Cat exam 1-Hesi Exit, HESI: CAT Exam (2026)
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Graded A+ UPDATE |2026!! STUDY GUIDE EXAM
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Terms in this set (267)
A client is comatose upon arrival to A nasopharyngeal tube
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
irregular respiratory rate with full minute
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 complains "What about your life makes you proud?"
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?
In preparing assignments for the An elderly client with Alzheimer's disease
shift, which client is best for the complicated by dysphagia
charge nurse to assign to a
practical nurse?
The healthcare provider prescribes Set the flow meter
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
pediatric unit is positioning a 6- site
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
treatment of a 3-year-old child with least twice a day"
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?
The nurse is preparing a community Encourage physical activity
education program on
osteoporosis. Which instruction is
helpful in preventing bone loss and
promoting bone formation?
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?
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 girl, Report assessment findings to the proper legal
the nurse notes that she has authorities
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 arrives Acute withdrawal from anticonvulsant medication
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 just Impaired tissue integrity related to episiotomy
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?
17. A 2-year-old with sickle cell High risk for fluid volume deficit related to
anemia has an axillary temperature temperature elevation
of 102 F. In planning care for this
child, which nursing diagnosis has
the highest priority?
Exam Questions & Answers | Latest Already
Graded A+ UPDATE |2026!! STUDY GUIDE EXAM
Save
Terms in this set (267)
A client is comatose upon arrival to A nasopharyngeal tube
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
irregular respiratory rate with full minute
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 complains "What about your life makes you proud?"
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?
In preparing assignments for the An elderly client with Alzheimer's disease
shift, which client is best for the complicated by dysphagia
charge nurse to assign to a
practical nurse?
The healthcare provider prescribes Set the flow meter
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
pediatric unit is positioning a 6- site
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
treatment of a 3-year-old child with least twice a day"
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?
The nurse is preparing a community Encourage physical activity
education program on
osteoporosis. Which instruction is
helpful in preventing bone loss and
promoting bone formation?
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?
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 girl, Report assessment findings to the proper legal
the nurse notes that she has authorities
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 arrives Acute withdrawal from anticonvulsant medication
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 just Impaired tissue integrity related to episiotomy
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?
17. A 2-year-old with sickle cell High risk for fluid volume deficit related to
anemia has an axillary temperature temperature elevation
of 102 F. In planning care for this
child, which nursing diagnosis has
the highest priority?
