HESI LPN
HESI CAT Exam Questions
Question 1 of 5
After implementing a new fall prevention protocol on the nursing unit, which action by the nurse-manager best evaluates the protocol's effectiveness?
Correct Answer: A
Rationale: The best way to evaluate the effectiveness of a new fall prevention protocol is by comparing the number of falls that occurred before and after its implementation. This direct comparison helps in assessing the impact of the protocol on reducing fall rates.
Choices B, C, and D do not directly measure the effectiveness of the protocol. Analyzing costs incurred (
Choice
B), conducting a chart review (
Choice
C), or consulting with a physical therapist (
Choice
D) may provide valuable information but do not specifically evaluate the protocol's effectiveness in preventing falls.
Question 2 of 5
A client admitted to the intensive care unit with syndrome of inappropriate antidiuretic hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Frequent reorientation is crucial for clients with neurological impairments from osmotic demyelination to prevent confusion and assist with orientation. It helps maintain a proper sense of time, place, and person, reducing disorientation. Patching one eye (
Choice
A) is not a priority intervention for osmotic demyelination and does not address the immediate need for reorientation. Range of motion exercises (
Choice
C) may be important for overall care, but reorientation takes precedence due to its impact on neurological functioning. Evaluating swallow (
Choice
D) is not the primary intervention needed for osmotic demyelination; it is essential but not the first priority.
Question 3 of 5
The nurse provides discharge teaching to a client who was recently diagnosed with diabetes mellitus (DM). After receiving the instructions, the client expresses understanding about when, how, and why to take his prescribed medications at home. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Providing the client with a printed list of medications and a schedule for administration is crucial to ensure adherence and understanding of the medication regimen at home. This intervention helps the client follow the prescribed treatment plan accurately.
Choice A is not as essential since the client already understands when, how, and why to take the medications.
Choice C is not a priority at this point as the client needs information for home medication management.
Choice D, while helpful, is not the most important intervention compared to providing a clear list and schedule for medication administration.
Question 4 of 5
A client with multiple sclerosis is receiving baclofen 15 mg PO three times daily. The drug is available in 10 mg tablets. How many tablets should the nurse administer in a 24-hour period? (Enter a numeric value only. If rounding is required, round to the nearest tenth)
Correct Answer: A
Rationale:
To calculate the total dose of baclofen needed in a 24-hour period, multiply 15 mg by 3 doses, which equals 45 mg. Since the tablets are available in 10 mg strength, divide the total dose needed (45 mg) by the strength of each tablet (10 mg), which equals 4.5 tablets. Rounding off to the nearest tenth, the nurse should administer 4.5 tablets of 10 mg baclofen per day.
Therefore, choice A is correct.
Choices B, C, and D are irrelevant as they are not provided.
Question 5 of 5
An adult male who admits to abusing IV drugs obtains the results of HIV testing. When informed that the results are positive, he states that he does not want his wife to know. What action should the nurse take?
Correct Answer: B
Rationale: The nurse should counsel the client on the importance of notifying partners about HIV status while respecting confidentiality. Mandatory partner notification laws vary by jurisdiction, so option A cannot be universally applied. Breaching patient confidentiality, as suggested in option C, is unethical. Reporting the client's status to the health department without consent, as in option D, is not appropriate as HIV status is confidential information and is not automatically reported as a sexually transmitted case.