someone is trying to obtain his computer records, which his wife reports are recreational in nature. The client insists that an elaborate alarm system needs to be installed in his home. The nurse knows that this client is exhibiting which signs or symptoms?
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Delusions of persecution
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Ideas of reference
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Hallucinations
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Confabulation
Explanation
Delusions of persecution involve a false, fixed belief that others are trying to harm, spy on, or exploit the individual, despite evidence to the contrary. This client's belief that someone is trying to obtain his computer records (which are actually just recreational in nature, per his wife) and his response of wanting an elaborate alarm system reflects this irrational fear of being targeted or persecuted.
Why the other options are incorrect:
B. Ideas of reference — This involves a person believing that ordinary, unrelated environmental events or media messages have specific personal significance or meaning directed at them, which is different from the direct persecutory belief described here.
C. Hallucinations — Hallucinations involve false sensory perceptions (seeing, hearing, feeling something that isn't there), and there is no indication in this scenario that the client is experiencing any sensory disturbances.
D. Confabulation — This involves fabricating information to fill memory gaps, typically seen in conditions like Korsakoff's syndrome, which is unrelated to this client's expressed persecutory beliefs.
A client has an inoperable abdominal aortic aneurysm (AAA). Which measure should the nurse anticipate reinforcing when teaching the client?
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Bed rest
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Restricting fluids
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Antihypertensives
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Maintaining a low-fiber diet
Explanation
Explanation:
Correct Answer: (C) Antihypertensives
Controlling blood pressure with antihypertensive medications is essential for a client with an inoperable AAA because elevated blood pressure increases the risk of aneurysm expansion and rupture.
Why Other Options are Incorrect:
A. Bed rest – Strict bed rest is not typically required for managing an inoperable AAA; activity restrictions are usually less severe.
B. Restricting fluids – Fluid restriction is not a standard measure for managing an AAA.
D. Maintaining a low-fiber diet – A low-fiber diet is not indicated; in fact, adequate fiber helps prevent straining during bowel movements, which could increase intra-abdominal pressure and aneurysm risk.
The LPN/LVN is caring for an older client with a history of ischemic heart disease who has documented episodes of decreased cardiac output, dyspnea, and syncope. Which action is most important for the nurse to include in the plan of care?
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Encourage the client to increase oral fluid intake throughout the day
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Continuously monitor the client's cardiac rhythm via telemetry
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Assist the client with passive range-of-motion exercises every shift
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Weigh the client once daily at the same time each morning
Explanation
Explanation:
Correct Answer: (B) Continuously monitor the client's cardiac rhythm via telemetry
Given the client's history of decreased cardiac output, dyspnea, and syncopal episodes, continuous cardiac monitoring is essential to promptly detect life-threatening dysrhythmias that could be causing these symptoms. Ischemic heart disease significantly increases the risk for arrhythmias, and ongoing telemetry allows for immediate recognition and intervention should the client's cardiac rhythm become unstable.
Why Other Options are Incorrect:
A. Encourage the client to increase oral fluid intake throughout the day — Increasing fluid intake is not indicated and could actually worsen cardiac workload in a client with underlying cardiac dysfunction; fluid status should instead be carefully monitored, not increased.
C. Assist the client with passive range-of-motion exercises every shift — While mobility is important, passive range-of-motion exercises do not address the priority concern of detecting potentially life-threatening cardiac events associated with the client's symptoms.
D. Weigh the client once daily at the same time each morning — Daily weights are useful for monitoring fluid status in heart failure, but they are not the most important action for a client with syncope and decreased cardiac output related to ischemic heart disease, where dysrhythmia monitoring takes priority.
The LPN/LVN has reinforced home care instructions to a client who had a permanent pacemaker inserted. Which educational outcome has the greatest impact on the client's long-term cardiac health?
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Knowledge of when it is safe to resume sexual activity
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The ability to take an accurate pulse in either the wrist or neck
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An understanding of the importance of proper microwave oven usage
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An understanding of why vigorous arm and shoulder movement must be avoided initially
Explanation
Explanation:
Correct Answer: (B) The ability to take an accurate pulse in either the wrist or neck
Being able to accurately monitor the pulse allows the client to detect abnormalities in heart rate related to pacemaker function on an ongoing, long-term basis, making this skill essential for long-term cardiac health monitoring.
