HESI LPN · HESI LPN CAT Exams · HESI CAT
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
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)?
Expert Explanatory Rationale
Correct Answer: Soak and file fingernails
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?
Expert Explanatory Rationale
Correct Answer: Assess the client's need for pain medication
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?
Expert Explanatory Rationale
Correct Answer: Asymmetry of the shoulders when standing upright
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?
Expert Explanatory Rationale
Correct Answer: Turn off the oxytocin (Pitocin) infusion
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)
Expert Explanatory Rationale
Correct Answer: Whole wheat toast and jam
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