HESI CAT Exam (2026/2027) – Computerized
Adaptive Testing Comprehensive Nursing
Assessment
Exam
This document provides a comprehensive set of HESI CAT (Computerized Adaptive
Testing) exam questions with correct answers, designed to reflect the adaptive format
used in HESI assessments. It covers broad nursing domains including medical-surgical
nursing, pediatrics, maternity, psychiatric nursing, pharmacology, fundamentals of
nursing, health promotion, and clinical judgment. The content is aligned with NCLEX-
RN® predictor standards and supports in-depth preparation for the 2026/2027 HESI
CAT comprehensive assessment.
A client with irritable bowel syndrome is recovering from surgery to create
an ileostomy what foods should the nurse instruct the client to avoid to
reduce the risk of food blockage - ,,,,,answer,,,,,,..Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small
intestine the client should be instructed to avoid these food items with an
ileostomy
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
Adaptive Testing Comprehensive Nursing
Assessment
Exam
This document provides a comprehensive set of HESI CAT (Computerized Adaptive
Testing) exam questions with correct answers, designed to reflect the adaptive format
used in HESI assessments. It covers broad nursing domains including medical-surgical
nursing, pediatrics, maternity, psychiatric nursing, pharmacology, fundamentals of
nursing, health promotion, and clinical judgment. The content is aligned with NCLEX-
RN® predictor standards and supports in-depth preparation for the 2026/2027 HESI
CAT comprehensive assessment.
A client with irritable bowel syndrome is recovering from surgery to create
an ileostomy what foods should the nurse instruct the client to avoid to
reduce the risk of food blockage - ,,,,,answer,,,,,,..Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small
intestine the client should be instructed to avoid these food items with an
ileostomy
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
