HESI CAT EXAM NEWEST 2024 ACTUAL EXAM 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ALREADY GRADED A+
At a routine prenatal visit, a client at 24-weeks gestation complains
of nasal stuffiness and occasional nosebleeds. Which hormone is
responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. - CORRECT ANSWER >>>>D. Estrogen.
A client who has localized eczematous eruptions on b oth hands is
diagnosed as 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. - CORRECT
ANSWER >>>>B. Apply an oil-based ointment to the affected areas
,2|Page
While transcribing a new prescription, the nurse notes that the
prescribed dosage is much lower than the recommended dosage
listed in the drug reference guide. Which client data supports the
dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. - CORRECT ANSWER >>>>C.
Increased liver enzymes.
The nurse assigns an unlicensed assistive personnel (UAP) to take
the vital signs of a client who is positive for Human
Immunodeficiency Virus (HIV). What protective apparel should the
nurse counsel the UAP to wear when carrying out this assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. - CORRECT ANSWER >>>>A. None.
A client with Guillain-Barre syndrome requires a tracheostomy and
mechanical ventilation due to the progression of the disease. What
nursing intervention is most helpful in aiding this clinet to
communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the client.
B. Teach the client to point to a letter board word chart to
communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate
"yes" or "no." - CORRECT ANSWER >>>>D. With the client, develop
a system of eye blinks to communicate "yes" or "no."
,3|Page
A client with peptic ulcer disease (PUD) is admitted to the
emergency room complaining of sudden severe upper abdominal
pain. Assessment indicates an extremely tender and rigid
abdomen, B/P of 90/60 mmHg, and pulse of 110 beat/minute. The
emergency department nurse should anticipate implementation of
which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. -
CORRECT ANSWER >>>>A. Preparing the client for emergency
abdominal surgery.
Which finding should the nurse expect a client to exhibit who is
newly diagnosed with fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash. - CORRECT ANSWER >>>>B. Disruption in sleep
patterns.
A male client with diabetes mellitus reports that he has had trouble
following his diet, and the result of his fasting blood glucose test is
90 mg/dl. What action should the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test. -
CORRECT ANSWER >>>>D. Review the findings of his glycosylated
hemoglobin test.
, 4|Page
A multipara postpartum client complain intense cramping while
breastfeeding. What instruction should the nurse provide to the
client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding. -
CORRECT ANSWER >>>>C. Take a prescribed analgesic an hour
prior to breastfeeding.
A nurse is preparing to teach the parents of a child who had a
surgical repair of myelomeningocele how to change an occlusive
dressing on the child's back. Which statement by the parents
indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the
dressing when changing it."
B. "The dressing should be wetted periodically to keep the skin
incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal
contamination." - CORRECT ANSWER >>>>D. " The purpose of the
dressing is to protect the incision from fecal contamination."
While the nurse is preparing to administer a high volume saline
enema to a male client, the client appears anxious and states that
he is not able to turn on his right side without help because of a
recent stroke. What action should the nurse take first?
A. Reassure the client that he can remain in any position of comfort
during the enema.
B. Assess the client's ability to independently turn to his left side.
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