HESI CAT EXAMS 2026 /3 VERSIONS A, B AND C / ACTUAL
EXAMS WITH CORRECT DETAILED AND WELL
ELABORATED ANSWERS/NEWEST UPDATE 2024-
2026/ALREADY GRADED A+
VERSION A
The practical caregiver (PN) reports the patterns of urinary frequency and volume
for several patients. Which finding necessitates further assessment by the RN?
A. Voiding 300 ml clear yellow urine q4h
B. Voiding 50 ml cloudy urine every hour
C. Total indwelling catheter output of 1800 ml in 24 hours
D. 400 ml amber urine by straight catheter q6h
B. Voiding 50 ml cloudy urine every hour
The mother of a child with cerebral palsy (CP) asks the caregiver if her child's
impaired movements will worsen as the child grows. Which response provides
the best explanation?
A. The most common permanent physical disabilit of childhood is CP.
B. The outcome depends on the continued development of the brain lesion.
C. The classifications of CP determines the severit of motor dysfunction
D. The course of CP is variable but the brain damage is not progressive.
D. The course of CP is variable but the brain damage is not progressive.
The caregiver is discussing the use of isotertinoin (Accutane) with a 19-year old
female patient, who has been taking oral contraceptives for one year. The patient
agrees to use a second form of contraception while on the medication, and has had
two negative pregnancy tests. What other instruction should the caregiver provide
regarding the use of Accutane?
A. If depression occurs, the use of St. John's Wort is recommended.
B. The medication must be taken with food to enhance absorption.
C. Fluids should be limited to sips when swallowing this medication.
D. Serum lipids should be evaluated at the beginning and end of treatment.
B. The medication must be taken with food to enhance absorption.
Which intervention is best for the caregiver to implement for a patient who is
experiencing severe toe pain as the result of acute gout?
A. Minimize calcium rich foods in diet
B. Provide passive ROM to the foot and toes
C. Place a foot cradle under the linen
D. Apply anti-embolism stocking bilaterally.
,C. Place a foot cradle under the linen
Nursing assessment of a patient with Type 2 diabetes reveals that the patient is 5'
6" tall, weighs 238 lbs, works behind a desk all day, does not exercise, and
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
smokes 2 packs of cigarettes daily. In planning care for this patient, which
intervention is most important for the caregiver to implement?
B. Instruct the patient to decrease the number of cigarrettes smoke daily.
C. Determine the patient's feelings about being diagnosed with a chronic disease
D. Encourage other family members to be tested for diabetes.
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
A woman who recently delivered a normal newborn calls the clinic crying
and describes feeling overwhelmed and discouraged. Which information is
most important for the caregiver to obtain?
A. Is there anyone with her at this time?
B. Has she seen a mental health provider?
C. Does she describe herself as depressed?
D. How long has she been feeling this way?
B. Has she seen a mental health provider?
An infant is admitted to the newborn nursery, and is believed to have Down
syndrome. Which physical finding might the caregiver expect to see?
A. Maxillary hypoplasia
B. Postual hypotonia
C. Janeway spots on the palms
D. Fusion of cranial sutures
B. Postual hypotonia
The caregiver is performing an admission physical assessment of a newborn who
A. High pitched shrill cry
is small for gestational age (SGA). Which finding should the caregiver report
immediately to the pediatric healthcare provider?
B. Widened, tense, bulging fontanel
C. Head circumference of 35 cm (14 inches)
D. Heel stick glucose of 65 mg/dl
A. High pitched shrill cry
The caregiver is caring for a yound adult male patient with facial injuries
resulting from a motor vehicle collision. Which patient statement is indicative
of the highest priority for nursing intervention?
A. " I dont want my family and friends to see me looking like this."
B. " I am not taking any more medication because the make my mouth dry."
C. "I can't sleep through the night because I awaken with pain when I move."
D. "My biggest fear is that this injury will cause me to lose my job."
,C. "I can't sleep through the night because I awaken with pain when I move."
The caregiver notes that an elderly patient who is receiving a continuous tube
feeding is increasingly fatigued and confused. Which assessment is most important
A. Bowel sounds
for the caregiver to complete before notifying the healthcare provider?
B. Breath sounds
C. Skin turgor
D. Capillary refill
A. Bowel sounds
A patient diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P=
92 beats/minute; R= 22 breaths/minute, B/P 108/70 mmHg. Based on this
information, what intervention should the caregiver implement first?
A. Monitor the vital signs q1h for the next 8 hours
B. Notify the healthcare provider immediately
C. Assess the client for presence of infection
D. Encourage the patient to use an incentive spirometer
C. Assess the patient for presence of infection
Which type of therapeutic bath should the caregiver recommend to a patient who is
complaining of pruiritus?
A. An emollient bath
B. An antibacterial bath
C. A betadine bath
D. A colloidal bath
B. An antibacterial bath
A pregnant patient begins to cry when the UAP tries to assist her in donning a
hospital gown, and she refuse to remove an undergarment that is worn in her
A. Dertermine if continued wearing of the garment will compromise care.
culture to preserve modesty. What should the charge caregiver do first?
