1|Page
HESI CAT Exam Questions With Well Explained Answers/
update/score 100%
A 28-year-old woman comes into the clinic and tells the nurse that she
fears that she is infertile, because she has been trying to become
pregnant unsuccessfully for 2 years. While collecting the health history
the nurse learns that the client experiences irregular and infrequent
menstrual periods. The client is overweight and has severe acne and
alopecia. The primary healthcare provider diagnoses the condition
polycystic ovarian syndrome (PCOS). Which of the following
interventions is the most important?
1
Consoling the client over her inability to have children
2
Discussing weight loss, exercise, and a balanced low-fat diet
3
Providing information to the client on how to prepare for surgery
4
Informing the client that there are no long-term complications of
PCOS - ...ANSWER✓✓✓2
Weight loss, exercise, and a balanced low-fat diet can reduce insulin and
androgen levels related to PCOS. Meeting with a dietitian may be
helpful. Surgery is not necessary at this time. The primary healthcare
provider would most likely prescribe hormones, other medications, or
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both. If pregnancy does not occur, surgery is an option. Pregnancy may
be possible with hormones, other medications, or both. Early detection
of PCOS is important, because the condition can lead to type 2 diabetes;
hypertension; cardiovascular disease; and ovarian, breast, and
endometrial cancers. The nurse should encourage treatment compliance
and positive lifestyle changes.
A 45-year-old client is scheduled to undergo a hysterectomy and
expresses concern because she has heard from friends that she will
experience severe symptoms of menopause after surgery. What is the
nurse's most appropriate response?
1
"You're right, but there are medicines you can take that will ease the
symptoms."
2
"Sometimes that happens in women of your age, but you don't need to
worry about it right now."
3
"You should probably talk to your surgeon, because I am not allowed to
discuss this with you."
4
"Women may experience symptoms of menopause if their ovaries are
removed with their uterus." - ...ANSWER✓✓✓4
A hysterectomy involves only removal of the uterus. The ovaries, which
secrete estrogen and progesterone, are not removed. Therefore
,3|Page
menopause will not be precipitated but will occur naturally. Surgical
menopause is precipitated by the removal of the ovaries, not the uterus.
When the ovaries are removed, an older woman might have less severe
symptoms than a younger woman; however, in this instance the ovaries
are not removed. Telling the client that she needs to talk to her surgeon
does not answer the question. The nurse should serve as a resource.
A 56-year-old man is admitted to the inpatient unit after family
members report that he seems to be experiencing auditory
hallucinations. The man has a history of schizophrenia and has had
several previous admissions. Which statement indicates to the nurse that
the client is experiencing auditory hallucinations?
1
"Get these horrible snakes out of my room!"
2
"I am not the devil! Stop calling me those names!"
3
"The food on this plate has poison in it, so take it away—I won't eat it."
4
"I did see an alien spaceship last night outside in my yard, and I've
felt worse ever since." - ...ANSWER✓✓✓2
The client is responding to messages that he is hearing, which are
auditory hallucinations. The responses regarding the snakes and the
spaceship are examples of visual hallucinations because they describe
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what the client sees. The accusation of poisoning is the statement of a
client who is suspicious and paranoid but not hallucinating.
A 6-year-old child with autism is nonverbal and makes limited eye
contact. What should the nurse do initially to promote social
interaction?
1
Encourage the child to sing songs with the nurse. 2
Engage in parallel play while sitting next to the child.
3
Provide opportunities for the child to play with other children.
4
Use therapeutic holding when the child does not respond to verbal
interactions. - ...ANSWER✓✓✓2
Entering the child's world in a nonthreatening way helps promote trust
and eventual interaction with the nurse. Using therapeutic holding may
be necessary when a child initiates self-mutilating behaviors. Singing
songs with the child participating or providing opportunities for the
child to play with other children is unrealistic at this time; playing with
others is a long-term objective.
