HESI CAT Computerized Adaptive Testing Test Bank 2026| 100% Verified NCLEX-Level Questions with Rationales | Secrets, Tips & Strategies to Pass HESI CAT & NCLEX | High-Yield Review for Nursing Students | Adaptive Prep Guide

HESI CAT 2026- cn cn




2026 Computerized Adaptive Testing Test Bank | 100% Verified NCL
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EX-
Level Questions with Rationales | Secrets, Tips & Strategies to Pass H
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ESI CAT & NCLEX | High- cn cn cn cn cn




Yield Review for Nursing Students | Adaptive Prep Guide cn cn cn cn cn cn cn cn




1. A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nurse e
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xplain is the main reason for drinking alcohol in people with a long history of alcohol abuse?
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They are dependent on it.
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They lack the motivation to stop. Th
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ey use it for coping.
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They enjoy the associated socialization.
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✓ Ans- 1 cn




Alcohol causes both physical and psychological dependence; the individual needs the alcohol to function.
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Alcoholism is a disorder that entails physical and psychological dependence. Because alcohol is so
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physiologically addictive, the client's body craves the alcohol, so most clients lack the motivation to stop becau
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se they will go into withdrawal. Clients who abuse alcohol have numbed their ability to utilize other
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coping mechanisms, so alcohol is used as an excuse for coping. People with alcoholism usually drink alone or f
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eel alone in a crowd; socialization is not the prime reason for their drinking.
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2. How do adolescents establish family identity during psychosocial development? Select all that apply.
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By acting independently to make his or her own decisions
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By evaluating his or her own health with a feeling of well-being
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By fostering his or her own development within a balanced family structure
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By building close peer relationships to achieve acceptance in the society B
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y achieving marked physical changes
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✓ Ans- 1,3 cn




An adolescent establishes family identity by acting independently for taking important decisions about self.
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They also need to foster their development along with maintaining a balanced family structure. Health identity i
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s associated with the evaluation of one's own
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,health with a feeling of well-being. By building close peer relationships, an adolescent develops a sense of
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belonging, approval, and the opportunity to learn acceptable behavior. These actions establish an adolescent's grou
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p identity. The sound and healthy growth of the adolescent, with marked physical changes, helps to build an adolesce
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nt's sexual identity.
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3. A clinic nurse observes a 2-year-
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old client sitting alone, rocking and staring at a small, shiny top that she is spinning. Later the father relat
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es his concerns, stating, "She pushes me away. She doesn't speak, and she only shows feelings when I ta
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ke her top away. Is it something I've done?" What is the most therapeutic initial response by the nurse?
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Asking the father about his relationship with his wife
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Asking the father how he held the child when she was an infant
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Telling the father that it is nothing he has done and sharing the nurse's observations of the child
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Telling the father not to be concerned and stressing that the child will outgrow this developmental phase
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✓ Ans- 3 cn




The nurse provides support in a nonjudgmental way by sharing information and observations about the child. T
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his child exhibits symptoms of autism, which is not attributable to the actions of the parents. Asking the father ab
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out his relationship with his wife or how he held the child when she was an infant indirectly indicates that the par
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ent may be at fault; it negates the father's need for support and increases his sense of guilt.
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Telling the father not to be concerned and stressing that the child will outgrow this developmental phase is false reass
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urance that does not provide support; the father recognizes that something is wrong.
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4. What is most appropriate for a nurse to say when interviewing a newly admitted depressed client whose t
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houghts are focused on feelings of worthlessness and failure? cn cn cn cn cn cn cn cn




"Tell me how you feel about yourself." "T
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ell me what has been bothering you." "Wh
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y do you feel so bad about yourself?"
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"What can we do to help you while you're here?"
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✓ Ans- 1 cn

,Because major depression is a result of the client's feelings of self-
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rejection, it is important for the nurse to have the client initially identify these feelings before developing a plan of
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care. Later discussion should be focused on other topics to prevent reinforcement of negative thoughts and feeli
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ngs. "Tell me what has been bothering you" is asking the client to draw a conclusion; the client may be unable to
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do so at this time. Also, depression may be related not to external events but instead to a client's psychobiology.
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Asking why does not let a client explore
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feelings; it usually elicits an "I don't know" response. "What can we do to help you while you're here?" is beyond
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the scope of the client's abilities at this time.
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5. A client is admitted to the mental health unit with the diagnosis of major depressive disorder. Which s
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tatement alerts the nurse to the possibility of a suicide attempt? cn cn cn cn cn cn cn cn cn cn




"I don't feel too good today."
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"I feel much better; today is a lovely day."
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"I feel a little better, but it probably won't last."
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"I'm really tired today, so I'll take things a little slower."
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✓ Ans- 2 cn




A rapid mood upswing and psychomotor change may signal that the client has made a decision and has
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developed a plan for suicide. "I don't feel too good today"; "I feel a little better, but it probably won't last"; and "
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I'm really tired today, so I'll take things a little slower" are all typical of the depressed client; none of these
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statements signals a change in mood. cn cn cn cn cn




6. During a group discussion it is learned that a group member hid suicidal urges and committed suicide s
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everal days ago. What should the nurse leading the group be prepared to manage?
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Guilt of the co- cn cn cn




leaders for failing to anticipate and prevent the suicide Guilt of group me
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mbers because they could not prevent another's suicide
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Lack of concern over the suicide expressed by several of the members in the group
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Fear by some members that their own suicidal urges may go unnoticed and that they may go unprotected
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✓ Ans- 4 cn




Ambivalence about life and death, plus the introspection commonly found in clients with emotional problems, ca
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n lead to increased anxiety and fear among the group members. These feelings must be handled within the supp
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ort and supervisory systems for the staff;
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, the group members are the primary concern. Guilt that the group's leaders or members might feel because they c
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ould not prevent another's suicide will probably be a secondary concern of the group leader. Lack of concern o
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ver the suicide expressed by several of the members in the group is not a primary concern, but this should be ex
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plored later to determine the reason for such apparent indifference, which may be a mask to cover true
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feelings.


7. Which screening report will help the nurse determine skeletal growth in a child?
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Electroencephalogram reports cn




Radiographs of the hand and wrist Magnet cn cn cn cn cn cn




ic resonance imaging (MRI) Denver Devel
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opmental Screening Test cn cn




✓ Ans- 2 cn




Skeletal growth in a child can be determined from the ossification centers. At 5 to 6 months of age, the capitate a
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nd hamate bones in the wrist are the earliest centers. Therefore radiographs of the hand and wrist will help
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determine skeletal growth in the child. cn cn cn cn cn




Electroencephalogram reports will help assess a child's brain activity. MRI is used to scan the internal cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn




structures of a client. The Denver Developmental Screening Test is used to understand developmental issues of a
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child.


8. A client describes his delusions in minute detail to the nurse. How should the nurse respond?
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Changing the topic to reality-based events cn cn cn cn cn




Continuing to discuss the delusion with the client Gettin cn cn cn cn cn cn cn cn




g the client involved in a social project with peers
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Disputing the perceptions with the use of logical thinking
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✓ Ans- 1 cn




Decreasing time spent on delusions prevents reinforcement of psychotic thinking. Discussing reality-
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based events improves contact with reality. Encouraging discussion will give validity to the delusion. The client
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will
have difficulty getting involved in a social activity; the activity will not stop the delusion. Challenging the client m
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ay increase anxiety.
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9. A nurse working on a mental health unit is caring for several clients who are at risk for suicide. Which c
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lient is at the greatest risk for successful suicide?
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