HESI CAT EXAM ACTUAL PAPER 2026
QUESTIONS ANSWERS GRADED A+
◉ A client with malnutrition is assessed for osteomalacia what data
show the nurse review to determine their clients risk for this health
problem. Answer: Vitamin D levels
Rationale: Malnutrition has widespread affects on various organ
systems osteomalacia is defective mineralization of newly formed
bones secondary to chronic deficiency of vitamin D it results in soft,
weak bones that fracture easily vitamin D levels will provide the
nurse with the most accurate information regarding this health
problem
◉ The nurse has determine an adolescent client needs
reinforcement education about prevention of a sickle cell crisis
which instruction should the nurse include select all that apply.
Answer: Wear warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become
tired
,Rationale: Vaso-occlusive crisis is the most common clinical
manifestation of a sickle cell disease. it occurs when the micro
circulation is obstructed by sickling of the red blood cells resulting
in local tissue ischemia and severe pain. the three most common
identify triggers for the development of a vaso-occlusive crisis are
hypoxemia, dehydration, and body temperature changes
◉ The nurse is caring for a client with schizophrenia who has
refused they are risperidone for the last week the client has been
suspicious of nursing staff and periodically aggressive for the past
three days today the client broke a chair in their room and is making
verbal threats to the nurse and to other clients in the day wrong
what is the first action the nurse should take. Answer: Remove the
other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes
hallucinations, delusions, disorder thought process and impaired
behavior function.
Safety for all staff clients and visitors is priority and potential
violence situations
◉ A nurse who normally works on a post surgical care unit has been
asked to float to the preoperative care unit what is the best response
by the nurse. Answer: I don't feel totally comfortable floating so I
would like to be paired with a resource nurse for my shift
,Rationale: The nurse has acknowledged their discomfort with
floating and has also identified a means of making a float shift nurse
more comfortable and important part of a successful float shift and
identifying using resources on the float unit including a partnership
with a specific resource nurse for the shift to answer questions
locate supplies etc.
◉ The nurse is preparing to administer medication through a
client's nasalgastric tube what will the nurse do first when
administering these medications. Answer: Assessed for placement of
the nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric
tube the nurse needs to assess for correct placement of the tube
◉ A client with an stage renal failure has requested no further
treatment be provided when the oldest daughter arrives to visit she
is visibly upset that all dialysis treatments have ended in demands
that treatment be continue what should the nurse do it this time.
Answer: Explained that the client has requested that all treatments
be stop
Rationale: The nurse is responsible for the following clients wishes
for treatment the daughter does not need to leave because there's no
evidence that the client is upset resuming Dallas treatment is not
what the client wants and should not be done the nurse can explain
, the change in treatments with a daughter and does not need to ask a
physician to have this conversation
◉ The education department of a healthcare organization has design
client education sheet that explains the process of being admitted to
the hospital in English Spanish and French since these are the three
major language is spoken by the hospitals client population what
does the client education sheet reflects. Answer: Sensitivity to the
diverse Client population
Rationale: By creating a client education sheet that can be read by
the hospitals major client population the education department is
demonstrating sensitivity to the diverse client population the
education sheet does not reflect racial profiling stereotyping or
inappropriate categorizing of the clients population
◉ The nurse is emptying the urinary collection bag for a client with
history of HIV in which sequence sure the nurse perform the
following actions after the urinary collection bag has been drained.
Answer: Ensure urinary collection bag is placed below the clients
bladder
empty that your receptacle
remove PPE
Wash hands with soap & water
Document amount of urine collected
QUESTIONS ANSWERS GRADED A+
◉ A client with malnutrition is assessed for osteomalacia what data
show the nurse review to determine their clients risk for this health
problem. Answer: Vitamin D levels
Rationale: Malnutrition has widespread affects on various organ
systems osteomalacia is defective mineralization of newly formed
bones secondary to chronic deficiency of vitamin D it results in soft,
weak bones that fracture easily vitamin D levels will provide the
nurse with the most accurate information regarding this health
problem
◉ The nurse has determine an adolescent client needs
reinforcement education about prevention of a sickle cell crisis
which instruction should the nurse include select all that apply.
Answer: Wear warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become
tired
,Rationale: Vaso-occlusive crisis is the most common clinical
manifestation of a sickle cell disease. it occurs when the micro
circulation is obstructed by sickling of the red blood cells resulting
in local tissue ischemia and severe pain. the three most common
identify triggers for the development of a vaso-occlusive crisis are
hypoxemia, dehydration, and body temperature changes
◉ The nurse is caring for a client with schizophrenia who has
refused they are risperidone for the last week the client has been
suspicious of nursing staff and periodically aggressive for the past
three days today the client broke a chair in their room and is making
verbal threats to the nurse and to other clients in the day wrong
what is the first action the nurse should take. Answer: Remove the
other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes
hallucinations, delusions, disorder thought process and impaired
behavior function.
Safety for all staff clients and visitors is priority and potential
violence situations
◉ A nurse who normally works on a post surgical care unit has been
asked to float to the preoperative care unit what is the best response
by the nurse. Answer: I don't feel totally comfortable floating so I
would like to be paired with a resource nurse for my shift
,Rationale: The nurse has acknowledged their discomfort with
floating and has also identified a means of making a float shift nurse
more comfortable and important part of a successful float shift and
identifying using resources on the float unit including a partnership
with a specific resource nurse for the shift to answer questions
locate supplies etc.
◉ The nurse is preparing to administer medication through a
client's nasalgastric tube what will the nurse do first when
administering these medications. Answer: Assessed for placement of
the nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric
tube the nurse needs to assess for correct placement of the tube
◉ A client with an stage renal failure has requested no further
treatment be provided when the oldest daughter arrives to visit she
is visibly upset that all dialysis treatments have ended in demands
that treatment be continue what should the nurse do it this time.
Answer: Explained that the client has requested that all treatments
be stop
Rationale: The nurse is responsible for the following clients wishes
for treatment the daughter does not need to leave because there's no
evidence that the client is upset resuming Dallas treatment is not
what the client wants and should not be done the nurse can explain
, the change in treatments with a daughter and does not need to ask a
physician to have this conversation
◉ The education department of a healthcare organization has design
client education sheet that explains the process of being admitted to
the hospital in English Spanish and French since these are the three
major language is spoken by the hospitals client population what
does the client education sheet reflects. Answer: Sensitivity to the
diverse Client population
Rationale: By creating a client education sheet that can be read by
the hospitals major client population the education department is
demonstrating sensitivity to the diverse client population the
education sheet does not reflect racial profiling stereotyping or
inappropriate categorizing of the clients population
◉ The nurse is emptying the urinary collection bag for a client with
history of HIV in which sequence sure the nurse perform the
following actions after the urinary collection bag has been drained.
Answer: Ensure urinary collection bag is placed below the clients
bladder
empty that your receptacle
remove PPE
Wash hands with soap & water
Document amount of urine collected
