1|Page
HESI CAT EXAM - CAT HESI EXIT NEWEST 2026
ACTUAL EXAM| COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A male client who takes carvedilol (Coreg) 25 mg twice daily is
admitted with atrial flutter. His ejection fraction (EF) is 30%, his blood
pressure is 190/86, and he has a history of type 1 diabetes mellitus. The
healthcare provider prescribes dronedarone (Multaq) 400 mg PO twice
daily. Which assessment finding warrants immediate intervention by the
nurse?
A. Chronic dermatitis
B. Abdominal pain
C. Sever headache
D. Sinus bradycardia - Correct Answer -D. Sinus bradycardia
It is most important for the nurse to use an IV pump and/ or Buretrol, an
in-line volume control device, when initiating IV therapy for a client
following which surgical procedure?
A. Femoral popliteal bypass
B. Colostomy
C. Craniotomy
D. Total hip replacement - Correct Answer -C. Craniotomy
pg. 1
,2|Page
When assessing a client at 32-weeks gestation, the nurse determines that
her deep tendon reflexes (DTRs) are 4+. What action should the nurse
take first?
A. Notify the healthcare provider
B. Assess the client for pitting edema
C. No action is required since this is a normal finding
D. Determine the client's blood pressure - Correct Answer -D. Determine
the client's blood pressure
The nurse is teaching a client newly diagnosed with diabetes mellitus the
signs of hypoglycemia. What symptom should be included in the
description of early signs of hypoglycemia?
A. Difficulty swallowing
B. Polyuria
C. Tremors
D. Bradycardia - Correct Answer -C. Tremors
The nurse should question the use of dopamine, and adrenergic agonist,
for a client with which assessment finding?
A. Currently receiving a loop diuretic
B. Experiencing ventricular fibrillation
C. Blood pressure if 90/60
D. Is taking a tricyclic antidepressant - Correct Answer -B. Experiencing
ventricular fibrillation
pg. 2
,3|Page
Following two defibrillation shocks, the client's ECG continues to
indicate ventricular fibrillation (VF). Which intervention should the
nurse implement next?
A. Resume CPR immediately
B. Perform the third defribrillation shock.
C. Obtain an arterial blood gas sample.
D. Administer an IV bolus of epinephrine - Correct Answer -A. Resume
CPR immediately
The practical nurse (PN) reports the patterns of urinary frequency and
volume for several clients. 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 - Correct Answer -B.
Voiding 50 ml cloudy urine every hour
An infant is admitted to the newborn nursery, and is believed to have
Down syndrome. Which physical finding might the nurse expect to see?
A. Maxillary hypoplasia
B. Postual hypotonia
C. Janeway spots on the palms
D. Fusion of cranial sutures - Correct Answer -B. Postual hypotonia
pg. 3
, 4|Page
The nurse is performing an admission physical assessment of a newborn
who is small for gestational age (SGA). Which finding should the nurse
report immediately to the pediatric healthcare provider?
A. High pitched shrill cry
B. Widened, tense, bulging fontanel
C. Head circumference of 35 cm (14 inches)
D. Heel stick glucose of 65 mg/dl - Correct Answer -A. High pitched
shrill cry
The nurse notes that an elderly client who is receiving a continuous tube
feeding is increasingly fatigued and confused. Which assessment is most
important for the nurse to complete before notifying the healthcare
provider?
A. Bowel sounds
B. Breath sounds
C. Skin turgor
D. Capillary refill - Correct Answer -A. Bowel sounds
A client 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 nurse implement
first?
A. Monitor the vital signs q1h for the next 8 hours
B. Notify the healthcare provider immediately
pg. 4
HESI CAT EXAM - CAT HESI EXIT NEWEST 2026
ACTUAL EXAM| COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A male client who takes carvedilol (Coreg) 25 mg twice daily is
admitted with atrial flutter. His ejection fraction (EF) is 30%, his blood
pressure is 190/86, and he has a history of type 1 diabetes mellitus. The
healthcare provider prescribes dronedarone (Multaq) 400 mg PO twice
daily. Which assessment finding warrants immediate intervention by the
nurse?
A. Chronic dermatitis
B. Abdominal pain
C. Sever headache
D. Sinus bradycardia - Correct Answer -D. Sinus bradycardia
It is most important for the nurse to use an IV pump and/ or Buretrol, an
in-line volume control device, when initiating IV therapy for a client
following which surgical procedure?
A. Femoral popliteal bypass
B. Colostomy
C. Craniotomy
D. Total hip replacement - Correct Answer -C. Craniotomy
pg. 1
,2|Page
When assessing a client at 32-weeks gestation, the nurse determines that
her deep tendon reflexes (DTRs) are 4+. What action should the nurse
take first?
A. Notify the healthcare provider
B. Assess the client for pitting edema
C. No action is required since this is a normal finding
D. Determine the client's blood pressure - Correct Answer -D. Determine
the client's blood pressure
The nurse is teaching a client newly diagnosed with diabetes mellitus the
signs of hypoglycemia. What symptom should be included in the
description of early signs of hypoglycemia?
A. Difficulty swallowing
B. Polyuria
C. Tremors
D. Bradycardia - Correct Answer -C. Tremors
The nurse should question the use of dopamine, and adrenergic agonist,
for a client with which assessment finding?
A. Currently receiving a loop diuretic
B. Experiencing ventricular fibrillation
C. Blood pressure if 90/60
D. Is taking a tricyclic antidepressant - Correct Answer -B. Experiencing
ventricular fibrillation
pg. 2
,3|Page
Following two defibrillation shocks, the client's ECG continues to
indicate ventricular fibrillation (VF). Which intervention should the
nurse implement next?
A. Resume CPR immediately
B. Perform the third defribrillation shock.
C. Obtain an arterial blood gas sample.
D. Administer an IV bolus of epinephrine - Correct Answer -A. Resume
CPR immediately
The practical nurse (PN) reports the patterns of urinary frequency and
volume for several clients. 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 - Correct Answer -B.
Voiding 50 ml cloudy urine every hour
An infant is admitted to the newborn nursery, and is believed to have
Down syndrome. Which physical finding might the nurse expect to see?
A. Maxillary hypoplasia
B. Postual hypotonia
C. Janeway spots on the palms
D. Fusion of cranial sutures - Correct Answer -B. Postual hypotonia
pg. 3
, 4|Page
The nurse is performing an admission physical assessment of a newborn
who is small for gestational age (SGA). Which finding should the nurse
report immediately to the pediatric healthcare provider?
A. High pitched shrill cry
B. Widened, tense, bulging fontanel
C. Head circumference of 35 cm (14 inches)
D. Heel stick glucose of 65 mg/dl - Correct Answer -A. High pitched
shrill cry
The nurse notes that an elderly client who is receiving a continuous tube
feeding is increasingly fatigued and confused. Which assessment is most
important for the nurse to complete before notifying the healthcare
provider?
A. Bowel sounds
B. Breath sounds
C. Skin turgor
D. Capillary refill - Correct Answer -A. Bowel sounds
A client 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 nurse implement
first?
A. Monitor the vital signs q1h for the next 8 hours
B. Notify the healthcare provider immediately
pg. 4
