HESI CAT Exam 2022 Latest Update
At a routine prenatal visit, a client at 24-weeks gestation complains of nasal
stuffiness and occasional nosebleeds. Which hormone is responsible for these
changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. Correct Ans:- D. Estrogen.
A client who has localized eczematous eruptions on b oth hands is diagnosed as
having contact dermatitis. What instruction should the nurse include in this client's
discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day. Correct Ans:- B. Apply an
oil-based ointment to the affected areas
While transcribing a new prescription, the nurse notes that the prescribed dosage is
much lower than the recommended dosage listed in the drug reference guide.
Which client data supports the dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. Correct Ans:- C. Increased liver enzymes.
The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of
a client who is positive for Human Immunodeficiency Virus (HIV). What protective
apparel should the nurse counsel the UAP to wear when carrying out this
assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. Correct Ans:- A. None.
A client with Guillain-Barre syndrome requires a tracheostomy and mechanical
ventilation due to the progression of the disease. What nursing intervention is most
helpful in aiding this clinet to communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the client.
B. Teach the client to point to a letter board word chart to communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate "yes" or "no."
Correct Ans:- D. With the client, develop a system of eye blinks to communicate
"yes" or "no."
A client with peptic ulcer disease (PUD) is admitted to the emergency room
complaining of sudden severe upper abdominal pain. Assessment indicates an
extremely tender and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
,beat/minute. The emergency department nurse should anticipate implementation of
which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. Correct Ans:- A.
Preparing the client for emergency abdominal surgery.
Which finding should the nurse expect a client to exhibit who is newly diagnosed
with fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash. Correct Ans:- B. Disruption in sleep patterns.
A male client with diabetes mellitus reports that he has had trouble following his
diet, and the result of his fasting blood glucose test is 90 mg/dl. What action should
the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test. Correct Ans:- D.
Review the findings of his glycosylated hemoglobin test.
A multipara postpartum client complain intense cramping while breastfeeding. What
instruction should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding. Correct Ans:- C.
Take a prescribed analgesic an hour prior to breastfeeding.
A nurse is preparing to teach the parents of a child who had a surgical repair of
myelomeningocele how to change an occlusive dressing on the child's back. Which
statement by the parents indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the dressing when
changing it."
B. "The dressing should be wetted periodically to keep the skin incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal contamination."
Correct Ans:- D. " The purpose of the dressing is to protect the incision from fecal
contamination."
While the nurse is preparing to administer a high volume saline enema to a male
client, the client appears anxious and states that he is not able to turn on his right
side without help because of a recent stroke. What action should the nurse take
first?
A. Reassure the client that he can remain in any position of comfort during the
enema.
B. Assess the client's ability to independently turn to his left side.
, C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position. Correct Ans:-
B. Assess the client's ability to independently turn to his left side.
The nurse notes that a client is experiencing supraventricular tachyacardia (SVT).
Which action should the nurse implement?
A. Assess the client's heart sounds and vital signs.
B. Call a code and start CPR immediately.
C. Prepare to administer adenosine, an antidysrhythmic.
D. Place a crash cart at the client's bedside. Correct Ans:- C. Prepare to
administer adenosine, an antidysrhythmic.
. A client is receiving an IV infusion of regular insulin, 50 units in 100 ml of normal
saline at 4 units/ hour. The nurse should program the infusion pump to deliver how
many ml/hour? (Enter numeric value only.) Correct Ans:- 8 mL/hour
A client takes dronedarone (Multaq) 400 mg PO twice daily is admitted with chest
pain and shortness of breath. The nurse should withhold the Multaq if the client
manifests which finding?
A. Three premature ventricular beats/minute.
B. QTc interval less than 500 milliseconds.
C. Respiratory rate greater than 30 beats/minute.
D. Palpable radial pulse less than 50 beats/minute. Correct Ans:- D. Palpable
radial pulse less than 50 beats/minute.
A middle-aged client with complaints of chest pain radiating into his jaw is en route
to the hospital via ambulance. Oxygen was started, threee nitroglycerin sprays of 5
minute intervals were administered, with no pain relief, and an IV was initiated. The
cardiac monitor indicates normal sinus rhythm. On arrival at the Emergency
Department, which intervention should the nurse implement first?
A. Prepare for defibrillation or cardioversion.
B. Inject 5,000 units heparin subcutaneously
C. Obtain a 12 lead EKG.
D. Administer a chewable aspirin 325 mg. Correct Ans:- D. Administer a
chewable aspirin 325 mg.
The nurse is planning a fall prevention program for the residents at a long-term care
facility. Which intervention is most important in providing a safe environment?
A. Encourage clients to wear rubber-soled shoes.
B. Accompany residents older than 80 years during ambulation.
C. Apply a vest restraint prophylactically to confused residents.
D. Leave the hall lights on during the night. Correct Ans:- A. Encourage clients to
wear rubber-soled shoes.
For a client who has been receiving linezolid (Zyvox) for two weeks to treat an
MRSA- infected wounds, what finding requires the most immediate action by the
nurse?
A. Ecchymosis
B. Insomnia
C. Tongue discoloration
At a routine prenatal visit, a client at 24-weeks gestation complains of nasal
stuffiness and occasional nosebleeds. Which hormone is responsible for these
changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. Correct Ans:- D. Estrogen.
