HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
HESI CAT EXAM (2025/2026) – COMPUTERIZED ADAPTIVE TESTING
COMPREHENSIVE NURSING ASSESSMENT NEWEST 2025 COMPLETE
100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A client with peptic ulcer disease (PUD) is admitted to the emergency room
complaining of sudden severe upper abdominal pain. Assessment indicates an
extremely tender and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
beat/minute. The emergency department nurse should anticipate implementation
of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel.
A. Preparing the client for emergency abdominal surgery.
Which finding should the nurse expect a client to exhibit who is newly diagnosed
with fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash.
B. Disruption in sleep patterns.
A male client with diabetes mellitus reports that he has had trouble following his
diet, and the result of his fasting blood glucose test is 90 mg/dl. What action
should the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test.
1|Page
, HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
D. Review the findings of his glycosylated hemoglobin test.
A multipara postpartum client complain intense cramping while breastfeeding.
What instruction should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
A nurse is preparing to teach the parents of a child who had a surgical repair of
myelomeningocele how to change an occlusive dressing on the child's back.
Which statement by the parents indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the dressing when
changing it."
B. "The dressing should be wetted periodically to keep the skin incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal
contamination."
D. " The purpose of the dressing is to protect the incision from fecal
contamination."
While the nurse is preparing to administer a high volume saline enema to a male
client, the client appears anxious and states that he is not able to turn on his right
side without help because of a recent stroke. What action should the nurse take
first?
A. Reassure the client that he can remain in any position of comfort during the
enema.
B. Assess the client's ability to independently turn to his left side.
C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position.
B. Assess the client's ability to independently turn to his left side.
2|Page
, HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
The nurse notes that a client is experiencing supraventricular tachyacardia (SVT).
Which action should the nurse implement?
A. Assess the client's heart sounds and vital signs.
B. Call a code and start CPR immediately.
C. Prepare to administer adenosine, an antidysrhythmic.
D. Place a crash cart at the client's bedside.
C. Prepare to administer adenosine, an antidysrhythmic.
. A client is receiving an IV infusion of regular insulin, 50 units in 100 ml of normal
saline at 4 units/ hour. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only.)
8 mL/hour
A client takes dronedarone (Multaq) 400 mg PO twice daily is admitted with chest
pain and shortness of breath. The nurse should withhold the Multaq if the client
manifests which finding?
A. Three premature ventricular beats/minute.
B. QTc interval less than 500 milliseconds.
C. Respiratory rate greater than 30 beats/minute.
D. Palpable radial pulse less than 50 beats/minute.
D. Palpable radial pulse less than 50 beats/minute.
A middle-aged client with complaints of chest pain radiating into his jaw is en
route to the hospital via ambulance. Oxygen was started, threee nitroglycerin
sprays of 5 minute intervals were administered, with no pain relief, and an IV was
initiated. The cardiac monitor indicates normal sinus rhythm. On arrival at the
Emergency Department, which intervention should the nurse implement first?
A. Prepare for defibrillation or cardioversion.
B. Inject 5,000 units heparin subcutaneously
C. Obtain a 12 lead EKG.
D. Administer a chewable aspirin 325 mg.
3|Page
, HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
D. Administer a chewable aspirin 325 mg.
The nurse is planning a fall prevention program for the residents at a long-term
care facility. Which intervention is most important in providing a safe
environment?
A. Encourage clients to wear rubber-soled shoes.
B. Accompany residents older than 80 years during ambulation.
C. Apply a vest restraint prophylactically to confused residents.
D. Leave the hall lights on during the night.
A. Encourage clients to wear rubber-soled shoes.
For a client who has been receiving linezolid (Zyvox) for two weeks to treat an
MRSA- infected wounds, what finding requires the most immediate action by the
nurse?
A. Ecchymosis
B. Insomnia
C. Tongue discoloration
D. Vaginal discharge
A. Ecchymosis
The unlicensed assistive personnel (UAP) caring for a postoperative client reports
to the charge nurse that the client is not using the incentive spirometer effectively.
What action should the charge nurse implement?
A.Schedule time later in the morning to review the use of incentive spirometer
with the client.
B. Ask the practical nurse assigned to care for the client to review the use of
spirometer with the client.
C. Encourage the UAP to demonstrate the effective use of the incentive
spirometer to the client.
D. Advise the UAP that the respiratory therapist is responsible to supervise the
client's use of the spirometer.
