HESI CAT EXAM | COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS | 2026 LATEST UPDATED | GET A+
A client with irritable bowel syndrome is recovering from surgery to create an ileostomy what
foods should the nurse instruct the client to avoid to reduce the risk of food blockage -
(answer)Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small intestine the client should be
instructed to avoid these food items with an ileostomy
A client with malnutrition is assessed for osteomalacia what data show the nurse review to
determine their clients risk for this health problem - (answer)Vitamin D levels
Rationale: Malnutrition has widespread affects on various organ systems osteomalacia is
defective mineralization of newly formed bones secondary to chronic deficiency of vitamin D it
results in soft, weak bones that fracture easily vitamin D levels will provide the nurse with the
most accurate information regarding this health problem
The nurse has determine an adolescent client needs reinforcement education about prevention of
a sickle cell crisis which instruction should the nurse include select all that apply - (answer)Wear
warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a sickle cell
disease. it occurs when the micro circulation is obstructed by sickling of the red blood cells
resulting in local tissue ischemia and severe pain. the three most common identify triggers for the
development of a vaso-occlusive crisis are hypoxemia, dehydration, and body temperature
changes
,The nurse is caring for a client with schizophrenia who has refused they are risperidone for the
last week the client has been suspicious of nursing staff and periodically aggressive for the past
three days today the client broke a chair in their room and is making verbal threats to the nurse
and to other clients in the day wrong what is the first action the nurse should take -
(answer)Remove the other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes hallucinations, delusions,
disorder thought process and impaired behavior function.
Safety for all staff clients and visitors is priority and potential violence situations
A nurse who normally works on a post surgical care unit has been asked to float to the
preoperative care unit what is the best response by the nurse - (answer)I don't feel totally
comfortable floating so I would like to be paired with a resource nurse for my shift
Rationale: The nurse has acknowledged their discomfort with floating and has also identified a
means of making a float shift nurse more comfortable and important part of a successful float
shift and identifying using resources on the float unit including a partnership with a specific
resource nurse for the shift to answer questions locate supplies etc.
The nurse is preparing to administer medication through a client's nasalgastric tube what will the
nurse do first when administering these medications - (answer)Assessed for placement of the
nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric tube the nurse needs to
assess for correct placement of the tube
A client with an stage renal failure has requested no further treatment be provided when the
oldest daughter arrives to visit she is visibly upset that all dialysis treatments have ended in
demands that treatment be continue what should the nurse do it this time - (answer)Explained
that the client has requested that all treatments be stop
,Rationale: The nurse is responsible for the following clients wishes for treatment the daughter
does not need to leave because there's no evidence that the client is upset resuming Dallas
treatment is not what the client wants and should not be done the nurse can explain the change in
treatments with a daughter and does not need to ask a physician to have this conversation
The education department of a healthcare organization has design client education sheet that
explains the process of being admitted to the hospital in English Spanish and French since these
are the three major language is spoken by the hospitals client population what does the client
education sheet reflects - (answer)Sensitivity to the diverse Client population
Rationale: By creating a client education sheet that can be read by the hospitals major client
population the education department is demonstrating sensitivity to the diverse client population
the education sheet does not reflect racial profiling stereotyping or inappropriate categorizing of
the clients population
The nurse is emptying the urinary collection bag for a client with history of HIV in which
sequence sure the nurse perform the following actions after the urinary collection bag has been
drained - (answer)Ensure urinary collection bag is placed below the clients bladder
empty that your receptacle
remove PPE
Wash hands with soap & water
Document amount of urine collected
Rationale: urine is a bodily fluid that can contain viruses bacteria and blood borne illnesses in
cases of hematuria healthcare professionals including nurses need to completely situational risk
assessment prior to each client interaction to determine risk and choose the appropriate infection
control strategy to minimize risk to themselves and their client population according to the CDC
