1|Page
HESI RN CAT 2025 — Comprehensive Study Guide,
Practice Questions & Nursing Exam Prep
Prepare for the HESI RN CAT 2025 with a complete study guide, practice questions, and
exam review materials. Master essential nursing concepts, clinical reasoning, patient care,
pharmacology, and medical-surgical knowledge to excel in your HESI RN Computer
Adaptive Test (CAT) and succeed in your nursing program.
• HESI RN CAT 2025
• HESI RN CAT study guide
• HESI RN practice questions 2025
• Nursing exam preparation HESI RN
The nurse is caring for a client who had a thyroidectomy. Which symptoms will the client exhibit if
having a thyrotoxic crisis?
1 An increased pulse deficit
2 A decreased blood pressure
3 A decreased heart rate and respirations
4 An increased temperature and pulse rate - ANSWER-An increased temperature and pulse rate
The nurse teaching a health awareness class identifies which situation as being the highest risk factor for
the development of a deep vein thrombosis (DVT)?
1 Pregnancy
2 Inactivity
3 Aerobic exercise
4 Tight clothing - ANSWER-Inactivity
,2|Page
The nurse caring for a 3-year-old child with meningitis should be alert for which signs and symptoms of
increased intracranial pressure? Select all that apply.
1 Vomiting
2 Headache
3 Irritability
4 Tachypnea
5 Hypotension - ANSWER-Vomiting
Headache
Irritability
The nurse is caring for a 1-hour-old newborn. Which assessment characteristics represent a preterm
gestational age?
1 Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: absent; lanugo: abundant
2 Skin: parchment/wrinkled; breasts: flat areolae, no buds; plantar creases: cover entire sole; lanugo:
absent
3 Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: covering the entire sole; lanugo:
abundant
4 Skin: cracking/few veins; breasts: raised areolae (3- to 4-mm buds); plantar creases: covering the
anterior two thirds of the sole; lanugo: thinning - ANSWER-Skin: thin, veins visible; breasts: flat areolae,
no buds; plantar creases: absent; lanugo: abundant
Which is a clinical manifestation of the Landouzy-Déjérine type of muscular dystrophy (MD)?
1 Loss of hearing
2 Cardiomyopathy
3 Respiratory failure
4 Mental impairment - ANSWER-Loss of hearing
The nurse is caring for a client who had a colostomy 2 days ago. Which nursing intervention is the
priority?
,3|Page
1 Keeping an accurate record of oral fluid intake
2 Emphasizing the importance of regulating the diet to form stool
3 Teaching care of the incision and how to perform colostomy irrigations 4 Observing for drainage and
the condition of the abdominal stoma - ANSWER-Observing for drainage and the condition of the
abdominal stoma
The family of a client with right ventricular heart failure expresses concern about the client's increasing
abdominal girth. What physiologic change should the nurse consider when explaining the client's
condition? 1 Loss of cellular constituents in blood 2 Rapid osmosis from tissue spaces to cells
3 Increased pressure within the circulatory system
4 Rapid diffusion of solutes and solvents into plasma - ANSWER-Increased pressure within the
circulatory system
The left foot of a client with a history of intermittent claudication becomes increasingly cyanotic and
numb. Gangrene of the left foot is diagnosed, and because of the high level of arterial insufficiency, an
above-the-knee amputation (AKA) is scheduled. Which response by the client best demonstrates
emotional readiness for the surgery?
1 Explains the goals of the procedure
2 Displays few signs of anticipatory grief
3 Participates in learning perioperative care
4 Verbalizes acceptance of permanent dependency needs - ANSWER-Participates in learning
perioperative care
A nurse assesses a client who had a gastric resection. During the first 24 hours after surgery, what
symptom should the nurse expect to identify
1 Vomiting
2 Gastric distention
3 Intermittent periods of diarrhea
4 Bloody nasogastric drainage - ANSWER-Bloody nasogastric drainage
, 4|Page
A nurse is caring for a client who experienced a crushing chest injury. A chest tube is inserted. Which
observation indicates a desired response to this treatment?
1 Increased breath sounds
2 Increased respiratory rate
3 Crepitus detected on palpation of the chest
4 Constant bubbling in the drainage collection chamber - ANSWER-Increased breath sounds
A client is admitted for treatment of partial- and full-thickness burns of the entire right lower extremity
and the anterior portion of the right upper extremity. The nurse performs an immediate appraisal, using
the rule of nines. Which percentage of body surface area burned will the nurse record?
1 18%
2 22.5%
3 27%
36.5% - ANSWER-22.5
A client with bubonic plague has a body temperature of 103° F associated with chills, swollen glands,
headache, and weakness. Which microorganism is most likely responsible for the client's condition?
1 Yersinia pestis
2 Bordetella pertusis
3 Mycobacterium tuberculosis
4 Corynebacterium diphtheria - ANSWER-Yersinia pestis
Which statements about acne in adolescents are true? Select all that apply.
1 Early acne occurs in the midface region.
2 Acne is more common in girls than boys.
3 Acne usually occurs in middle to late adolescence.
4 Intake of dairy products can contribute to acne severity.
5 Acneiform eruptions are predominant in young children - ANSWER--Early acne occurs in the midface
region.
-Acne usually occurs in middle to late adolescence.
