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HESI LPN · HESI LPN CAT Exams · HESI CAT Exam Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

To evaluate the client's therapeutic response to lactulose for signs of hepatic encephalopathy, which assessment should the nurse obtain?

A. Level of consciousness
B. Percussion of abdomen
C. Serum electrolytes
D. Blood glucose

Expert Explanatory Rationale

Correct Answer: Level of consciousness

Question 2 of 5

A female client on the mental health unit frequently asks the nurse when she can be discharged. Then, becoming more anxious, she begins to pace the hallway. What intervention should the nurse implement first?

A. Review the current treatment plan with the client
B. Inform the healthcare provider about the client's behaviors
C. Determine if the client has PRN medication for anxiety
D. Explore the client's reasons for wanting to be discharged

Expert Explanatory Rationale

Correct Answer: Explore the client's reasons for wanting to be discharged

Question 3 of 5

The nurse is making assignments for a new graduate from a practical nursing program who is orienting to the unit. Because the unit is particularly busy this day, there will be little time to provide supervision of this new employee. Which client is the best for the nurse to assign this newly graduate practical nurse? A client

A. Whose discharge has been delayed because of a postoperative infection
B. With poorly controlled type 2 diabetes who is on a sliding scale for insulin administration
C. Newly admitted with a head injury who requires frequent assessments
D. Who is receiving IV heparin that is regulated based on protocol

Expert Explanatory Rationale

Correct Answer: Whose discharge has been delayed because of a postoperative infection

Question 4 of 5

A client receives a prescription for acetylcysteine (Mucomyst) 1.4 grams per nasogastric tube q4 hours. Acetylcysteine is available as a 10% solution (10 grams/100ml). How many ml of the 10% solution should the nurse administer per dose?

A. 7
B. 10
C. 14
D. 1.4 grams of acetylcysteine is equivalent to 14 ml of a 10% solution.

Expert Explanatory Rationale

Correct Answer: 1.4 grams of acetylcysteine is equivalent to 14 ml of a 10% solution.

Question 5 of 5

A client is admitted with hepatitis A (HAV) and dehydration. Subjective symptoms include anorexia, fatigue, and malaise. What additional assessment should the nurse expect to find during the preicteric phase?

A. RUQ abdominal pain
B. Clay-colored stools
C. Icteric sclera
D. Pruritus

Expert Explanatory Rationale

Correct Answer: RUQ abdominal pain

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