CAT Exam 2 Hesi Questions and Answers (2022/2023) (Verified Answers by Expert)
A client with a hemothorax has a chest tube in the fourth intercostal space connected to
suction at 20 cm H2O pressure. Four hours after insertion, which client outcome should the nurse consider to be within normal limits for this client? - ✓✓✓Fluctuation with respiration in the water-seal chamber of the Pleuravac
A client has started long-term maintenance therapy with a cardiotonic medication that
has a narrow therapeutic index. Teaching the client the signs/symptoms of which adverse effect is most important? - ✓✓✓Toxicity
In caring for a client who is receiving peritoneal dialysis, the nurse should be alert for
that what complications? - ✓✓✓Abdominal pain, tenderness, and rigidity
A high fluid intake is prescribed for a client with urolithiasis. The client wishes to know
the chief purpose for this intervention. What should the nurse tell the client about this prescription? - ✓✓✓The purpose is to increase the hydrostatic pressure behind the stone to assist in its
downward passage
Normal saline 0.9% is prescribed for a client with fluid volume deficit at a rate of 100
ml/hour. Before starting the infusion, the nurse observes that the client's urine is dark amber in color. What action should the nurse take? - ✓✓✓Administer the normal saline at the prescribed rate of 100 ml/hour
Which explanation of autonomic cardiac regulation mediated by sympathetic
innervations is correct? - ✓✓✓Increased Ca+ influx with sympathetic stimulation raises the heart rate
The nurse learns that a newly admitted adult client has a six month history of recurring
somatic pain. During the admission interview, it is most important for the nurse to question the client about what problem? - ✓✓✓Feelings of depression
8. A pregnant client begins to cry when the UAP tries to assist her in donning a hospital gown, and she refuses to remove an undergarment that is worn in her culture to preserve modesty. What should the charge nurse do first? - ✓✓✓Determine if continued wearing of the garment will compromise care
The nurse is preparing to insert an IV in an adult male client. Which client's lab value is
most important for the nurse to consider prior to inserting the IV? - ✓✓✓Platelet count of 60,000/mm
10. A 12-year-old boy who is 54 inches tall is scheduled for x-rays of his hands and wrist to determine growth patterns. The mother asks the nurse why these x-rays are being taken. What explanation is best for the nurse to provide this mother? - ✓✓✓Hormonal influences on the bone at this age can be determined by x-ray
The nurse is reviewing laboratory results for a client with adrenal insufficiency. Which
finding should the nurse report to the healthcare provider? - ✓✓✓A. Calcium 12 mg/dl
At 0700 the nurse receives report for a client with chronic intractable pain "who needs
morphine every 4 hours during the day shift to control pain." After reviewing the client's record, what action should the nurse implement? - ✓✓✓. Request a change in the prescribed dose of fentanyl (Duragesic) transdermal pat
After a client experiences spontaneous rupture of the membranes during labor, the
nurse notes a visible prolapse of the umbilical cord. What intervention should the nurse implement immediately? - ✓✓✓A. Push the presenting part off the cord
14. The nurse is preparing a teaching plan for a client receiving magnesium-based antacids
for treatment of gastro-esophageal reflux disease (GERD). Which instruction should the nurse plan to include? - ✓✓✓"Avoid taking any other drugs 1 to 2 hours before and after taking the antacid"
The nurse is caring for a young adult male client with facial injuries resulting from a
motor vehicle collision. Which client statement indicative of the highest priority for nursing intervention? - ✓✓✓"I can't sleep through the night because I awaken with pain when I move"
What is the most important primary preventative measure the nurse can emphasize as
a means of reducing the risk of developing acute glomerulonephritis in the general population? - ✓✓✓Use good hand washing techniques to prevent throat and skin infections
The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired
movements will worsen as the child grows. Which response provides the best explanation? - ✓✓✓The course of CP is variable but the brain damage is not progressive
There days postoperative, a client's wound drainage changes in appearance from
sanguineous to serous. Based on this finding, what nursing intervention should the nurse implement? - ✓✓✓Continue to monitor the wound
Following the administration of total parenteral nutrition (TNP) via a central line to a
client diagnosed with inflammatory bowel disease (IBD), the nurse should expect what outcome? - ✓✓✓Afebrile with no purulent drainage from catheter site
Based on the principles of asepsis, the nurse should consider which circumstance to be
sterile? - ✓✓✓An open sterile Foley catheter kit set up on a table at the nurse's waist level
The nurse is preparing to administer medications to a client who was admitted to the
hospital with a diagnosis of deep vein thrombosis (DVT). Which action should the nurse
