HESI CAT EXAM COMPREHENSIVE TEST PAPER
2026 COMPLETE SOLUTIONS
◉ 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.
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. 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. 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
Rationale: individuals of Japanese descent will not complain about
pain as they do not want to dishonor themselves or their families
some will either refuse pain medication when offered therefore it is
important to look for physical clothes like (rocking, sweat on brows,
elevated blood pressure) and input from the family when assessing
for pain
◉ The nurse assessed audible expiratory wheezes over a clients
lower lobes what should the nurse do first after completing this
assessment. Answer: Raise the Head of the bed to a 60° angle
, Rationale: The client is demonstrating bilateral lower lobe wheezes
the first thing the nurse should do is raise the head of the bed to a
60° angle in order to improve ventilation
◉ The nurse is flushing a clients peripheral intravenous catheter
saline lock with sterile normal saline during the flush the nurse
notes that resistance is met what action should the nurse take.
Answer: Remove the saline lock and re-insert in another site
Rationale: The peripheral in a minute IV catheter device also known
as a saline lock is a device flushed with saline and applied to a PICC
to maintain IV access and patency. To maintain patency the lock
should be flush with 3 mL of NS before and after each medication
administered, after blood draw, and every 12 hours with the saline
lock has been not been in use. While saline locks reduce the need to
insert IV lines, they do have a risk and should be removed 72 hours
after insertion to reduce the likelihood of infection
◉ Infiltration. Answer: The infusion of fluid or medication outside
the vein usually caused by poor IV placement skin will appear
swollen and cool to the touch
◉ Hematoma. Answer: When blood from the veins pools into the
surrounding tissues this happens when the needle passes through
the rain more than once or if pressure is applied when removing the
IV
2026 COMPLETE SOLUTIONS
◉ 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.
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. 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. 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
Rationale: individuals of Japanese descent will not complain about
pain as they do not want to dishonor themselves or their families
some will either refuse pain medication when offered therefore it is
important to look for physical clothes like (rocking, sweat on brows,
elevated blood pressure) and input from the family when assessing
for pain
◉ The nurse assessed audible expiratory wheezes over a clients
lower lobes what should the nurse do first after completing this
assessment. Answer: Raise the Head of the bed to a 60° angle
, Rationale: The client is demonstrating bilateral lower lobe wheezes
the first thing the nurse should do is raise the head of the bed to a
60° angle in order to improve ventilation
◉ The nurse is flushing a clients peripheral intravenous catheter
saline lock with sterile normal saline during the flush the nurse
notes that resistance is met what action should the nurse take.
Answer: Remove the saline lock and re-insert in another site
Rationale: The peripheral in a minute IV catheter device also known
as a saline lock is a device flushed with saline and applied to a PICC
to maintain IV access and patency. To maintain patency the lock
should be flush with 3 mL of NS before and after each medication
administered, after blood draw, and every 12 hours with the saline
lock has been not been in use. While saline locks reduce the need to
insert IV lines, they do have a risk and should be removed 72 hours
after insertion to reduce the likelihood of infection
◉ Infiltration. Answer: The infusion of fluid or medication outside
the vein usually caused by poor IV placement skin will appear
swollen and cool to the touch
◉ Hematoma. Answer: When blood from the veins pools into the
surrounding tissues this happens when the needle passes through
the rain more than once or if pressure is applied when removing the
IV
