HESI: CAT EXAM
At a routine prenatal visit, a client at 24-weeks gestation
complains of nasal stuffiness and occasional nosebleeds.
Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. D. Estrogen.
A client who has localized eczematous eruptions on b oth
hands is diagnosed as having contact dermatitis. What
instruction should the nurse include in this client's
discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day. B.
Apply an oil-based ointment to the affected areas
,While transcribing a new prescription, the nurse notes that
the prescribed dosage is much lower than the recommended
dosage listed in the drug reference guide. Which client data
supports the dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. C. Increased liver enzymes.
The nurse assigns an unlicensed assistive personnel (UAP)
to take the vital signs of a client who is positive for Human
Immunodeficiency Virus (HIV). What protective apparel
should the nurse counsel the UAP to wear when carrying out
this assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. A. None.
A client with Guillain-Barre syndrome requires a
tracheostomy and mechanical ventilation due to the
progression of the disease. What nursing intervention is
most helpful in aiding this clinet to communicate with the
staff and family?
,A. Speak slowly and disntinctly while in direct view of the
client.
B. Teach the client to point to a letter board word chart to
communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to
communicate "yes" or "no." D. With the client, develop a
system of eye blinks to communicate "yes" or "no."
A client with peptic ulcer disease (PUD) is admitted to the
emergency room complaining of sudden severe upper
abdominal pain. Assessment indicates an extremely tender
and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
beat/minute. The emergency department nurse should
anticipate implementation of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel.
A. Preparing the client for emergency abdominal
surgery.
Which finding should the nurse expect a client to exhibit
who is newly diagnosed with fibromyalgia?
A. Recent joint trauma.
, B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash. B. Disruption in sleep patterns.
A male client with diabetes mellitus reports that he has had
trouble following his diet, and the result of his fasting blood
glucose test is 90 mg/dl. What action should the nurse
implement first?
A. Obtain a urine specimen from the client to test for
ketonuria.
B. Assure the client that his diabetes control is within
normal limits.
C. Schedule the client to attend classes about diet
management.
D. Review the findings of his glycosylated hemoglobin test.
D. Review the findings of his glycosylated hemoglobin
test.
A multipara postpartum client complain intense cramping
while breastfeeding. What instruction should the nurse
provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to
breastfeeding.
At a routine prenatal visit, a client at 24-weeks gestation
complains of nasal stuffiness and occasional nosebleeds.
Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. D. Estrogen.
A client who has localized eczematous eruptions on b oth
hands is diagnosed as having contact dermatitis. What
instruction should the nurse include in this client's
discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day. B.
Apply an oil-based ointment to the affected areas
,While transcribing a new prescription, the nurse notes that
the prescribed dosage is much lower than the recommended
dosage listed in the drug reference guide. Which client data
supports the dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. C. Increased liver enzymes.
The nurse assigns an unlicensed assistive personnel (UAP)
to take the vital signs of a client who is positive for Human
Immunodeficiency Virus (HIV). What protective apparel
should the nurse counsel the UAP to wear when carrying out
this assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. A. None.
A client with Guillain-Barre syndrome requires a
tracheostomy and mechanical ventilation due to the
progression of the disease. What nursing intervention is
most helpful in aiding this clinet to communicate with the
staff and family?
,A. Speak slowly and disntinctly while in direct view of the
client.
B. Teach the client to point to a letter board word chart to
communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to
communicate "yes" or "no." D. With the client, develop a
system of eye blinks to communicate "yes" or "no."
A client with peptic ulcer disease (PUD) is admitted to the
emergency room complaining of sudden severe upper
abdominal pain. Assessment indicates an extremely tender
and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
beat/minute. The emergency department nurse should
anticipate implementation of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel.
A. Preparing the client for emergency abdominal
surgery.
Which finding should the nurse expect a client to exhibit
who is newly diagnosed with fibromyalgia?
A. Recent joint trauma.
, B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash. B. Disruption in sleep patterns.
A male client with diabetes mellitus reports that he has had
trouble following his diet, and the result of his fasting blood
glucose test is 90 mg/dl. What action should the nurse
implement first?
A. Obtain a urine specimen from the client to test for
ketonuria.
B. Assure the client that his diabetes control is within
normal limits.
C. Schedule the client to attend classes about diet
management.
D. Review the findings of his glycosylated hemoglobin test.
D. Review the findings of his glycosylated hemoglobin
test.
A multipara postpartum client complain intense cramping
while breastfeeding. What instruction should the nurse
provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to
breastfeeding.
