HESI CAT EXAM CERTIFICATION EVALUATION
2026 TESTED QUESTIONS SOLVED
◉ 17. A 2-year-old with sickle cell anemia has an axillary
temperature of 102 F. In planning care for this child, which nursing
diagnosis has the highest priority? Answer: High risk for fluid
volume deficit related to temperature elevation
◉ During the first trimester of pregnancy, a client who was treated
for genital herpes with acyclovir (Zovirax) prior to this pregnancy
tells the nurse that she is experiencing an episode of genital herpes.
Which nursing intervention has the highest priority? Answer:
Determine if the client has taken acyclovir (Zovirax) for this
outbreak of genital herpes
◉ The nurse is obtaining a medication history for a client with a new
prescription for paroxetine (Paxil). The client reports current use of
the MAO inhibitor isocarboxazid
(Marplan). What intervention is most important for the nurse to
implement? Answer: Notify the healthcare provider that the client is
currently taking Marplan
◉ While performing a skin inspection on a newborn, the nurse finds
a small dimple and a dark tuft of hair in the lumbosacral area of the
,infant's back. What is the most likely indication of this finding?
Answer: External manifestation of a spinal abnormality
◉ What action should the nurse implement first when delegating
nursing activities to an unlicensed assistive personnel (UAP)?
Answer: Evaluate the experience of the UAP
◉ A female resident of a long-term care facility is being admitted to
the medical department. The client has a fractured hip and has
methicillin-resistant
staphylococcus aureus (MRSA). Which room should the charge
nurse assign this client? Answer: A semi-private room with a client
who also has methicillin-resistant staphylococcus
aureus (MRSA)
◉ The nurse is preparing a client for surgery. Which finding
indicates that the client is ready to proceed to the operating room
(OR) for a scheduled surgical procedure? Answer: Hemoglobin 10.1
grams
◉ The nurse is preparing to administer an intramuscular injection in
the ventrogluteal site of a client who weighs 80 kg. What size needle
should the nurse select? Answer: 21-gauge, 1.5-inch needle
,◉ A client at 38-weeks gestation is in active labor, and a vaginal
birth after Cesarean section (VBAC) is planned. Vaginal exam
indicates that the client is 6 cm dilated, 90% effaced, and at station 0
with intact membranes. As the client's contraction become stronger,
the fetal heart rate decelerates during the contractions but returns
to baseline. What action should the nurse take? Answer: Continue to
monitor the client's labor progress
◉ An elderly client with limited mobility reports frequent episodes
of nocturia. To reduce the risk for urinary incontinence, what action
should the nurse implement? Answer: Keep the call bell within the
client's reach
◉ Which diagnostic tests are most important for the nurse to
monitor when providing care for a client with a bowel obstruction?
Answer: Serum electrolytes
◉ 28. A 72-year-old male client reports that he has felt depressed
since his wife died six months ago. What question is most important
for the nurse to ask this client? Answer: "Have you ever felt like
hurting yourself?"
◉ After administering the first dose of newly prescribed to four
clients within a thirty minute time frame, the nurse evaluates each
client for therapeutic responses or any adverse reactions. Which
medication should the nurse evaluate first? Answer:
HYdromorphone (Dilaudid)
, ◉ What is the most important symptom the nurse should monitor
the client for while assisting with the insertion of a subclavian
central venous catheter? Answer: Shortness of breath
◉ The nurse is developing a plan of care for a client who has a
prescription for the calcium channel-blocker nifedipine (Procardia)
to treat angina pectoris. What is the purpose for administration of
this medication? Answer: Decrease myocardial oxygen demands
◉ While transcribing a new prescription, the nurse notes that the
prescribed dosage is much lower than the recommended dosage
listed in the drug reference guide. Which client data supports this
dosage reduction? Answer: Increased liver enzymes
◉ The nurse notes that a postoperative adult client's respiratory
rate is 10 breaths/minute. Which factor in the client's history is the
most likely explanation for
this finding? Answer: The PCA pump containing morphine sulfate
was discontinued 15 minutes before vital
signs were taken
◉ The charge nurse working on a postpartum unit is making
assignments for a staff consisting of a registered nurse (RN), a
2026 TESTED QUESTIONS SOLVED
◉ 17. A 2-year-old with sickle cell anemia has an axillary
temperature of 102 F. In planning care for this child, which nursing
diagnosis has the highest priority? Answer: High risk for fluid
volume deficit related to temperature elevation
◉ During the first trimester of pregnancy, a client who was treated
for genital herpes with acyclovir (Zovirax) prior to this pregnancy
tells the nurse that she is experiencing an episode of genital herpes.
