NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
1- A 59-year-old male client is brought to the emergency room where
he is assessed to have a Glasgow Coma Scale of 3. Based on this
assessment, how should the nurse characterize the client’s
condition?
a. The client has increased intracranial pressure
b. He has a good prognosis for recovery
c. This client is conscious, but is not oriented to time and place
d. He is in a coma, and has a very poor
prognosis Correct D
2- At a community health fair, a 50-year-old woman tells the nurse that
she has an annual physical exam that includes a clinical breast exam
and an annual mammogram. How should the nurse respond?
a. Encourage the woman to explore her fears about breast cancer.
b. Ask the woman if she also performs monthly breast self- exams.
c. Commend the woman for adhering to the recommended cancer
detection guidelines.
d. Advise the woman that mammograms are only needed every
two years at her age.
Correct B
3- Which assessment finding should indicate to the nurse that a client
with arterial hypertension is experiencing a cardiac complication?
a. Complaints of an occipital headache
,NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
b. A palpable dorsal is pedis pulse bilaterally
c. Complaints of shortness of breath on exertion
d. A blood pressure of
160/90 Correct C
4- A college student who is diagnosed with a vaginal infection and
vulva irritation describes the vaginal discharge as having a “cottage
cheese” appearance.
Which prescription should the nurse implement first?
a. Cleanse perineum with warm soapy water 3 times per day
b. Instill the first dose of nystatin (Mycostatin) vaginally per applicator
c. Perform glucose measurement using a capillary blood sample
d. Obtain a blood specimen for sexually transmitted
disease (STDs) Correct B
5- A client in acute renal failure has serum potassium of 7.5 mEq/L.
Based on this finding, the nurse should anticipate implementing
which action?
a. Administer an IV of normal saline rapidly and NPH
insulsubcutaneously.
b. Administer a retention enema of Kayexalate
c. Add 40 mEq of KCL (potassium chloride) to present IV solution.
d. Administer a lidocaine bolus IV push.
Correct B
6- A client who had an intraosseous (IO) cannula placed by the
,NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
healthcare provider for an emergent fluid resuscitation is complaining of
severe pain and numbness below the IO site. The skin around the site is
pale and edematous. What action
should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare
provider Correct A
7- The nurse-manager of a perinatal unit is notified that one client
from the medical-surgical unit needs to be transferred to male
room for new admissions. Which client should the nurse
recommend for transfer to the antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of the
vulva Correct B
8- A nurse is teaching a client postoperative breathing techniques
using an incentive spirometer (IS). What should the nurse
encourage this client to do to maintain sustained maximal
inspiration?
a. Breathe into the spirometer using normal breath volumes
b. Exhale forcefully into the tubing for 3 to 5 seconds
, NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
c. Inspire deeply and slowly over 3 to 5 seconds
d. Perform IS breathing exercises every 6
hours Correct C
9- The nurse plans to educate a client about the purpose for taking
the prescribed antipsychotic medication clozapine (Clozaril).
Which statement should the nurse provide?
a. You will be able to cope with your symptoms
b. It will help you function better in the community
c. The medication will help you think more clearly”
d. It will improve your grooming and
hygiene Correct C
10 – A male client with diabetes mellitus takes Novolin 70/30 insulin
before meals and azithromycin (Zithromax) PO daily, using medication he
brought from home. When the nurse delivers his breakfast tray, the client
tells the nurse that he took his insulin but forgot to take his daily dose of
the Zithromax an hour before breakfast as instructed. What action should
the nurse implement?
a. Offer to obtain a new breakfast tray in an hour so the client
can take the Zithromax
b. Instruct the client to eat his breakfast and take the Zithromax two
hours after eating
c. Tell the client to skip that day’s dose and resume taking the
Zithromax the next day
d. Provide a PRN dose of an antacid to take with the Zithromax
SOLUTIONS 2023 UPADTE A+
1- A 59-year-old male client is brought to the emergency room where
he is assessed to have a Glasgow Coma Scale of 3. Based on this
assessment, how should the nurse characterize the client’s
condition?
a. The client has increased intracranial pressure
b. He has a good prognosis for recovery
c. This client is conscious, but is not oriented to time and place
d. He is in a coma, and has a very poor
prognosis Correct D
2- At a community health fair, a 50-year-old woman tells the nurse that
she has an annual physical exam that includes a clinical breast exam
and an annual mammogram. How should the nurse respond?
a. Encourage the woman to explore her fears about breast cancer.
b. Ask the woman if she also performs monthly breast self- exams.
c. Commend the woman for adhering to the recommended cancer
detection guidelines.
d. Advise the woman that mammograms are only needed every
two years at her age.
Correct B
3- Which assessment finding should indicate to the nurse that a client
with arterial hypertension is experiencing a cardiac complication?
a. Complaints of an occipital headache
,NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
b. A palpable dorsal is pedis pulse bilaterally
c. Complaints of shortness of breath on exertion
d. A blood pressure of
160/90 Correct C
4- A college student who is diagnosed with a vaginal infection and
vulva irritation describes the vaginal discharge as having a “cottage
cheese” appearance.
Which prescription should the nurse implement first?
a. Cleanse perineum with warm soapy water 3 times per day
b. Instill the first dose of nystatin (Mycostatin) vaginally per applicator
c. Perform glucose measurement using a capillary blood sample
d. Obtain a blood specimen for sexually transmitted
disease (STDs) Correct B
5- A client in acute renal failure has serum potassium of 7.5 mEq/L.
Based on this finding, the nurse should anticipate implementing
which action?
a. Administer an IV of normal saline rapidly and NPH
insulsubcutaneously.
b. Administer a retention enema of Kayexalate
c. Add 40 mEq of KCL (potassium chloride) to present IV solution.
d. Administer a lidocaine bolus IV push.
Correct B
6- A client who had an intraosseous (IO) cannula placed by the
,NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
healthcare provider for an emergent fluid resuscitation is complaining of
severe pain and numbness below the IO site. The skin around the site is
pale and edematous. What action
should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare
provider Correct A
7- The nurse-manager of a perinatal unit is notified that one client
from the medical-surgical unit needs to be transferred to male
room for new admissions. Which client should the nurse
recommend for transfer to the antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of the
vulva Correct B
8- A nurse is teaching a client postoperative breathing techniques
using an incentive spirometer (IS). What should the nurse
encourage this client to do to maintain sustained maximal
inspiration?
a. Breathe into the spirometer using normal breath volumes
b. Exhale forcefully into the tubing for 3 to 5 seconds
, NURS CAT 4 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2023 UPADTE A+
c. Inspire deeply and slowly over 3 to 5 seconds
d. Perform IS breathing exercises every 6
hours Correct C
9- The nurse plans to educate a client about the purpose for taking
the prescribed antipsychotic medication clozapine (Clozaril).
Which statement should the nurse provide?
a. You will be able to cope with your symptoms
b. It will help you function better in the community
c. The medication will help you think more clearly”
d. It will improve your grooming and
hygiene Correct C
10 – A male client with diabetes mellitus takes Novolin 70/30 insulin
before meals and azithromycin (Zithromax) PO daily, using medication he
brought from home. When the nurse delivers his breakfast tray, the client
tells the nurse that he took his insulin but forgot to take his daily dose of
the Zithromax an hour before breakfast as instructed. What action should
the nurse implement?
a. Offer to obtain a new breakfast tray in an hour so the client
can take the Zithromax
b. Instruct the client to eat his breakfast and take the Zithromax two
hours after eating
c. Tell the client to skip that day’s dose and resume taking the
Zithromax the next day
d. Provide a PRN dose of an antacid to take with the Zithromax