4|Page
Nursing Assessment
HESI CAT EXAM (2025/2026) – COMPUTERIZED ADAPTIVE TESTING
COMPREHENSIVE NURSING ASSESSMENT NEWEST 2025 COMPLETE
100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A client with peptic ulcer disease (PUD) is admitted to the emergency room
complaining of sudden severe upper abdominal pain. Assessment indicates an
extremely tender and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
beat/minute. The emergency department nurse should anticipate implementation
of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel.
A. Preparing the client for emergency abdominal surgery.
Which finding should the nurse expect a client to exhibit who is newly diagnosed
with fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash.
B. Disruption in sleep patterns.
A male client with diabetes mellitus reports that he has had trouble following his
diet, and the result of his fasting blood glucose test is 90 mg/dl. What action
should the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test.
1|Page
, HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
D. Review the findings of his glycosylated hemoglobin test.
A multipara postpartum client complain intense cramping while breastfeeding.
What instruction should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
A nurse is preparing to teach the parents of a child who had a surgical repair of
myelomeningocele how to change an occlusive dressing on the child's back.
Which statement by the parents indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the dressing when
changing it."
B. "The dressing should be wetted periodically to keep the skin incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal
contamination."
D. " The purpose of the dressing is to protect the incision from fecal
contamination."
While the nurse is preparing to administer a high volume saline enema to a male
client, the client appears anxious and states that he is not able to turn on his right
side without help because of a recent stroke. What action should the nurse take
first?
A. Reassure the client that he can remain in any position of comfort during the
enema.
B. Assess the client's ability to independently turn to his left side.
C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position.
B. Assess the client's ability to independently turn to his left side.
2|Page
, HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
The nurse notes that a client is experiencing supraventricular tachyacardia (SVT).
Which action should the nurse implement?
A. Assess the client's heart sounds and vital signs.
B. Call a code and start CPR immediately.
C. Prepare to administer adenosine, an antidysrhythmic.
D. Place a crash cart at the client's bedside.
C. Prepare to administer adenosine, an antidysrhythmic.
. A client is receiving an IV infusion of regular insulin, 50 units in 100 ml of normal
saline at 4 units/ hour. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only.)
8 mL/hour
A client takes dronedarone (Multaq) 400 mg PO twice daily is admitted with chest
pain and shortness of breath. The nurse should withhold the Multaq if the client
manifests which finding?
A. Three premature ventricular beats/minute.
B. QTc interval less than 500 milliseconds.
C. Respiratory rate greater than 30 beats/minute.
D. Palpable radial pulse less than 50 beats/minute.
D. Palpable radial pulse less than 50 beats/minute.
A middle-aged client with complaints of chest pain radiating into his jaw is en
route to the hospital via ambulance. Oxygen was started, threee nitroglycerin
sprays of 5 minute intervals were administered, with no pain relief, and an IV was
initiated. The cardiac monitor indicates normal sinus rhythm. On arrival at the
Emergency Department, which intervention should the nurse implement first?
A. Prepare for defibrillation or cardioversion.
B. Inject 5,000 units heparin subcutaneously
C. Obtain a 12 lead EKG.
D. Administer a chewable aspirin 325 mg.
3|Page
, HESI CAT Exam (2025/2026) – Computerized Adaptive Testing Comprehensive
Nursing Assessment
D. Administer a chewable aspirin 325 mg.
The nurse is planning a fall prevention program for the residents at a long-term
care facility. Which intervention is most important in providing a safe
environment?
A. Encourage clients to wear rubber-soled shoes.
B. Accompany residents older than 80 years during ambulation.
C. Apply a vest restraint prophylactically to confused residents.
D. Leave the hall lights on during the night.
A. Encourage clients to wear rubber-soled shoes.
For a client who has been receiving linezolid (Zyvox) for two weeks to treat an
MRSA- infected wounds, what finding requires the most immediate action by the
nurse?
A. Ecchymosis
B. Insomnia
C. Tongue discoloration
D. Vaginal discharge
A. Ecchymosis
The unlicensed assistive personnel (UAP) caring for a postoperative client reports
to the charge nurse that the client is not using the incentive spirometer effectively.
What action should the charge nurse implement?
A.Schedule time later in the morning to review the use of incentive spirometer
with the client.
B. Ask the practical nurse assigned to care for the client to review the use of
spirometer with the client.
C. Encourage the UAP to demonstrate the effective use of the incentive
spirometer to the client.
D. Advise the UAP that the respiratory therapist is responsible to supervise the
client's use of the spirometer.
4|Page
