HESI LPN
HESI CAT Exam Test Bank Questions
Question 1 of 5
When assessing a client's blood pressure and determining an auscultatory gap, which action should the nurse implement?
Correct Answer: A
Rationale: When an auscultatory gap is present, comparing the palpated systolic blood pressure with the auscultated pressure is crucial. This helps to accurately measure blood pressure and detect any discrepancies caused by the gap. Assessing for lightheadedness upon standing (choice
B) is unrelated to addressing an auscultatory gap. Checking the consistency between automated and manual blood pressure readings (choice
C) is important for validation but not specifically for managing an auscultatory gap. Observing blood pressure changes between lying and sitting positions (choice
D) is relevant for orthostatic hypotension assessment but not for dealing with an auscultatory gap.
Question 2 of 5
While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client stares into the distance and appears to be concentrating on something other than the lesson the nurse is presenting. What action should the nurse take?
Correct Answer: C
Rationale: In this scenario, the most appropriate action for the nurse to take is to ask the client what he is thinking about at that moment. By doing so, the nurse can understand the client's concerns or distractions, which can then be addressed effectively during the teaching session. Option A is incorrect as it assumes the client is not paying attention due to forgetfulness about the importance of the inhaler, which may not be the case. Option B is incorrect because leaving the client alone without addressing the issue does not facilitate effective learning. Option D, although closer, does not directly address the client's distraction and may not uncover the underlying issue causing the lack of focus.
Question 3 of 5
When designing a plan of care for a client diagnosed with pheochromocytoma, a goal statement should be prepared that relates to which topic?
Correct Answer: C
Rationale: The correct answer is C: Preoperative and postoperative teaching for adrenalectomy. Pheochromocytoma often requires adrenalectomy as part of the treatment plan.
Therefore, educating the client about what to expect before and after the surgery is crucial for optimal care and outcomes.
Choices A, B, and D are incorrect.
Choice A focuses on emotional well-being rather than the specific surgical intervention needed for pheochromocytoma.
Choice B is unrelated as the primary treatment for pheochromocytoma is surgical rather than medication-based.
Choice D, though related to managing hypertension, does not address the surgical aspect of treating pheochromocytoma.
Question 4 of 5
An adolescent male client is admitted to the hospital. Based on Erikson's theory of psychosocial development, which nursing intervention best assists this adolescent's adjustment to his hospital stay?
Correct Answer: A
Rationale: Inviting the adolescent to participate in group activities aligns with Erikson's theory of psychosocial development, specifically the stage of developing social relationships. By engaging in group activities, the adolescent can interact with peers, fostering social skills and aiding in adjustment to the hospital environment.
Choice B is incorrect as excessive reliance on phone calls to parents may hinder the adolescent's autonomy and independence, which are crucial aspects of Erikson's theory for this age group.
Choice C, providing access to video games, while potentially offering entertainment, does not directly address the need for social interaction and relationship-building.
Choice D, encouraging the adolescent to learn his way around the hospital, is important for familiarity but may not directly address the need for social interaction and adjustment in the hospital setting.
Question 5 of 5
A male client with angina pectoris is being discharged from the hospital. What instructions should the nurse plan to include in the discharge teaching?
Correct Answer: C
Rationale: The correct answer is to keep nitroglycerin in a light-colored container and readily available. Nitroglycerin should be protected from light to maintain its effectiveness. Option A is incorrect because physical exercise immediately before eating can trigger angina. Option B is incorrect as cold weather can exacerbate angina symptoms. Option D is incorrect as isometric exercises can increase the workload on the heart, which is not recommended for individuals with angina.