2026/2027
A.
B.
C.
D.
HESI RN CAT Practice Exam
The Complete Exam Preparation
Mastery Manual: Advanced Study
Guide, Extensive Test Bank Review,
Full-Length Practice Questions, and
Final Knowledge Assessment
Question 1
Question 21
A nurse responds to a frantic mother who believes her 4-month-old infant is choking.
Which actions are appropriate? (Select all that apply.)
A. Perform a blind finger sweep to remove obstruction
B. Assess for absence of breathing or visible obstruction
C. Deliver five back blows between the infant’s shoulder blades
D. Place the infant prone over the nurse’s forearm for support
E. Begin chest compressions immediately without back blows
Correct Answer: B, C, D
Rationale:
For a choking infant who is still responsive, assess for obstruction, support the infant
prone over the forearm, and give five back blows followed by chest thrusts if needed.
Blind finger sweeps are contraindicated.
Question 2
Which IV fluid is most appropriate to administer with a blood transfusion?
A. 5% Dextrose in water (D5W)
B. Normal saline (0.9% sodium chloride)
C. Lactated Ringer’s solution
D. D5LR (Dextrose with Lactated Ringer’s)
,2026/2027
Correct Answer: B. Normal saline (0.9% sodium chloride)
Rationale:
Normal saline is the compatible IV fluid for blood transfusion.
Question 3
When assisting a client from bed to chair, which technique is safest?
A. Place chair parallel to bed and transfer directly
B. Stand with feet apart, pivoting client into chair using proper body mechanics
C. Lift client under the axillae and move to chair
D. Have client wrap arms around nurse’s neck during transfer
Correct Answer: B. Stand with feet apart, pivoting client into chair using proper
body mechanics
Rationale:
A wide base of support and pivot transfer reduce fall risk and protect both client and
nurse.
Question 4
A nurse calculates intake: 1200 mL water, 8 oz juice, 1 cup soup, 4 oz gelatin, 355 mL
soda. What is total intake?
A. 1955 mL
B. 2055 mL
C. 2155 mL
D. 2255 mL
Correct Answer: C. 2155 mL
Rationale:
8 oz = 240 mL, 1 cup = 240 mL, 4 oz = 120 mL. Total = 2155 mL.
Question 5
Which observation requires intervention when a UAP measures blood pressure in a
lower extremity?
A. Cuff placed around thigh properly
B. Client positioned prone
,2026/2027
A.
B.
C.
D.
C. Popliteal pulse used for auscultation
D. Systolic BP higher than arm reading
Correct Answer: B. Client positioned prone
Rationale:
Prone positioning is not appropriate for lower-extremity BP measurement. Supine or
side-lying is preferred.
Question 6
What should the nurse assess first when a child resists bedtime and stays awake until
midnight?
A. Sleep apnea episodes
B. Vital signs
C. REM sleep duration
D. Home environment routines
Correct Answer: D. Home environment routines
Rationale:
Bedtime resistance is often related to routines, environment, and behavior patterns.
Question 7
What is the priority intervention to prevent infection in burn patients?
A. Administer IV fluids
B. Perform strict hand hygiene
C. Apply topical antibiotics
D. Restrict visitors
Correct Answer: B. Perform strict hand hygiene
Rationale:
Hand hygiene is the most important infection-prevention measure.
Question 8
, 2026/2027
An IV in a 2-year-old is running slowly despite no site issues. What should the nurse
do first?
A. Apply warm compress
B. Check tubing and raise IV pole
C. Flush with saline
D. Adjust dressing
Correct Answer: B. Check tubing and raise IV pole
Rationale:
Start with the least invasive troubleshooting: check for kinks, occlusion, and height
issues.
Question 9
Which instruction helps prevent complications of immobility?
A. Restrict fluids
B. Massage legs daily
C. Perform range-of-motion exercises
D. Turn every shift
Correct Answer: C. Perform range-of-motion exercises
Rationale:
ROM helps prevent contractures and improve circulation.
Question 10
After giving diazepam preoperatively, which actions are appropriate? (Select all that
apply.)
A. Keep client in bed
B. Place call bell within reach
C. Allow unsupervised bathroom use
D. Raise side rails per policy
E. Place client near nurse station
Correct Answer: A, B, D
Rationale:
Diazepam increases sedation and fall risk, so keep the client safe in bed with side rails
and call bell available.
