HESI CAT Exit Exam 20 24 Version New Latest Exam with All Questions from Actual Exam and 100% Correct Answers Which technique should the nurse use to assess for manifestations of erythema infectiosum (fifth disease) in a 4 year -old? A. Auscultate breath sounds B. Observe physical appearance C. Visualize oropharynx D. Palpate lymph nodes --------- Correct Answer --------- B. Observe physical appearance Which finding should the nurse expect a client to exhibit who is newly diagnosed with fibromyalgia? A. Recent joint trauma. B. Disruption in sleep patterns. C. Unexplained weight gain. D. Itching and rash. --------- Correct Answer --------- B. Disruption in sleep patterns. A male client with diabetes mellitus reports that he has had trouble following his diet, and the result of his fasting blood glucose test is 90 mg/dl. What action should the nurse implement first? A. Obtain a urine specimen from the client to test for ketonuria. B. Assure the client that his diabetes control is within normal limits. C. Schedule the client to attend classes about diet management. D. Review the findings of his glycosylated hemoglobin test. --------- Correct Answer ------
--- D. Review the findings of his glycosylated hemoglobin test. A client is taking cromolin sodium (Intal) Inhaler for chronic asthma. Which statement indicates the client understands the medication teaching? A. " I will have my liver enzymes checked monthly." B. " It is more important to take this medication with food." C. "I should keep my inhaler with me at all time." D. "I will not discontinue taking this medication abruptly." --------- Correct Answer --------- D. "I will not discontinue taking this medication abruptly." A female client is admitted to the psychiatric department on an emrgency commitment. The client's husband asks the nurse, "What is going to happen to my wife? Can I take her home now?" Which information should the nurse provide? A. Discharge can be completed after arrangements with the business B. Emergency commitment extends to a maximum of 90 days. C. Hospitalization is mandated until a mental health court hearing is held. D. A pschiatric evaluation is required for continued hospitalization. --------- Correct Answer --------- C. Hospitalization is mandated until a mental health court hearing is held. A client with a diagnosis of bipolar disorder is taking lithium and divalproex sodium (Depakote). In assessing this client, which symptom should the nurse report to the healthcare provider immediately? A. Recent significant hair loss B. Noticeable hand tremors C. Describes having a dry mouth. D. Complains of blurred vision --------- Correct Answer --------- B. Noticeable hand tremors The practical nurse (PN) reports the patterns of urinary frequency and volume for several clients. Which finding necessitates further assessment by the RN? A. Voiding 300 ml clear yellow urine q4h B. Voiding 50 ml cloudy urine every hour C. Total indwelling catheter output of 1800 ml in 24 hours D. 400 ml amber urine by straight catheter q6h --------- Correct Answer --------- B. Voiding 50 ml cloudy urine every hour The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation? A. The most common permanent physical disabilit of childhood is CP. B. The outcome depends on the continued development of the brain lesion. C. The classifications of CP determines the severit of motor dysfunction D. The course of CP is variable but the brain damage is not progressive. --------- Correct Answer --------- D. The course of CP is variable but the brain damage is not progressive. The nurse is discussing the use of isotertinoin (Accutane) with a 19 -year old female client, who has been taking oral contraceptives for one year. The client agrees to use a second form of contraception while on the medication, and has had two negative pregnancy tests. What other instruction should the nurse provide regarding the use of Accutane? A. If depression occurs, the use of St. John's Wort is recommended. B. The medication must be taken with food to enhance absorption. C. Fluids should be limited to sips when swallowing this medication. D. Serum lipids should be evaluated at the beginning and end of treatment. --------- Correct Answer --------- B. The medication must be taken with food to enhance absorption. Which intervention is best for the nurse to implement for a client who is experiencing severe toe pain as the result of acute gout? A. Minimize calcium rich foods in diet B. Provide passive ROM to the foot and toes C. Place a foot cradle under the linen D. Apply anti -embolism stocking bilaterally. --------- Correct Answer --------- C. Place a foot cradle under the linen Nursing assessment of a client with Type 2 diabetes reveals that the client is 5' 6" tall, weighs 238 lbs, works behind a desk all day, does not exercise, and smokes 2 packs of cigarettes daily. In planning care for this client, which intervention is most important for the nurse to implement? A. Discuss changing eating habits with a goal of losing 2 lbs/week. B. Instruct the client to decrease the number of cigarrettes smoke daily. C. Determine the client's feelings about being diagnosed with a chronic disease D. Encourage other family members to be tested for diabetes. --------- Correct Answer --
