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Exam (elaborations)

HESI CAT EXAM WITH CORRECT ANSWERS.

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HESI CAT EXAM WITH CORRECT ANSWERS.

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Fortis Hesi
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Uploaded on
September 16, 2025
Number of pages
23
Written in
2025/2026
Type
Exam (elaborations)
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HESI CAT EXAM WITH CORRECT \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




ANSWERS
A client with irritable bowel syndrome is recovering from surgery to create an ileostomy what
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foods should the nurse instruct the client to avoid to reduce the risk of food blockage -
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correct 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
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A client with malnutrition is assessed for osteomalacia what data show the nurse review to
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determine their clients risk for this health problem - correct 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
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the most accurate information regarding this health problem
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The nurse has determine an adolescent client needs reinforcement education about
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prevention of a sickle cell crisis which instruction should the nurse include select all that apply \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




- correct answer✔✔Wear warm clothes outside in cold weather
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take your hydroxyurea (Droxia) daily as prescribed
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Drink at least eight 12 ounces glasses of water a day\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




Get regular exercise but do not exercise so much that you become tired
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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
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,resulting in local tissue ischemia and severe pain. the three most common identify triggers for
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the development of a vaso-occlusive crisis are hypoxemia, dehydration, and body temperature
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changes



The nurse is caring for a client with schizophrenia who has refused they are risperidone for
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the last week the client has been suspicious of nursing staff and periodically aggressive for the
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past three days today the client broke a chair in their room and is making verbal threats to
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the nurse and to other clients in the day wrong what is the first action the nurse should take -
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correct 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
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preoperative care unit what is the best response by the nurse - correct 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 - correct 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
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oldest daughter arrives to visit she is visibly upset that all dialysis treatments have ended in
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demands that treatment be continue what should the nurse do it this time - correct
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




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



The education department of a healthcare organization has design client education sheet that
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




explains the process of being admitted to the hospital in English Spanish and French since
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these are the three major language is spoken by the hospitals client population what does the
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client education sheet reflects - correct answer✔✔Sensitivity to the diverse Client population
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




Rationale: By creating a client education sheet that can be read by the hospitals major client \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




population the education department is demonstrating sensitivity to the diverse client \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




population the education sheet does not reflect racial profiling stereotyping or inappropriate \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




categorizing of the clients population \|/\\// \|/\\// \|/\\// \|/\\//




The nurse is emptying the urinary collection bag for a client with history of HIV in which
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




sequence sure the nurse perform the following actions after the urinary collection bag has
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




been drained - correct answer✔✔Ensure urinary collection bag is placed below the clients
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




bladder \|/\\//




empty that your receptacle \|/\\// \|/\\// \|/\\// \|/\\//




remove PPE \|/\\//




Wash hands with soap & water \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




Document amount of urine collected \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




Rationale: urine is a bodily fluid that can contain viruses bacteria and blood borne illnesses in \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//




cases of hematuria healthcare professionals including nurses need to completely situational
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
R201,24
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