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Exam (elaborations)

HESI CAT EXAM UPDATED Actual Questions and CORRECT Answers

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HESI CAT EXAM UPDATED Actual Questions and CORRECT Answers 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 - CORRECT ANSWER- Dried fruits & nuts Rationale: dr...

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  • October 4, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HESI CAT
  • HESI CAT
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MGRADES
HESI CAT EXAM UPDATED Actual
Questions and CORRECT Answers
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 -
CORRECT 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


A client with malnutrition is assessed for osteomalacia what data show the nurse review to
determine their clients risk for this health problem - CORRECT 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


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 -
CORRECT 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


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 -
CORRECT 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


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 - CORRECT 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.


The nurse is preparing to administer medication through a client's nasalgastric tube what will
the nurse do first when administering these medications - CORRECT 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


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 - CORRECT
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


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 - CORRECT 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


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 - CORRECT 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


Rationale: urine is a bodily fluid that can contain viruses bacteria and blood borne illnesses in
cases of hematuria healthcare professionals including nurses need to completely situational
risk assessment prior to each client interaction to determine risk and choose the appropriate
infection control strategy to minimize risk to themselves and their client population according
to the CDC


A GRANDSon is concern about the older clients happiness and so much time is spent talking
about the past what should the nurse respond to the grandson - CORRECT ANSWER✔✔-
Reminiscing is a common activity in older adults that helps them to stay connected


Rationale: The nurse should explain that reminiscing is normal and common activity in older
adults talking about the past helps older adult clients stay connected to other people by
providing a topic of conversation even if they don't experience much during the day


Family of an elderly Japanese woman is upset because the client has not received any pain
medication the nurse explains that the client never complain about pain and did not write the
pain and severe when assess what should the nurse manager do - CORRECT ANSWER✔✔-
Explain that in the Japanese culture people often show a stoic response to pain so that it is
important to look for PHYSICAL clues

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