HESI CAT EXIT EXAM 1 FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
●● A client is receiving a continuous half strength tube feeding at 50
ml/hr. To prepare enough of the solution for eight hours, how many ml
of full strength feeding will the nurse need?.
Answer: Answer: 200
25 ml x 8hrs = 200
●● The alarm of a client's pulse oximeter sounds and the nurse notes that
the oxygen saturation rate is indicated at 85%. What action should the
nurse take first?.
Answer: Check the probe position
●● A client is known to have an irregular respiratory rate with 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?.
Answer: Reassess the respiratory rate, counting for one full minute
●● A retiree with depression complains 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?.
Answer: "What about your life makes you proud?"
●● Following a precipitous labor, a 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?.
Answer: A cervical laceration
●● In preparing assignments for the shift, which client is best for the
charge nurse to assign to a practical nurse?.
Answer: An elderly client with Alzheimer's disease complicated by
dysphagia
●● The healthcare provider prescribes oxygen per nasal cannula at 2
L/min. Which action has the highest priority when the nurse implements
this prescription?.
Answer: Set the flow meter
●● 9. A nurse who is new to the pediatric unit is positioning a 6-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?.
,Answer: C. Instruct the nurse to select another injection site
●● 10. After diagnosis and initial treatment of a 3-year-old child with
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?.
Answer: "Chest physiotherapy should be performed at least twice a day"
●● The nurse is preparing a community education program on
osteoporosis. Which instruction is helpful in preventing bone loss and
promoting bone formation?.
Answer: Encourage physical activity
●● The nurse reviews the signs of hypoglycemia with the parents of a
child with Type 1 diabetes mellitus. The parents correctly understands
signs of hypoglycemia if they include which symptom?.
Answer: Sweating
●● The nurse observes a 2 cm area 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?.
Answer: Stage 1 pressure ulcer on sacrum
●● When assessing a 7-year-old girl, the nurse notes that she has
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?.
Answer: Report assessment findings to the proper legal authorities
●● 15. A 14-year-old male client arrives 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?.
Answer: Acute withdrawal from anticonvulsant medication
●● A Chinese-American client who just 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?.
Answer: Impaired tissue integrity related to episiotomy
●● 17. A 2-year-old with sickle cell anemia has an axillary temperature
of 102 F. In planning care for this child, which nursing diagnosis has the
highest priority?.
Answer: High risk for fluid volume deficit related to temperature
elevation
●● During the first trimester of pregnancy, a client who was treated for
genital herpes with acyclovir (Zovirax) prior to this pregnancy tells the
nurse that she is experiencing an episode of genital herpes. Which
nursing intervention has the highest priority?.
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
●● A client is receiving a continuous half strength tube feeding at 50
ml/hr. To prepare enough of the solution for eight hours, how many ml
of full strength feeding will the nurse need?.
Answer: Answer: 200
25 ml x 8hrs = 200
●● The alarm of a client's pulse oximeter sounds and the nurse notes that
the oxygen saturation rate is indicated at 85%. What action should the
nurse take first?.
Answer: Check the probe position
●● A client is known to have an irregular respiratory rate with 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?.
Answer: Reassess the respiratory rate, counting for one full minute
●● A retiree with depression complains 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?.
Answer: "What about your life makes you proud?"
●● Following a precipitous labor, a 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?.
Answer: A cervical laceration
●● In preparing assignments for the shift, which client is best for the
charge nurse to assign to a practical nurse?.
Answer: An elderly client with Alzheimer's disease complicated by
dysphagia
●● The healthcare provider prescribes oxygen per nasal cannula at 2
L/min. Which action has the highest priority when the nurse implements
this prescription?.
Answer: Set the flow meter
●● 9. A nurse who is new to the pediatric unit is positioning a 6-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?.
,Answer: C. Instruct the nurse to select another injection site
●● 10. After diagnosis and initial treatment of a 3-year-old child with
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?.
Answer: "Chest physiotherapy should be performed at least twice a day"
●● The nurse is preparing a community education program on
osteoporosis. Which instruction is helpful in preventing bone loss and
promoting bone formation?.
Answer: Encourage physical activity
●● The nurse reviews the signs of hypoglycemia with the parents of a
child with Type 1 diabetes mellitus. The parents correctly understands
signs of hypoglycemia if they include which symptom?.
Answer: Sweating
●● The nurse observes a 2 cm area 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?.
Answer: Stage 1 pressure ulcer on sacrum
●● When assessing a 7-year-old girl, the nurse notes that she has
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?.
Answer: Report assessment findings to the proper legal authorities
●● 15. A 14-year-old male client arrives 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?.
Answer: Acute withdrawal from anticonvulsant medication
●● A Chinese-American client who just 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?.
Answer: Impaired tissue integrity related to episiotomy
●● 17. A 2-year-old with sickle cell anemia has an axillary temperature
of 102 F. In planning care for this child, which nursing diagnosis has the
highest priority?.
Answer: High risk for fluid volume deficit related to temperature
elevation
●● During the first trimester of pregnancy, a client who was treated for
genital herpes with acyclovir (Zovirax) prior to this pregnancy tells the
nurse that she is experiencing an episode of genital herpes. Which
nursing intervention has the highest priority?.
