HESI CAT EXAM STUDOC QUESTIONS AND 100% CORRECT AND
VERIFIED ANSWERS LATEST UPDATE 2026-2027 ASSURED PASS
A primigravida at term comes to the prenatal clinic and tells the nurse that she is
having
contractions every 5 min. The nurse monitors the client for one hour, using an
external fetal
monitor, and determines that the client's contractions every 5 minutes. The nurse
monitors
the client for one hour, using an external fetal monitor, and determines that the
client's
contractions are 7 to 15 minutes apart, lasting 20 to 30 seconds, with mild intensity
by
palpation. What action should the nurse take?
a. Tell the client to go directly to the hospital for admission to labor and delivery
for
active labor
b. Send the client home and instruct her to call the clinic when her contractions
occur
5 minutes apart for one hour
c. Tell the client to check into the hospital within the next hour for evaluation of
possible urinary tract infection - ANS... -b. Send the client home and instruct her to
call the clinic when her contractions occur
Which instruction should the nurse provide to an elderly client who is taking an
ACE
inhibitor and a calcium channel blocker?
a. Wear long-sleeved clothing when outdoors
b. Report the onset of sore throat
c. Eat plenty of potassium-rich food
d. Change the position slowly - ANS... -d. Change the position slowly
Assessment finding of a 3-hour-old newborn include: axillary temperature of
97.7F, heart rate of 140 beats/minute with a soft murmur, and irregular respiratory
rate at 42 breaths/min. Based on these findings, what action should the nurse
implement?
a. Place a pulse oximeter on the heel
b. Swaddle the infant in a warm blanket
c. Record the findings on the flow sheet
,d. Check the vital signs in 15 minutes - ANS... -c. Record the findings on the flow
sheet
A client admitted to the hospital for depression is escorted to a private room. Prior
to leaving the room, what intervention is most important for the nurse to
implement?
a. Explain the programs guidelines
b. Search all personal belongings
c. Initiate psychosocial assessment
d. Review the healthcare's provider's prescription - ANS... -b. Search all personal
belongings
An experienced nurse tells the nurse-manager that working with a new graduate is
impossible because the new graduate will not listen to suggestions. The new
graduate
comes to the nurse-manager describing the senior nurse's attitude as challenging
and
offensive. What action is best for the nurse manager to take?
a. Have both nurses meet separately with the staff mental health
consultant
b. Listen actively to both nurses and offer suggestions to solving dilemma
c. Ask the senior nurse to examine mentoring strategies used with the new
graduate
d. Ask the nurses to meet with the nurse-manager to identify ways of working
together - ANS... -d. Ask the nurses to meet with the nurse-manager to identify
ways of working
together
Which nursing diagnosis has the highest priority when planning care for a client in
cardiogenic shock?
a. Risk for imbalance body temperature
b. Excess fluid volume
c. Fatigue
d. Ineffective Tissue Perfusion - ANS... -d. Ineffective Tissue Perfusion
When administering an intramuscular injection containing 3 ml of a painful
medication, which intervention should the nurse implement?
a. Instill the medication quickly
,b. Insert the needle slowly
c. Select a large, deep muscle mass
d. Use a short small gauge needle - ANS... -c. Select a large, deep muscle mass
Several clients on a telemetry unit are schedule for discharge in the morning, but a
telemetry-monitored bed is needed immediately. The charge nurse should make
arrangements to transfer which client to another medical unit? The client who is
a. Learning to self-administer insulin injections after being diagnosed with
diabetes mellitus
b. Ambulatory following coronary artery bypass graft surgery performed six days
ago.
c. Wearing a sling immobilizer following permanent pacemaker insertion earlier
that
day
d. Experiencing syncopal episodes resulting from the dehydration caused by severe
diarrhea - ANS... -a. Learning to self-administer insulin injections after being
diagnosed with
diabetes mellitus
he nurse preceptor is orienting a new graduate nurse to the critical care unit. The
preceptor asks the new graduate to state symptoms that most likely indicate the
beginning of a shock state in a critically ill client. What findings should the new
graduate
nurse identify?
