HESI CAT Exit Exam 2024-2025 Version New Latest Exam
with All 170 Questions from Actual Exam and 100% Correct
Answers
A client is comatose upon arrival to the emergency department after falling a roof. The client flexes
with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which
intervention should the nurse prepare to implement to maintain the client's airway? - ANSWER-A
nasopharyngeal tube
61. The nurse is performing a routine well-child exam on a 5-year-old. While palpating the lymph
nodes, the nurse feels several 0.5 cm nodes in the cervical area that are round, mobile, non-tender,
and non-warm to the touch. What do these findings most likely represent? - ANSWER-An expected
finding for a well child of this age
A client with acute renal failure has many complications. The nurse recognizes what finding as a sign
of an immediate life-threatening situation? - ANSWER-An increased serum potassium concentration
The nurse completes the Leopold maneuvers for a primipara who is admitted in active labor and
determines that the fetus in the right sacral anterior (RSA) position. On which quadrants should the
nurse place the external fetal heart transducer? (Click the
chosen location. To change, click on the new location) - ANSWER-ANSWER: Right-up quadrant
The practical nurse (PN) reports the patterns of urinary frequency and volume for several clients.
Which finding necessitates further assessment by the RN? - ANSWER-Voiding 50 ml cloudy urine
every hour
Before administering diltiazem (Cardizem SR) the nurse notes that the client's blood pressure is
140/94. What action should the nurse take? - ANSWER-Administer the scheduled dose of diltiazem
and monitor the client's blood pressure
A male client sitting in his room tells the nurse "The CIA put this transistor right here under my left
ear. They are transmitting messages. Can't you hear them? They're so
loud they scare me." Which response is best for the nurse to provide? - ANSWER-"What is the
message telling you"
,The nurse is preparing a discharge plan for an older client who was recently diagnosed with
Alzheimer's disease. Which intervention should the nurse suggest to the spouse if the client becomes
uncooperative at home? - ANSWER-Ensure a calm and predictable environment
A client in the third trimester of pregnancy reports that she feels some "lumpy places"in her breasts
and that her nipples sometime leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks. What action should the nurse take? -
ANSWER-Explain that this normal, but can be assessed further at the next prenatal visit
69. The nurse should instruct the parents of a 2-year-old toddler with Tetralogy of Fallot to
immediately contact their healthcare provider if their child exhibits which symptom? - ANSWER-
Becomes pale and lethargic
A client with end stage renal disease (ESRD) is undergoing peritoneal dialysis. Whatobservation made
by the nurse during the peritoneal dialysis treatment warrants immediate intervention? - ANSWER-A
2,000 ml amount of dialysate was instilled, and 1,500 ml was drained
A hospitalized male veteran of a foreign war refuses care from a Middle-Eastern nurse.The client tells
the nurse, "I want an American to take care of me!" Which action should the charge nurse take? -
ANSWER-Reassign the client's care to another nurse
The community health nurse is attempting to address the issue of child abuse in a large metropolitan
area. A primary prevention program for child abuse might include which program? - ANSWER-High
school child development and parenting classes
A client's right to give informed consent is based on which ethical principle? - ANSWER-Autonomy
A client who suffered a stroke and is now on a ventilator receives nutritional supplements by the
feedings three times a day. The nurse checks the client for a residual volume before administering
the next feeding. Which statement best describes the rationale for this nursing intervention? -
ANSWER-Retention of feeding in the stomach increases the likelihood of regurgitation and aspiration
A client has a history of chronic atrial fibrillation. Which instruction should the nurse include in the
teaching plan for this client? - ANSWER-Be sure to take the prescribed daily aspirin
A client's telemetry monitor indicates ventricular fibrillation (VF). What should the nurse do first? -
ANSWER-Prepare for synchronized cardioversion
, It is most important for the nurse to use an IV pump and/or Buretrol, an in-line volume-control
device, when initiating IV therapy for a client following which surgical procedure? - ANSWER-
Craniotomy
Which strategy is most important for the nurse to use when assisting a client with myasthenia gravis
to devise a daily routine? - ANSWER-Perform necessary physically demanding tasks in the morning
The nursing diagnosis, "Altered nutrition: less than body requirements," is included in the plan of
care for a client with hyperthyroidism. What primary etiology should the nurse identify when
planning care for this client? - ANSWER-Increased metabolic needs
The nurse is triaging victims of a tornado that hit a housing area outside of town.Which client would
the nurse issue a black disaster tag to? - ANSWER-D. A 59-year-old female with head injury whose
pupils are fixed and dilated
A male infant born at 30-weeks gestation at an outlying hospital is being prepared for transport to a
level IV neonatal facility. His respirations are 90/min, and his heart rate is 150beats per minute.
