HESI CAT EXAM STUDOC WITH QUESTIONS AND ACCURATE
ANSWERS
59 yo male client is brought to the emergency room where he is assessed to have a Glasgow coma scale
of 3. based on this assessment, how should the nurse characterize the clients condition?
a. client has increase icp
b. he has a good prognosis for recovery
c. this client is conscious, but is not oriented to time and place
d. he is in a coma and has a very poor prognosis - -d. he is in a coma and has a very poor prognosis
-A 10 month old girl is admitted with a diagnosis of possible cystic fibrosis. What
question should the nurse ask the patient about their child to assist in the diagnosis of
cystic fibrosis (CF)?
a. When you kiss her does she taste salty?
b. Do you notice if her urine has a musty odor?
c. Has she been drinking cow's milk in her daily diet?
d. How often does she have a normal bowel movement? - -a. When you kiss her does she taste salty?
-A 14 yr old male client with a spinal cord injury (SCI) at T-10 is admitted for
rehabilitation. During the morning assessment, the nurse determines that the
adolescent's face is flushed, his forehead is sweating, his heart rate is 54 beats/min,
and his blood pressure is 198/118. What action should the nurse implement first?
a. Determine if the urinary bladder is distended
b. Irrigate the indwelling urinary catheter
c. Review the temperature graph for the last day
d. Administer an antihypertensive agent - -a. Determine if the urinary bladder is distended
-A 14-year-old girl with asthma complains of feeling nervous and jittery after a
respiratory therapy bronchodilator treatment. What explanation is best for the nurse to
provide to this adolescent?
a. Nervousness should disappear when hypoxia is relieved after several bronchodilator treatments
b. Tremors result from the rapid dilation of the bronchioles and an increased heart
rate
c. A fast heart rate and jitteriness are side effects of the bronchodilator
treatment containing albuterol
d. Excessive coughing, which causes tachypnea and anxiety, result from the use of
bronchodilators - -c. A fast heart rate and jitteriness are side effects of the bronchodilator
-A 2-year-old boy has short bowel syndrome has progressed to receiving enteral feedings
only. Today his stools are occurring more frequently and have a more liquid consistency. His
temperature is 102.2
F and he has vomited twice in the past four hours. Which assessment
finding indicates that the child is becoming dehydrated?
a. Occult blood in the stool
b. Abdominal distention
,c. Elevated urine specific gravity
d. Hyperactive bowel sound - -c. Elevated urine specific gravity
-A 20-year-old female client tells the nurse that her menstrual periods occur about
every 28 days, and her breasts are quite tender when her menstrual flow is heavy. She also
states that she performs her breast self-examination (BSE) on the first day of every mouth.
What action should the nurse implement in response to the client's statements?
a. Remind the client that is also important to schedule an annual mammogram
b. Refer the client to a nurse practitioner for an in-depth review of the BSE
procedure
c. Encourage the client to perform BSE 2 to 3 days after menstrual period ends
d. Instruct the client to continue with her regular monthly exams as she is doing - -c. Encourage the
client to perform BSE 2 to 3 days after menstrual period ends
-A 20-year-old male client is diagnosed with Ewing's sarcoma following examination
for a knee injury. Which instruction is most important for the nurse to provide the client?
a. Take analgesics regularly to reduce the pain
b. Notify the healthcare provider if the swelling worsens
c. Avoid weight-bearing until the injury heals
d. Seek treatment for the sarcoma immediately - -d. Seek treatment for the sarcoma immediately
-A 3 yr old comes to the clinic for a well-child check up. Which respiratory
assessment finding should the nurse expect this child to exhibit?
a. A resting respiratory rate of 40 breaths per min
b. Bronchovesicular breath sounds in the peripheral lung fields
c. Retractions in the intercostal spaces with each inspiration
d. high-pitched whistling sounds over the bronchus - -b. Bronchovesicular breath sounds in the
peripheral lung fields
-A 37 yr old client diagnosed with chronic kidney disease (CKD) is being treated for renal
osteodystrophy. Which nursing diagnosis is most likely to be included in this client's plan of
care?
a. High risk for infection related to subclavian catheter
b. High risk injury related to ambulation
c. Knowledge deficit related to high-protein diet
d. Hygiene self-care deficit related to urenic frost - -b. High risk injury related to ambulation
-A 60 yr old male with type 2 diabetes mellitus tells the nurse that he is going to join a
gym and star working out. Which information is most important for the nurse to obtain?
a. Recent serum cholesterol blood levels
b. Presence of calf pain during exercise
c. Average weight gain or loss in the last year
d. Exercise tolerance test with EKG results - -d. Exercise tolerance test with EKG results
-A 70-year-old client is admitted to the hospital after 24 hours of acute diarrhea. To
determine fluid status, which initial data is most important for the nurse to obtain?