A client who has localized eczematous eruptions on b oth hands is diagnosed as
having contact dermatitis. What instruction should the nurse include in this client's
discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day. Correct Ans:- B. Apply an
oil-based ointment to the affected areas
While transcribing a new prescription, the nurse notes that the prescribed dosage is
much lower than the recommended dosage listed in the drug reference guide.
Which client data supports the dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. Correct Ans:- C. Increased liver enzymes.
The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of
a client who is positive for Human Immunodeficiency Virus (HIV). What protective
apparel should the nurse counsel the UAP to wear when carrying out this
assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. Correct Ans:- A. None.
A client with Guillain-Barre syndrome requires a tracheostomy and mechanical
ventilation due to the progression of the disease. What nursing intervention is most
helpful in aiding this clinet to communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the client.
B. Teach the client to point to a letter board word chart to communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate "yes" or "no."
Correct Ans:- D. With the client, develop a system of eye blinks to communicate
"yes" or "no."
A client with peptic ulcer disease (PUD) is admitted to the emergency room
complaining of sudden severe upper abdominal pain. Assessment indicates an
extremely tender and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
,beat/minute. The emergency department nurse should anticipate implementation of
which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. Correct Ans:- A.
Preparing the client for emergency abdominal surgery.
Which finding should the nurse expect a client to exhibit who is newly diagnosed
with fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash. Correct Ans:- B. Disruption in sleep patterns.
A male client with diabetes mellitus reports that he has had trouble following his
diet, and the result of his fasting blood glucose test is 90 mg/dl. What action should
the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.
B. Assure the client that his diabetes control is within normal limits.
C. Schedule the client to attend classes about diet management.
D. Review the findings of his glycosylated hemoglobin test. Correct Ans:- D.
Review the findings of his glycosylated hemoglobin test.
A multipara postpartum client complain intense cramping while breastfeeding. What
instruction should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding. Correct Ans:- C.
Take a prescribed analgesic an hour prior to breastfeeding.
A nurse is preparing to teach the parents of a child who had a surgical repair of
myelomeningocele how to change an occlusive dressing on the child's back. Which
statement by the parents indicates that they understand this procedure?
A. "We should rapidly remove the tape from the edges of the dressing when
changing it."
B. "The dressing should be wetted periodically to keep the skin incision moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal contamination."
Correct Ans:- D. " The purpose of the dressing is to protect the incision from fecal
contamination."
While the nurse is preparing to administer a high volume saline enema to a male
client, the client appears anxious and states that he is not able to turn on his right
side without help because of a recent stroke. What action should the nurse take
first?
A. Reassure the client that he can remain in any position of comfort during the
enema.
B. Assess the client's ability to independently turn to his left side.
, C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position. Correct Ans:-
B. Assess the client's ability to independently turn to his left side.
The nurse notes that a client is experiencing supraventricular tachyacardia (SVT).
Which action should the nurse implement?
A. Assess the client's heart sounds and vital signs.
B. Call a code and start CPR immediately.
C. Prepare to administer adenosine, an antidysrhythmic.
D. Place a crash cart at the client's bedside. Correct Ans:- C. Prepare to
administer adenosine, an antidysrhythmic.
. A client is receiving an IV infusion of regular insulin, 50 units in 100 ml of normal
saline at 4 units/ hour. The nurse should program the infusion pump to deliver how
many ml/hour? (Enter numeric value only.) Correct Ans:- 8 mL/hour
A client takes dronedarone (Multaq) 400 mg PO twice daily is admitted with chest
pain and shortness of breath. The nurse should withhold the Multaq if the client
manifests which finding?
A. Three premature ventricular beats/minute.
B. QTc interval less than 500 milliseconds.
C. Respiratory rate greater than 30 beats/minute.
D. Palpable radial pulse less than 50 beats/minute. Correct Ans:- D. Palpable
radial pulse less than 50 beats/minute.
A middle-aged client with complaints of chest pain radiating into his jaw is en route
to the hospital via ambulance. Oxygen was started, threee nitroglycerin sprays of 5
minute intervals were administered, with no pain relief, and an IV was initiated. The
cardiac monitor indicates normal sinus rhythm. On arrival at the Emergency
Department, which intervention should the nurse implement first?
A. Prepare for defibrillation or cardioversion.
B. Inject 5,000 units heparin subcutaneously
C. Obtain a 12 lead EKG.
D. Administer a chewable aspirin 325 mg. Correct Ans:- D. Administer a
chewable aspirin 325 mg.
The nurse is planning a fall prevention program for the residents at a long-term care
facility. Which intervention is most important in providing a safe environment?
A. Encourage clients to wear rubber-soled shoes.
B. Accompany residents older than 80 years during ambulation.
C. Apply a vest restraint prophylactically to confused residents.
D. Leave the hall lights on during the night. Correct Ans:- A. Encourage clients to
wear rubber-soled shoes.
For a client who has been receiving linezolid (Zyvox) for two weeks to treat an
MRSA- infected wounds, what finding requires the most immediate action by the
nurse?
A. Ecchymosis
B. Insomnia
C. Tongue discoloration
