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HESI CAT EXAM NEWEST 2026/2027 VESION A, B AND C
ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
||ALREADY GRADED A+
Question 1
A nurse is caring for a client with heart failure who suddenly develops shortness
of breath and crackles in both lungs. What is the nurse’s priority action?
A. Encourage oral fluids
B. Place the client in high Fowler’s position
C. Decrease oxygen administration
D. Assist the client to ambulate
Answer: B
Rationale: High Fowler’s position improves lung expansion and oxygenation.
Question 2
A client with diabetes reports shakiness and sweating. Which action should the
nurse take first?
A. Administer insulin
B. Check the blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
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Answer: B
Rationale: Symptoms suggest hypoglycemia, so glucose should be assessed first.
Question 3
Which finding requires immediate intervention in a postoperative client?
A. Pain rating of 4/10
B. Urine output of 20 mL/hr
C. Temperature of 99°F (37.2°C)
D. Mild nausea
Answer: B
Rationale: Low urine output may indicate poor perfusion or renal compromise.
Question 4
A nurse is teaching a client about hypertension management. Which statement
indicates understanding?
A. “I will stop taking my medication once my blood pressure improves.”
B. “I should reduce sodium intake in my diet.”
C. “Exercise is unnecessary if I take medication.”
D. “Smoking does not affect blood pressure.”
Answer: B
Rationale: Reducing sodium helps control hypertension.
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Question 5
Which assessment finding is most concerning in a client receiving opioid
analgesics?
A. Respiratory rate of 8 breaths/min
B. Pain level of 3/10
C. Mild constipation
D. Drowsiness after medication
Answer: A
Rationale: Respiratory depression is a serious opioid complication.
Question 6
A nurse is caring for a client with a nasogastric tube. Which action is appropriate
before administering feedings?
A. Place the client flat in bed
B. Verify tube placement
C. Flush with sterile water only after feeding
D. Administer feeding rapidly
Answer: B
Rationale: Tube placement must be confirmed before feedings.
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Question 7
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen.
Which finding indicates effective treatment?
A. Respiratory rate decreases from 32 to 20 breaths/min
B. Increased confusion
C. Cyanosis of lips
D. Oxygen saturation of 84%
Answer: A
Rationale: Improved respiratory rate suggests better oxygenation.
Question 8
Which intervention should the nurse implement to prevent falls in an older
adult client?
A. Keep all side rails raised at all times
B. Encourage use of nonskid footwear
C. Leave the bed in high position
D. Restrict ambulation completely
Answer: B
Rationale: Nonskid footwear reduces fall risk.
Question 9
pg. 4
HESI CAT EXAM NEWEST 2026/2027 VESION A, B AND C
ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
||ALREADY GRADED A+
Question 1
A nurse is caring for a client with heart failure who suddenly develops shortness
of breath and crackles in both lungs. What is the nurse’s priority action?
A. Encourage oral fluids
B. Place the client in high Fowler’s position
C. Decrease oxygen administration
D. Assist the client to ambulate
Answer: B
Rationale: High Fowler’s position improves lung expansion and oxygenation.
Question 2
A client with diabetes reports shakiness and sweating. Which action should the
nurse take first?
A. Administer insulin
B. Check the blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
pg. 1
,2|Page
Answer: B
Rationale: Symptoms suggest hypoglycemia, so glucose should be assessed first.
Question 3
Which finding requires immediate intervention in a postoperative client?
A. Pain rating of 4/10
B. Urine output of 20 mL/hr
C. Temperature of 99°F (37.2°C)
D. Mild nausea
Answer: B
Rationale: Low urine output may indicate poor perfusion or renal compromise.
Question 4
A nurse is teaching a client about hypertension management. Which statement
indicates understanding?
A. “I will stop taking my medication once my blood pressure improves.”
B. “I should reduce sodium intake in my diet.”
C. “Exercise is unnecessary if I take medication.”
D. “Smoking does not affect blood pressure.”
Answer: B
Rationale: Reducing sodium helps control hypertension.
pg. 2
,3|Page
Question 5
Which assessment finding is most concerning in a client receiving opioid
analgesics?
A. Respiratory rate of 8 breaths/min
B. Pain level of 3/10
C. Mild constipation
D. Drowsiness after medication
Answer: A
Rationale: Respiratory depression is a serious opioid complication.
Question 6
A nurse is caring for a client with a nasogastric tube. Which action is appropriate
before administering feedings?
A. Place the client flat in bed
B. Verify tube placement
C. Flush with sterile water only after feeding
D. Administer feeding rapidly
Answer: B
Rationale: Tube placement must be confirmed before feedings.
pg. 3
, 4|Page
Question 7
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen.
Which finding indicates effective treatment?
A. Respiratory rate decreases from 32 to 20 breaths/min
B. Increased confusion
C. Cyanosis of lips
D. Oxygen saturation of 84%
Answer: A
Rationale: Improved respiratory rate suggests better oxygenation.
Question 8
Which intervention should the nurse implement to prevent falls in an older
adult client?
A. Keep all side rails raised at all times
B. Encourage use of nonskid footwear
C. Leave the bed in high position
D. Restrict ambulation completely
Answer: B
Rationale: Nonskid footwear reduces fall risk.
Question 9
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