Page 1 of 374
HESI CAT EXAM QUESTION BANK NEWEST
2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {420 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
A nurse is assessing a client admitted to the hospital with a
tentative diagnosis of a pituitary tumor. What signs of Cushing
syndrome does the nurse identify?
1
Retention of sodium and water
2
Hypotension and a rapid, thready pulse
3
Increased fatty deposition in the extremities
4
Hypoglycemic episodes in the early morning - ✔✔✔ Correct Answer > 1
Increased levels of steroids and aldosterone cause sodium and
water retention in clients with Cushing syndrome. Hypertension,
not hypotension, is expected because of sodium and water
retention. The extremities will be thin; subcutaneous fat deposits
,Page 2 of 374
occur in the upper trunk, especially the back between the
scapulae. Hyperglycemia, not hypoglycemia, occurs because of
increased secretion of glucocorticoids. Hyperglycemia is
sustained and not restricted to the morning hours.
Which criteria in a client must be assessed in order to diagnose
premenstrual dysphoric disorder (PMDD)? Select all that apply.
1
Symptom-free period in the luteal phase
2
Symptoms that resolve within a few days of menses onset
3
Symptoms caused by the exacerbations of other disorder
4
Symptoms such as irritability, anxiety, or depressed mood
5
Symptoms that interfere with work or interpersonal
relationships - ✔✔✔ Correct Answer > 45
Premenstrual dysphoric disorder (PMDD) is a variant of
premenstrual syndrome. Among the symptoms are irritability,
depressed mood, and anxiety. These symptoms would markedly
interfere with work or interpersonal relationships. These
symptoms are absent in the follicular phase. At least five or
more symptoms are present the week before menses; these
,Page 3 of 374
symptoms resolve within a few days of menses onset if the client
has premenstrual syndrome. These symptoms are not caused by
an exacerbation of another condition or disorder.
Which type of hypersensitivity reaction is present in a client with
a body temperature of 102 °F, severe joint pain, rashes on the
extremities, and enlarged lymph nodes from serum sickness?
1
Delayed reaction
2
Cytotoxic reaction
3
Immediate reaction
4
Immune complex-mediated reaction - ✔✔✔ Correct Answer > 4
Serum sickness is a type III immune complex-mediated reaction.
A delayed reaction is a type IV hypersensitivity reaction that may
include poison ivy skin rashes, graft rejection, and sarcoidosis. A
cytotoxic reaction is a type II hypersensitivity reaction that
includes autoimmune hemolytic anemia, Goodpasture syndrome,
and myasthenia gravis. An immediate reaction is a type I
hypersensitive reaction that includes allergic asthma, hay fever,
and anaphylaxis.
, Page 4 of 374
Test-Taking Tip: Serum sickness is manifested by elevated body
temperature, severe joint pain, rashes on limbs, and enlarged
lymph nodes. Recall the type of hypersensitivity reaction to
which serum sickness belongs.
Which nursing action is important when suctioning the
secretions of a client with a tracheostomy?
1
Use a new sterile catheter with each insertion.
2
Initiate suction as the catheter is being withdrawn.
3
Insert the catheter until the cough reflex is stimulated.
4
Remove the inner cannula before inserting the suction catheter. -
✔✔✔ Correct Answer > 2
During suctioning of a client's secretions, negative pressure
(suction) should not be applied until the catheter is ready to be
drawn out because, in addition to the removal of secretions,
oxygen is being depleted. The sterility of the catheter can be
maintained during one suctioning session; a new sterile catheter
should be used for each new session of suctioning. A cough
reflex may be absent or diminished in some clients; the catheter
should be inserted approximately 12 cm (4 to 5 inches) or just
past the end of the tracheostomy tube. The inner cannula is not
HESI CAT EXAM QUESTION BANK NEWEST
2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {420 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
A nurse is assessing a client admitted to the hospital with a
tentative diagnosis of a pituitary tumor. What signs of Cushing
syndrome does the nurse identify?
1
Retention of sodium and water
2
Hypotension and a rapid, thready pulse
3
Increased fatty deposition in the extremities
4
Hypoglycemic episodes in the early morning - ✔✔✔ Correct Answer > 1
Increased levels of steroids and aldosterone cause sodium and
water retention in clients with Cushing syndrome. Hypertension,
not hypotension, is expected because of sodium and water
retention. The extremities will be thin; subcutaneous fat deposits
,Page 2 of 374
occur in the upper trunk, especially the back between the
scapulae. Hyperglycemia, not hypoglycemia, occurs because of
increased secretion of glucocorticoids. Hyperglycemia is
sustained and not restricted to the morning hours.
Which criteria in a client must be assessed in order to diagnose
premenstrual dysphoric disorder (PMDD)? Select all that apply.
1
Symptom-free period in the luteal phase
2
Symptoms that resolve within a few days of menses onset
3
Symptoms caused by the exacerbations of other disorder
4
Symptoms such as irritability, anxiety, or depressed mood
5
Symptoms that interfere with work or interpersonal
relationships - ✔✔✔ Correct Answer > 45
Premenstrual dysphoric disorder (PMDD) is a variant of
premenstrual syndrome. Among the symptoms are irritability,
depressed mood, and anxiety. These symptoms would markedly
interfere with work or interpersonal relationships. These
symptoms are absent in the follicular phase. At least five or
more symptoms are present the week before menses; these
,Page 3 of 374
symptoms resolve within a few days of menses onset if the client
has premenstrual syndrome. These symptoms are not caused by
an exacerbation of another condition or disorder.
Which type of hypersensitivity reaction is present in a client with
a body temperature of 102 °F, severe joint pain, rashes on the
extremities, and enlarged lymph nodes from serum sickness?
1
Delayed reaction
2
Cytotoxic reaction
3
Immediate reaction
4
Immune complex-mediated reaction - ✔✔✔ Correct Answer > 4
Serum sickness is a type III immune complex-mediated reaction.
A delayed reaction is a type IV hypersensitivity reaction that may
include poison ivy skin rashes, graft rejection, and sarcoidosis. A
cytotoxic reaction is a type II hypersensitivity reaction that
includes autoimmune hemolytic anemia, Goodpasture syndrome,
and myasthenia gravis. An immediate reaction is a type I
hypersensitive reaction that includes allergic asthma, hay fever,
and anaphylaxis.
, Page 4 of 374
Test-Taking Tip: Serum sickness is manifested by elevated body
temperature, severe joint pain, rashes on limbs, and enlarged
lymph nodes. Recall the type of hypersensitivity reaction to
which serum sickness belongs.
Which nursing action is important when suctioning the
secretions of a client with a tracheostomy?
1
Use a new sterile catheter with each insertion.
2
Initiate suction as the catheter is being withdrawn.
3
Insert the catheter until the cough reflex is stimulated.
4
Remove the inner cannula before inserting the suction catheter. -
✔✔✔ Correct Answer > 2
During suctioning of a client's secretions, negative pressure
(suction) should not be applied until the catheter is ready to be
drawn out because, in addition to the removal of secretions,
oxygen is being depleted. The sterility of the catheter can be
maintained during one suctioning session; a new sterile catheter
should be used for each new session of suctioning. A cough
reflex may be absent or diminished in some clients; the catheter
should be inserted approximately 12 cm (4 to 5 inches) or just
past the end of the tracheostomy tube. The inner cannula is not