A.
B.
C.
D.
HESI RN CAT Practice Exam
The Complete Exam Preparation
Mastery Manual: Advanced Study
Guide, Extensive Test Bank Review,
Full-Length Practice Questions, and
Final Knowledge Assessment
Question 1
Question 21
A nurse responds to a frantic mother who believes her 4-month-old infant is choking.
Which actions are appropriate? (Select all that apply.)
A. Perform a blind finger sweep to remove obstruction
B. Assess for absence of breathing or visible obstruction
C. Deliver five back blows between the infant’s shoulder blades
D. Place the infant prone over the nurse’s forearm for support
E. Begin chest compressions immediately without back blows
Correct Answer: B, C, D
Rationale:
For a choking infant who is still responsive, assess for obstruction, support the infant
prone over the forearm, and give five back blows followed by chest thrusts if needed.
Blind finger sweeps are contraindicated.
Question 2
Which IV fluid is most appropriate to administer with a blood transfusion?
A. 5% Dextrose in water (D5W)
B. Normal saline (0.9% sodium chloride)
C. Lactated Ringer’s solution
D. D5LR (Dextrose with Lactated Ringer’s)
,2026/2027
Correct Answer: B. Normal saline (0.9% sodium chloride)
Rationale:
Normal saline is the compatible IV fluid for blood transfusion.
Question 3
When assisting a client from bed to chair, which technique is safest?
A. Place chair parallel to bed and transfer directly
B. Stand with feet apart, pivoting client into chair using proper body mechanics
C. Lift client under the axillae and move to chair
D. Have client wrap arms around nurse’s neck during transfer
Correct Answer: B. Stand with feet apart, pivoting client into chair using proper
body mechanics
Rationale:
A wide base of support and pivot transfer reduce fall risk and protect both client and
nurse.
Question 4
A nurse calculates intake: 1200 mL water, 8 oz juice, 1 cup soup, 4 oz gelatin, 355 mL
soda. What is total intake?
A. 1955 mL
B. 2055 mL
C. 2155 mL
D. 2255 mL
Correct Answer: C. 2155 mL
Rationale:
8 oz = 240 mL, 1 cup = 240 mL, 4 oz = 120 mL. Total = 2155 mL.
Question 5
Which observation requires intervention when a UAP measures blood pressure in a
lower extremity?
A. Cuff placed around thigh properly
B. Client positioned prone
,2026/2027
A.
B.
C.
D.
C. Popliteal pulse used for auscultation
D. Systolic BP higher than arm reading
Correct Answer: B. Client positioned prone
Rationale:
Prone positioning is not appropriate for lower-extremity BP measurement. Supine or
side-lying is preferred.
Question 6
What should the nurse assess first when a child resists bedtime and stays awake until
midnight?
A. Sleep apnea episodes
B. Vital signs
C. REM sleep duration
D. Home environment routines
Correct Answer: D. Home environment routines
Rationale:
Bedtime resistance is often related to routines, environment, and behavior patterns.
Question 7
What is the priority intervention to prevent infection in burn patients?
A. Administer IV fluids
B. Perform strict hand hygiene
C. Apply topical antibiotics
D. Restrict visitors
Correct Answer: B. Perform strict hand hygiene
Rationale:
Hand hygiene is the most important infection-prevention measure.
Question 8
, 2026/2027
An IV in a 2-year-old is running slowly despite no site issues. What should the nurse
do first?
A. Apply warm compress
B. Check tubing and raise IV pole
C. Flush with saline
D. Adjust dressing
Correct Answer: B. Check tubing and raise IV pole
Rationale:
Start with the least invasive troubleshooting: check for kinks, occlusion, and height
issues.
Question 9
Which instruction helps prevent complications of immobility?
A. Restrict fluids
B. Massage legs daily
C. Perform range-of-motion exercises
D. Turn every shift
Correct Answer: C. Perform range-of-motion exercises
Rationale:
ROM helps prevent contractures and improve circulation.
Question 10
After giving diazepam preoperatively, which actions are appropriate? (Select all that
apply.)
A. Keep client in bed
B. Place call bell within reach
C. Allow unsupervised bathroom use
D. Raise side rails per policy
E. Place client near nurse station
Correct Answer: A, B, D
Rationale:
Diazepam increases sedation and fall risk, so keep the client safe in bed with side rails
and call bell available.
