HESI LPN
HESI CAT Exam 2024 Questions
Question 1 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 2 of 5
When the client asks the nurse if they have ever been with someone when they died, what is the nurse's best response?
Correct Answer: A
Rationale:
Choice A is the best response as it acknowledges the client's question and opens the door for further discussion about dying if the client wishes to. It shows empathy and encourages the client to express any concerns they may have.
Choices B and C do not directly address the client's question or offer an opportunity for him to explore his concerns.
Choice D acknowledges the experience but fails to address the client's question directly and does not encourage further discussion.
Question 3 of 5
The nurse is assessing a 3-month-old infant who had a pylorotomy yesterday. This child should be medicated for pain based on which finding?
Correct Answer: A
Rationale: In infants, restlessness can be a significant indicator of discomfort or pain, necessitating appropriate pain management. While choices B, C, and D can also be associated with pain, restlessness is a more general and reliable indicator in this scenario. A clenched fist might indicate pain or distress, but it is not as specific as restlessness in assessing pain in infants. Increased pulse rate and respiratory rate can be influenced by various factors other than pain, making them less reliable indicators of pain in this context.
Question 4 of 5
The nurse is measuring the output of an infant admitted for vomiting and diarrhea. During a 12-hour shift, the infant drinks 4 ounces of Pedialyte, vomits 25 ml, and voids twice. The dry diaper weighs 105 grams. Which computer documentation should the nurse enter in the infant's record?
Correct Answer: C
Rationale: The correct answer is to document on the flow sheet that the infant voided twice and vomited 25 ml. This choice accurately reflects the need for accurate documentation of intake and output, essential for monitoring the infant's hydration status.
Choice A is incorrect because the oral intake should not be calculated by subtracting vomitus from the oral intake.
Choice B is incorrect because it does not address the specific documentation related to the infant's output.
Choice D is incorrect as it focuses on calculating urine output based on diaper weight, which is not the primary concern in this scenario.
Question 5 of 5
A client who is scheduled to have surgery in two hours tells the nurse, 'My doctor was here and used a lot of big words about the surgery, then asked me to sign a paper.' What action should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take in this situation is to explain the surgery to the client in clear terms that they can understand. This will help alleviate the client's anxiety and ensure they are well-informed about the procedure they are about to undergo.
Choice A is incorrect because while reassurance is important, it does not address the client's specific concern about understanding the surgery.
Choice C is not the initial step; the nurse should first attempt to clarify the information themselves.
Choice D is not the priority when the client is seeking clarification about the surgery.