A GRANDSon is concern about the older clients happiness and so much time is spent talking
about the past what should the nurse respond to the grandson - (answer)Reminiscing is a
common activity in older adults that helps them to stay connected
, Rationale: The nurse should explain that reminiscing is normal and common activity in older
adults talking about the past helps older adult clients stay connected to other people by providing
a topic of conversation even if they don't experience much during the day
Family of an elderly Japanese woman is upset because the client has not received any pain
medication the nurse explains that the client never complain about pain and did not write the pain
and severe when assess what should the nurse manager do - (answer)Explain that in the Japanese
culture people often show a stoic response to pain so that it is important to look for PHYSICAL
clues
Rationale: individuals of Japanese descent will not complain about pain as they do not want to
dishonor themselves or their families some will either refuse pain medication when offered
therefore it is important to look for physical clothes like (rocking, sweat on brows, elevated
blood pressure) and input from the family when assessing for pain
The nurse assessed audible expiratory wheezes over a clients lower lobes what should the nurse
do first after completing this assessment - (answer)Raise the Head of the bed to a 60° angle
Rationale: The client is demonstrating bilateral lower lobe wheezes the first thing the nurse
should do is raise the head of the bed to a 60° angle in order to improve ventilation
The nurse is flushing a clients peripheral intravenous catheter saline lock with sterile normal
saline during the flush the nurse notes that resistance is met what action should the nurse take -
(answer)Remove the saline lock and re-insert in another site
Rationale: The peripheral in a minute IV catheter device also known as a saline lock is a device
flushed with saline and applied to a PICC to maintain IV access and patency. To maintain
patency the lock should be flush with 3 mL of NS before and after each medication administered,
after blood draw, and every 12 hours with the saline lock has been not been in use. While saline
locks reduce the need to insert IV lines, they do have a risk and should be removed 72 hours after
insertion to reduce the likelihood of infection
SOLUTIONS | 2026 LATEST UPDATED | GET A+
A client with irritable bowel syndrome is recovering from surgery to create an ileostomy what
foods should the nurse instruct the client to avoid to reduce the risk of food blockage -
(answer)Dried fruits & nuts
Rationale: dried fruits and nuts can cause a blockage in the small intestine the client should be
instructed to avoid these food items with an ileostomy
A client with malnutrition is assessed for osteomalacia what data show the nurse review to
determine their clients risk for this health problem - (answer)Vitamin D levels
Rationale: Malnutrition has widespread affects on various organ systems osteomalacia is
defective mineralization of newly formed bones secondary to chronic deficiency of vitamin D it
results in soft, weak bones that fracture easily vitamin D levels will provide the nurse with the
most accurate information regarding this health problem
The nurse has determine an adolescent client needs reinforcement education about prevention of
a sickle cell crisis which instruction should the nurse include select all that apply - (answer)Wear
warm clothes outside in cold weather
take your hydroxyurea (Droxia) daily as prescribed
Drink at least eight 12 ounces glasses of water a day
Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a sickle cell
disease. it occurs when the micro circulation is obstructed by sickling of the red blood cells
resulting in local tissue ischemia and severe pain. the three most common identify triggers for the
development of a vaso-occlusive crisis are hypoxemia, dehydration, and body temperature
changes
,The nurse is caring for a client with schizophrenia who has refused they are risperidone for the
last week the client has been suspicious of nursing staff and periodically aggressive for the past
three days today the client broke a chair in their room and is making verbal threats to the nurse
and to other clients in the day wrong what is the first action the nurse should take -
(answer)Remove the other clients in nonessential staff from the day room
Rationale: schizophrenia is a mental health disorder which causes hallucinations, delusions,
disorder thought process and impaired behavior function.
Safety for all staff clients and visitors is priority and potential violence situations
A nurse who normally works on a post surgical care unit has been asked to float to the
preoperative care unit what is the best response by the nurse - (answer)I don't feel totally
comfortable floating so I would like to be paired with a resource nurse for my shift
Rationale: The nurse has acknowledged their discomfort with floating and has also identified a
means of making a float shift nurse more comfortable and important part of a successful float
shift and identifying using resources on the float unit including a partnership with a specific
resource nurse for the shift to answer questions locate supplies etc.
