Practice Question
A newborn’s assessment reveals spina bifida occulta. Which maternal factor should the practical nurse (PN) identify as having the greatest impact on the development of this newborn complication?
Answer Choices:
Correct Answer:
Folic acid deficiency
Rationale:
🟣 Neural tube closure occurs by week 4; folate deficiency increases defect risk.
🟣 Spina bifida occulta is a milder NTD but shares the folate link.
🟣 Preconception folic acid (≥400 mcg/day) is most protective.
🟣 Education reduces recurrence risk in future pregnancies.
🟣 Factors like preeclampsia/tobacco are not primary NTD drivers.
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This question is from HESI EXIT-PN August 27th 2025 which contains 48 questions.
More Questions from This Exam
A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for the client?
Answer Choices:
A. Gravida2, Para 0
B. Gravida1, Para 1
C. Gravida1, Para 0
D. Gravida2, Para 1
While changing the dressing of a client who is immobile, the practical nurse (PN) observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Before reporting this finding to the healthcare provider, the PN should evaluate which of the client’s laboratory values?
Answer Choices:
A. Serum blood glucose level
B. Culture for sensitive organisms
C. Serum albumin
D. C-reactive protein level
Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical nurse (PN) about the scar that might result from the wound. Which response is best for the PN to provide?
Answer Choices:
A. “Tell me more about your concerns regarding an abdominal scar.”
B. “You can always wear clothing to cover the scar.”
C. “I know you are frightened about how you will appear later.”
D. “I have heard that rubbing coco butter on the scar helps if fade away.”
A male client with bipolar disorder reports to the practical nurse (PN) that has not taken his prescribes medication, divalproex sodium, for the last 6 months. Assessments of which parameter is most important for the PN to obtain?
Answer Choices:
A. Speech pattern
B. Frame of mind
C. Headache pain
D. Hyperactivity
When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing a sickle cell crisis?
Answer Choices:
A. decreased hemoglobin
B. infection
C. fatigue
D. joint pain
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4