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HESI LPN · HESI LPN CAT Exams · HESI CAT

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse assesses an older adult who is newly admitted to a long-term care facility. The client has dry, flaky skin and long thickened fingernails. The client has a medical history of a stroke which resulted in left-sided paralysis and dysphagia. In planning care for the client, which task should the nurse delegate to the unlicensed personnel (UAP)?

A. Soak and file fingernails
B. Offer fluids frequently
C. Monitor skin elasticity
D. Ambulate in the hallway

Expert Explanatory Rationale

Correct Answer: Soak and file fingernails

Question 2 of 5

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement?

A. Assess the client's need for pain medication
B. Document the impending signs of death
C. Inform the nurse manager of the client's status
D. Communicate the client's status to the chaplain

Expert Explanatory Rationale

Correct Answer: Assess the client's need for pain medication

Question 3 of 5

The school nurse is screening students for spinal abnormalities and instructs each student to stand up and then touch their toes. Which finding indicates that a student should be referred for scoliosis evaluation?

A. Inability to touch their toes
B. Asymmetry of the shoulders when standing upright
C. Audible crepitus when bending
D. An exaggerated upper thoracic convex curvature

Expert Explanatory Rationale

Correct Answer: Asymmetry of the shoulders when standing upright

Question 4 of 5

An 18-year-old gravida 1, at 41-weeks gestation, is undergoing an oxytocin (Pitocin) induction and has an epidural catheter in place for pain control. With each of the last three contractions, the nurse notes a late deceleration. The client is repositioned, and oxygen provided, but the late decelerations continue to occur with each contraction. What action should the nurse take first?

A. Prepare for immediate cesarean birth
B. Turn off the oxytocin (Pitocin) infusion
C. Notify the anesthesiologist that the epidural infusion needs to be disconnected
D. Apply an internal fetal monitoring device and continue to monitor carefully

Expert Explanatory Rationale

Correct Answer: Turn off the oxytocin (Pitocin) infusion

Question 5 of 5

A male client with hypercholesterolemia wants to change his diet to help reduce his cholesterol levels. Which breakfast items should the nurse encourage the client to eat? (Select all that apply)

A. Sausage patties and eggs
B. Whole wheat toast and jam
C. Bagels and cream cheese
D. Blackberries and oatmeal

Expert Explanatory Rationale

Correct Answer: Whole wheat toast and jam

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