HESI CAT Exam Studoc /154 Questions With Verified
Answers Graded (A+)
Quiz :59 yo male client is brought to the emergency room where he is assessed
to have a Glasgow coma scale of 3. based on this assessment, how should the
nurse characterize the clients condition?
a. client has increase icp
b. he has a good prognosis for recovery
c. this client is conscious, but is not oriented to time and place
d. he is in a coma and has a very poor prognosis - √Answer :d. he is in a coma
and has a very poor prognosis
Quiz :at a community health fair, 50 yo female tells the nurse that she has an
annual physical exam that includes a breast exam and an annual mammogram.
how should the nurse respond?
a. encourage the woman to explore her fears about breast cancer
b. ask the woman if she performs monthly breast self exams
c. recommend the women for adhering to the recommend cancer detection
guidelines
,d. advise the woman that mammogram are only needed every two yrs of age -
√Answer :b. ask the woman if she performs monthly breast self exams
Quiz :which assessment finding should indicate to the nurse that client with
arterial hypertension is expericing a cardiac complication?
a. complaints of occipaital headache
b. palpable dorsal is pedis pulse bilaterally
c. complaints of SOB on exertion
d. bp of 160/90 - √Answer :c. complaints of SOB on exertion
Quiz :a college student who is diagnosed with vaginal infection and vulva
irritation describes the vaginal discharge as having cottage cheese appearance.
which prescription should the nurse implement first?
a. cleanse perineum with warm soapy water 3 times per day
b. instill the first dose of nystatin vaginally per applicator
c. perform glucose measurement using capillary blood sample
d. obtain a blood speciment for sexually transmitted disease - √Answer :b.
instill the first dose of nystatin vaginally per applicator
Quiz :a client in acute renal failure has serum potassium of 7.5. based on this
finding, the nurse should anticapate implementing which action?
a. administer IV NS rapidly and NPH subq
b. administer a retention enema of kayexalate
c. add 40 KCL to present IV solution
d. administer lidocaine bolus IV push - √Answer :b. administer a retention
enema of kayexalate
Quiz :A client who had an intraosseous (IO) cannula placed by the healthcare
provider for an
emergent fluid resuscitation is complaining of severe pain and numbness
below the IO
site. The skin around the site is pale and edematous. What action
should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare provide - √Answer :a. Discontinue the IO infusion
Quiz :The nurse-manager of a perinatal unit is notified that one client from the
,medical-surgical unit needs to be transferred to male room for new
admissions. Which client should the nurse recommend for transfer to the
antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of the vulva - √Answer :b. A 35-year-old
with lupus erythematous
Quiz :A nurse is teaching a client postoperative breathing techniques using an
incentive
spirometer (IS). What should the nurse encourage this client to do to maintain
sustained maximal inspiration?
a. Breathe into the spirometer using normal breath volumes
b. Exhale forcefully into the tubing for 3 to 5 seconds
c. Inspire deeply and slowly over 3 to 5 seconds
d. Perform IS breathing exercises every 6 hours - √Answer :c. Inspire deeply
and slowly over 3 to 5 seconds
Quiz :The nurse plans to educate a client about the purpose for taking the
prescribed
antipsychotic medication clozapine (Clozaril). Which statement should the
nurse
provide?
a. You will be able to cope with your symptoms
b. It will help you function better in the community
c. The medication will help you think more clearly - √Answer :c. The
medication will help you think more clearly
Quiz :A male client with diabetes mellitus takes Novolin 70/30 insulin before
meals
and azithromycin (Zithromax) PO daily, using medication he brought from
home.
When the nurse delivers his breakfast tray, the client tells the nurse that he
took his
insulin but forgot to take his daily dose of the Zithromax an hour before
breakfast as
instructed. What action should the nurse implement?
a. Offer to obtain a new breakfast tray in an hour so the client can take the
Zithromax
, b. Instruct the client to eat his breakfast and take the Zithromax two hours
after
eating
c. Tell the client to skip that day's dose and resume taking the Zithromax the
next
day
d. Provide a PRN dose of an antacid to take with the Zithromax right after
breakfast - √Answer :b. Instruct the client to eat his breakfast and take the
Zithromax two hours after
eating
Quiz :What instruction is most important for the nurse to provide a female
client who has
just been diagnosed with trichomoniasis?
a. Avoid douching
b. Treat sexual partner (s) concurrently
c. Avoid using moist washcloths when bathing
d. Postpone becoming pregnant until the infection is treated - √Answer :b.
Treat sexual partner (s) concurrently
Quiz :A primigravida at term comes to the prenatal clinic and tells the nurse
that she is having
contractions every 5 min. The nurse monitors the client for one hour, using an
external fetal
monitor, and determines that the client's contractions every 5 minutes. The
nurse monitors
the client for one hour, using an external fetal monitor, and determines that
the client's
contractions are 7 to 15 minutes apart, lasting 20 to 30 seconds, with mild
intensity by
palpation. What action should the nurse take?
a. Tell the client to go directly to the hospital for admission to labor and
delivery for
active labor
b. Send the client home and instruct her to call the clinic when her
contractions occur
5 minutes apart for one hour
c. Tell the client to check into the hospital within the next hour for evaluation
of
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