HESI RN/ RN HESI CAT 2026 REAL EXAM
QUESTIONS & VERIFIED ANSWERS – PASS
YOUR HESI EXIT EXAM FIRST TRY | NEWEST
ACTUAL RN CAT QUESTIONS
A newborn whose mother is HIV positive is admitted to the nursery from labor and
delivery. Which action should the nurse implement first?
a. Initiate treatment with zidovudine (ZDV) syrup at 2 mg per kg
b. Bathe the infant with dilute chlorhexidine (Hibiclens) or soap
c. Measure and record the infant's frontal-occipital circumference
d. Administer vitamin K (AquaMEPHYTON) IM in the vastus lateralis -
ANSWER-b. Bathe the infant with dilute chlorhexidine (Hibiclens) or soap
A grant is awarded to provide primary preventative health care to a community-
based healthcare system. When designing the program to meet he grant objective,
which service should the nurse consider for inclusion in the program? Select all
that apply
a. Breast screening for older women
b. Rehabilitation services for stroke victims
c. Blood pressure assessments
d. Antepartum nutritional counseling
e. Ambulatory oncology treatments
f. Emergency services for trauma victims - ANSWER-a, c, d
A college student who is diagnosed with vaginal infection and vulva irritation
describes the vaginal discharge as having cottage cheese appearance. which
prescription should the nurse implement first?
a. cleanse perineum with warm soapy water 3 times per day
b. instills the first dose of nystatin vaginally per applicator
c. performs glucose measurement using capillary blood sample
d. obtains a blood specimen for sexually transmitted disease - ANSWER-b. instill
the first dose of nystatin vaginally per applicator
A client in acute renal failure has serum potassium of 7.5. Based on this finding,
the nurse should anticipate implementing which action?
,a. administers IV NS rapidly and NPH subq
b. administers a retention enema of kayexalate
c. adds 40 KCL to present IV solution
d. administers lidocaine bolus IV push - ANSWER-b. administer a retention
enema of kayexalate
The nurse plans to educate a client about the purpose for taking the prescribed
antipsychotic medication clozapine (Clozaril). Which statement should 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 - ANSWER-c. The
medication will help you think more clearly
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 his
insulin but forgot to take his daily dose of the Zithromax an hour before breakfast
as
instructed. What action should the nurse implement?
a. Offer to obtain a new breakfast tray in an hour so the client can take the
Zithromax
b. Instruct the client to eat his breakfast and take the Zithromax two hours after
eating
c. Tell the client to skip that day's dose and resume taking the Zithromax the next
day
d. Provide a PRN dose of an antacid to take with the Zithromax right after
breakfast - ANSWER-b. Instruct the client to eat his breakfast and take the
Zithromax two hours after eating
What instruction is most important for the nurse to provide a female client who has
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 treated - ANSWER-b. Treat
sexual partner (s) concurrently
,A client has severe bradycardia following the administration of metoprolol (Toprol
XL). What medication should the nurse anticipate administering?
A. Digoxin (Lanoxin)
B. Naxolone (Narcan)
C. Diltiazem (Cardizem)
D. Atropine sulfate - ANSWER-D. Atropine sulfate
The practical nurse (PN) reports the patterns of urinary frequency and volume for
several clients. Which finding necessitates further assessment by the RN?
A. Voiding 300 ml clear yellow urine q4h
B. Voiding 50 ml cloudy urine every hour
C. Total indwelling catheter output of 1800 ml in 24 hours
D. 400 ml amber urine by straight catheter q6h. - ANSWER-B. Voiding 50 ml
cloudy urine every hour
The nurse is interviewing a client with a history of COPD, who is dyspneic and has
a respiratory rate of 36 breath/ minute. What nursing diagnosis has the highest
priority?
A. Alteration in body image
B. Impaired verbal communication
C. Knowledge deficit
D. Ineffective individual coping - ANSWER-B. Impaired verbal communication
A female client complains that she cannot sleep, cries much of the day, her
healthcare provider diagnoses her as depressed and prescribes monoamine oxidase
inhibitor (MAOIs), In the teaching plan, what foods should the nurse instruct this
client to eliminate?
A. Fruits with high acidity such as grapefruit and oranges
B. Cheese, beer, and avocados
C. Salty foods such as chips, and chocolate
D. Carbonate beverages., eggs, and alcohol. - ANSWER-B. Cheese, beer, and
avocados
A primigravida at term comes to the prenatal clinic and tells the nurse that she is
having
, 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 to 30 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 delivery
for
active labor
b. Send the client home and instruct her to call the clinic when her contractions
occur
5 minutes apart for one hour
c. Tell the client to check into the hospital within the next hour for evaluation of
possible urinary tract infection - ANSWER-b. Send the client home and instruct
her to call the clinic when her contractions occur
Which instruction should the nurse provide to an elderly client who is taking an
ACE
inhibitor and a calcium channel blocker?
a. Wear long-sleeved clothing when outdoors
b. Report the onset of sore throat
c. Eat plenty of potassium-rich food
d. Change the position slowly - ANSWER-d. Change the position slowly
Assessment finding of a 3-hour-old newborn include: axillary temperature of
97.7F, heart rate of 140 beats/minute with a soft murmur, and irregular respiratory
rate at 42 breaths/min. Based on these findings, what action should the nurse
implement?
