NEW FILE UPDATE 2024: HESI RN CAT EXAM 2022 VERSIONS 1 & 2 QUESTIONS AND ANSWERS

NEW FILE UPDATE 2024: HESI RN CAT EXAM 2022 VERSIONS 1 & 2 QUESTIONS AND ANSWERS. A client who had an intraosseous (IO) cannula placed by the healthcare providerfor an emergent fluid resuscitation is complaining of severe pain and numbness below the IO site. The skin around the site is pale and edematous. What action should the nurse takes first? a. Discontinue the IO infusion b. Administer an analgesic via the IO site c. Elevate the extremity with the IO site d. Notify the healthcare providerCorrect A 7- The nurse-manager of a perinatal unit is notified that one client from the medical-surgical unit needs to be transferred to male room for new admissions. Which client should the nurse recommend for transfer to theantepartal unit? a. A 45-year-old who has a chronic hepatitis B. b. A 35-year-old with lupus erythematous c. A 19-year-old who is diagnosed with rubella d. A 25-year-old with herpes lesions of the vulvaCorrect B 8- A nurse is teaching a client postoperative breathing techniques using an incentive spirometer (IS). What should the nurse encourage this client to doto maintain sustained maximal inspiration? a. Breathe into the spirometer using normal breath volumes b. Exhale forcefully into the tubing for 3 to 5 seconds c. Inspire deeply and slowly over 3 to 5 seconds d. Perform IS breathing exercises every 6 hoursCorrect C 9- The nurse plans to educate a client about the purpose for taking the prescribed antipsychotic medication clozapine (Clozaril). Which statementshould the nurse provide? a. You will be able to cope with your symptoms b. It will help you function better in the community c. The medication will help you think more clearly” d. It will improve your grooming and hygieneCorrect C 10 – A male client with diabetes mellitus takes Novolin 70/30 insulin before meals and azithromycin (Zithromax) PO daily, using medication he brought from home. When the nurse delivers his breakfast tray, the client tells the nurse that he took hisinsulin but forgot to take his daily dose of the Zithromax an hour before breakfast asinstructed. What action should the nurse implement? a. Offer to obtain a new breakfast tray in an hour so the client can take theZithromax b. Instruct the client to eat his breakfast and take the Zithromax two hours aftereating c. Tell the client to skip that day’s dose and resume taking the Zithromax thenext day d. Provide a PRN dose of an antacid to take with the Zithromax right afterbreakfast Correct B 11- What instruction is most important for the nurse to provide a female client whohas just been diagnosed with trichomoniasis? a. Avoid douching b. Treat sexual partner (s) concurrently c. Avoid using moist washcloths when bathing d. Postpone becoming pregnant until the infection is treatedCorrect B 12- A primigravida at term comes to the prenatal clinic and tells the nurse that she ishaving contractions every 5 min. The nurse monitors the client for one hour, using an external fetal monitor, and determines that the client’s contractions every 5 minutes. The nurse monitors the client for one hour, using an external fetal monitor,and determines that the client’s contractions are 7 to 15 minutes apart, lasting 20 to30 seconds, with mild intensity by palpation. What action should the nurse take? a. Tell the client to go directly to the hospital for admission to labor and deliveryfor active labor b. Send the client home and instruct her to call the clinic when her contractionsoccur 5 minutes apart for one hour c. Tell the client to check into the hospital within the next hour for evaluation ofpossible urinary tract infection Correct B 1. At a routine prenatal visit, a client at 24-weeks gestation complains of nasal stuffinessand occasional nosebleeds. Which hormone is responsible for these changes? A. Human chorionic gonadotropin. B. Progesterone. C. Relaxin. D. Estrogen. 2. A client who has localized eczematous eruptions on b oth hands is diagnosed as havingcontact dermatitis. What instruction should the nurse include in this client's discharge teaching plan? A. Wear latex gloves whenever outdoors. B. Apply an oil-based ointment to the affected areas. C. Take prescribed antihistamine near bedtime. D. Soak hands in warm soapy water three times a day. 3. While transcribing a new prescription, the nurse notes that the prescribed dosage ismuch lower than the recommended dosage listed in the drug reference guide. Which client data supports the dosage reduction? A. Decreased serum creatinine B. Increased serum protein.C. Increased liver enzymes. D. Prolonged prothrombin time. 
 4. The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of aclient who is positive for Human Immunodeficiency Virus (HIV). What protective apparel should the nurse counsel the UAP to wear when carrying out this assignment? A. None. B. Gown, gloves, mask. C. Gloves and mask. D. Gloves only. 5. A client with Guillain-Barre syndrome requires a tracheostomy and mechanical ventilation due to the progression of the disease. What nursing intervention is mosthelpful in aiding this clinet to communicate with the staff and family? A. Speak slowly and disntinctly while in direct view of the client. B. Teach the client to point to a letter board word chart to communicate needs. C. Provide the client with a pencil and tablet of paper. D. With the client, develop a system of eye blinks to communicate