a. Tachycardia, mental status change, and low urine output
b. Warm skin, hypertension, and constricted pupils
c. Bradycardia, hypotension, and respiratory acidosis
d. Mottled skin, tachypnea and hyperactive bowel sounds - ANS... -a. Tachycardia,
mental status change, and low urine output
The nurse is making assignments for a new graduate from a practical nursing
program that is orienting to the unit. Because the unit is particularly busy this day,
there
will be little time to provide supervision of this new employee. Which client is the
best for
the nurse to assign this newly graduate practical nurse? A client
a. Whose discharge has been delayed because of a postoperative infection
b. With poorly controlled type 2 diabetes who is sliding scale for insulin
administration
c. Newly admitted with a head injury who requires frequent assessments
, d. Who is receiving IV heparin that is regulated based on protocol - ANS... -a.
Whose discharge has been delayed because of a postoperative infection
Nurses working in labor and delivery are demanding a change in policy because
they believe they are required to float more often than nurses on other units.
However,
floating to labor and delivery is not reciprocated because other nurses are not
competent to provide highly specialized obstetrical skills. What action is best for
the
nurse-manager to implement?
a. Require the other nurses to cross-train for obstetrics
b. Propose a method for self-staffing labor and delivery
c. Remind nurses that floating is an administrative policy
d. Encourage nurses to share their feelings with administration - ANS... -b. Propose
a method for self-staffing labor and delivery
he nurse has explained safety precautions and infant care to a primigravida mother
and observes the mother, as gives care to her newborn during the first two days of
rooming-in. Which action indicates the mother understand the instruction?
a. Aspirates the newborn's nares using syringe
b. Applies a dressing on the cord after the newborn's bath
c. Breastfeeds the infant every hour during the night
d. Positions the infant supine in the crib to sleep - ANS... -d. Positions the infant
supine in the crib to sleep
59 yo 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 - ANS... -d. he is in a coma and
has a very poor prognosis
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
VERIFIED ANSWERS LATEST UPDATE 2026-2027 ASSURED PASS
A primigravida at term comes to the prenatal clinic and tells the nurse that she is
having
contractions every 5 min. The nurse monitors the client for one hour, using an
external fetal
monitor, and determines that the client's contractions every 5 minutes. The nurse
monitors
the client for one hour, using an external fetal monitor, and determines that the
client's
contractions are 7 to 15 minutes apart, lasting 20 to 30 seconds, with mild intensity
by
palpation. What action should the nurse take?
a. Tell the client to go directly to the hospital for admission to labor and delivery
for
active labor
b. Send the client home and instruct her to call the clinic when her contractions
occur
5 minutes apart for one hour
c. Tell the client to check into the hospital within the next hour for evaluation of
possible urinary tract infection - ANS... -b. Send the client home and instruct her to
call the clinic when her contractions occur
Which instruction should the nurse provide to an elderly client who is taking an
ACE
inhibitor and a calcium channel blocker?
a. Wear long-sleeved clothing when outdoors
b. Report the onset of sore throat
c. Eat plenty of potassium-rich food
d. Change the position slowly - ANS... -d. Change the position slowly
Assessment finding of a 3-hour-old newborn include: axillary temperature of
97.7F, heart rate of 140 beats/minute with a soft murmur, and irregular respiratory
rate at 42 breaths/min. Based on these findings, what action should the nurse
implement?
a. Place a pulse oximeter on the heel
b. Swaddle the infant in a warm blanket
c. Record the findings on the flow sheet
,d. Check the vital signs in 15 minutes - ANS... -c. Record the findings on the flow
sheet
A client admitted to the hospital for depression is escorted to a private room. Prior
to leaving the room, what intervention is most important for the nurse to
implement?