A 60-year-old woman is admitted for a vaginal hysterectomy and
anterior and posterior repair of the vaginal wall. While taking the
nursing history the nurse expects the client to state that one of the
HESI CAT Exam Questions With Well Explained Answers/
update/score 100%
A 28-year-old woman comes into the clinic and tells the nurse that she
fears that she is infertile, because she has been trying to become
pregnant unsuccessfully for 2 years. While collecting the health history
the nurse learns that the client experiences irregular and infrequent
menstrual periods. The client is overweight and has severe acne and
alopecia. The primary healthcare provider diagnoses the condition
polycystic ovarian syndrome (PCOS). Which of the following
interventions is the most important?
1
Consoling the client over her inability to have children
2
Discussing weight loss, exercise, and a balanced low-fat diet
3
Providing information to the client on how to prepare for surgery
4
Informing the client that there are no long-term complications of
PCOS - ...ANSWER✓✓✓2
Weight loss, exercise, and a balanced low-fat diet can reduce insulin and
androgen levels related to PCOS. Meeting with a dietitian may be
helpful. Surgery is not necessary at this time. The primary healthcare
provider would most likely prescribe hormones, other medications, or
,2|Page
both. If pregnancy does not occur, surgery is an option. Pregnancy may
be possible with hormones, other medications, or both. Early detection
of PCOS is important, because the condition can lead to type 2 diabetes;
hypertension; cardiovascular disease; and ovarian, breast, and
endometrial cancers. The nurse should encourage treatment compliance
and positive lifestyle changes.
A 45-year-old client is scheduled to undergo a hysterectomy and
expresses concern because she has heard from friends that she will
experience severe symptoms of menopause after surgery. What is the
nurse's most appropriate response?
1
"You're right, but there are medicines you can take that will ease the
symptoms."
2
"Sometimes that happens in women of your age, but you don't need to
worry about it right now."
3
"You should probably talk to your surgeon, because I am not allowed to
discuss this with you."
4
"Women may experience symptoms of menopause if their ovaries are
removed with their uterus." - ...ANSWER✓✓✓4
A hysterectomy involves only removal of the uterus. The ovaries, which
secrete estrogen and progesterone, are not removed. Therefore
,3|Page
menopause will not be precipitated but will occur naturally. Surgical
menopause is precipitated by the removal of the ovaries, not the uterus.
When the ovaries are removed, an older woman might have less severe
symptoms than a younger woman; however, in this instance the ovaries
are not removed. Telling the client that she needs to talk to her surgeon
does not answer the question. The nurse should serve as a resource.
A 56-year-old man is admitted to the inpatient unit after family
members report that he seems to be experiencing auditory
hallucinations. The man has a history of schizophrenia and has had
several previous admissions. Which statement indicates to the nurse that
the client is experiencing auditory hallucinations?
1
"Get these horrible snakes out of my room!"
2
"I am not the devil! Stop calling me those names!"
3
"The food on this plate has poison in it, so take it away—I won't eat it."
4
"I did see an alien spaceship last night outside in my yard, and I've
felt worse ever since." - ...ANSWER✓✓✓2
The client is responding to messages that he is hearing, which are
auditory hallucinations. The responses regarding the snakes and the
spaceship are examples of visual hallucinations because they describe
, 4|Page
what the client sees. The accusation of poisoning is the statement of a
client who is suspicious and paranoid but not hallucinating.
A 6-year-old child with autism is nonverbal and makes limited eye
contact. What should the nurse do initially to promote social
interaction?
1
Encourage the child to sing songs with the nurse. 2
Engage in parallel play while sitting next to the child.
3
Provide opportunities for the child to play with other children.
4
Use therapeutic holding when the child does not respond to verbal
interactions. - ...ANSWER✓✓✓2
Entering the child's world in a nonthreatening way helps promote trust
and eventual interaction with the nurse. Using therapeutic holding may
be necessary when a child initiates self-mutilating behaviors. Singing
songs with the child participating or providing opportunities for the
child to play with other children is unrealistic at this time; playing with
others is a long-term objective.
A 60-year-old woman is admitted for a vaginal hysterectomy and
anterior and posterior repair of the vaginal wall. While taking the
nursing history the nurse expects the client to state that one of the
