HESI LPN
HESI CAT Exam 2024 Questions
Question 1 of 5
To evaluate the medication's effectiveness in a client with a respiratory tract infection, which laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: White blood cell (WB
C) count. Monitoring the WBC count helps assess the overall response to infection and the effectiveness of the antibiotic. Sputum culture and sensitivity (choice
B) are also important to confirm if the antibiotic is targeting the specific pathogen.
Choices C and D, droplet precautions and protective environment, are not laboratory values but rather infection control measures that do not directly evaluate the medication's effectiveness in treating the infection.
Question 2 of 5
An older male was recently admitted to the rehabilitation unit with unilateral neglect syndrome as a result of a cerebrovascular accident (CVA). Which action should the nurse include in the plan of care?
Correct Answer: B
Rationale: Teaching the client to turn his head from side to side for visual scanning is essential in addressing unilateral neglect syndrome caused by a cerebrovascular accident. This action helps improve visual awareness and assists the client in overcoming the neglect of one side of the body. Providing additional light for sensory stimulation (
Choice
A) may not directly address the issue of unilateral neglect. Placing a clock and calendar in the room (
Choice
C) may be helpful for orientation but does not specifically target unilateral neglect. Using hand and arm gestures for communication (
Choice
D) may aid in communication but does not directly address the visual scanning deficits associated with unilateral neglect syndrome.
Question 3 of 5
A male client with schizophrenia tells the nurse that the hospital has installed cameras that watch him and listening devices that record what everyone says. Which nursing problem should the nurse document for this client?
Correct Answer: D
Rationale: The correct answer is D: Impaired environmental interpretation related to paranoid delusions. The client's belief about cameras watching and recording him is a manifestation of paranoid delusions, indicating a misinterpretation of the environment.
Choice A is incorrect because thought broadcasting is not directly related to the client's belief about surveillance equipment.
Choice B is incorrect as self-esteem disturbance is not the primary issue presented.
Choice C is also incorrect as the client is not experiencing auditory hallucinations but rather paranoid delusions about surveillance.
Question 4 of 5
The healthcare provider changes a client's medication prescription from IV to PO administration and doubles the dose. The nurse notes in the drug guide that the prescribed medication, when given orally, has a high first-pass effect and reduces bioavailability. What action should the nurse implement?
Correct Answer: D
Rationale: The correct action for the nurse to implement is to consult with the pharmacist regarding the change in prescription. With the high first-pass effect of the medication when given orally, it reduces its bioavailability, meaning a dosage adjustment may be necessary to achieve the desired therapeutic effect. Continuing to administer the medication via the IV route (choice
A) is not appropriate as the prescription has been changed to oral administration. Giving half the prescribed oral dose until consulting the provider (choice
B) is not recommended without proper guidance, which should come from consulting with the pharmacist. Simply administering the medication orally as prescribed (choice
C) without addressing the potential issue of reduced bioavailability may lead to suboptimal treatment outcomes.
Question 5 of 5
When attempting to establish risk reduction strategies in a community, the nurse notes that regional studies indicate a high number of persons with growth stunting and irreversible mental deficiencies caused by hypothyroidism (cretinism). The nurse should seek funding to implement which screening measure?
Correct Answer: B
Rationale: Screening T4 levels in newborns is crucial as it helps in the early detection of hypothyroidism, which can prevent conditions like cretinism. Checking T3 levels in school-aged children (
Choice
A) is not the most appropriate measure for early detection of hypothyroidism in newborns. Monitoring TSH levels in women over 45 (
Choice
C) is not directly related to detecting hypothyroidism in newborns. Additionally, monitoring iodine levels in all persons over 60 (
Choice
D) is not specifically aimed at early detection of hypothyroidism in newborns, which is crucial to prevent cretinism.