Hesi Cat Exam / Hesi
Rn Cat Exam Final
2024 Update
A client with irritable bowel syndrome is recovering from surgery to create an
ileostomy what foods should the nurse instruct the client to avoid to reduce the risk
of food blockage - ✔✔✔ANSWER-Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small intestine the
client should be instructed to avoid these food items with an ileostomy
A client with malnutrition is assessed for osteomalacia what data show the nurse
review to determine their clients risk for this health problem - ✔✔✔ANSWER-
Vitamin D levels
,Rationale: Malnutrition has widespread affects on various organ systems
osteomalacia is defective mineralization of newly formed bones secondary to
chronic deficiency of vitamin D it results in soft, weak bones that fracture easily
vitamin D levels will provide the nurse with the most accurate information
regarding this health problem
The nurse has determine an adolescent client needs reinforcement education about
prevention of a sickle cell crisis which instruction should the nurse include select
all that apply - ✔✔✔ANSWER-Wear warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a
sickle cell disease. it occurs when the micro circulation is obstructed by sickling of
the red blood cells resulting in local tissue ischemia and severe pain. the three most
common identify triggers for the development of a vaso-occlusive crisis are
hypoxemia, dehydration, and body temperature changes
The nurse is caring for a client with schizophrenia who has refused they are
risperidone for the last week the client has been suspicious of nursing staff and
periodically aggressive for the past three days today the client broke a chair in their
room and is making verbal threats to the nurse and to other clients in the day
wrong what is the first action the nurse should take - ✔✔✔ANSWER-Remove the
other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes hallucinations,
delusions, disorder thought process and impaired behavior function.
Safety for all staff clients and visitors is priority and potential violence situations
, A nurse who normally works on a post surgical care unit has been asked to float to
the preoperative care unit what is the best response by the nurse - ✔✔✔ANSWER-
I don't feel totally comfortable floating so I would like to be paired with a resource
nurse for my shift
Rationale: The nurse has acknowledged their discomfort with floating and has also
identified a means of making a float shift nurse more comfortable and important
part of a successful float shift and identifying using resources on the float unit
including a partnership with a specific resource nurse for the shift to answer
questions locate supplies etc.
The nurse is preparing to administer medication through a client's nasalgastric tube
what will the nurse do first when administering these medications -
✔✔✔ANSWER-Assessed for placement of the nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric tube the nurse
needs to assess for correct placement of the tube
A client with an stage renal failure has requested no further treatment be provided
when the oldest daughter arrives to visit she is visibly upset that all dialysis
treatments have ended in demands that treatment be continue what should the
nurse do it this time - ✔✔✔ANSWER-Explained that the client has requested that
all treatments be stop
Rationale: The nurse is responsible for the following clients wishes for treatment
the daughter does not need to leave because there's no evidence that the client is
upset resuming Dallas treatment is not what the client wants and should not be
done the nurse can explain the change in treatments with a daughter and does not
need to ask a physician to have this conversation
Rn Cat Exam Final
2024 Update
A client with irritable bowel syndrome is recovering from surgery to create an
ileostomy what foods should the nurse instruct the client to avoid to reduce the risk
of food blockage - ✔✔✔ANSWER-Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small intestine the
client should be instructed to avoid these food items with an ileostomy
A client with malnutrition is assessed for osteomalacia what data show the nurse
review to determine their clients risk for this health problem - ✔✔✔ANSWER-
Vitamin D levels
,Rationale: Malnutrition has widespread affects on various organ systems
osteomalacia is defective mineralization of newly formed bones secondary to
chronic deficiency of vitamin D it results in soft, weak bones that fracture easily
vitamin D levels will provide the nurse with the most accurate information
regarding this health problem
The nurse has determine an adolescent client needs reinforcement education about
prevention of a sickle cell crisis which instruction should the nurse include select
all that apply - ✔✔✔ANSWER-Wear warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a
sickle cell disease. it occurs when the micro circulation is obstructed by sickling of
the red blood cells resulting in local tissue ischemia and severe pain. the three most
common identify triggers for the development of a vaso-occlusive crisis are
hypoxemia, dehydration, and body temperature changes
The nurse is caring for a client with schizophrenia who has refused they are
risperidone for the last week the client has been suspicious of nursing staff and
periodically aggressive for the past three days today the client broke a chair in their
room and is making verbal threats to the nurse and to other clients in the day
wrong what is the first action the nurse should take - ✔✔✔ANSWER-Remove the
other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes hallucinations,
delusions, disorder thought process and impaired behavior function.
Safety for all staff clients and visitors is priority and potential violence situations
, A nurse who normally works on a post surgical care unit has been asked to float to
the preoperative care unit what is the best response by the nurse - ✔✔✔ANSWER-
I don't feel totally comfortable floating so I would like to be paired with a resource
nurse for my shift
Rationale: The nurse has acknowledged their discomfort with floating and has also
identified a means of making a float shift nurse more comfortable and important
part of a successful float shift and identifying using resources on the float unit
including a partnership with a specific resource nurse for the shift to answer
questions locate supplies etc.
The nurse is preparing to administer medication through a client's nasalgastric tube
what will the nurse do first when administering these medications -
✔✔✔ANSWER-Assessed for placement of the nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric tube the nurse
needs to assess for correct placement of the tube
A client with an stage renal failure has requested no further treatment be provided
when the oldest daughter arrives to visit she is visibly upset that all dialysis
treatments have ended in demands that treatment be continue what should the
nurse do it this time - ✔✔✔ANSWER-Explained that the client has requested that
all treatments be stop
Rationale: The nurse is responsible for the following clients wishes for treatment
the daughter does not need to leave because there's no evidence that the client is
upset resuming Dallas treatment is not what the client wants and should not be
done the nurse can explain the change in treatments with a daughter and does not
need to ask a physician to have this conversation