Which nursing intervention has the highest priority? Answer:
Determine if the client has taken acyclovir (Zovirax) for this
outbreak of genital herpes
◉ The nurse is obtaining a medication history for a client with a new
prescription for paroxetine (Paxil). The client reports current use of
the MAO inhibitor isocarboxazid
(Marplan). What intervention is most important for the nurse to
implement? Answer: Notify the healthcare provider that the client is
currently taking Marplan
◉ While performing a skin inspection on a newborn, the nurse finds
a small dimple and a dark tuft of hair in the lumbosacral area of the
,infant's back. What is the most likely indication of this finding?
Answer: External manifestation of a spinal abnormality
◉ What action should the nurse implement first when delegating
nursing activities to an unlicensed assistive personnel (UAP)?
Answer: Evaluate the experience of the UAP
◉ A female resident of a long-term care facility is being admitted to
the medical department. The client has a fractured hip and has
methicillin-resistant
staphylococcus aureus (MRSA). Which room should the charge
nurse assign this client? Answer: A semi-private room with a client
who also has methicillin-resistant staphylococcus
aureus (MRSA)
◉ The nurse is preparing a client for surgery. Which finding
indicates that the client is ready to proceed to the operating room
(OR) for a scheduled surgical procedure? Answer: Hemoglobin 10.1
grams
◉ The nurse is preparing to administer an intramuscular injection in
the ventrogluteal site of a client who weighs 80 kg. What size needle
should the nurse select? Answer: 21-gauge, 1.5-inch needle
,◉ A client at 38-weeks gestation is in active labor, and a vaginal
birth after Cesarean section (VBAC) is planned. Vaginal exam
indicates that the client is 6 cm dilated, 90% effaced, and at station 0
with intact membranes. As the client's contraction become stronger,
the fetal heart rate decelerates during the contractions but returns
to baseline. What action should the nurse take? Answer: Continue to
monitor the client's labor progress
◉ An elderly client with limited mobility reports frequent episodes
of nocturia. To reduce the risk for urinary incontinence, what action
should the nurse implement? Answer: Keep the call bell within the
client's reach
◉ Which diagnostic tests are most important for the nurse to
monitor when providing care for a client with a bowel obstruction?
Answer: Serum electrolytes
◉ 28. A 72-year-old male client reports that he has felt depressed
since his wife died six months ago. What question is most important
for the nurse to ask this client? Answer: "Have you ever felt like
hurting yourself?"
◉ After administering the first dose of newly prescribed to four
clients within a thirty minute time frame, the nurse evaluates each
client for therapeutic responses or any adverse reactions. Which
medication should the nurse evaluate first? Answer:
HYdromorphone (Dilaudid)
, ◉ What is the most important symptom the nurse should monitor
the client for while assisting with the insertion of a subclavian
central venous catheter? Answer: Shortness of breath
◉ The nurse is developing a plan of care for a client who has a
prescription for the calcium channel-blocker nifedipine (Procardia)
to treat angina pectoris. What is the purpose for administration of
this medication? Answer: Decrease myocardial oxygen demands
◉ While transcribing a new prescription, the nurse notes that the
prescribed dosage is much lower than the recommended dosage
listed in the drug reference guide. Which client data supports this
dosage reduction? Answer: Increased liver enzymes
◉ The nurse notes that a postoperative adult client's respiratory
rate is 10 breaths/minute. Which factor in the client's history is the
most likely explanation for
this finding? Answer: The PCA pump containing morphine sulfate
was discontinued 15 minutes before vital
signs were taken
◉ The charge nurse working on a postpartum unit is making
assignments for a staff consisting of a registered nurse (RN), a