a. Place a pulse oximeter on the heel
b. Swaddle the infant in a warm blanket
c. Record the findings on the flow sheet
d. Check the vital signs in 15 minutes - ANSWER-c. Record the findings on the
flow sheet
QUESTIONS & VERIFIED ANSWERS – PASS
YOUR HESI EXIT EXAM FIRST TRY | NEWEST
ACTUAL RN CAT QUESTIONS
A newborn whose mother is HIV positive is admitted to the nursery from labor and
delivery. Which action should the nurse implement first?
a. Initiate treatment with zidovudine (ZDV) syrup at 2 mg per kg
b. Bathe the infant with dilute chlorhexidine (Hibiclens) or soap
c. Measure and record the infant's frontal-occipital circumference
d. Administer vitamin K (AquaMEPHYTON) IM in the vastus lateralis -
ANSWER-b. Bathe the infant with dilute chlorhexidine (Hibiclens) or soap
A grant is awarded to provide primary preventative health care to a community-
based healthcare system. When designing the program to meet he grant objective,
which service should the nurse consider for inclusion in the program? Select all
that apply
a. Breast screening for older women
b. Rehabilitation services for stroke victims
c. Blood pressure assessments
d. Antepartum nutritional counseling
e. Ambulatory oncology treatments
f. Emergency services for trauma victims - ANSWER-a, c, d
A college student who is diagnosed with vaginal infection and vulva irritation
describes the vaginal discharge as having cottage cheese appearance. which
prescription should the nurse implement first?
a. cleanse perineum with warm soapy water 3 times per day
b. instills the first dose of nystatin vaginally per applicator
c. performs glucose measurement using capillary blood sample
d. obtains a blood specimen for sexually transmitted disease - ANSWER-b. instill
the first dose of nystatin vaginally per applicator
A client in acute renal failure has serum potassium of 7.5. Based on this finding,
the nurse should anticipate implementing which action?
,a. administers IV NS rapidly and NPH subq
b. administers a retention enema of kayexalate
c. adds 40 KCL to present IV solution
d. administers lidocaine bolus IV push - ANSWER-b. administer a retention
enema of kayexalate
The nurse plans to educate a client about the purpose for taking the prescribed
antipsychotic medication clozapine (Clozaril). Which statement should 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 - ANSWER-c. The
medication will help you think more clearly
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 his
insulin but forgot to take his daily dose of the Zithromax an hour before breakfast
as
instructed. What action should the nurse implement?
a. Offer to obtain a new breakfast tray in an hour so the client can take the
Zithromax
b. Instruct the client to eat his breakfast and take the Zithromax two hours after
eating
c. Tell the client to skip that day's dose and resume taking the Zithromax the next
day
d. Provide a PRN dose of an antacid to take with the Zithromax right after
breakfast - ANSWER-b. Instruct the client to eat his breakfast and take the
Zithromax two hours after eating
What instruction is most important for the nurse to provide a female client who has
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 treated - ANSWER-b. Treat
sexual partner (s) concurrently
,A client has severe bradycardia following the administration of metoprolol (Toprol
XL). What medication should the nurse anticipate administering?
A. Digoxin (Lanoxin)
B. Naxolone (Narcan)
C. Diltiazem (Cardizem)
D. Atropine sulfate - ANSWER-D. Atropine sulfate
The practical nurse (PN) reports the patterns of urinary frequency and volume for
several clients. Which finding necessitates further assessment by the RN?
A. Voiding 300 ml clear yellow urine q4h
B. Voiding 50 ml cloudy urine every hour
C. Total indwelling catheter output of 1800 ml in 24 hours
D. 400 ml amber urine by straight catheter q6h. - ANSWER-B. Voiding 50 ml
cloudy urine every hour
The nurse is interviewing a client with a history of COPD, who is dyspneic and has
a respiratory rate of 36 breath/ minute. What nursing diagnosis has the highest
priority?
A. Alteration in body image
B. Impaired verbal communication
C. Knowledge deficit
D. Ineffective individual coping - ANSWER-B. Impaired verbal communication
A female client complains that she cannot sleep, cries much of the day, her
healthcare provider diagnoses her as depressed and prescribes monoamine oxidase
inhibitor (MAOIs), In the teaching plan, what foods should the nurse instruct this
client to eliminate?
A. Fruits with high acidity such as grapefruit and oranges
B. Cheese, beer, and avocados
C. Salty foods such as chips, and chocolate
D. Carbonate beverages., eggs, and alcohol. - ANSWER-B. Cheese, beer, and
avocados
A primigravida at term comes to the prenatal clinic and tells the nurse that she is
having
, 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 to 30 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 delivery
for
active labor
b. Send the client home and instruct her to call the clinic when her contractions
occur
5 minutes apart for one hour
c. Tell the client to check into the hospital within the next hour for evaluation of
possible urinary tract infection - ANSWER-b. Send the client home and instruct
her to call the clinic when her contractions occur
Which instruction should the nurse provide to an elderly client who is taking an
ACE
inhibitor and a calcium channel blocker?
a. Wear long-sleeved clothing when outdoors
b. Report the onset of sore throat
c. Eat plenty of potassium-rich food
d. Change the position slowly - ANSWER-d. Change the position slowly
Assessment finding of a 3-hour-old newborn include: axillary temperature of
97.7F, heart rate of 140 beats/minute with a soft murmur, and irregular respiratory
rate at 42 breaths/min. Based on these findings, what action should the nurse
implement?
a. Place a pulse oximeter on the heel
b. Swaddle the infant in a warm blanket
c. Record the findings on the flow sheet
d. Check the vital signs in 15 minutes - ANSWER-c. Record the findings on the
flow sheet
