Cat Exam 1 Hesi Exit
2026/2027 Exam Questions and
Correct Answers | New Update
A client is comatose upon arrival to the emergency department after
falling a roof. The client flexes with painful stimuli, and the nurse
determines the client's Glasgow Coma Scale (GCS) is 6. Which
intervention should the nurse prepare to implement to maintain the
client's airway? - ANSWER ✔✔A nasopharyngeal tube
A client is receiving a continuous half strength tube feeding at 50 ml/hr.
To prepare enough of the solution for eight hours, how many ml of full
strength feeding will the nurse need? - ANSWER ✔✔Answer: 200
,25 ml x 8hrs = 200
The alarm of a client's pulse oximeter sounds and the nurse notes that
the oxygen saturation rate is indicated at 85%. What action should the
nurse take first? - ANSWER ✔✔Check the probe position
A client is known to have an irregular respiratory rate with periods of
apnea lasting 10 to 15 seconds. Currently, the nurse counts 22
respiratory cycles in a 30-second interval followed by an apneic period.
What intervention should the nurse implement? - ANSWER
✔✔Reassess the respiratory rate, counting for one full minute
A retiree with depression complains of feeling "lonely and having no
purpose" in life.Based on Erikson's developmental theory, which
questions suggest that the nurse understands the client's most important
emotional need? - ANSWER ✔✔"What about your life makes you
proud?"
Following a precipitous labor, a client has a continuous trickling of bright
red blood from her vagina. Her uterus is firm and her vital signs are
within normal limits. The
nurse determines that the client's symptoms may indicate which
condition? - ANSWER ✔✔A cervical laceration
,In preparing assignments for the shift, which client is best for the charge
nurse to assign to a practical nurse? - ANSWER ✔✔An elderly client
with Alzheimer's disease complicated by dysphagia
The healthcare provider prescribes oxygen per nasal cannula at 2 L/min.
Which action has the highest priority when the nurse implements this
prescription? - ANSWER ✔✔Set the flow meter
9. A nurse 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 nurse-manager who is supervising this nurse take
first? - ANSWER ✔✔C. Instruct the nurse to select another injection
site
10. After diagnosis and initial treatment of a 3-year-old child with cystic
fibrosis, the nurse provides home care instructions to the mother. Which
statement by the child's mother indicates that she understands home
care treatment to promote pulmonary function? - ANSWER
✔✔"Chest physiotherapy should be performed at least twice a day"
The nurse is preparing a community education program on osteoporosis.
Which instruction is helpful in preventing bone loss and promoting bone
formation? - ANSWER ✔✔Encourage physical activity
3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, The nurse reviews the signs of hypoglycemia with the parents of a child
with Type 1 diabetes mellitus. The parents correctly understands signs of
hypoglycemia if they include which symptom? - ANSWER
✔✔Sweating
The nurse observes a 2 cm area nonblanchable erythema on the
sacrum of an immobile client. What documentation of this finding is best
for the nurse to enter into the client's record? - ANSWER ✔✔Stage 1
pressure ulcer on sacrum
When assessing a 7-year-old girl, the nurse notes that she has multiple
bruises on her back and upper arms. The child's aunt tells the nurse that
the child's parents abuse drugs and alcohol. What intervention is most
essential for the nurse to implement? - ANSWER ✔✔Report
assessment findings to the proper legal authorities
15. A 14-year-old male client arrives at the emergency room in status
epilepticus. He was diagnosed with a seizure disorder in childhood.
What is the most likely cause of his present condition? - ANSWER
✔✔Acute withdrawal from anticonvulsant medication
A Chinese-American client who just delivered a baby states that she will
not be able to take the prescribed sitz baths to help heal her episiotomy
incision because this will cause an unhealthy balance of cold and hot
2026/2027 Exam Questions and
Correct Answers | New Update
A client is comatose upon arrival to the emergency department after
falling a roof. The client flexes with painful stimuli, and the nurse
determines the client's Glasgow Coma Scale (GCS) is 6. Which
intervention should the nurse prepare to implement to maintain the
client's airway? - ANSWER ✔✔A nasopharyngeal tube
A client is receiving a continuous half strength tube feeding at 50 ml/hr.
To prepare enough of the solution for eight hours, how many ml of full
strength feeding will the nurse need? - ANSWER ✔✔Answer: 200
,25 ml x 8hrs = 200
The alarm of a client's pulse oximeter sounds and the nurse notes that
the oxygen saturation rate is indicated at 85%. What action should the
nurse take first? - ANSWER ✔✔Check the probe position
A client is known to have an irregular respiratory rate with periods of
apnea lasting 10 to 15 seconds. Currently, the nurse counts 22
respiratory cycles in a 30-second interval followed by an apneic period.
What intervention should the nurse implement? - ANSWER
✔✔Reassess the respiratory rate, counting for one full minute
A retiree with depression complains of feeling "lonely and having no
purpose" in life.Based on Erikson's developmental theory, which
questions suggest that the nurse understands the client's most important
emotional need? - ANSWER ✔✔"What about your life makes you
proud?"
Following a precipitous labor, a client has a continuous trickling of bright
red blood from her vagina. Her uterus is firm and her vital signs are
within normal limits. The
nurse determines that the client's symptoms may indicate which
condition? - ANSWER ✔✔A cervical laceration
,In preparing assignments for the shift, which client is best for the charge
nurse to assign to a practical nurse? - ANSWER ✔✔An elderly client
with Alzheimer's disease complicated by dysphagia
The healthcare provider prescribes oxygen per nasal cannula at 2 L/min.
Which action has the highest priority when the nurse implements this
prescription? - ANSWER ✔✔Set the flow meter
9. A nurse 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 nurse-manager who is supervising this nurse take
first? - ANSWER ✔✔C. Instruct the nurse to select another injection
site
10. After diagnosis and initial treatment of a 3-year-old child with cystic
fibrosis, the nurse provides home care instructions to the mother. Which
statement by the child's mother indicates that she understands home
care treatment to promote pulmonary function? - ANSWER
✔✔"Chest physiotherapy should be performed at least twice a day"
The nurse is preparing a community education program on osteoporosis.
Which instruction is helpful in preventing bone loss and promoting bone
formation? - ANSWER ✔✔Encourage physical activity
3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, The nurse reviews the signs of hypoglycemia with the parents of a child
with Type 1 diabetes mellitus. The parents correctly understands signs of
hypoglycemia if they include which symptom? - ANSWER
✔✔Sweating
The nurse observes a 2 cm area nonblanchable erythema on the
sacrum of an immobile client. What documentation of this finding is best
for the nurse to enter into the client's record? - ANSWER ✔✔Stage 1
pressure ulcer on sacrum
When assessing a 7-year-old girl, the nurse notes that she has multiple
bruises on her back and upper arms. The child's aunt tells the nurse that
the child's parents abuse drugs and alcohol. What intervention is most
essential for the nurse to implement? - ANSWER ✔✔Report
assessment findings to the proper legal authorities
15. A 14-year-old male client arrives at the emergency room in status
epilepticus. He was diagnosed with a seizure disorder in childhood.
What is the most likely cause of his present condition? - ANSWER
✔✔Acute withdrawal from anticonvulsant medication
A Chinese-American client who just delivered a baby states that she will
not be able to take the prescribed sitz baths to help heal her episiotomy
incision because this will cause an unhealthy balance of cold and hot
