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HESI LPN · HESI LPN CAT Exams · CAT Exam Practice

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client with leukemia who is receiving myelosuppressive chemotherapy has a platelet count of 25,000/mm3. Which intervention is most important for the nurse to include in this client's plan of care?

A. Monitor for signs of activity intolerance
B. Require visitors to wear respiratory masks
C. Assess urine and stool for occult blood
D. Obtain client's temperature q4 hours

Expert Explanatory Rationale

Correct Answer: Assess urine and stool for occult blood

Question 2 of 5

A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tumor. Which potential complication should the nurse monitor closely?

A. Hypokalemia
B. Ketonuria
C. Peripheral edema
D. Elevated blood pressure

Expert Explanatory Rationale

Correct Answer: Hypokalemia

Question 3 of 5

Which situation is a violation of client confidentiality, as described in the Health Insurance Portability and Accountability Act (HIPAA)?

A. A sign-in sheet kept at the front desk listing clients' last names and the time of their arrival
B. A nurse's handwritten notes from a telephone report discarded in the office wastebasket
C. A computer monitor screen located at the nurse's station in a high-traffic area
D. Privileged Health Information (PHI) given to an ambulance driver for the transfer of a client

Expert Explanatory Rationale

Correct Answer: A computer monitor screen located at the nurse's station in a high-traffic area

Question 4 of 5

The nurse is assessing a client with Addison's disease who is weak, dizzy, disoriented, and has dry oral mucous membranes, poor skin turgor, and sunken eyes. Vital signs are blood pressure 94/44, heart rate 123 beats/minute, respiration 22 breaths/minute. Which intervention should the nurse implement first?

A. Assess extremity strength and resistance
B. Report a sodium level of 132 mEq/L or mmol/L (SI units)
C. Measure and record the cardiac QRS complex
D. Check current finger stick glucose

Expert Explanatory Rationale

Correct Answer: Check current finger stick glucose

Question 5 of 5

A 60-year-old male with type 2 diabetes mellitus tells the nurse that he is going to join a gym and start working out. Which information is most important for the nurse to obtain?

A. Recent serum cholesterol levels
B. Presence of calf pain during exercise
C. Average weight gain or loss in the last year
D. Exercise tolerance test with EKG results

Expert Explanatory Rationale

Correct Answer: Presence of calf pain during exercise

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