------- A. Discuss changing eating habits with a goal of losing 2 lbs/week. A woman who recently delivered a normal newborn calls the clinic crying and describes feeling overwhelmed and discouraged. Which information is most important for the nurse to obtain? A. Is there anyone with her at this time? B. Has she seen a mental health provider? C. Does she describe herself as depressed? D. How long has she been feeling this way? --------- Correct Answer --------- B. Has she seen a mental health provider? An infant is admitted to the newborn nursery, and is believed to have Down syndrome. Which physical finding might the nurse expect to see? A. Maxillary hypoplasia B. Postual hypotonia C. Janeway spots on the palms D. Fusion of cranial sutures --------- Correct Answer --------- B. Postual hypotonia The nurse is performing an admission physical assessment of a newborn who is small for gestational age (SGA). Which finding should the nurse report immediately to the pediatric healthcare provider? A. High pitched shrill cry B. Widened, tense, bulging fontanel C. Head circumference of 35 cm (14 inches) D. Heel stick glucose of 65 mg/dl --------- Correct Answer --------- A. High pitched shrill cry The nurse is caring for a yound adult male client with facial injuries resulting from a motor vehicle collision. Which client statement is indicative of the highest priority for nursing intervention? A. " I dont want my family and friends to see me looking like this." B. " I am not taking any more medication because the make my mouth dry." C. "I can't sleep through the night because I awaken with pain when I move." D. "My biggest fear is that this injury will cause me to lose my job." --------- Correct Answer --------- C. "I can't sleep through the night because I awaken with pain when I move." The nurse notes that an elderly client who is receiving a continuous tube feeding is increasingly fatigued and confused. Which assessment is most important for the nurse to complete before notifying the healthcare provider? A. Bowel sounds B. Breath sounds C. Skin turgor D. Capillary refill --------- Correct Answer --------- A. Bowel sounds A client diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P= 92 beats/minute; R= 22 breaths/minute, B/P 108/70 mmHg. Based on this information, what intervention should the nurse implement first? A. Monitor the vital signs q1h for the next 8 hours B. Notify the healthcare provider immediately C. Assess the client for presence of infection D. Encourage the client to use an incentive spirometer --------- Correct Answer --------- C. Assess the client for presence of infection Which type of therapeutic bath should the nurse recommend to a client who is complaining of pruiritus? A. An emollient bath B. An antibacterial bath C. A betadine bath D. A colloidal bath --------- Correct Answer --------- B. An antibacterial bath A pregnant client begins to cry when the UAP tries to assist her in donning a hospital gown, and she refuse to remove an undergarment that is worn in her culture to preserve modesty. What should the charge nurse do first? A. Dertermine if continued wearing of the garment will compromise care. B. Incorporate individualized cultural care into the nursing plan of care. C. Discuss the importantce of respecting cultural beliefs with the UAP. D. Talk with the client to determine alternate means to preserve modesty. --------- Correct Answer --------- A. Dertermine if continued wearing of the garment will compromise care. The nurse is assessing a client following hemodialysis. What finding indicate that an expected outcome of dialysis was achieved? A. Decrease in BP B. Weight gain C. Hemoglobon WNL D. Increased urinary output --------- Correct Answer --------- A. Decrease in BP
--- D. Review the findings of his glycosylated hemoglobin test. A client is taking cromolin sodium (Intal) Inhaler for chronic asthma. Which statement indicates the client understands the medication teaching? A. " I will have my liver enzymes checked monthly." B. " It is more important to take this medication with food." C. "I should keep my inhaler with me at all time." D. "I will not discontinue taking this medication abruptly." --------- Correct Answer --------- D. "I will not discontinue taking this medication abruptly." A female client is admitted to the psychiatric department on an emrgency commitment. The client's husband asks the nurse, "What is going to happen to my wife? Can I take her home now?" Which information should the nurse provide? A. Discharge can be completed after arrangements with the business B. Emergency commitment extends to a maximum of 90 days. C. Hospitalization is mandated until a mental health court hearing is held. D. A pschiatric evaluation is required for continued hospitalization. --------- Correct Answer --------- C. Hospitalization is mandated until a mental health court hearing is held. A client with a diagnosis of bipolar disorder is taking lithium and divalproex sodium (Depakote). In assessing this client, which symptom should the nurse report to the healthcare provider immediately? A. Recent significant hair loss B. Noticeable hand tremors C. Describes having a dry mouth. D. Complains of blurred vision --------- Correct Answer --------- B. Noticeable hand tremors The practical nurse (PN) reports the patterns of urinary frequency and volume for several clients. Which finding necessitates further assessment by the RN? A. Voiding 300 ml clear yellow urine q4h B. Voiding 50 ml cloudy urine every hour C. Total indwelling catheter output of 1800 ml in 24 hours D. 400 ml amber urine by straight catheter q6h --------- Correct Answer --------- B. Voiding 50 ml cloudy urine every hour The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation? A. The most common permanent physical disabilit of childhood is CP. B. The outcome depends on the continued development of the brain lesion. C. The classifications of CP determines the severit of motor dysfunction D. The course