NUR 3125 HESI RN CAT EXAM 2025/2026 V1&V2
•
QUESTIONS& ANSWERS 100%correct/verified Graded
A+
•
• A client who had an intraosseous (IO) cannula placed by the
healthcare providerfor an emergent fluid resuscitation is complaining of
severe pain and numbness below the IO site. The skin around the site is
pale and edematous. What action should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare
provider Correct A
• The nurse-manager of a perinatal unit is notified that one
client from the medical-surgical unit needs to be transferred to
male room for new admissions. Which client should the nurse
recommend for transfer to the antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of
the vulva Correct B
• A nurse is teaching a client postoperative breathing techniques using
an incentive spirometer (IS). What should the nurse encourage this
client to doto maintain sustained maximal inspiration?
, a. Breathe into the spirometer using normal breath volumes
b. Exhale forcefully into the tubing for 3 to 5 seconds
c. Inspire deeply and slowly over 3 to 5 seconds
d. Perform IS breathing exercises every 6 hours
Correct C
• The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which
statementshould the nurse provide?
a. You will be able to cope with your symptoms
b. It will help you function better in the community
c. The medication will help you think more clearly”
d. It will improve your grooming and
hygiene Correct C
• A 59-year-old 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 characterizes the client’s condition?
a. The client has increased intracranial pressure
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 Correct D
• At a community health fair, a 50-year-old woman tells the nurse that she
, has an annual physical exam that includes a clinical breast exam and an annual
mammogram. How should the nurse respond?
a. Encourage the woman to explore her fears about
breast cancer. b. Ask the woman if she also performs
monthly breast self- exams.
c. Commend the woman for adhering to the recommended
cancer detection guidelines.
d. Advise the woman that mammograms are only needed every two
years ather age.
Correct B
• Which assessment finding should indicate to the nurse that a client
with arterial hypertension is experiencing a cardiac complication?
a. Complaints of an occipital headache
b. A palpable dorsal is pedis pulse bilaterally
c. Complaints of shortness of breath on exertion
d. A blood pressure of
160/90Correct C
• A college student who is diagnosed with a vaginal infection and vulva
irritation
describes the vaginal discharge as having a “cottage cheese” appearance.
Which prescription should the nurse implement first?
, a. Cleanse perineum with warm soapy water 3 times per day
b. Instill the first dose of nystatin (Mycostatin) vaginally per applicator
c. Perform glucose measurement using a capillary blood sample
d. Obtain a blood specimen for sexually transmitted disease
(STDs)Correct B
• A client in acute renal failure has serum potassium of 7.5 mEq/L. Based on
thisfinding,
the nurse should anticipate implementing which action?
a. Administer an IV of normal saline rapidly and NPH insulsubcutaneously.
•
QUESTIONS& ANSWERS 100%correct/verified Graded
A+
•
• A client who had an intraosseous (IO) cannula placed by the
healthcare providerfor an emergent fluid resuscitation is complaining of
severe pain and numbness below the IO site. The skin around the site is
pale and edematous. What action should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare
provider Correct A
• The nurse-manager of a perinatal unit is notified that one
client from the medical-surgical unit needs to be transferred to
male room for new admissions. Which client should the nurse
recommend for transfer to the antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of
the vulva Correct B
• A nurse is teaching a client postoperative breathing techniques using
an incentive spirometer (IS). What should the nurse encourage this
client to doto maintain sustained maximal inspiration?
, a. Breathe into the spirometer using normal breath volumes
b. Exhale forcefully into the tubing for 3 to 5 seconds
c. Inspire deeply and slowly over 3 to 5 seconds
d. Perform IS breathing exercises every 6 hours
Correct C
• The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which
statementshould the nurse provide?
a. You will be able to cope with your symptoms
b. It will help you function better in the community
c. The medication will help you think more clearly”
d. It will improve your grooming and
hygiene Correct C
• A 59-year-old 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 characterizes the client’s condition?
a. The client has increased intracranial pressure
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 Correct D
• At a community health fair, a 50-year-old woman tells the nurse that she
, has an annual physical exam that includes a clinical breast exam and an annual
mammogram. How should the nurse respond?
a. Encourage the woman to explore her fears about
breast cancer. b. Ask the woman if she also performs
monthly breast self- exams.
c. Commend the woman for adhering to the recommended
cancer detection guidelines.
d. Advise the woman that mammograms are only needed every two
years ather age.
Correct B
• Which assessment finding should indicate to the nurse that a client
with arterial hypertension is experiencing a cardiac complication?
a. Complaints of an occipital headache
b. A palpable dorsal is pedis pulse bilaterally
c. Complaints of shortness of breath on exertion
d. A blood pressure of
160/90Correct C
• A college student who is diagnosed with a vaginal infection and vulva
irritation
describes the vaginal discharge as having a “cottage cheese” appearance.
Which prescription should the nurse implement first?
, a. Cleanse perineum with warm soapy water 3 times per day
b. Instill the first dose of nystatin (Mycostatin) vaginally per applicator
c. Perform glucose measurement using a capillary blood sample
d. Obtain a blood specimen for sexually transmitted disease
(STDs)Correct B
• A client in acute renal failure has serum potassium of 7.5 mEq/L. Based on
thisfinding,
the nurse should anticipate implementing which action?
a. Administer an IV of normal saline rapidly and NPH insulsubcutaneously.
