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HESI LPN · HESI LPN CAT Exams · HESI CAT Exam 2024

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

After receiving a report on an inpatient acute care unit, which client should the nurse assess first?

A. The client with bowel obstruction due to a volvulus who is experiencing abdominal rigidity

B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds

C. The client with an obstruction of the large intestine who is experiencing abdominal distention

D. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid

Expert Explanatory Rationale

Correct Answer: The client with bowel obstruction due to a volvulus who is experiencing abdominal rigidity

Question 2 of 5

When lactulose (Cephulac) 30 ml QID is prescribed for a male client with advanced cirrhosis, and he complains that it causes diarrhea, what action should the nurse take in response to the client's statement?

A. Explain that diarrhea is expected, but the drug reduces ammonia levels

B. Document that the client is non-compliant with his treatment plan

C. Tell the client to be concerned about more significant side effects of this drug

D. Obtain a prescription for loperamide (Imodium) 4mg PO PRN diarrhea

Expert Explanatory Rationale

Correct Answer: Explain that diarrhea is expected, but the drug reduces ammonia levels

Question 3 of 5

A 12-year-old client who had an appendectomy two days ago is receiving 0.9% normal saline at 50 ml/hour. The client's urine specific gravity is 1.035. What action should the nurse implement?

A. Encourage popsicles and fluids of choice

B. Evaluate postural blood pressure measurements

C. Obtain a specimen for urinalysis

D. Assess bowel sounds in all quadrants

Expert Explanatory Rationale

Correct Answer: Encourage popsicles and fluids of choice

Question 4 of 5

When entering a client's room to administer an 0900 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which actions should the nurse implement?

A. Ignore the behavior and administer the IV antibiotic

B. Tell the client to stop the inappropriate behavior

C. Leave the room and close the door quietly

D. Complete an unusual occurrence report

Expert Explanatory Rationale

Correct Answer: Leave the room and close the door quietly

Question 5 of 5

A client receiving chemotherapy has severe neutropenia. Which snack is best for the nurse to recommend to the client?

A. Plain yogurt sweetened with raw honey

B. Peanuts in the shell, roasted or unroasted

C. Aged farmer's cheese with celery sticks

D. Baked apples topped with dried raisins

Expert Explanatory Rationale

Correct Answer: Plain yogurt sweetened with raw honey

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