B. Incorporate individualized cultural care into the nursing plan of care.
C. Discuss the importantce of respecting cultural beliefs with the UAP.
D. Talk with the patient to determine alternate means to preserve modesty.
A. Dertermine if continued wearing of the garment will compromise care.
The caregiver is assessing a patient following hemodialysis. What finding
A. Decrease in BP
indicate that an expected outcome of dialysis was achieved?
B. Weight gain
C. Hemoglobon WNL
D. Increased urinary output
A. Decrease in BP
, A caregiver who is new to the pediatric unit is positioning a 6 month old for an
injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should
the caregiver manager who is supervising this caregiver take first?
A. Demonstrate techniques for restraining the infant
B. Review the correct landmarks before the site is injected
C. Instruct the nurse to select another injection site
D. Explan the correct procedure for giving the medication
C. Instruct the caregiver to select another injection site
In evaluating the effectiveness of a patient's nocturnal sleep patterns, what
question is best for the caregiver to ask the patient?
A. " How often do you awaken during the night?"
B. " Do you remember dreaming at night?"
C. " How mant hours do you sleep each night?"
D. " Do you feel rested in the morning?"
D. " Do you feel rested in the morning?"
A caregiver is taking a health history of a 46 year old male patient who has
smoked cigarettes for 30 years. He has had chronic bronchitis for the past 6
months. What statement best describes the rationale for obtaining information
from the family as well as from the patient?
A. Poor oxygenation inhibits the patients memory and renders information unreliable.
B. Patient's tend to grow accustomed to their cough and underestimates their nicotene
C. Including the family helps to ensure that the client will comply with the treatment regimen.
use.
D. Family members are usually more anxious than the patient to get the physical
problem resolved.
C. Including the family helps to ensure that the patient will comply with the treatment
regimen.
The caregiver learns that a newly admitted adult patient has a six month history
of recurring somatic pain. During the admission interview, it is most important
for the caregiver to question the patient about what problem?
A. Nausea and vomiting.
B. Episodes of tremors.
C. Periods of restlessness.
D. Feelings of depression.
B. Episodes of tremors.
A caregiver seeks to alter a provision of a state's Caregiver Practice Act regarding
caregiver-patient ratios, which the caregiver believes to be unsafe. What action is
most likely to impact a ruling by the state's Board of Nursing?
A. Send documentation of the problem to the American Caregivers' Association
B. Meet with the nurse's representative to the state legislature.
C. Send an anonymous letter of concern to the local newspaper
EXAMS WITH CORRECT DETAILED AND WELL
ELABORATED ANSWERS/NEWEST UPDATE 2024-
2026/ALREADY GRADED A+
VERSION A
The practical caregiver (PN) reports the patterns of urinary frequency and volume
for several patients. Which finding necessitates further assessment by the RN?
A. Voiding 300 ml clear yellow urine q4h
B. Voiding 50 ml cloudy urine every hour
C. Total indwelling catheter output of 1800 ml in 24 hours
D. 400 ml amber urine by straight catheter q6h
B. Voiding 50 ml cloudy urine every hour
The mother of a child with cerebral palsy (CP) asks the caregiver if her child's
impaired movements will worsen as the child grows. Which response provides
the best explanation?
A. The most common permanent physical disabilit of childhood is CP.
B. The outcome depends on the continued development of the brain lesion.
C. The classifications of CP determines the severit of motor dysfunction
D. The course of CP is variable but the brain damage is not progressive.
D. The course of CP is variable but the brain damage is not progressive.
The caregiver is discussing the use of isotertinoin (Accutane) with a 19-year old
female patient, who has been taking oral contraceptives for one year. The patient
agrees to use a second form of contraception while on the medication, and has had
two negative pregnancy tests. What other instruction should the caregiver provide
regarding the use of Accutane?
A. If depression occurs, the use of St. John's Wort is recommended.
B. The medication must be taken with food to enhance absorption.
C. Fluids should be limited to sips when swallowing this medication.
D. Serum lipids should be evaluated at the beginning and end of treatment.
B. The medication must be taken with food to enhance absorption.
Which intervention is best for the caregiver to implement for a patient who is
experiencing severe toe pain as the result of acute gout?
A. Minimize calcium rich foods in diet
B. Provide passive ROM to the foot and toes
C. Place a foot cradle under the linen
D. Apply anti-embolism stocking bilaterally.
,C. Place a foot cradle under the linen
Nursing assessment of a patient with Type 2 diabetes reveals that the patient is 5'
6" tall, weighs 238 lbs, works behind a desk all day, does not exercise, and
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
smokes 2 packs of cigarettes daily. In planning care for this patient, which
intervention is most important for the caregiver to implement?
B. Instruct the patient to decrease the number of cigarrettes smoke daily.
C. Determine the patient's feelings about being diagnosed with a chronic disease
D. Encourage other family members to be tested for diabetes.
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
A woman who recently delivered a normal newborn calls the clinic crying
and describes feeling overwhelmed and discouraged. Which information is
most important for the caregiver to obtain?
