HESI CAT EXAMS 2026 /3 VERSIONS A, B AND C / ACTUAL
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EXAMS WITH CORRECT DETAILED AND WELL ELABORATE
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D ANSWERS/NEWEST UPDATE 2026- d d d
2027/ALREADY GRADED A+ d d
VERSIONA d
D
The practical caregiver (PN) reports the patterns of urinary frequency and volume fo
d d d d d d d d d d d d
r several patients. Whichfinding necessitates further assessment by the RN?
d d d d d d d d d d
A. Voiding 300 ml clear yellow urine q4h
d d d d d d d
B.dVoidingd50dmldcloudydurinedeverydhour
C. Total indwelling catheter output of 1800 ml in 24 hours
d d d d d d d d d d
D. 400 ml amber urine by straight catheter q6h
d d d d d d d d
B. Voiding 50 ml cloudy urine every hour
d d d d d d d
The mother of a child with cerebral palsy (CP) asks the caregiver if her child's im
d d d d d d d d d d d d d d d
paired movements willworsen as the child grows. Which response provides the b
d d d d d d d d d d d d
est explanation?
d
A. The most common permanent physical disabilit of childhood is CP.
d d d d d d d d d
B. The outcome depends on the continued development of the brain lesion.
d d d d d d d d d d
C. The classifications of CP determines the severit of motor dysfunction
d d d d d d d d d
D.dThedcoursedofdCPdisdvariabledbutdthedbrainddamagedisdnotdprogressive.
D. The course of CP is variable but the brain damage is not progressive.
d d d d d d d d d d d d
The caregiver is discussing the use of isotertinoin (Accutane) with a 19-
d d d d d d d d d d d
year old female patient, who has been taking oral contraceptives for one year. The pat
d d d d d d d d d d d d d d
ient agrees to use a second form of contraception while onthe medication, and has had
d d d d d d d d d d d d d d d
dtwo negative pregnancy tests. What other instruction should the caregiver provide re
d d d d d d d d d d d
garding the use of Accutane? d d d d
A. If depression occurs, the use of St. John's Wort is recommended.
d d d d d d d d d d d
B.dThedmedicationdmustdbedtakendwithdfooddtodenhancedabsorption.
C. Fluids should be limited to sips when swallowing this medication.
d d d d d d d d d d
D. Serum lipids should be evaluated at the beginning and end of treatment.
d d d d d d d d d d d d
B. The medication must be taken with food to enhance absorption.
d d d d d d d d d d
Which intervention is best for the caregiver to implement for a patient who is experie
d d d d d d d d d d d d d d
ncing severe toe pain asthe result of acute gout?
d d d d d d d d d
A. Minimize calcium rich foods in diet d d d d d
B. Provide passive ROM to the foot and toes d d d d d d d
C.dPlacedadfootdcradledunderdthedlinen
D. Apply anti-embolism stocking bilaterally.
d d d d
,C. Place a foot cradle under the linen
d d d d d d d
Nursing assessment of a patient with Type 2 diabetes reveals that the patient is 5' 6"
d d d d d d d d d d d d d d d d
tall, weighs 238 lbs, works behind a desk all day, does not exercise, and smokes 2 p
d d d d d d d d d d d d d d d d
A.dDiscussdchangingdeatingdhabitsdwithdadgoaldofdlosingd2dlbs/week
.acksdofdcigarettesddaily.dIndplanningdcaredfordthisdpatient,dwhichdinterventiondisdmostdi
mportant for the caregiver to implement? d d d d d
B. Instruct the patient to decrease the number of cigarrettes smoke daily.
d d d d d d d d d d
C. Determine the patient's feelings about being diagnosed with a chronic disease
d d d d d d d d d d
D. Encourage other family members to be tested for diabetes. d d d d d d d d
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
d d d d d d d d d d d
A woman who recently delivered a normal newborn calls the clinic crying an
d d d d d d d d d d d d
d describes feelingoverwhelmed and discouraged. Which information is mos
d d d d d d d d d
t important for the caregiver to obtain?
d d d d d d
A. Is there anyone with her at this time?
d d d d d d d d
B.dHasdshedseendadmentaldhealthdprovider?
