HESI CAT EXAM 2023 /83 Questions And Answers
(A+)
Quiz : 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 - √Answer :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
Quiz :A client with malnutrition is assessed for osteomalacia what data show
the nurse review to determine their clients risk for this health problem -
√Answer :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
, Quiz :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 - √Answer :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
Quiz :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 -
√Answer :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
Quiz :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 -
√Answer :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.
, Quiz :The nurse is preparing to administer medication through a client's
nasalgastric tube what will the nurse do first when administering these
medications - √Answer :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
Quiz :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 - √Answer :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
Quiz :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
- √Answer :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
Quiz :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 - √Answer :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
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