CAT exam Questions And Answers 2022/2023

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. - Answer - 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. 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. - Answer - 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. 2.Capillary blood glucose level now. 3.Fasting blood glucose the next morning. 4.Intravenous dextrose 5% in water at 125 mL per hour. - Answer - 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