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HESI CAT QUESTIONS AND VERIFIED CORRECT ANSWERS

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HESI CAT QUESTIONS AND VERIFIED CORRECT ANSWERS

Institution
HESI CAT
Course
HESI CAT

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What are the goals of the Childhood Immunization Initiative Program? Select all that
apply.
1
To reduce the costs of a vaccine
2
To involve more federal agencies
3
To improve vaccine delivery systems
4
To evaluate the impact of national immunization policies and practices
5

,To prevent the occurrence of indigenous infections such as diphtheria, rubella, and
measles


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1235
The goal of the Childhood Immunization Initiative Program is to reduce the
cost of vaccines to make them affordable. Federal agencies are involved in
providing vaccines to underserved populations. Childhood Immunization
Initiative Program also aims to improve vaccine delivery systems and
preventing infections of diphtheria, rubella, and measles. The health
department sends a report on the evaluation of national immunization
policies to the Centers for Disease Control and Prevention; this action is
unrelated to the immunization program.




A nurse is caring for a client after abdominal surgery and encourages the client to turn
from side to side and to engage in deep-breathing exercises. What complication is
the nurse trying to prevent?
1
Metabolic acidosis
2
Metabolic alkalosis
3
Respiratory acidosis
4
Respiratory alkalosis


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, 3
Shallow respirations, bronchial tree obstruction, and atelectasis
compromise gas exchange in the lungs; an increased carbon dioxide level
leads to respiratory acidosis [1] [2]. Metabolic acidosis occurs with diarrhea;
alkaline fluid is lost from the lower gastrointestinal tract. Metabolic alkalosis
is caused by excessive loss of hydrogen ions through gastric
decompression or excessive vomiting. Respiratory alkalosis is caused by
increased expiration of carbon dioxide, a component of carbonic acid.




Pharmacokinetic factors determine the concentration of a drug at its site of action.
These are different in neonates and infants than they are in small children or adults.
Arrange the factors in the order in which they occur.
1.
Excretion


2.
Absorption


3.
Distribution


4.
Metabolism


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The first step after administering the drug through any route is absorption.
For instance, orally administered drugs are generally absorbed in the
gastrointestinal tract. After absorption, drugs may be distributed through
protein binding, or some may enter the central nervous system through the
blood-brain barrier. Most drugs are then metabolized in the liver; this
capacity is low in newborns. Drugs do not remain in the body indefinitely;
rather they are excreted by the kidneys.

, A hospitalized psychiatric client with the diagnosis of histrionic personality disorder
demands a sleeping pill before going to bed. After being refused the sleeping pill,
the client throws a book at the nurse. What does the nurse recognize this behavior to
be?
1
Exploitive
2
Acting out
3
Manipulative
4
Reaction formation


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2
Acting out is the process of expressing feelings behaviorally. The action is
not exploitive, because no evidence is provided to demonstrate that
anyone has been used to get what the client wants. The action is not
manipulative, because no evidence is provided to demonstrate that anyone
has been influenced against his or her wishes. The action is not disguising
unacceptable feelings by expressing opposite emotions (reaction
formation).




A woman reports irregular menses, back pain, and weight gain. Upon diagnosis, the
woman has low levels of estrogen and progesterone. Which drug may be prescribed
if the woman wants to conceive?
1
Raloxifene
2
Methergine
3
Clomiphene
4
Dinoprostone

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Institution
HESI CAT
Course
HESI CAT

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