C. Does she describe herself as depressed?
d d d d d d
D. How long has she been feeling this way?
d d d d d d d d
B. Has she seen a mental health provider?
d d d d d d d
An infant is admitted to the newborn nursery, and is believed to have Down syndro
d d d d d d d d d d d d d d
me. Which physicalfinding might the caregiver expect to see?
d d d d d d d d d
A. Maxillary hypoplasia
d d
B.dPostualdhypotonia
C. Janeway spots on the palms
d d d d d
D. Fusion of cranial sutures
d d d d
B. Postual hypotonia
d d
The caregiver is performing an admission physical assessment of a newborn who is s
d d d d d d d d d d d d d
A.dHighdpitcheddshrilldcry
mall for gestational age(SGA). Which finding should the caregiver report immediate
d d d d d d d d d d d
ly to the pediatric healthcare provider?
d d d d d
B. Widened, tense, bulging fontanel d d d
C. Head circumference of 35 cm (14 inches)
d d d d d d
D. Heel stick glucose of 65 mg/dl
d d d d d
A. High pitched shrill cry
d d d d
The caregiver is caring for a yound adult male patient with facial injuries resulti
d d d d d d d d d d d d d
ng from a motor vehiclecollision. Which patient statement is indicative of the hi
d d d d d d d d d d d d d
ghest priority for nursing intervention?
d d d d
A. " I dont want my family and friends to see me looking like this."
d d d d d d d d d d d d d d
B.d"dIdamdnotdtakingdanydmoredmedicationdbecausedthedmakedmydmouthddry.
"C.d"Idcan'tdsleepdthroughdthednightdbecausedIdawakendwithdpaindwhendIdmove."
D. "My biggest fear is that this injury will cause me to lose my job."
d d d d d d d d d d d d d d
,C. "I can't sleep through the night because I awaken with pain when I move."
d d d d d d d d d d d d d d
The caregiver notes that an elderly patient who is receiving a continuous tube feedin
d d d d d d d d d d d d d
g is increasingly fatiguedand confused. Which assessment is most important for the
d d d d d d d d d d d d d
A.dBoweldsounds
caregiver to complete before notifying the healthcare provider?
d d d d d d d
B. Breath sounds d
C. Skin turgor d
D. Capillary refill d
A. Bowel sounds
d d
A patient diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P= 9
d d d d d d d d d d d d d d
2 beats/minute; R= 22breaths/minute, B/P 108/70 mmHg. Based on this information
d d d d d d d d d d d
, what intervention should the caregiver implement first?
d d d d d d d
A. Monitor the vital signs q1h for the next 8 hours d d d d d d d d d
B. Notify the healthcare provider immediately
d d d d
C.dAssessdthedclientdfordpresencedofdinfection
D. Encourage the patient to use an incentive spirometer
d d d d d d d d
C. Assess the patient for presence of infection
d d d d d d d
Which type of therapeutic bath should the caregiver recommend to a patient who is com
d d d d d d d d d d d d d d
plaining of pruiritus? d d
A. An emollient bath
d d d
B.dAndantibacterialdbath
C. A betadine bath
d d d
D. A colloidal bath
d d d
B. An antibacterial bath
d d d
A pregnant patient begins to cry when the UAP tries to assist her in donning a hosp
d d d d d d d d d d d d d d d d
ital gown, and she refuse to remove an undergarment that is worn in her culture to
d d d d d d d d d d d d d d d d
A.dDerterminedifdcontinueddwearingdofdthedgarmentdwilldcompromisedcare.
preserve modesty. What should thecharge caregiver do first?
d d d d d d d d
B. Incorporate individualized cultural care into the nursing plan of care.
d d d d d d d d d
C. Discuss the importantce of respecting cultural beliefs with the UAP.
d d d d d d d d d
D. Talk with the patient to determine alternate means to preserve modesty.
d d d d d d d d d d
A. Dertermine if continued wearing of the garment will compromise care.
d d d d d d d d d
The caregiver is assessing a patient following hemodialysis. What finding indicate t
d d d d d d d d d d d
A.dDecreasedindBP
hat an expected outcomeof dialysis was achieved?
d d d d d d d
B. Weight gain d
C. Hemoglobon WNL d
D. Increased urinary output d d
A. Decrease in BP
d d d
, A caregiver who is new to the pediatric unit is positioning a 6 month old for an injecti
d d d d d d d d d d d d d d d d d
on of penicillin V (Pen V) in the dorsogluteal muscle. Which action should the caregi
d d d d d d d d d d d d d d
ver manager who is supervising this caregiver takefirst?
d d d d d d d d
A. Demonstrate techniques for restraining the infant d d d d d
B. Review the correct landmarks before the site is injected
d d d d d d d d
C.dInstructdthednursedtodselectdanotherdinjectiondsite
D. Explan the correct procedure for giving the medication
d d d d d d d d
C. Instruct the caregiver to select another injection site
d d d d d d d d
In evaluating the effectiveness of a patient's nocturnal sleep patterns, what question i
d d d d d d d d d d d d
s best for the caregiverto ask the patient?
d d d d d d d d
A. " How often do you awaken during the night?"
d d d d d d d d
B. " Do you remember dreaming at night?"
d d d d d d
C. " How mant hours do you sleep each night?"
d d d d d d d d
D.d"dDodyoudfeeldresteddindthedmorning?"