a. Usual and current weight
b. Color and amount of urine
, c. Number and frequency of stools
d. Intake and output 24 hours prior to admission - -a. Usual and current weight
-A 9 year-old received a short arm cast for a right radius. To relieve itching under the
child's cast, which instructions should the nurse provide to the parents?
a. Blow cool air from a hair dryer under the cast
b. Twist the cast back and forth
c. Shake powder into the cast
d. Push a pencil under the cast edge - -a. Blow cool air from a hair dryer under the cast
-A child with Leukemia is admitted for chemotherapy, and the nursing diagnosis,
<altered nutrition, less than body requirements related to anorexia, nausea, vomiting= is
identified. Which intervention should the nurse include in this child plan of care?
a. Allow the child to eat foods desired and tolerated
b. Restrict foods brought from fast food restaurants
c. Recommend eating the same foods as siblings eat at home
d. Encourage a variety of large portions of food at every meal - -a. Allow the child to eat foods desired
and tolerated
-A client admitted to the hospital for depression is escorted to a private room. Prior
to leaving the room, what intervention is most important for the nurse to implement?
a. Explain the programs guidelines
b. Search all personal belongings
c. Initiate psychosocial assessment
d. Review the healthcare's provider's prescription - -b. Search all personal belongings
-A client diagnosed with a deep vein thrombus (DVT) followed by a diagnosis of
pulmonary embolism (PE) is receiving heparin via an infusion pump at a rate of 1400
u/hour. The client tells the nurse, <I wish this medicine would hurry up and dissolve this
clot in my ling so that I can go home=. What response is best for the nurse to provide?
a. Heparin prevents future clot formation, but your risk of bleeding needs to be
monitored closely
b. You seem to be concerned about the length of time it takes for Heparin to
dissolve this clot
c. Let me contact your surgeon and find out Heparin IV therapy can be given to you
at home
d. Why are you so anxious to leave the hospital when you know you are not well
enough yet? - -a. Heparin prevents future clot formation, but your risk of bleeding needs to be
monitored closely
-A client has a history of vasovagal attacks resulting in brady-dysrthmias. Which
instruction is most important to include in the teaching plan?
a. Use stool softeners regularly
b. Avoid electromagnetic fields
c. Maintain a low fat diet
d. Do not use aspirin products - -a. Use stool softeners regularly
-A client has produced the first of a series of sputum sample for cytology. What action
ANSWERS
59 yo male client is brought to the emergency room where he is assessed to have a Glasgow coma scale
of 3. based on this assessment, how should the nurse characterize the clients condition?
a. client has increase icp
b. he has a good prognosis for recovery
c. this client is conscious, but is not oriented to time and place
d. he is in a coma and has a very poor prognosis - -d. he is in a coma and has a very poor prognosis
-A 10 month old girl is admitted with a diagnosis of possible cystic fibrosis. What
question should the nurse ask the patient about their child to assist in the diagnosis of
cystic fibrosis (CF)?
a. When you kiss her does she taste salty?
b. Do you notice if her urine has a musty odor?
c. Has she been drinking cow's milk in her daily diet?
d. How often does she have a normal bowel movement? - -a. When you kiss her does she taste salty?
-A 14 yr old male client with a spinal cord injury (SCI) at T-10 is admitted for
rehabilitation. During the morning assessment, the nurse determines that the
adolescent's face is flushed, his forehead is sweating, his heart rate is 54 beats/min,
and his blood pressure is 198/118. What action should the nurse implement first?
a. Determine if the urinary bladder is distended
b. Irrigate the indwelling urinary catheter
c. Review the temperature graph for the last day
d. Administer an antihypertensive agent - -a. Determine if the urinary bladder is distended
-A 14-year-old girl with asthma complains of feeling nervous and jittery after a
respiratory therapy bronchodilator treatment. What explanation is best for the nurse to
provide to this adolescent?
a. Nervousness should disappear when hypoxia is relieved after several bronchodilator treatments
b. Tremors result from the rapid dilation of the bronchioles and an increased heart
rate
c. A fast heart rate and jitteriness are side effects of the bronchodilator
treatment containing albuterol
d. Excessive coughing, which causes tachypnea and anxiety, result from the use of
bronchodilators - -c. A fast heart rate and jitteriness are side effects of the bronchodilator
-A 2-year-old boy has short bowel syndrome has progressed to receiving enteral feedings
only. Today his stools are occurring more frequently and have a more liquid consistency. His
temperature is 102.2
F and he has vomited twice in the past four hours. Which assessment
finding indicates that the child is becoming dehydrated?
a. Occult blood in the stool
b. Abdominal distention
,c. Elevated urine specific gravity
d. Hyperactive bowel sound - -c. Elevated urine specific gravity
-A 20-year-old female client tells the nurse that her menstrual periods occur about
every 28 days, and her breasts are quite tender when her menstrual flow is heavy. She also
states that she performs her breast self-examination (BSE) on the first day of every mouth.
