HESI CAT EXAM
( LATEST ) ACTUAL QUESTIONS AND ANSWERS
100% CORRECT
1. The nurse is planning a fall prevention program for the residents at a
long-term care facility. Which intervention is most important in providing a
safe environment?
A. Encourage clients to wear rubber-soled shoes.
B. Accompany residents older than 80 years during ambulation.
C. Apply a vest restraint prophylactically to confused residents.
D. Leave the hall lights on during the night.:
Answer:
A. Encourage clients to wear rubber-soled shoes.
2. For a client who has been receiving linezolid (Zyvox) for two weeks to
treat an MRSA- infected wounds, what finding requires the most immediate
action by the nurse?
A. Ecchymosis
B. Insomnia
C. Tongue discoloration
D. Vaginal discharge:
Answer:
A. Ecchymosis
3. The unlicensed assistive personnel (UAP) caring for a postoperative
client reports to the charge nurse that the client is not using the incentive
spirometer effectively. What action should the charge nurse implement?
A. Schedule time later in the morning to review the use of incentive spirometer
with the client.
B. Ask the practical nurse assigned to care for the client to review the use of
spirometer with the client.
C. Encourage the UAP to demonstrate the effective use of the incentive
spirometer to the client.
D. Advise the UAP that the respiratory therapist is responsible to supervise
the client's use of the spirometer.:
Answer:
A.Schedule time later in the morning to review the use of incentive spirometer
with the client.
,4. During discharge teaching the mother asks why her premature infant
should get monthly Synagis (Palivizumab) injections. The nurse's response should
be bsed on what information?
A. Monthly injections promote normal neurological and physical development.
B. This drug protects the premature infant from respiratory syncytial virus
(RSV)
C. These injections prevent retinopathy of prematurity caused by high levels
of oxygen.
D. This medication provides surfactant, which helps the lungs mature more
quickly,:
Answer:
B. This drug protects the premature infant from respiratory syncytial virus (RSV)
5. In preparing assignments for the shift, which client is best for the charge
nurse to assign to a practical nurse?
A. A client with panreatic cancer who is experiencing intractable pain.
B. An older client who fell yesterday and is now complaining of diplopia.
C. An adult newly diagnosed with Type 1 diabetes and high cholesterol.
D. An elderly client with Alzeimer's disease complicated by dysphagia.:
Answer:
D. An elderly client with Alzeimer's disease complicated by dysphagia.
6. The RN is in charge of a 20-bed surgical unit and is preparing assignments
for the shift. Which nursing task should be assigned to the LPN?
A. Administer a unit of blood to a client who has decreased hemoglobin and
hematocrit.
B. Take the routine vital signs on a client who just returned from surgery.
C. Teach a client who has a new sigmoid colostomy how to irrigate the
colostomy.
D. Administer a pain medication to a client who had a bowel resection
yesterday.:
Answer:
D. Administer a pain medication to a client who had a bowel resection yesterday.
7. Following the administration of total parenteral nutrition (TPN) via a
central line to a client diagnosed with inflammatory bowel disease (IBD), the
nurse should expect what outcome?
A. Afebrile with no purulent drainage from catheter site.
B. Hydration as evidenced by tented skin turgor.
C. A weight loss of 6 pounds within two weeks.
D. A negative nitrogen balance during TPN administration:
Answer:
, A. Afebrile with no purulent drainage from catheter site.
8. What is the most important primary preventative measure the nurse can
emphasize as a means of reducing the risk of developing acute glomerulonephritis
in the general population?
A. Encourage all persons to have a yearly physical with urinalysis
B. Teach all females to seek medical attention for urinary tract infections.
C. Use good handwashing techniques to prevent throat and skin infections.
D. Eat a low salt diet and monitor the blood pressure frequently.:
Answer:
C. Use good handwashing techniques to prevent throat and skin infections.
9. The culture and sensitivity report for a client who has been receiving
a broad spectrum antibiotic indicated that the bacteria is resistant to the
currently prescribed medication. What action should the nurse implement in
response to this finding.
A. Notify the lab of the need for drug peak and trough levels
B. Determine if the white blood cell count has increased.
C. Administer the next scheduled dose of the antibiotic.
D. Assess the oral mucosa for signs of superinfection.:
Answer:
B. Determine if the white blood cell count has increased.
10. At a routine prenatal visit, a client at 24-weeks gestation complains
of nasal stuffiness and occasional nosebleeds. Which hormone is
responsiblefor these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen.:
Answer:
D. Estrogen.
11. A client who has localized eczematous eruptions on b oth hands is
diagnosedas having contact dermatitis. What instruction should the nurse
include in this client's discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day.:
Answer:
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