D. " Do you feel rested in the morning?"
d d d d d d d
A caregiver is taking a health history of a 46 year old male patient who has smoked ci
d d d d d d d d d d d d d d d d d
garettes for 30 years. Hehas had chronic bronchitis for the past 6 months. What state
d d d d d d d d d d d d d d d
ment best describes the rationale for obtaining information from the family as well as
d d d d d d d d d d d d d
from the patient?
d d d
A. Poor oxygenation inhibits the patients memory and renders information unreliable.
d d d d d d d d d
B. Patient's tend to grow accustomed to their cough and underestimates their nicotene us
d d d d d d d d d d d d
C.dIncludingdthedfamilydhelpsdtodensuredthatdthedclientdwilldcomplydwithdthedtreatmentdregimen.
e.
D. Family members are usually more anxious than the patient to get the physical proble
d d d d d d d d d d d d d d
m resolved.
d
C. Including the family helps to ensure that the patient will comply with the treatment re
d d d d d d d d d d d d d d d
gimen.
The caregiver learns that a newly admitted adult patient has a six month history of
d d d d d d d d d d d d d d d
recurring somatic pain.During the admission interview, it is most important for th
d d d d d d d d d d d d
e caregiver to question the patient about what problem?
d d d d d d d d
A. Nausea and vomiting.
d d d
B.dEpisodesdofdtremors.
C. Periods of restlessness.
d d d
D. Feelings of depression.
d d d
B. Episodes of tremors.
d d d
A caregiver seeks to alter a provision of a state's Caregiver Practice Act regarding ca
d d d d d d d d d d d d d d
regiver-
patient ratios, which thecaregiver believes to be unsafe. What action is most likely t
d d d d d d d d d d d d d d
o impact a ruling by the state's Board of Nursing?
d d d d d d d d d
A. Send documentation of the problem to the American Caregivers' Association
d d d d d d d d d d
B.dMeetdwithdthednurse'sdrepresentativedtodthedstatedlegislature.
d d d d d d d d d d d d
EXAMS WITH CORRECT DETAILED AND WELL ELABORATE
d d d d d d
D ANSWERS/NEWEST UPDATE 2026- d d d
2027/ALREADY GRADED A+ d d
VERSIONA d
D
The practical caregiver (PN) reports the patterns of urinary frequency and volume fo
d d d d d d d d d d d d
r several patients. Whichfinding necessitates further assessment by the RN?
d d d d d d d d d d
A. Voiding 300 ml clear yellow urine q4h
d d d d d d d
B.dVoidingd50dmldcloudydurinedeverydhour
C. Total indwelling catheter output of 1800 ml in 24 hours
d d d d d d d d d d
D. 400 ml amber urine by straight catheter q6h
d d d d d d d d
B. Voiding 50 ml cloudy urine every hour
d d d d d d d
The mother of a child with cerebral palsy (CP) asks the caregiver if her child's im
d d d d d d d d d d d d d d d
paired movements willworsen as the child grows. Which response provides the b
d d d d d d d d d d d d
est explanation?
d
A. The most common permanent physical disabilit of childhood is CP.
d d d d d d d d d
B. The outcome depends on the continued development of the brain lesion.
d d d d d d d d d d
C. The classifications of CP determines the severit of motor dysfunction
d d d d d d d d d
D.dThedcoursedofdCPdisdvariabledbutdthedbrainddamagedisdnotdprogressive.
D. The course of CP is variable but the brain damage is not progressive.
d d d d d d d d d d d d
The caregiver is discussing the use of isotertinoin (Accutane) with a 19-
d d d d d d d d d d d
year old female patient, who has been taking oral contraceptives for one year. The pat
d d d d d d d d d d d d d d
ient agrees to use a second form of contraception while onthe medication, and has had
d d d d d d d d d d d d d d d
dtwo negative pregnancy tests. What other instruction should the caregiver provide re
d d d d d d d d d d d
garding the use of Accutane? d d d d
A. If depression occurs, the use of St. John's Wort is recommended.
d d d d d d d d d d d
B.dThedmedicationdmustdbedtakendwithdfooddtodenhancedabsorption.
