Cat exam 1-Hesi Exit, HESI: CAT Exam
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Test 4: Elimination & Digestion - Cha... Chapters 1, 2, 3 and 30: Quiz 1 HOC 27 Nursing Pro
35 terms 50 terms 10 terms
menjivar44 Preview dontbotherme_pls Preview ctansquiz
A client is comatose upon arrival A nasopharyngeal tube
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?
A client is receiving a continuous Answer: 200
half strength tube feeding at 50
ml/hr. To prepare enough of the 25 ml x 8hrs = 200
solution for eight hours, how
many ml of full strength feeding
will the nurse need?
The alarm of a client's pulse Check the probe position
oximeter sounds and the nurse
notes that the oxygen saturation
rate is indicated at 85%. What
action should the nurse take
first?
A client is known to have an Reassess the respiratory rate, counting for one full minute
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?
,A retiree with depression "What about your life makes you proud?"
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?
Following a precipitous labor, a A cervical laceration
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?
See an expert-written answer!
In preparing assignments for the An elderly client with Alzheimer's disease complicated by
shift, which client is best for the dysphagia
charge nurse to assign to a
practical nurse?
The healthcare provider Set the flow meter
prescribes oxygen per nasal
cannula at 2 L/min. Which action
has the highest priority when the
nurse implements this
prescription?
9. A nurse who is new to the C. Instruct the nurse to select another injection site
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?
10. After diagnosis and initial "Chest physiotherapy should be performed at least twice a day"
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?
See an expert-written answer!
, The nurse is preparing a Encourage physical activity
community education program
on osteoporosis. Which
instruction is helpful in
preventing bone loss and
promoting bone formation?
See an expert-written answer!
The nurse reviews the signs of Sweating
hypoglycemia with the parents
of a child with Type 1 diabetes
mellitus. The parents correctly
understands signs of
hypoglycemia if they include
which symptom?
See an expert-written answer!
The nurse observes a 2 cm area Stage 1 pressure ulcer on sacrum
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?
When assessing a 7-year-old Report assessment findings to the proper legal authorities
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?
15. A 14-year-old male client Acute withdrawal from anticonvulsant medication
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?
A Chinese-American client who Impaired tissue integrity related to episiotomy
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 forces. When planning
nursing care, what nursing
diagnosis has the highest
priority?
Save
Students also studied
Flashcard sets Study guides
Test 4: Elimination & Digestion - Cha... Chapters 1, 2, 3 and 30: Quiz 1 HOC 27 Nursing Pro
35 terms 50 terms 10 terms
menjivar44 Preview dontbotherme_pls Preview ctansquiz
A client is comatose upon arrival A nasopharyngeal tube
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?
A client is receiving a continuous Answer: 200
half strength tube feeding at 50
ml/hr. To prepare enough of the 25 ml x 8hrs = 200
solution for eight hours, how
many ml of full strength feeding
will the nurse need?
The alarm of a client's pulse Check the probe position
oximeter sounds and the nurse
notes that the oxygen saturation
rate is indicated at 85%. What
action should the nurse take
first?
A client is known to have an Reassess the respiratory rate, counting for one full minute
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?
,A retiree with depression "What about your life makes you proud?"
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?
Following a precipitous labor, a A cervical laceration
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?
See an expert-written answer!
In preparing assignments for the An elderly client with Alzheimer's disease complicated by
shift, which client is best for the dysphagia
charge nurse to assign to a
practical nurse?
The healthcare provider Set the flow meter
prescribes oxygen per nasal
cannula at 2 L/min. Which action
has the highest priority when the
nurse implements this
prescription?
9. A nurse who is new to the C. Instruct the nurse to select another injection site
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?
10. After diagnosis and initial "Chest physiotherapy should be performed at least twice a day"
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?
See an expert-written answer!
, The nurse is preparing a Encourage physical activity
community education program
on osteoporosis. Which
instruction is helpful in
preventing bone loss and
promoting bone formation?
See an expert-written answer!
The nurse reviews the signs of Sweating
hypoglycemia with the parents
of a child with Type 1 diabetes
mellitus. The parents correctly
understands signs of
hypoglycemia if they include
which symptom?
See an expert-written answer!
The nurse observes a 2 cm area Stage 1 pressure ulcer on sacrum
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?
When assessing a 7-year-old Report assessment findings to the proper legal authorities
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?
15. A 14-year-old male client Acute withdrawal from anticonvulsant medication
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?
A Chinese-American client who Impaired tissue integrity related to episiotomy
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 forces. When planning
nursing care, what nursing
diagnosis has the highest
priority?