Which drug is the transport team most likely to administer to this infant? - ANSWER-Beractant
(Survanta) 100 mg/kg per endotracheal tube
82. A 60-year-old female client takes NPH insulin each morning. What would necessitate holding this
client's usual morning NPH insulin dose? - ANSWER-The client is NPO for surgical debridement of a
leg ulcer at 11:00 a.m
Two weeks following a fracture, a male client is told by the healthcare provider that a callus has
formed at the fracture site. The client expresses concern to the nurse about the significance of this
information. How should the nurse respond? - ANSWER-Offer reassurance that the healing process is
progressing
A 25-year-old female client, a dancer, has just had an ileostomy as a result of Crohn's disease. In
evaluating the client's response to this life change, which behavior would indicate to the nurse that
he is coping effectively? The client - ANSWER-Discusses modified costume designs
The nurse is preparing to insert a saline lock for fluid replacement ina client with a fluid volume
deficit. Which assessment finding is most relevant to the nurse's approach to performing the
procedure? - ANSWER-Flattened veins
with All 170 Questions from Actual Exam and 100% Correct
Answers
A client is comatose upon arrival to the emergency department after falling a roof. The client flexes
with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which
intervention should the nurse prepare to implement to maintain the client's airway? - ANSWER-A
nasopharyngeal tube
61. The nurse is performing a routine well-child exam on a 5-year-old. While palpating the lymph
nodes, the nurse feels several 0.5 cm nodes in the cervical area that are round, mobile, non-tender,
and non-warm to the touch. What do these findings most likely represent? - ANSWER-An expected
finding for a well child of this age
A client with acute renal failure has many complications. The nurse recognizes what finding as a sign
of an immediate life-threatening situation? - ANSWER-An increased serum potassium concentration
The nurse completes the Leopold maneuvers for a primipara who is admitted in active labor and
determines that the fetus in the right sacral anterior (RSA) position. On which quadrants should the
nurse place the external fetal heart transducer? (Click the
chosen location. To change, click on the new location) - ANSWER-ANSWER: Right-up quadrant
The practical nurse (PN) reports the patterns of urinary frequency and volume for several clients.
Which finding necessitates further assessment by the RN? - ANSWER-Voiding 50 ml cloudy urine
every hour
Before administering diltiazem (Cardizem SR) the nurse notes that the client's blood pressure is
140/94. What action should the nurse take? - ANSWER-Administer the scheduled dose of diltiazem
and monitor the client's blood pressure
A male client sitting in his room tells the nurse "The CIA put this transistor right here under my left
ear. They are transmitting messages. Can't you hear them? They're so
loud they scare me." Which response is best for the nurse to provide? - ANSWER-"What is the
message telling you"
,The nurse is preparing a discharge plan for an older client who was recently diagnosed with
Alzheimer's disease. Which intervention should the nurse suggest to the spouse if the client becomes
uncooperative at home? - ANSWER-Ensure a calm and predictable environment
A client in the third trimester of pregnancy reports that she feels some "lumpy places"in her breasts
and that her nipples sometime leak a yellowish fluid. She has an
appointment with her healthcare provider in two weeks. What action should the nurse take? -
ANSWER-Explain that this normal, but can be assessed further at the next prenatal visit
69. The nurse should instruct the parents of a 2-year-old toddler with Tetralogy of Fallot to
immediately contact their healthcare provider if their child exhibits which symptom? - ANSWER-
Becomes pale and lethargic
A client with end stage renal disease (ESRD) is undergoing peritoneal dialysis. Whatobservation made
by the nurse during the peritoneal dialysis treatment warrants immediate intervention? - ANSWER-A
2,000 ml amount of dialysate was instilled, and 1,500 ml was drained
A hospitalized male veteran of a foreign war refuses care from a Middle-Eastern nurse.The client tells
the nurse, "I want an American to take care of me!" Which action should the charge nurse take? -
ANSWER-Reassign the client's care to another nurse
The community health nurse is attempting to address the issue of child abuse in a large metropolitan
area. A primary prevention program for child abuse might include which program? - ANSWER-High
school child development and parenting classes
A client's right to give informed consent is based on which ethical principle? - ANSWER-Autonomy
A client who suffered a stroke and is now on a ventilator receives nutritional supplements by the
feedings three times a day. The nurse checks the client for a residual volume before administering
the next feeding. Which statement best describes the rationale for this nursing intervention? -
ANSWER-Retention of feeding in the stomach increases the likelihood of regurgitation and aspiration
A client has a history of chronic atrial fibrillation. Which instruction should the nurse include in the
teaching plan for this client? - ANSWER-Be sure to take the prescribed daily aspirin
A client's telemetry monitor indicates ventricular fibrillation (VF). What should the nurse do first? -
ANSWER-Prepare for synchronized cardioversion
, It is most important for the nurse to use an IV pump and/or Buretrol, an in-line volume-control
device, when initiating IV therapy for a client following which surgical procedure? - ANSWER-
Craniotomy
Which strategy is most important for the nurse to use when assisting a client with myasthenia gravis
to devise a daily routine? - ANSWER-Perform necessary physically demanding tasks in the morning
The nursing diagnosis, "Altered nutrition: less than body requirements," is included in the plan of
care for a client with hyperthyroidism. What primary etiology should the nurse identify when
planning care for this client? - ANSWER-Increased metabolic needs
The nurse is triaging victims of a tornado that hit a housing area outside of town.Which client would
the nurse issue a black disaster tag to? - ANSWER-D. A 59-year-old female with head injury whose
pupils are fixed and dilated
A male infant born at 30-weeks gestation at an outlying hospital is being prepared for transport to a
level IV neonatal facility. His respirations are 90/min, and his heart rate is 150beats per minute.
Which drug is the transport team most likely to administer to this infant? - ANSWER-Beractant
(Survanta) 100 mg/kg per endotracheal tube
82. A 60-year-old female client takes NPH insulin each morning. What would necessitate holding this
client's usual morning NPH insulin dose? - ANSWER-The client is NPO for surgical debridement of a
leg ulcer at 11:00 a.m
Two weeks following a fracture, a male client is told by the healthcare provider that a callus has
formed at the fracture site. The client expresses concern to the nurse about the significance of this
information. How should the nurse respond? - ANSWER-Offer reassurance that the healing process is
progressing
A 25-year-old female client, a dancer, has just had an ileostomy as a result of Crohn's disease. In
evaluating the client's response to this life change, which behavior would indicate to the nurse that
he is coping effectively? The client - ANSWER-Discusses modified costume designs
The nurse is preparing to insert a saline lock for fluid replacement ina client with a fluid volume
deficit. Which assessment finding is most relevant to the nurse's approach to performing the
procedure? - ANSWER-Flattened veins