C. Fluids should be limited to sips when swallowing this medication.
d d d d d d d d d d
D. Serum lipids should be evaluated at the beginning and end of treatment.
d d d d d d d d d d d d
B. The medication must be taken with food to enhance absorption.
d d d d d d d d d d
Which intervention is best for the caregiver to implement for a patient who is experie
d d d d d d d d d d d d d d
ncing severe toe pain asthe result of acute gout?
d d d d d d d d d
A. Minimize calcium rich foods in diet d d d d d
B. Provide passive ROM to the foot and toes d d d d d d d
C.dPlacedadfootdcradledunderdthedlinen
D. Apply anti-embolism stocking bilaterally.
d d d d
,C. Place a foot cradle under the linen
d d d d d d d
Nursing assessment of a patient with Type 2 diabetes reveals that the patient is 5' 6"
d d d d d d d d d d d d d d d d
tall, weighs 238 lbs, works behind a desk all day, does not exercise, and smokes 2 p
d d d d d d d d d d d d d d d d
A.dDiscussdchangingdeatingdhabitsdwithdadgoaldofdlosingd2dlbs/week
.acksdofdcigarettesddaily.dIndplanningdcaredfordthisdpatient,dwhichdinterventiondisdmostdi
mportant for the caregiver to implement? d d d d d
B. Instruct the patient to decrease the number of cigarrettes smoke daily.
d d d d d d d d d d
C. Determine the patient's feelings about being diagnosed with a chronic disease
d d d d d d d d d d
D. Encourage other family members to be tested for diabetes. d d d d d d d d
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
d d d d d d d d d d d
A woman who recently delivered a normal newborn calls the clinic crying an
d d d d d d d d d d d d
d describes feelingoverwhelmed and discouraged. Which information is mos
d d d d d d d d d
t important for the caregiver to obtain?
d d d d d d
A. Is there anyone with her at this time?
d d d d d d d d
B.dHasdshedseendadmentaldhealthdprovider?
C. Does she describe herself as depressed?
d d d d d d
D. How long has she been feeling this way?
d d d d d d d d
B. Has she seen a mental health provider?
d d d d d d d
An infant is admitted to the newborn nursery, and is believed to have Down syndro
d d d d d d d d d d d d d d
me. Which physicalfinding might the caregiver expect to see?
d d d d d d d d d
A. Maxillary hypoplasia
d d
B.dPostualdhypotonia
C. Janeway spots on the palms
d d d d d
D. Fusion of cranial sutures
d d d d
B. Postual hypotonia
d d
The caregiver is performing an admission physical assessment of a newborn who is s
d d d d d d d d d d d d d
A.dHighdpitcheddshrilldcry
mall for gestational age(SGA). Which finding should the caregiver report immediate
d d d d d d d d d d d
ly to the pediatric healthcare provider?
d d d d d
B. Widened, tense, bulging fontanel d d d
C. Head circumference of 35 cm (14 inches)
d d d d d d
D. Heel stick glucose of 65 mg/dl
d d d d d
A. High pitched shrill cry
d d d d
The caregiver is caring for a yound adult male patient with facial injuries resulti
d d d d d d d d d d d d d
ng from a motor vehiclecollision. Which patient statement is indicative of the hi
d d d d d d d d d d d d d
ghest priority for nursing intervention?
d d d d
A. " I dont want my family and friends to see me looking like this."
d d d d d d d d d d d d d d
B.d"dIdamdnotdtakingdanydmoredmedicationdbecausedthedmakedmydmouthddry.
"C.d"Idcan'tdsleepdthroughdthednightdbecausedIdawakendwithdpaindwhendIdmove."
D. "My biggest fear is that this injury will cause me to lose my job."
d d d d d d d d d d d d d d
,C. "I can't sleep through the night because I awaken with pain when I move."
d d d d d d d d d d d d d d
The caregiver notes that an elderly patient who is receiving a continuous tube feedin
d d d d d d d d d d d d d
g is increasingly fatiguedand confused. Which assessment is most important for the
d d d d d d d d d d d d d
A.dBoweldsounds
caregiver to complete before notifying the healthcare provider?
d d d d d d d
B. Breath sounds d
C. Skin turgor d
D. Capillary refill d
A. Bowel sounds
d d
A patient diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P= 9
d d d d d d d d d d d d d d
2 beats/minute; R= 22breaths/minute, B/P 108/70 mmHg. Based on this information
d d d d d d d d d d d
, what intervention should the caregiver implement first?