HESI RN CAT 2025 — Comprehensive Study Guide,
Practice Questions & Nursing Exam Prep
Prepare for the HESI RN CAT 2025 with a complete study guide, practice questions, and
exam review materials. Master essential nursing concepts, clinical reasoning, patient care,
pharmacology, and medical-surgical knowledge to excel in your HESI RN Computer
Adaptive Test (CAT) and succeed in your nursing program.
• HESI RN CAT 2025
• HESI RN CAT study guide
• HESI RN practice questions 2025
• Nursing exam preparation HESI RN
The nurse is caring for a client who had a thyroidectomy. Which symptoms will the client exhibit if
having a thyrotoxic crisis?
1 An increased pulse deficit
2 A decreased blood pressure
3 A decreased heart rate and respirations
4 An increased temperature and pulse rate - ANSWER-An increased temperature and pulse rate
The nurse teaching a health awareness class identifies which situation as being the highest risk factor for
the development of a deep vein thrombosis (DVT)?
1 Pregnancy
2 Inactivity
3 Aerobic exercise
4 Tight clothing - ANSWER-Inactivity
,2|Page
The nurse caring for a 3-year-old child with meningitis should be alert for which signs and symptoms of
increased intracranial pressure? Select all that apply.
1 Vomiting
2 Headache
3 Irritability
4 Tachypnea
5 Hypotension - ANSWER-Vomiting
Headache
Irritability
The nurse is caring for a 1-hour-old newborn. Which assessment characteristics represent a preterm
gestational age?
1 Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: absent; lanugo: abundant
2 Skin: parchment/wrinkled; breasts: flat areolae, no buds; plantar creases: cover entire sole; lanugo:
absent
3 Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: covering the entire sole; lanugo:
abundant
4 Skin: cracking/few veins; breasts: raised areolae (3- to 4-mm buds); plantar creases: covering the
anterior two thirds of the sole; lanugo: thinning - ANSWER-Skin: thin, veins visible; breasts: flat areolae,
no buds; plantar creases: absent; lanugo: abundant
Which is a clinical manifestation of the Landouzy-Déjérine type of muscular dystrophy (MD)?
1 Loss of hearing
2 Cardiomyopathy
3 Respiratory failure
4 Mental impairment - ANSWER-Loss of hearing
The nurse is caring for a client who had a colostomy 2 days ago. Which nursing intervention is the
priority?
,3|Page
1 Keeping an accurate record of oral fluid intake
2 Emphasizing the importance of regulating the diet to form stool
3 Teaching care of the incision and how to perform colostomy irrigations 4 Observing for drainage and
the condition of the abdominal stoma - ANSWER-Observing for drainage and the condition of the
abdominal stoma
The family of a client with right ventricular heart failure expresses concern about the client's increasing
abdominal girth. What physiologic change should the nurse consider when explaining the client's
condition? 1 Loss of cellular constituents in blood 2 Rapid osmosis from tissue spaces to cells
3 Increased pressure within the circulatory system
4 Rapid diffusion of solutes and solvents into plasma - ANSWER-Increased pressure within the
circulatory system
The left foot of a client with a history of intermittent claudication becomes increasingly cyanotic and
numb. Gangrene of the left foot is diagnosed, and because of the high level of arterial insufficiency, an
above-the-knee amputation (AKA) is scheduled. Which response by the client best demonstrates
emotional readiness for the surgery?
1 Explains the goals of the procedure
2 Displays few signs of anticipatory grief
3 Participates in learning perioperative care
4 Verbalizes acceptance of permanent dependency needs - ANSWER-Participates in learning
perioperative care
A nurse assesses a client who had a gastric resection. During the first 24 hours after surgery, what
symptom should the nurse expect to identify
1 Vomiting
2 Gastric distention
3 Intermittent periods of diarrhea
4 Bloody nasogastric drainage - ANSWER-Bloody nasogastric drainage
, 4|Page
A nurse is caring for a client who experienced a crushing chest injury. A chest tube is inserted. Which
observation indicates a desired response to this treatment?
1 Increased breath sounds
2 Increased respiratory rate
3 Crepitus detected on palpation of the chest
4 Constant bubbling in the drainage collection chamber - ANSWER-Increased breath sounds
A client is admitted for treatment of partial- and full-thickness burns of the entire right lower extremity
and the anterior portion of the right upper extremity. The nurse performs an immediate appraisal, using
the rule of nines. Which percentage of body surface area burned will the nurse record?
1 18%
2 22.5%
3 27%
36.5% - ANSWER-22.5
A client with bubonic plague has a body temperature of 103° F associated with chills, swollen glands,
headache, and weakness. Which microorganism is most likely responsible for the client's condition?
1 Yersinia pestis
2 Bordetella pertusis
3 Mycobacterium tuberculosis
4 Corynebacterium diphtheria - ANSWER-Yersinia pestis
Which statements about acne in adolescents are true? Select all that apply.
1 Early acne occurs in the midface region.
2 Acne is more common in girls than boys.
3 Acne usually occurs in middle to late adolescence.
4 Intake of dairy products can contribute to acne severity.
5 Acneiform eruptions are predominant in young children - ANSWER--Early acne occurs in the midface
region.
-Acne usually occurs in middle to late adolescence.
