Exam (elaborations)
HESI CAT exam
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Exam of 77 pages for the course HESI CAT at HESI CAT (HESI CAT EXAM)
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HESI CAT EXAM QUESTIONS WITH ACCURATEANSWERS
Which assessment finding should indicate to the nurse that client with arterial
hypertension is experiencing a cardiac complication?
a. complaints of occipital headache
b. palpable dorsal is pedis pulse bilaterally
c. complaints of SOB on exertion
d. bp of 160/90 - correct answer-c. complaints of SOB on exertion
59 year 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 - correct answer-d. he is in a
coma and has a very poor prognosis
,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 - correct answer-b. administer a retention
enema of kayexalate
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 - correct answer-a. Discontinue the IO infusion
,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 - correct answer-b. A 35-year-old
with lupus erythematous
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 -
correct answer-b. ask the woman if she performs monthly breast self exams
, 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 - correct answer-b.
instill the first dose of nystatin vaginally per applicator
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 - correct answer-c. Inspire deeply
and slowly over 3 to 5 seconds
The nurse plans to educate a client about the purpose for taking the prescribed
antipsychotic medication clozapine (Clozaril). Which statement should the nurse
provide?
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