HESI LPN
HESI CAT Exam 2024 Questions
Question 1 of 5
A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days. Which finding indicates to the nurse that the medication is effective?
Correct Answer: C
Rationale: The correct answer is C: 'Reduced level of pain.' Pregabalin is used to manage neuropathic pain, so a reduction in pain indicates the medication's effectiveness in this case. Granulating tissue in a foot ulcer and the full volume of a pedal pulse are not direct indicators of pregabalin's effectiveness in managing neuropathic pain. Improved visual activity is not related to the effects of pregabalin in diabetic peripheral neuropathy.
Question 2 of 5
A female client with fibromyalgia asks the nurse to arrange for hospice care to help her manage the severe, chronic pain. Which interdisciplinary team member should the nurse consult to assist the client?
Correct Answer: A
Rationale: In this scenario, the most appropriate interdisciplinary team member for the nurse to consult is a hospice nurse. Hospice nurses specialize in managing pain and symptom control, which aligns with the client's needs for managing severe chronic pain. While pain specialists (choice
B) focus on pain management, in this case, the client specifically requested hospice care for pain management. Consulting a psychologist (choice
C) may be beneficial for addressing psychological aspects, but the client's immediate need is pain management. Forming an interdisciplinary team (choice
D) is not as specific as consulting a hospice nurse, who has the specialized skills required to address the client's pain effectively.
Question 3 of 5
After receiving a report on an inpatient acute care unit, which client should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. Abdominal rigidity in a client with bowel obstruction due to a volvulus indicates possible complications and requires immediate assessment.
Choice B is incorrect because although a paralytic ileus with absent bowel sounds is concerning, abdominal rigidity in a client with a volvulus takes priority.
Choice C is incorrect as abdominal distention, though indicative of an obstruction, is not as urgent as the sign of abdominal rigidity.
Choice D is incorrect as the drainage of greenish fluid from a nasogastric tube in a client with a small bowel obstruction, while concerning, does not present as immediate a threat as the abdominal rigidity in a client with a volvulus.
Question 4 of 5
What should be the school nurse's first action after being notified that Child A has bitten Child B on the arm, resulting in broken skin but no bleeding?
Correct Answer: D
Rationale: The correct first action for the school nurse to take in this situation is to wash Child B's arm thoroughly with soap and water. Washing the wound immediately is crucial to reduce the risk of infection from the bite. Applying antibiotic cream may come after cleaning the wound. Determining Child A's medical history or checking Child B's tetanus status is important but not the immediate priority when dealing with a bite wound.
Question 5 of 5
An older male resident of a long-term care facility has been scratching his legs for the past 2 days. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct intervention for the nurse to implement in this scenario is to apply emollient to the affected area at least twice daily. This is because applying emollients helps address dry skin, which is a common cause of itching in older adults. Explaining the importance of bathing or showering daily (
Choice
A) may be helpful for general hygiene but may not specifically address the itching. Encouraging fluid intake (
Choice
B) and keeping the legs covered (
Choice
C) are not directly related to addressing the itching caused by dry skin.