CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
A nurse from a pediatric unit works a shift on an adult
surgical unit. The charge nurse makes client assignments.
Which client is most appropriate for the charge nurse to
assign to the pediatric nurse? (Select all that apply.)
1.A preschool-age client who had a tonsillectomy.
2.A young adult client who had a pilonidal cyst removed.
3.An adult client diagnosed with Stage 3 cancer who had a
partial removal of the colon.
4.An older adult client who had a right total hip arthroplasty.
5.An adolescent client who had an appendectomy. - Correct
Answers ✅1, 2, 5
1) CORRECT — The nurse is from a pediatric unit and is used
to caring for children. A tonsillectomy is a relatively
uncomplicated procedure; therefore, this assignment would
be appropriate.
2) CORRECT — A pilonidal cyst removal is a relatively
uncomplicated procedure, often seen in teenagers and young
adults. This client would be an appropriate assignment for the
pediatric nurse.
3) This client's condition is complicated and should not be
assigned to the pediatric nurse.
4) A joint replacement surgery would be more complicated
and should not be assigned to the pediatric nurse.
5) CORRECT — The pediatric nurse is used to caring for
children, and an appendectomy is not a complicated
procedure. Therefore, this assignment would be appropriate.
,CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
The nurse provides care for a client with erectile dysfunction
(ED) who expresses interest in using sildenafil. In planning
teaching, which information is most important for the nurse
to include?
1.Assure the client that ED is common among aging men.
2.Ask the client about any prescription drugs he is taking.
3.Tell the client that sildenafil does not always work for ED.
4.Discuss the common adverse effects of erectogenic drugs. -
Correct Answers ✅2
1) This does not address client's concern about
pharmacological management for his ED.
2) CORRECT - The careful review of all prescription
medications is essential. Vasodilators taken with sildenafil
may cause severe hypotension.
3) Telling client that sildenafil does not always work for ED is
a generalization. The nurse should first assess safety
concerns related to medication contraindications.
4) Discussing common adverse effects of erectogenic drugs is
relevant. Medication reconciliation to ensure safety takes
priority.
The nurse notes that a newly admitted client quickly
consumes 360 mL of soda and two hamburgers in one meal.
The client also voided 800 mL of pale yellow urine over the
past hour. Which health care provider (HCP) prescription does
the nurse question?
1.1800-calorie diet with carbohydrate count.
,CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
2.Capillary blood glucose level now.
3.Fasting blood glucose the next morning.
4.Intravenous dextrose 5% in water at 125 mL per hour. -
Correct Answers ✅4
1) There is no information to question the 1800-calorie diet.
2) The client is demonstrating manifestations of diabetes
mellitus. A capillary blood glucose level would be indicated.
3) The client has manifestations of diabetes mellitus. A
fasting blood glucose level in the morning would be indicated.
4) CORRECT — The client is demonstrating polydipsia,
polyphagia, and polyuria, all clinical manifestations of
diabetes mellitus. A prescription for an intravenous infusion
of dextrose should be questioned.
The nurse auscultates the heart of a client experiencing
increasing shortness of breath. Which finding causes the
nurse the most concern?
1.S1 heart sound.
2.S2 heart sound.
3.S3 heart sound.
4.S4 heart sound. - Correct Answers ✅3
1) An S1 heart sound, a normal finding, occurs when the
mitral and tricuspid valves of the heart close. It corresponds
with the onset of ventricular contraction.
, CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
2) An S2 heart sound, a normal finding, occurs when the
aortic and pulmonic valves close. It occurs at the end of
ventricular contraction and the onset of ventricular diastole.
3) CORRECT - An S3 heart sound, a significant finding in older
adult clients, suggests heart failure. It is heard in early
diastole during the period of rapid ventricular filling as blood
flows from the atrium into a noncompliant ventricle.
4) An S4 heart sound occurs immediately before the S1 heart
sound. It is considered a normal finding in older adult clients.
A client with septic shock requires central venous access
catheter insertion for administration of vasoactive drugs.
Which step will the multidisciplinary team take to reduce the
client's risk for central line-associated bloodstream infection?
(Select all that apply.)
1.Use a femoral insertion site.
2.Prepare the insertion site with chlorhexidine.
3.Use maximal barrier precautions during insertion.
4.Perform hand hygiene before insertion.
5.Use a checklist to guide insertion. - Correct Answers ✅2,
3, 4, 5
1) The femoral insertion site should be avoided because of
the increased risk of central line-associated bloodstream
infection.
2) CORRECT - Chlorhexidine is more effective than other
antiseptic agents, such as povidone iodine solution.