of CP is variable but the brain damage is not progressive. --------- Correct Answer --------- D. The course of CP is variable but the brain damage is not progressive. The nurse is discussing the use of isotertinoin (Accutane) with a 19 -year old female client, who has been taking oral contraceptives for one year. The client agrees to use a second form of contraception while on the medication, and has had two negative pregnancy tests. What other instruction should the nurse provide regarding the use of Accutane? A. If depression occurs, the use of St. John's Wort is recommended. B. The medication must be taken with food to enhance absorption. C. Fluids should be limited to sips when swallowing this medication. D. Serum lipids should be evaluated at the beginning and end of treatment. --------- Correct Answer --------- B. The medication must be taken with food to enhance absorption. Which intervention is best for the nurse to implement for a client who is experiencing severe toe pain as the result of acute gout? A. Minimize calcium rich foods in diet B. Provide passive ROM to the foot and toes C. Place a foot cradle under the linen D. Apply anti -embolism stocking bilaterally. --------- Correct Answer --------- C. Place a foot cradle under the linen Nursing assessment of a client with Type 2 diabetes reveals that the client is 5' 6" tall, weighs 238 lbs, works behind a desk all day, does not exercise, and smokes 2 packs of cigarettes daily. In planning care for this client, which intervention is most important for the nurse to implement? A. Discuss changing eating habits with a goal of losing 2 lbs/week. B. Instruct the client to decrease the number of cigarrettes smoke daily. C. Determine the client's feelings about being diagnosed with a chronic disease D. Encourage other family members to be tested for diabetes. --------- Correct Answer --
------- A. Discuss changing eating habits with a goal of losing 2 lbs/week. A woman who recently delivered a normal newborn calls the clinic crying and describes feeling overwhelmed and discouraged. Which information is most important for the nurse to obtain? A. Is there anyone with her at this time? B. Has she seen a mental health provider? C. Does she describe herself as depressed? D. How long has she been feeling this way? --------- Correct Answer --------- B. Has she seen a mental health provider? An infant is admitted to the newborn nursery, and is believed to have Down syndrome. Which physical finding might the nurse expect to see? A. Maxillary hypoplasia B. Postual hypotonia C. Janeway spots on the palms D. Fusion of cranial sutures --------- Correct Answer --------- B. Postual hypotonia The nurse is performing an admission physical assessment of a newborn who is small for gestational age (SGA). Which finding should the nurse report immediately to the pediatric healthcare provider? A. High pitched shrill cry B. Widened, tense, bulging fontanel C. Head circumference of 35 cm (14 inches) D. Heel stick glucose of 65 mg/dl --------- Correct Answer --------- A. High pitched shrill cry The nurse is caring for a yound adult male client with facial injuries resulting from a motor vehicle collision. Which client statement is indicative of the highest priority for nursing intervention? A. " I dont want my family and friends to see me looking like this." B. " I am not taking any more medication because the make my mouth dry." C. "I can't sleep through the night because I awaken with pain when I move." D. "My biggest fear is that this injury will cause me to lose my job." --------- Correct Answer --------- C. "I can't sleep through the night because I awaken with pain when I move." The nurse notes that an elderly client who is receiving a continuous tube feeding is increasingly fatigued and confused. Which assessment is most important for the nurse to complete before notifying the healthcare provider? A. Bowel sounds B. Breath sounds C. Skin turgor D. Capillary refill --------- Correct Answer --------- A. Bowel sounds A client diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P= 92 beats/minute; R= 22 breaths/minute, B/P 108/70 mmHg. Based on this information, what intervention should the nurse implement first? A. Monitor the vital signs q1h for the next 8 hours B. Notify the healthcare provider immediately C. Assess the client for presence of infection D. Encourage the client to use an incentive spirometer --------- Correct Answer --------- C. Assess the client for presence of infection Which type of therapeutic bath should the nurse recommend to a client who is complaining of pruiritus? A. An emollient bath B. An antibacterial bath C. A betadine bath D. A colloidal bath --------- Correct Answer --------- B. An antibacterial bath A pregnant client begins to cry when the UAP tries to assist her in donning a hospital gown, and she refuse to remove an undergarment that is worn in her culture to preserve modesty. What should the charge nurse do first? A. Dertermine if continued wearing of the garment will compromise care. B. Incorporate individualized cultural care into the nursing plan of care. C. Discuss the importantce of respecting cultural beliefs with the UAP. D. Talk with the client to determine alternate means to preserve modesty. --------- Correct Answer --------- A. Dertermine if continued wearing of the garment will compromise care. The nurse is assessing a client following hemodialysis. What finding indicate that an expected outcome of dialysis was achieved? A. Decrease in BP B. Weight gain C. Hemoglobon WNL D. Increased urinary output --------- Correct Answer --------- A. Decrease in BP
