HESI CAT Computerized Adaptive Testing Test Bank | 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 Computerized Adaptive Testing Test Bank | 100%
Verified NCLEX-Level Questions with Rationales | Secrets, Tips &
Strategies to Pass HESI CAT & NCLEX | High-Yield Review for
Nursing Students | Adaptive Prep Guide
1. A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nur
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se explain 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. T
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hey use it for coping.
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They enjoy the associated socialization.
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✓ Ans- 1 ma




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 bec
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ause 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 o
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r feel 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 structur
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e By building close peer relationships to achieve acceptance in the societ
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y By achieving marked physical changes
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✓ Ans- 1,3 ma




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 identit
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y is 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 gr
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oup identity. The sound and healthy growth of the adolescent, with marked physical changes, helps to build an ado
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lescent's sexual identity. ma ma




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 re
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lates his concerns, stating, "She pushes me away. She doesn't speak, and she only shows feelings whe
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n I take her top away. Is it something I've done?" What is the most therapeutic initial response by the
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nurse?
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 ma




The nurse provides support in a nonjudgmental way by sharing information and observations about the child.
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This child exhibits symptoms of autism, which is not attributable to the actions of the parents. Asking the fath
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er about his relationship with his wife or how he held the child when she was an infant indirectly indicates tha
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t the parent 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 re
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assurance 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 who
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se thoughts are focused on feelings of worthlessness and failure?
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"Tell me how you feel about yourself." "
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Tell me what has been bothering you." "
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Why 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 ma

,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 pla
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n of care. Later discussion should be focused on other topics to prevent reinforcement of negative thoughts an
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d feelings. "Tell me what has been bothering you" is asking the client to draw a conclusion; the client may be
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unable to do so at this time. Also, depression may be related not to external events but instead to a client's ps
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ychobiology. Asking why does not let a client explore ma ma ma ma ma ma ma ma




feelings; it usually elicits an "I don't know" response. "What can we do to help you while you're here?" is bey
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ond 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. Whic
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h statement alerts the nurse to the possibility of a suicide attempt?
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"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 ma




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"; a
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nd "I'm really tired today, so I'll take things a little slower" are all typical of the depressed client; none of th
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ese
statements signals a change in mood. ma ma ma ma ma




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




leaders for failing to anticipate and prevent the suicide Guilt of group m
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embers 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 ma




Ambivalence about life and death, plus the introspection commonly found in clients with emotional problems,
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can lead to increased anxiety and fear among the group members. These feelings must be handled within the
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support 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 the
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y could not prevent another's suicide will probably be a secondary concern of the group leader. Lack of con
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cern over the suicide expressed by several of the members in the group is not a primary concern, but this sh
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ould be explored later to determine the reason for such apparent indifference, which may be a mask to cove
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r 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
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Radiographs of the hand and wrist Magne ma ma ma ma ma ma




tic resonance imaging (MRI) Denver Dev
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elopmental Screening Test ma ma




✓ Ans- 2 ma




Skeletal growth in a child can be determined from the ossification centers. At 5 to 6 months of age, the capita
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te and hamate bones in the wrist are the earliest centers. Therefore radiographs of the hand and wrist will h
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elp
determine skeletal growth in the child.
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Electroencephalogram reports will help assess a child's brain activity. MRI is used to scan the internal
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structures of a client. The Denver Developmental Screening Test is used to understand developmental issues o
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f a child.
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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
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Continuing to discuss the delusion with the client Getti
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ng 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 ma




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 clie
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nt will
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have difficulty getting involved in a social activity; the activity will not stop the delusion. Challenging the clien
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t may increase anxiety.
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