Exams, Top Grade Assurance 2026
A nurse from a pediatric unit works a shift on an adult
surgical unit. The charge nurse makes client assignments.
Which client is most appropriate for the charge nurse to
assign to the pediatric nurse? (Select all that apply.)
1.A preschool-age client who had a tonsillectomy.
2.A young adult client who had a pilonidal cyst removed.
3.An adult client diagnosed with Stage 3 cancer who had a
partial removal of the colon.
4.An older adult client who had a right total hip arthroplasty.
5.An adolescent client who had an appendectomy. - Correct
Answers ✅1, 2, 5
1) CORRECT — The nurse is from a pediatric unit and is used
to caring for children. A tonsillectomy is a relatively
uncomplicated procedure; therefore, this assignment would
be appropriate.
2) CORRECT — A pilonidal cyst removal is a relatively
uncomplicated procedure, often seen in teenagers and young
adults. This client would be an appropriate assignment for the
pediatric nurse.
3) This client's condition is complicated and should not be
assigned to the pediatric nurse.
4) A joint replacement surgery would be more complicated
and should not be assigned to the pediatric nurse.
5) CORRECT — The pediatric nurse is used to caring for
children, and an appendectomy is not a complicated
procedure. Therefore, this assignment would be appropriate.
,CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
The nurse provides care for a client with erectile dysfunction
(ED) who expresses interest in using sildenafil. In planning
teaching, which information is most important for the nurse
to include?
1.Assure the client that ED is common among aging men.
2.Ask the client about any prescription drugs he is taking.
3.Tell the client that sildenafil does not always work for ED.
4.Discuss the common adverse effects of erectogenic drugs. -
Correct Answers ✅2
1) This does not address client's concern about
pharmacological management for his ED.
2) CORRECT - The careful review of all prescription
medications is essential. Vasodilators taken with sildenafil
may cause severe hypotension.
3) Telling client that sildenafil does not always work for ED is
a generalization. The nurse should first assess safety
concerns related to medication contraindications.
4) Discussing common adverse effects of erectogenic drugs is
relevant. Medication reconciliation to ensure safety takes
priority.
The nurse notes that a newly admitted client quickly
consumes 360 mL of soda and two hamburgers in one meal.
The client also voided 800 mL of pale yellow urine over the
past hour. Which health care provider (HCP) prescription does
the nurse question?
1.1800-calorie diet with carbohydrate count.
,CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
2.Capillary blood glucose level now.
3.Fasting blood glucose the next morning.
4.Intravenous dextrose 5% in water at 125 mL per hour. -
Correct Answers ✅4
1) There is no information to question the 1800-calorie diet.
2) The client is demonstrating manifestations of diabetes
mellitus. A capillary blood glucose level would be indicated.
3) The client has manifestations of diabetes mellitus. A
fasting blood glucose level in the morning would be indicated.
4) CORRECT — The client is demonstrating polydipsia,
polyphagia, and polyuria, all clinical manifestations of
diabetes mellitus. A prescription for an intravenous infusion
of dextrose should be questioned.
The nurse auscultates the heart of a client experiencing
increasing shortness of breath. Which finding causes the
nurse the most concern?
1.S1 heart sound.
2.S2 heart sound.
3.S3 heart sound.
4.S4 heart sound. - Correct Answers ✅3
1) An S1 heart sound, a normal finding, occurs when the
mitral and tricuspid valves of the heart close. It corresponds
with the onset of ventricular contraction.
, CAT exam Verified Solutions for Final
Exams, Top Grade Assurance 2026
2) An S2 heart sound, a normal finding, occurs when the
aortic and pulmonic valves close. It occurs at the end of
ventricular contraction and the onset of ventricular diastole.
3) CORRECT - An S3 heart sound, a significant finding in older
adult clients, suggests heart failure. It is heard in early
diastole during the period of rapid ventricular filling as blood
flows from the atrium into a noncompliant ventricle.
4) An S4 heart sound occurs immediately before the S1 heart
sound. It is considered a normal finding in older adult clients.
A client with septic shock requires central venous access
catheter insertion for administration of vasoactive drugs.
Which step will the multidisciplinary team take to reduce the
client's risk for central line-associated bloodstream infection?
(Select all that apply.)
1.Use a femoral insertion site.
2.Prepare the insertion site with chlorhexidine.
3.Use maximal barrier precautions during insertion.
4.Perform hand hygiene before insertion.
5.Use a checklist to guide insertion. - Correct Answers ✅2,
3, 4, 5
1) The femoral insertion site should be avoided because of
the increased risk of central line-associated bloodstream
infection.
2) CORRECT - Chlorhexidine is more effective than other
antiseptic agents, such as povidone iodine solution.
