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Exam (elaborations)

HESI CAT Actual Questions and CORRECT Answers

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HESI CAT Actual Questions and CORRECT Answers 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. - CO...

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  • October 4, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HESI CAT
  • HESI CAT
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HESI CAT Actual Questions and
CORRECT Answers
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


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."


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.


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.
C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position. - CORRECT
ANSWER✔✔- B. Assess the client's ability to independently turn to his left side.


The nurse notes that a client is experiencing supraventricular tachyacardia (SVT). Which
action should the nurse implement?
A. Assess the client's heart sounds and vital signs.

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