HESI LPN
HESI CAT Exam Test Bank Questions
Question 1 of 5
Which action should the school nurse take first when conducting a screening for scoliosis?
Correct Answer: C
Rationale: Inspecting for symmetrical shoulder height is a crucial initial step in screening for scoliosis. Asymmetry in shoulder height can indicate the presence of spinal curvature, which is a key indicator of scoliosis. This assessment is prioritized as it provides a visual clue to potential spinal abnormalities.
Choices A, B, and D are not the first steps in scoliosis screening.
Choice A involves a more detailed measurement that is not the primary visual indicator for scoliosis; choice B is not a primary indicator of scoliosis but can be used for further examination, and choice D is not directly related to identifying spinal curvature.
Question 2 of 5
When planning to contact the healthcare provider about a client's need for a belt restraint, what information is most important to report?
Correct Answer: B
Rationale: The correct answer is B. When reporting to the healthcare provider about a client's need for a belt restraint, it is crucial to provide information on the measures already taken to maintain client safety. This includes detailing alternative strategies that have been tried before considering restraint use. This information helps the healthcare provider assess the situation comprehensively and explore other safety interventions.
Choices A, C, and D, though relevant to the client's care, are not as critical to report when discussing the need for a belt restraint. Pressure ulcers (
Choice
A) are important but not directly related to the need for a belt restraint. The presence of special mattresses (
Choice
C) may influence overall care but is not the most pertinent information when considering restraints. Current vital signs and oxygen saturation (
Choice
D) are essential for the client's overall assessment but do not directly address the need for a belt restraint.
Question 3 of 5
The nurse is assessing an older adult with type 2 diabetes. Which assessment finding indicates that the client understands long-term control of diabetes?
Correct Answer: C
Rationale: An A1C level of 6.5% indicates good long-term control of diabetes as it reflects the average blood sugar levels over the past 2-3 months. Monitoring fasting blood sugar provides immediate information about the current blood sugar level, while the absence of urine ketones indicates short-term control. Although the absence of diabetic ketoacidosis is positive, it doesn't specifically reflect long-term control like the A1C level does.
Question 4 of 5
The charge nurse of a cardiac telemetry unit is assigning client care to a registered nurse (RN) and a practical nurse (PN). Which client should be assigned to the RN?
Correct Answer: D
Rationale: The correct answer is D because complete heart block is a critical condition that requires immediate assessment and management by a registered nurse (RN). In complete heart block, there is a significant conduction disturbance that can lead to serious complications. The RN is better equipped to handle such complex and potentially life-threatening situations.
Choices A, B, and C involve less critical conditions that can be managed by a practical nurse (PN) under the supervision of the RN.
Therefore, assigning the client with complete heart block to the RN ensures prompt and appropriate intervention.
Question 5 of 5
A client with myasthenia gravis (MG) is receiving immunosuppressive therapy. Review of recent laboratory test results shows that the client's serum magnesium level has decreased below the normal range. In addition to contacting the healthcare provider, what nursing action is most important?
Correct Answer: D
Rationale: The correct answer is to observe the rhythm on the telemetry monitor. Decreased magnesium levels can lead to cardiac issues, such as arrhythmias. Monitoring the heart rhythm is crucial in this situation. Checking visual difficulties (choice
A) is not directly related to the potential cardiac effects of low magnesium levels. Noting the hemoglobin level (choice
B) and assessing for hand and joint pain (choice
C) are not the priority when dealing with low magnesium levels and possible cardiac complications.