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CAT EXAM 1-HESI EXIT 2026
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
A client is comatose upon arrival to the emergency department
after falling a roof. The client flexes with painful stimuli, and the
nurse determines the client's Glasgow Coma Scale (GCS) is 6.
Which intervention should the nurse prepare to implement to
maintain the client's airway? - ANSWER-A nasopharyngeal
tube
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
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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
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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
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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
CAT EXAM 1-HESI EXIT 2026
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
A client is comatose upon arrival to the emergency department
after falling a roof. The client flexes with painful stimuli, and the
nurse determines the client's Glasgow Coma Scale (GCS) is 6.
Which intervention should the nurse prepare to implement to
maintain the client's airway? - ANSWER-A nasopharyngeal
tube
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
,2 | Page
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
,3 | Page
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
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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
