ANSWERS, Graded A+
1. A male client develops oral candidiasis. He has MRSA-
positive sputum, is dyspneic, and is receiving oxygen per facemask
and linezolid (Zyvox) 600 mg BID IV.
In planning care for this client, the nurse identifies which factor
as the probable cause of the stomatitis?
A. Antibiotic therapy.
2. A 38-year-old male client collapsed at his outside construction
job in Texas in July.
His admitting vital signs to ICU are: BP 82/70, heart rate 140
beats/minute, urine output 10 ml/hr, skin cool to the touch.
Pulmonary artery (PA) pressures are: PAWP 1, PAP 8/2, RAP -1, SVR
1600. What nursing action has the highest priority?
A. Increase the client’s IV fluid rate to 200 ml/hr.
3. A one-year-old child with neuroblastoma is crying continuously
and is curled into a fetal position. What action is most
important for the nurse to implement?
A. Give a prescribed analgesic.
4.A client diagnosed with major depression is being allowed a
weekend pass from the psychiatric unit. Which instruction
should the nurse provide to the client’s
family?
A. Involve the client in usual at-home activities.
5. The nurse is evaluating an asthmatic client’s response to an
inhaled corticosteroid
medication. What assessment finding indicates that the
medication has been effective in controlling the asthma
symptoms? The client has increased
A. Peak flow meter rates.
6. In reviewing the goals of “Healthy People”, the nurse
determines that the community has a significant problem in
preventing dental caries among children. To bring about change
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,HESI RN CAT EXAM 2023 V3 QUESTIONS &
ANSWERS, Graded A+
that addresses this identified community health problem, where
is the best place to initiate a prevention program?
A. WIC program intake offices.
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,HESI RN CAT EXAM 2023 V3 QUESTIONS &
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7. A client with a permanent pacemaker develops loss of
capture resulting in symptomatic sinus bradycardia at a rate of
38/minute. Which intravenous medication
should the nurse prepare to administer immediately?
A. Atropine sulfate (Atropine).
8. A 25-year-old female client reports to the nurse that she has a
throbbing headache over her left eye that began early yesterday
right after experiencing dark spots in her vision. Movement makes
her nauseous, but lying still in a dark room does provide
some relief. Over-the-counter pain medications have not
helped. This client is describing which type of
headache?
A. Classic migraine.
9. A client with acute renal failure has a daily urine
output of 1000 mL per day and is experiencing nausea,
vomiting, diarrhea, and weakness. Which
action would help the client at this time?
A. Remove potassium from intravenous fluids.
10. A client is being evaluated for
sciatica. What will the nurse most
likely assess in this client?
A. Pain in the buttock that radiates down the leg.
11. When instructing an elderly client on insulin self-
administration the
client says “my daughter is going to give me the shots every day.”
Which
action would the nurse take at this time?
A. Continue teaching the client.
12. A client complains of feeling tired and not sleeping
well during the night. What will the nurse include when
assessing the effectiveness of this
client’s sleep pattern?
A. Number of hours of sleep each night.
13. Thirty-six hours after a cesarean delivery, a client
complains of nausea and bloating. Assessment reveals a distended
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, HESI RN CAT EXAM 2023 V3 QUESTIONS &
ANSWERS, Graded A+
abdomen and no bowel movement since
delivery. What intervention should the nurse implement
first
A. Auscultate the abdomen
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