A. Is there anyone with her at this time?
B. Has she seen a mental health provider?
C. Does she describe herself as depressed?
D. How long has she been feeling this way?
B. Has she seen a mental health provider?
An infant is admitted to the newborn nursery, and is believed to have Down
syndrome. Which physical finding might the caregiver expect to see?
A. Maxillary hypoplasia
B. Postual hypotonia
C. Janeway spots on the palms
D. Fusion of cranial sutures
B. Postual hypotonia
The caregiver is performing an admission physical assessment of a newborn who
A. High pitched shrill cry
is small for gestational age (SGA). Which finding should the caregiver report
immediately to the pediatric healthcare provider?
B. Widened, tense, bulging fontanel
C. Head circumference of 35 cm (14 inches)
D. Heel stick glucose of 65 mg/dl
A. High pitched shrill cry
The caregiver is caring for a yound adult male patient with facial injuries
resulting from a motor vehicle collision. Which patient statement is indicative
of the highest priority for nursing intervention?
A. " I dont want my family and friends to see me looking like this."
B. " I am not taking any more medication because the make my mouth dry."
C. "I can't sleep through the night because I awaken with pain when I move."
D. "My biggest fear is that this injury will cause me to lose my job."
,C. "I can't sleep through the night because I awaken with pain when I move."
The caregiver notes that an elderly patient who is receiving a continuous tube
feeding is increasingly fatigued and confused. Which assessment is most important
A. Bowel sounds
for the caregiver to complete before notifying the healthcare provider?
B. Breath sounds
C. Skin turgor
D. Capillary refill
A. Bowel sounds
A patient diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P=
92 beats/minute; R= 22 breaths/minute, B/P 108/70 mmHg. Based on this
information, what intervention should the caregiver implement first?
A. Monitor the vital signs q1h for the next 8 hours
B. Notify the healthcare provider immediately
C. Assess the client for presence of infection
D. Encourage the patient to use an incentive spirometer
C. Assess the patient for presence of infection
Which type of therapeutic bath should the caregiver recommend to a patient who is
complaining of pruiritus?
A. An emollient bath
B. An antibacterial bath
C. A betadine bath
D. A colloidal bath
B. An antibacterial bath
A pregnant patient begins to cry when the UAP tries to assist her in donning a
hospital gown, and she refuse to remove an undergarment that is worn in her
A. Dertermine if continued wearing of the garment will compromise care.
culture to preserve modesty. What should the charge caregiver do first?
B. Incorporate individualized cultural care into the nursing plan of care.
C. Discuss the importantce of respecting cultural beliefs with the UAP.
D. Talk with the patient to determine alternate means to preserve modesty.
A. Dertermine if continued wearing of the garment will compromise care.
The caregiver is assessing a patient following hemodialysis. What finding
A. Decrease in BP
indicate that an expected outcome of dialysis was achieved?
B. Weight gain
C. Hemoglobon WNL
D. Increased urinary output
A. Decrease in BP
, A caregiver who is new to the pediatric unit is positioning a 6 month old for an
injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should
the caregiver manager who is supervising this caregiver take first?
A. Demonstrate techniques for restraining the infant
B. Review the correct landmarks before the site is injected
C. Instruct the nurse to select another injection site
D. Explan the correct procedure for giving the medication
C. Instruct the caregiver to select another injection site
In evaluating the effectiveness of a patient's nocturnal sleep patterns, what
question is best for the caregiver to ask the patient?
A. " How often do you awaken during the night?"
B. " Do you remember dreaming at night?"
C. " How mant hours do you sleep each night?"
D. " Do you feel rested in the morning?"
D. " Do you feel rested in the morning?"
A caregiver is taking a health history of a 46 year old male patient who has
smoked cigarettes for 30 years. He has had chronic bronchitis for the past 6
months. What statement best describes the rationale for obtaining information
from the family as well as from the patient?
A. Poor oxygenation inhibits the patients memory and renders information unreliable.
B. Patient's tend to grow accustomed to their cough and underestimates their nicotene
C. Including the family helps to ensure that the client will comply with the treatment regimen.
use.
D. Family members are usually more anxious than the patient to get the physical
problem resolved.
C. Including the family helps to ensure that the patient will comply with the treatment
regimen.
The caregiver learns that a newly admitted adult patient has a six month history
of recurring somatic pain. During the admission interview, it is most important
for the caregiver to question the patient about what problem?
A. Nausea and vomiting.
B. Episodes of tremors.
C. Periods of restlessness.
D. Feelings of depression.
B. Episodes of tremors.
A caregiver seeks to alter a provision of a state's Caregiver Practice Act regarding
caregiver-patient ratios, which the caregiver believes to be unsafe. What action is
most likely to impact a ruling by the state's Board of Nursing?
A. Send documentation of the problem to the American Caregivers' Association
B. Meet with the nurse's representative to the state legislature.
C. Send an anonymous letter of concern to the local newspaper