A client with a hemothorax has a chest tube in the fourth intercostal space connected to
suction at 20 cm H2O pressure. Four hours after insertion, which client outcome should the nurse consider to be within normal limits for this client? - ✓✓✓Fluctuation with respiration in the water-seal chamber of the Pleuravac
A client has started long-term maintenance therapy with a cardiotonic medication that
has a narrow therapeutic index. Teaching the client the signs/symptoms of which adverse effect is most important? - ✓✓✓Toxicity
In caring for a client who is receiving peritoneal dialysis, the nurse should be alert for
that what complications? - ✓✓✓Abdominal pain, tenderness, and rigidity
A high fluid intake is prescribed for a client with urolithiasis. The client wishes to know
the chief purpose for this intervention. What should the nurse tell the client about this prescription? - ✓✓✓The purpose is to increase the hydrostatic pressure behind the stone to assist in its
downward passage
Normal saline 0.9% is prescribed for a client with fluid volume deficit at a rate of 100
ml/hour. Before starting the infusion, the nurse observes that the client's urine is dark amber in color. What action should the nurse take? - ✓✓✓Administer the normal saline at the prescribed rate of 100 ml/hour
Which explanation of autonomic cardiac regulation mediated by sympathetic
innervations is correct? - ✓✓✓Increased Ca+ influx with sympathetic stimulation raises the heart rate
The nurse learns that a newly admitted adult client has a six month history of recurring
somatic pain. During the admission interview, it is most important for the nurse to question the client about what problem? - ✓✓✓Feelings of depression
8. A pregnant client begins to cry when the UAP tries to assist her in donning a hospital gown, and she refuses to remove an undergarment that is worn in her culture to preserve modesty. What should the charge nurse do first? - ✓✓✓Determine if continued wearing of the garment will compromise care
The nurse is preparing to insert an IV in an adult male client. Which client's lab value is
most important for the nurse to consider prior to inserting the IV? - ✓✓✓Platelet count of 60,000/mm
10. A 12-year-old boy who is 54 inches tall is scheduled for x-rays of his hands and wrist to determine growth patterns. The mother asks the nurse why these x-rays are being taken. What explanation is best for the nurse to provide this mother? - ✓✓✓Hormonal influences on the bone at this age can be determined by x-ray
The nurse is reviewing laboratory results for a client with adrenal insufficiency. Which
finding should the nurse report to the healthcare provider? - ✓✓✓A. Calcium 12 mg/dl
At 0700 the nurse receives report for a client with chronic intractable pain "who needs
morphine every 4 hours during the day shift to control pain." After reviewing the client's record, what action should the nurse implement? - ✓✓✓. Request a change in the prescribed dose of fentanyl (Duragesic) transdermal pat
After a client experiences spontaneous rupture of the membranes during labor, the
nurse notes a visible prolapse of the umbilical cord. What intervention should the nurse implement immediately? - ✓✓✓A. Push the presenting part off the cord
14. The nurse is preparing a teaching plan for a client receiving magnesium-based antacids
for treatment of gastro-esophageal reflux disease (GERD). Which instruction should the nurse plan to include? - ✓✓✓"Avoid taking any other drugs 1 to 2 hours before and after taking the antacid"
The nurse is caring for a young adult male client with facial injuries resulting from a
motor vehicle collision. Which client statement indicative of the highest priority for nursing intervention? - ✓✓✓"I can't sleep through the night because I awaken with pain when I move"
What is the most important primary preventative measure the nurse can emphasize as
a means of reducing the risk of developing acute glomerulonephritis in the general population? - ✓✓✓Use good hand washing techniques to prevent throat and skin infections
The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired
movements will worsen as the child grows. Which response provides the best explanation? - ✓✓✓The course of CP is variable but the brain damage is not progressive
There days postoperative, a client's wound drainage changes in appearance from
sanguineous to serous. Based on this finding, what nursing intervention should the nurse implement? - ✓✓✓Continue to monitor the wound
Following the administration of total parenteral nutrition (TNP) via a central line to a
client diagnosed with inflammatory bowel disease (IBD), the nurse should expect what outcome? - ✓✓✓Afebrile with no purulent drainage from catheter site
Based on the principles of asepsis, the nurse should consider which circumstance to be
sterile? - ✓✓✓An open sterile Foley catheter kit set up on a table at the nurse's waist level
The nurse is preparing to administer medications to a client who was admitted to the
hospital with a diagnosis of deep vein thrombosis (DVT). Which action should the nurse