a. Explain the programs guidelines
b. Search all personal belongings
c. Initiate psychosocial assessment
d. Review the healthcare's provider's prescription - ANS... -b. Search all personal
belongings
An experienced nurse tells the nurse-manager that working with a new graduate is
impossible because the new graduate will not listen to suggestions. The new
graduate
comes to the nurse-manager describing the senior nurse's attitude as challenging
and
offensive. What action is best for the nurse manager to take?
a. Have both nurses meet separately with the staff mental health
consultant
b. Listen actively to both nurses and offer suggestions to solving dilemma
c. Ask the senior nurse to examine mentoring strategies used with the new
graduate
d. Ask the nurses to meet with the nurse-manager to identify ways of working
together - ANS... -d. Ask the nurses to meet with the nurse-manager to identify
ways of working
together
Which nursing diagnosis has the highest priority when planning care for a client in
cardiogenic shock?
a. Risk for imbalance body temperature
b. Excess fluid volume
c. Fatigue
d. Ineffective Tissue Perfusion - ANS... -d. Ineffective Tissue Perfusion
When administering an intramuscular injection containing 3 ml of a painful
medication, which intervention should the nurse implement?
a. Instill the medication quickly
,b. Insert the needle slowly
c. Select a large, deep muscle mass
d. Use a short small gauge needle - ANS... -c. Select a large, deep muscle mass
Several clients on a telemetry unit are schedule for discharge in the morning, but a
telemetry-monitored bed is needed immediately. The charge nurse should make
arrangements to transfer which client to another medical unit? The client who is
a. Learning to self-administer insulin injections after being diagnosed with
diabetes mellitus
b. Ambulatory following coronary artery bypass graft surgery performed six days
ago.
c. Wearing a sling immobilizer following permanent pacemaker insertion earlier
that
day
d. Experiencing syncopal episodes resulting from the dehydration caused by severe
diarrhea - ANS... -a. Learning to self-administer insulin injections after being
diagnosed with
diabetes mellitus
he nurse preceptor is orienting a new graduate nurse to the critical care unit. The
preceptor asks the new graduate to state symptoms that most likely indicate the
beginning of a shock state in a critically ill client. What findings should the new
graduate
nurse identify?
a. Tachycardia, mental status change, and low urine output
b. Warm skin, hypertension, and constricted pupils
c. Bradycardia, hypotension, and respiratory acidosis
d. Mottled skin, tachypnea and hyperactive bowel sounds - ANS... -a. Tachycardia,
mental status change, and low urine output
The nurse is making assignments for a new graduate from a practical nursing
program that is orienting to the unit. Because the unit is particularly busy this day,
there
will be little time to provide supervision of this new employee. Which client is the
best for
the nurse to assign this newly graduate practical nurse? A client
a. Whose discharge has been delayed because of a postoperative infection
b. With poorly controlled type 2 diabetes who is sliding scale for insulin
administration
c. Newly admitted with a head injury who requires frequent assessments
, d. Who is receiving IV heparin that is regulated based on protocol - ANS... -a.
Whose discharge has been delayed because of a postoperative infection
Nurses working in labor and delivery are demanding a change in policy because
they believe they are required to float more often than nurses on other units.
However,
floating to labor and delivery is not reciprocated because other nurses are not
competent to provide highly specialized obstetrical skills. What action is best for
the
nurse-manager to implement?
a. Require the other nurses to cross-train for obstetrics
b. Propose a method for self-staffing labor and delivery
c. Remind nurses that floating is an administrative policy
d. Encourage nurses to share their feelings with administration - ANS... -b. Propose
a method for self-staffing labor and delivery
he nurse has explained safety precautions and infant care to a primigravida mother
and observes the mother, as gives care to her newborn during the first two days of
rooming-in. Which action indicates the mother understand the instruction?
a. Aspirates the newborn's nares using syringe
b. Applies a dressing on the cord after the newborn's bath
c. Breastfeeds the infant every hour during the night
d. Positions the infant supine in the crib to sleep - ANS... -d. Positions the infant
supine in the crib to sleep
59 yo 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 - ANS... -d. he is in a coma and
has a very poor prognosis
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