The nurse is preparing to administer medication through a client's nasalgastric tube what will the
nurse do first when administering these medications - (answer)Assessed for placement of the
nasalgastric tube
Rationale: Before inserting any medication through the nasal gastric tube the nurse needs to
assess for correct placement of the tube
A client with an stage renal failure has requested no further treatment be provided when the
oldest daughter arrives to visit she is visibly upset that all dialysis treatments have ended in
demands that treatment be continue what should the nurse do it this time - (answer)Explained
that the client has requested that all treatments be stop
,Rationale: The nurse is responsible for the following clients wishes for treatment the daughter
does not need to leave because there's no evidence that the client is upset resuming Dallas
treatment is not what the client wants and should not be done the nurse can explain the change in
treatments with a daughter and does not need to ask a physician to have this conversation
The education department of a healthcare organization has design client education sheet that
explains the process of being admitted to the hospital in English Spanish and French since these
are the three major language is spoken by the hospitals client population what does the client
education sheet reflects - (answer)Sensitivity to the diverse Client population
Rationale: By creating a client education sheet that can be read by the hospitals major client
population the education department is demonstrating sensitivity to the diverse client population
the education sheet does not reflect racial profiling stereotyping or inappropriate categorizing of
the clients population
The nurse is emptying the urinary collection bag for a client with history of HIV in which
sequence sure the nurse perform the following actions after the urinary collection bag has been
drained - (answer)Ensure urinary collection bag is placed below the clients bladder
empty that your receptacle
remove PPE
Wash hands with soap & water
Document amount of urine collected
Rationale: urine is a bodily fluid that can contain viruses bacteria and blood borne illnesses in
cases of hematuria healthcare professionals including nurses need to completely situational risk
assessment prior to each client interaction to determine risk and choose the appropriate infection
control strategy to minimize risk to themselves and their client population according to the CDC
A GRANDSon is concern about the older clients happiness and so much time is spent talking
about the past what should the nurse respond to the grandson - (answer)Reminiscing is a
common activity in older adults that helps them to stay connected
, Rationale: The nurse should explain that reminiscing is normal and common activity in older
adults talking about the past helps older adult clients stay connected to other people by providing
a topic of conversation even if they don't experience much during the day
Family of an elderly Japanese woman is upset because the client has not received any pain
medication the nurse explains that the client never complain about pain and did not write the pain
and severe when assess what should the nurse manager do - (answer)Explain that in the Japanese
culture people often show a stoic response to pain so that it is important to look for PHYSICAL
clues
Rationale: individuals of Japanese descent will not complain about pain as they do not want to
dishonor themselves or their families some will either refuse pain medication when offered
therefore it is important to look for physical clothes like (rocking, sweat on brows, elevated
blood pressure) and input from the family when assessing for pain
The nurse assessed audible expiratory wheezes over a clients lower lobes what should the nurse
do first after completing this assessment - (answer)Raise the Head of the bed to a 60° angle
Rationale: The client is demonstrating bilateral lower lobe wheezes the first thing the nurse
should do is raise the head of the bed to a 60° angle in order to improve ventilation
The nurse is flushing a clients peripheral intravenous catheter saline lock with sterile normal
saline during the flush the nurse notes that resistance is met what action should the nurse take -
(answer)Remove the saline lock and re-insert in another site
Rationale: The peripheral in a minute IV catheter device also known as a saline lock is a device
flushed with saline and applied to a PICC to maintain IV access and patency. To maintain
patency the lock should be flush with 3 mL of NS before and after each medication administered,
after blood draw, and every 12 hours with the saline lock has been not been in use. While saline
locks reduce the need to insert IV lines, they do have a risk and should be removed 72 hours after
insertion to reduce the likelihood of infection