What action should the nurse implement in response to the client's statements?
a. Remind the client that is also important to schedule an annual mammogram
b. Refer the client to a nurse practitioner for an in-depth review of the BSE
procedure
c. Encourage the client to perform BSE 2 to 3 days after menstrual period ends
d. Instruct the client to continue with her regular monthly exams as she is doing - -c. Encourage the
client to perform BSE 2 to 3 days after menstrual period ends
-A 20-year-old male client is diagnosed with Ewing's sarcoma following examination
for a knee injury. Which instruction is most important for the nurse to provide the client?
a. Take analgesics regularly to reduce the pain
b. Notify the healthcare provider if the swelling worsens
c. Avoid weight-bearing until the injury heals
d. Seek treatment for the sarcoma immediately - -d. Seek treatment for the sarcoma immediately
-A 3 yr old comes to the clinic for a well-child check up. Which respiratory
assessment finding should the nurse expect this child to exhibit?
a. A resting respiratory rate of 40 breaths per min
b. Bronchovesicular breath sounds in the peripheral lung fields
c. Retractions in the intercostal spaces with each inspiration
d. high-pitched whistling sounds over the bronchus - -b. Bronchovesicular breath sounds in the
peripheral lung fields
-A 37 yr old client diagnosed with chronic kidney disease (CKD) is being treated for renal
osteodystrophy. Which nursing diagnosis is most likely to be included in this client's plan of
care?
a. High risk for infection related to subclavian catheter
b. High risk injury related to ambulation
c. Knowledge deficit related to high-protein diet
d. Hygiene self-care deficit related to urenic frost - -b. High risk injury related to ambulation
-A 60 yr old male with type 2 diabetes mellitus tells the nurse that he is going to join a
gym and star working out. Which information is most important for the nurse to obtain?
a. Recent serum cholesterol blood levels
b. Presence of calf pain during exercise
c. Average weight gain or loss in the last year
d. Exercise tolerance test with EKG results - -d. Exercise tolerance test with EKG results
-A 70-year-old client is admitted to the hospital after 24 hours of acute diarrhea. To
determine fluid status, which initial data is most important for the nurse to obtain?
a. Usual and current weight
b. Color and amount of urine
, c. Number and frequency of stools
d. Intake and output 24 hours prior to admission - -a. Usual and current weight
-A 9 year-old received a short arm cast for a right radius. To relieve itching under the
child's cast, which instructions should the nurse provide to the parents?
a. Blow cool air from a hair dryer under the cast
b. Twist the cast back and forth
c. Shake powder into the cast
d. Push a pencil under the cast edge - -a. Blow cool air from a hair dryer under the cast
-A child with Leukemia is admitted for chemotherapy, and the nursing diagnosis,
<altered nutrition, less than body requirements related to anorexia, nausea, vomiting= is
identified. Which intervention should the nurse include in this child plan of care?
a. Allow the child to eat foods desired and tolerated
b. Restrict foods brought from fast food restaurants
c. Recommend eating the same foods as siblings eat at home
d. Encourage a variety of large portions of food at every meal - -a. Allow the child to eat foods desired
and tolerated
-A client admitted to the hospital for depression is escorted to a private room. Prior
to leaving the room, what intervention is most important for the nurse to implement?
a. Explain the programs guidelines
b. Search all personal belongings
c. Initiate psychosocial assessment
d. Review the healthcare's provider's prescription - -b. Search all personal belongings
-A client diagnosed with a deep vein thrombus (DVT) followed by a diagnosis of
pulmonary embolism (PE) is receiving heparin via an infusion pump at a rate of 1400
u/hour. The client tells the nurse, <I wish this medicine would hurry up and dissolve this
clot in my ling so that I can go home=. What response is best for the nurse to provide?
a. Heparin prevents future clot formation, but your risk of bleeding needs to be
monitored closely
b. You seem to be concerned about the length of time it takes for Heparin to
dissolve this clot
c. Let me contact your surgeon and find out Heparin IV therapy can be given to you
at home
d. Why are you so anxious to leave the hospital when you know you are not well
enough yet? - -a. Heparin prevents future clot formation, but your risk of bleeding needs to be
monitored closely
-A client has a history of vasovagal attacks resulting in brady-dysrthmias. Which
instruction is most important to include in the teaching plan?
a. Use stool softeners regularly
b. Avoid electromagnetic fields
c. Maintain a low fat diet
d. Do not use aspirin products - -a. Use stool softeners regularly
-A client has produced the first of a series of sputum sample for cytology. What action
