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HESI CAT EXAM|83 QUESTIONS AND ANSWERS
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HESI CAT EXAM|83 QUESTIONS AND ANSWERS
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HESI CAT EXAM|83 QUESTIONS ANDANSWERS
A client with irritable bowel syndrome is recovering from surgery to create an
ileostomy what foods should the nurse instruct the client to avoid to reduce
the risk of food blockage - -Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small intestine
the client should be instructed to avoid these food items with an ileostomy
-A client with malnutrition is assessed for osteomalacia what data show the
nurse review to determine their clients risk for this health problem - -Vitamin
D levels
Rationale: Malnutrition has widespread affects on various organ systems
osteomalacia is defective mineralization of newly formed bones secondary to
chronic deficiency of vitamin D it results in soft, weak bones that fracture
easily vitamin D levels will provide the nurse with the most accurate
information regarding this health problem
-The nurse has determine an adolescent client needs reinforcement
education about prevention of a sickle cell crisis which instruction should the
nurse include select all that apply - -Wear warm clothes outside in cold
weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of
a sickle cell disease. it occurs when the micro circulation is obstructed by
sickling of the red blood cells resulting in local tissue ischemia and severe
pain. the three most common identify triggers for the development of a
vaso-occlusive crisis are hypoxemia, dehydration, and body temperature
changes
-The nurse is caring for a client with schizophrenia who has refused they are
risperidone for the last week the client has been suspicious of nursing staff
and periodically aggressive for the past three days today the client broke a
chair in their room and is making verbal threats to the nurse and to other
clients in the day wrong what is the first action the nurse should take - -
Remove the other clients in nonessential staff from the day room
,Rationale: schizophrenia is a mental health disorder which causes
hallucinations, delusions, disorder thought process and impaired behavior
function.
Safety for all staff clients and visitors is priority and potential violence
situations
-A nurse who normally works on a post surgical care unit has been asked to
float to the preoperative care unit what is the best response by the nurse - -I
don't feel totally comfortable floating so I would like to be paired with a
resource nurse for my shift
Rationale: The nurse has acknowledged their discomfort with floating and
has also identified a means of making a float shift nurse more comfortable
and important part of a successful float shift and identifying using resources
on the float unit including a partnership with a specific resource nurse for the
shift to answer questions locate supplies etc.
-The nurse is preparing to administer medication through a client's
nasalgastric tube what will the nurse do first when administering these
medications - -Assessed for placement of the nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric tube the
nurse needs to assess for correct placement of the tube
-A client with an stage renal failure has requested no further treatment be
provided when the oldest daughter arrives to visit she is visibly upset that all
dialysis treatments have ended in demands that treatment be continue what
should the nurse do it this time - -Explained that the client has requested
that all treatments be stop
Rationale: The nurse is responsible for the following clients wishes for
treatment the daughter does not need to leave because there's no evidence
that the client is upset resuming Dallas treatment is not what the client
wants and should not be done the nurse can explain the change in
treatments with a daughter and does not need to ask a physician to have
this conversation
-The education department of a healthcare organization has design client
education sheet that explains the process of being admitted to the hospital
in English Spanish and French since these are the three major language is
spoken by the hospitals client population what does the client education
sheet reflects - -Sensitivity to the diverse Client population
Rationale: By creating a client education sheet that can be read by the
hospitals major client population the education department is demonstrating
sensitivity to the diverse client population the education sheet does not
, reflect racial profiling stereotyping or inappropriate categorizing of the
clients population
-The nurse is emptying the urinary collection bag for a client with history of
HIV in which sequence sure the nurse perform the following actions after the
urinary collection bag has been drained - -Ensure urinary collection bag is
placed below the clients bladder
empty that your receptacle
remove PPE
Wash hands with soap & water
Document amount of urine collected
Rationale: urine is a bodily fluid that can contain viruses bacteria and blood
borne illnesses in cases of hematuria healthcare professionals including
nurses need to completely situational risk assessment prior to each client
interaction to determine risk and choose the appropriate infection control
strategy to minimize risk to themselves and their client population according
to the CDC
-A GRANDSon is concern about the older clients happiness and so much
time is spent talking about the past what should the nurse respond to the
grandson - -Reminiscing is a common activity in older adults that helps them
to stay connected
Rationale: The nurse should explain that reminiscing is normal and common
activity in older adults talking about the past helps older adult clients stay
connected to other people by providing a topic of conversation even if they
don't experience much during the day
-Family of an elderly Japanese woman is upset because the client has not
received any pain medication the nurse explains that the client never
complain about pain and did not write the pain and severe when assess what
should the nurse manager do - -Explain that in the Japanese culture people
often show a stoic response to pain so that it is important to look for
PHYSICAL clues
Rationale: individuals of Japanese descent will not complain about pain as
they do not want to dishonor themselves or their families some will either
refuse pain medication when offered therefore it is important to look for
physical clothes like (rocking, sweat on brows, elevated blood pressure) and
input from the family when assessing for pain
-The nurse assessed audible expiratory wheezes over a clients lower lobes
what should the nurse do first after completing this assessment - -Raise the
Head of the bed to a 60° angle
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