Why Other Options are Incorrect:
A. Knowledge of when it is safe to resume sexual activity – This is relevant but pertains to a specific short-term concern rather than ongoing long-term cardiac monitoring.
C. An understanding of the importance of proper microwave oven usage – This concern is largely outdated with modern pacemaker technology and does not significantly impact long-term cardiac health.
D. An understanding of why vigorous arm and shoulder movement must be avoided initially – This is important for short-term postoperative healing, not a long-term ongoing outcome.
A nurse is assisting a client from the bathroom back to bed following a minor surgical procedure. The client, still not fully alert, reports feeling nauseated and begins to vomit. What is the first action the nurse should take?
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Place a cool rag on the client's head
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Suction the client's oral cavity
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Provide the client an emesis basin
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Place the client in a side-lying position
Explanation
Since the client is not fully alert and is vomiting, the priority action is to protect the airway from aspiration. Placing the client in a side-lying position allows vomitus to drain out of the mouth rather than pooling in the throat or being aspirated into the lungs, making this the safest first action.
Why the other options are incorrect:
A. Place a cool rag on the client's head — This provides comfort but does not address the immediate airway safety concern posed by vomiting in a not-fully-alert client.
B. Suction the client's oral cavity — While suctioning may become necessary, positioning the client to allow drainage and prevent aspiration is the priority first action before or in conjunction with suctioning.
C. Provide the client an emesis basin — This is a helpful supportive measure, but it does not address the priority safety concern of airway protection in a client who is not fully alert during active vomiting.
The nurse is assessing an older female client with severe diarrhea. She has been unable to tolerate oral intake for the past 48 hours and has had multiple episodes of watery stool during this same period of time. Which finding can the nurse expect this client to exhibit?
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Edematous lower extremities and a decreased temperature
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A decreased blood pressure and increased heart rate
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Moist skin and a decreased heart rate
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Diaphoresis and hypertension
Explanation
Prolonged inability to tolerate oral intake combined with severe diarrhea leads to significant fluid volume deficit, which manifests as hypotension due to decreased circulating volume and tachycardia as the heart compensates to maintain cardiac output and tissue perfusion. These findings are classic signs of dehydration that the nurse should anticipate and monitor closely in this client.
Why the other options are incorrect:
A. Edematous lower extremities and a decreased temperature — Edema is associated with fluid overload, not fluid volume deficit, and is not an expected finding in a dehydrated client experiencing significant fluid losses from diarrhea.
C. Moist skin and a decreased heart rate — Dehydration typically causes dry skin and mucous membranes with an increased, not decreased, heart rate as the body compensates for volume loss.
D. Diaphoresis and hypertension — Diaphoresis is not a typical finding of dehydration from fluid loss, and hypotension, not hypertension, is expected due to decreased circulating volume.
A client recovering from a femoropopliteal bypass graft tells the nurse, "I'm so worried the graft won't work and I'll end up losing my leg anyway." Which response by the nurse is most therapeutic?
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"Try not to worry — your surgeon is one of the best in the region."
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"There's really nothing to be concerned about at this point."
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"It sounds like you're feeling anxious about the success of the surgery. Tell me more about what's worrying you."
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"Most people who have this surgery do just fine, so you shouldn't worry."
Explanation
Explanation:
Correct Answer: (C) "It sounds like you're feeling anxious about the success of the surgery. Tell me more about what's worrying you."
This response uses therapeutic communication by reflecting the client's underlying emotion and inviting further exploration of his specific concerns. Encouraging the client to elaborate allows the nurse to better understand his individual fears, providing an opportunity for targeted emotional support and education tailored to his situation.
Why Other Options are Incorrect:
A. "Try not to worry — your surgeon is one of the best in the region." — This response offers false reassurance and shifts focus away from the client's feelings rather than exploring his specific concerns.
B. "There's really nothing to be concerned about at this point." — This response dismisses the client's feelings and fails to acknowledge or explore his legitimate anxiety about a potentially serious outcome.
D. "Most people who have this surgery do just fine, so you shouldn't worry." — This response generalizes the client's experience and offers false reassurance rather than validating his individual feelings and exploring his specific worries.
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