Questions 53

HESI LPN

HESI LPN Test Bank

CAT Exam Practice Questions

Question 1 of 5

The nurse is planning care for a family whose children did not receive childhood immunizations. After one of the children contracted mumps, the father is diagnosed with orchitis. Which intervention should be included in the father's plan of care?

Correct Answer: A

Rationale: For orchitis, the recommended intervention is bedrest with scrotal support. This helps reduce swelling and discomfort in the scrotum. Antibiotics are generally not required for viral orchitis, so administering antibiotics for 10 days (
Choice
B) is not indicated. Applying heat (
Choice
C) may worsen swelling and should be avoided. Using an ice pack (
Choice
D) is not the preferred method for managing orchitis; it may not be as effective as providing support and rest for the scrotum.

Question 2 of 5

A client with chronic alcoholism is admitted with a decreased serum magnesium level. Which snack option should the nurse recommend to this client?

Correct Answer: D

Rationale: Dry roasted almonds are the most suitable snack option for a client with chronic alcoholism and a decreased serum magnesium level because they are high in magnesium. Magnesium is essential in addressing the deficiency. Cheddar cheese and crackers (
Choice
A) do not contain as much magnesium as almonds. Carrot and celery sticks (
Choice
B) are healthy choices but do not provide a significant amount of magnesium. Beef bologna sausage slices (
Choice
C) are not a good choice as processed meats are not rich in magnesium.

Question 3 of 5

The nurse enters the room of a client who is awaiting surgery for appendicitis. The unlicensed assistive personnel (UAP) has helped the client to a position of comfort with the right leg flexed and has applied a heating pad to the client's abdomen to relieve the client's pain. Which action should the nurse implement first?

Correct Answer: A

Rationale: The correct action for the nurse to implement first is to remove the heating pad. Heating pads should not be used for suspected appendicitis as they can mask symptoms and potentially worsen inflammation.
Choice B is not the priority as the position of comfort chosen by the UAP may be appropriate. Monitoring for signs of inflammation (
Choice
C) is important but not the initial action to address the immediate issue of the heating pad. Assessing the client's pain level (
Choice
D) can be done after removing the heating pad to evaluate the effectiveness of pain relief measures.

Question 4 of 5

For a client with pneumonia, the prescription states, "Oxygen at liters/min per nasal cannula PRN difficult breathing." Which nursing intervention is effective in preventing oxygen toxicity?

Correct Answer: A

Rationale:
Choice A is the correct answer because prolonged exposure to high levels of oxygen can lead to oxygen toxicity. Administering oxygen at high levels for extended periods can overwhelm the body's natural defenses against high oxygen levels, causing toxicity.

Choices B, C, and D are incorrect.
Choice B is unrelated to preventing oxygen toxicity.
Choice C is unsafe as removing the nasal cannula can deprive the client of necessary oxygen.
Choice D, running oxygen through a hydration source, is not a standard practice for preventing oxygen toxicity.

Question 5 of 5

A 41-week gestation primigravida woman is admitted to labor and delivery for induction of labor. What finding should the nurse report to the healthcare provider before initiating the infusion of oxytocin?

Correct Answer: B

Rationale: Oligohydramnios (low amniotic fluid) is a significant concern before starting oxytocin and should be reported to ensure safe labor induction. This finding can indicate potential fetal compromise and requires immediate evaluation. Fetal heart tones located in a specific quadrant, regular contractions, and cervical dilation are common assessments during labor but are not as critical as oligohydramnios in this scenario.

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