d d d d d d d
A. Monitor the vital signs q1h for the next 8 hours d d d d d d d d d
B. Notify the healthcare provider immediately
d d d d
C.dAssessdthedclientdfordpresencedofdinfection
D. Encourage the patient to use an incentive spirometer
d d d d d d d d
C. Assess the patient for presence of infection
d d d d d d d
Which type of therapeutic bath should the caregiver recommend to a patient who is com
d d d d d d d d d d d d d d
plaining of pruiritus? d d
A. An emollient bath
d d d
B.dAndantibacterialdbath
C. A betadine bath
d d d
D. A colloidal bath
d d d
B. An antibacterial bath
d d d
A pregnant patient begins to cry when the UAP tries to assist her in donning a hosp
d d d d d d d d d d d d d d d d
ital gown, and she refuse to remove an undergarment that is worn in her culture to
d d d d d d d d d d d d d d d d
A.dDerterminedifdcontinueddwearingdofdthedgarmentdwilldcompromisedcare.
preserve modesty. What should thecharge caregiver do first?
d d d d d d d d
B. Incorporate individualized cultural care into the nursing plan of care.
d d d d d d d d d
C. Discuss the importantce of respecting cultural beliefs with the UAP.
d d d d d d d d d
D. Talk with the patient to determine alternate means to preserve modesty.
d d d d d d d d d d
A. Dertermine if continued wearing of the garment will compromise care.
d d d d d d d d d
The caregiver is assessing a patient following hemodialysis. What finding indicate t
d d d d d d d d d d d
A.dDecreasedindBP
hat an expected outcomeof dialysis was achieved?
d d d d d d d
B. Weight gain d
C. Hemoglobon WNL d
D. Increased urinary output d d
A. Decrease in BP
d d d
, A caregiver who is new to the pediatric unit is positioning a 6 month old for an injecti
d d d d d d d d d d d d d d d d d
on of penicillin V (Pen V) in the dorsogluteal muscle. Which action should the caregi
d d d d d d d d d d d d d d
ver manager who is supervising this caregiver takefirst?
d d d d d d d d
A. Demonstrate techniques for restraining the infant d d d d d
B. Review the correct landmarks before the site is injected
d d d d d d d d
C.dInstructdthednursedtodselectdanotherdinjectiondsite
D. Explan the correct procedure for giving the medication
d d d d d d d d
C. Instruct the caregiver to select another injection site
d d d d d d d d
In evaluating the effectiveness of a patient's nocturnal sleep patterns, what question i
d d d d d d d d d d d d
s best for the caregiverto ask the patient?
d d d d d d d d
A. " How often do you awaken during the night?"
d d d d d d d d
B. " Do you remember dreaming at night?"
d d d d d d
C. " How mant hours do you sleep each night?"
d d d d d d d d
D.d"dDodyoudfeeldresteddindthedmorning?"
D. " Do you feel rested in the morning?"
d d d d d d d
A caregiver is taking a health history of a 46 year old male patient who has smoked ci
d d d d d d d d d d d d d d d d d
garettes for 30 years. Hehas had chronic bronchitis for the past 6 months. What state
d d d d d d d d d d d d d d d
ment best describes the rationale for obtaining information from the family as well as
d d d d d d d d d d d d d
from the patient?
d d d
A. Poor oxygenation inhibits the patients memory and renders information unreliable.
d d d d d d d d d
B. Patient's tend to grow accustomed to their cough and underestimates their nicotene us
d d d d d d d d d d d d
C.dIncludingdthedfamilydhelpsdtodensuredthatdthedclientdwilldcomplydwithdthedtreatmentdregimen.
e.
D. Family members are usually more anxious than the patient to get the physical proble
d d d d d d d d d d d d d d
m resolved.
d
C. Including the family helps to ensure that the patient will comply with the treatment re
d d d d d d d d d d d d d d d
gimen.
The caregiver learns that a newly admitted adult patient has a six month history of
d d d d d d d d d d d d d d d
recurring somatic pain.During the admission interview, it is most important for th
d d d d d d d d d d d d
e caregiver to question the patient about what problem?
d d d d d d d d
A. Nausea and vomiting.
d d d
B.dEpisodesdofdtremors.
C. Periods of restlessness.
d d d
D. Feelings of depression.
d d d
B. Episodes of tremors.
d d d
A caregiver seeks to alter a provision of a state's Caregiver Practice Act regarding ca
d d d d d d d d d d d d d d
regiver-
patient ratios, which thecaregiver believes to be unsafe. What action is most likely t
d d d d d d d d d d d d d d
o impact a ruling by the state's Board of Nursing?
d d d d d d d d d
A. Send documentation of the problem to the American Caregivers' Association
d d d d d d d d d d
B.dMeetdwithdthednurse'sdrepresentativedtodthedstatedlegislature.
