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HESI CAT EXAM LATEST COMPLETE TEST WITH ACTUAL EXAM QUESTIONS AND WELL ELABORATED ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND NEW!!) HESI CAT EXAM

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HESI CAT EXAM LATEST 2024-2025 COMPLETE TEST WITH
ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS WITH RATIONALES (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION |ALREADY GRADED
A+ (BRAND NEW!!) HESI CAT EXAM


The nurse assessed audible expiratory wheezes over a clients lower
lobes what should the nurse do first after completing this assessment -
Answer-Raise the Head of the bed to a 60° angle


Rationale: The client is demonstrating bilateral lower lobe wheezes the
first thing the nurse should do is raise the head of the bed to a 60°
angle in order to improve ventilation


The nurse is flushing a clients peripheral intravenous catheter saline
lock with sterile normal saline during the flush the nurse notes that
resistance is met what action should the nurse take - Answer-Remove
the saline lock and re-insert in another site


Rationale: The peripheral in a minute IV catheter device also known as
a saline lock is a device flushed with saline and applied to a PICC to
maintain IV access and patency. To maintain patency the lock should be
flush with 3 mL of NS before and after each medication administered,
after blood draw, and every 12 hours with the saline lock has been not
been in use. While saline locks reduce the need to insert IV lines, they
do have a risk and should be removed 72 hours after insertion to
reduce the likelihood of infection

,Infiltration - Answer-The infusion of fluid or medication outside the vein
usually caused by poor IV placement skin will appear swollen and cool
to the touch


Hematoma - Answer-When blood from the veins pools into the
surrounding tissues this happens when the needle passes through the
rain more than once or if pressure is applied when removing the IV


air embolism - Answer-Extremely rare complication in which air travels
through the IV line into the vein and creates an envelope that could
travel to the lungs or heart since the amount of air tolerating is
dependent on weight children are more at risk of developing this
complication


phlebitis - Answer-Inflammation of the rain caused by irritation
solutions medication or the angiocatheter being in place for days


superficial thrombophlebitis - Answer-Inflammation of a vein just below
the surface of the skin caused by formation of a thrombus this may
cause pain, tenderness or hardening of the vein these often resolved
without intervention elevating the extremity and applying warm
compress can relieve symptoms

,The case manager on an oncology unit is determining which clients
might be appropriate to consider for hospice which client will most
likely benefit the most from this level of care
- recovering from radioactive iodine for thyroid cancer
- metastatic liver cancer receiving IV morphine for pain
- recovering from lumpectomy for breast cancer with no nodal
involvement
- chemotherapy for chronic leukemia w/ low WBC - Answer-ANS: Client
with metastatic liver cancer receiving IV morphine for pain.


Rationale: The client with my tastic cancer of the liver being treated
with IV morphine has the direct prognosis and would most probably
benefit from hospice care although the other clients are diagnosed with
cancer the health conditions are stabilized with treatment hospice
would not be indicated for them at this time


The nurse has inserted in indwelling urinary catheter into email client
after the flow Of urine has started and the nurse has inserted additional
length of tubing through the clients made us what should the nurse do -
Answer-Inflate the balloon with 10 mL of sterile water


A client recovering from a CABG (coronary artery bypass surgery) asked
the nurse why he has bandages on his legs which of the following
should the nurse do to assist this client - Answer-Remind the client that
the veins from the surgery were harvest for the leg region

, Rationale: preoperative teaching Would have included the veins to be
use for the surgery the nurse to remind the client of this teaching to
explain the presence of the bandages at this time


A client with community acquired pneumonia is admitted and started
on IV vancomycin upon assessment the client reports itching in the
nurse observes skin changes. After stopping the infusion which action
should the nurse implement first - Answer-Obtain a blood pressure




Rationale: Community acquired pneumonia is a lung infection most
often caused by streptococcus pneumonia. vancomycin is a powerful
antibiotic commonly used to treat community acquired pneumonia the
client symptoms of flushing and itching are characteristics of red man
syndrome - a known side effect of vancomycin that can occur if infused
to quickly


Prior to administering a dose of propranolol hydrochloride (Inderal)10
mg by mouth the nurse assesses the client BP as being 88/50 mmHg
what should the nurse do at this time - Answer-Hold the medication
and notify the doctor with the BP reading




Rationale: Propanolol hydrochloride (Inderal) is a medication to lower
systolic blood pressure if this is not like pressure is below 90 mmHg the
medication should not be provided and the doctor should be notified

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