Practice Question
A client with heart failure (HF) is taking a diuretic. While evaluating the effectiveness of the medication regimen assessment is most important for the practical nurse (PN) to monitor?
Answer Choices:
Correct Answer:
Daily weight.
Rationale:
🔵In heart failure, daily weight is the most sensitive bedside indicator of fluid status, directly reflecting diuretic effectiveness.
🔵A change of ≈1 kg (2.2 lb) over 24 hours suggests ~1 liter of fluid gain/loss, guiding dose titration and dietary counseling.
🔵While BP, urine appearance, and electrolytes inform safety, they lag or are less specific for net volume change.
🔵Same scale, same time, same clothing enhances trend accuracy and clinical decision-making.
🔵Pairing weights with symptom checks (edema, dyspnea) strengthens assessment of decongestion.
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This question is from Hesi Exit CAT Exam-PN 2025 which contains 107 questions.
More Questions from This Exam
A nurse (PN) is caring for a client who is taking enoxaparin following an orthopedic surgery. Vans should the PN consider prior to administering the next dose? Reference Range: White Blood Cell (WBC) [5,000 to 10,000/mm3 (5 to 10 × 109/L] , Red Blood cell count (RBC) [4.2 to 5.4 × 106/µL (4.2 to 5.4 × 1012/µL], Platelets [150,000 to 400,000/mm3 (150 to 400 × 109/L], Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]
Answer Choices:
A. White blood cell count of 12,000//mm3 (12 × 109/L].
B. Platelet count of 170,000/rnrn3 (170 109fL).
C. Hemoglobin count of 16 g/dL (160 g/L).
D. Red blood cell count of 5.0 x 106/µL (5.0 x 1012/L].
The nurse (PN) is caring for an infant who is transitioning from parenteral nutrition to enteral repair. Which finding Should the PN recognize is an indication of failure to thrive?
Answer Choices:
A. High serum calcium level.
B. Low serum zinc level.
C. Elevated respiration rate.
D. Reduced output.
The practical nurse (PN) accompanies a healthcare provider (HCP) when the client receives the of stage 4 metastatic cancer. The client's spouse immediately responds. "You must have made a mistake. We want to get a second opinion.” The PN should consider which stage of the grieving process in order to respond best to the spouse's comments?
Answer Choices:
A. Conversion reaction.
B. Bargaining.
C. Intellectualization.
D. Denial.
Prior to giving digoxin the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on his finding, which action should the PN take?
Answer Choices:
A. Hold the medication and recheck the heart rate in 1 hour.
B. Administer the medication and document the heart rate.
C. Hold the medication and document cardiac assessment.
D. Administer the medication and alert the charge nurse.
Which finding(s) can the practical nurse (PN) determine by palpating a client's skin? Select all that apply
Answer Choices:
A. Warmth.
B. Pallor.
C. Itching.
D. Cyanosis.
E. Perspiration.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4