HESI COMPUTERIZED ADAPTIVE TESTING (CAT)
ACTUAL EXAM ALL QUESTIONS AND ANSWERS
FOR 2024-2024 ALREADY A GRADED HIGHLY
RECOMMENDED | NEW AND REVISED
A 20-year-old woman comes into the clinic after missing her menstrual period 2 weeks ago and states
that she suspects that she is pregnant. As the nurse is reviewing her medications, the client says that she
is taking isotretinoin. What should the nurse consider regarding isotretinoin? - CORRECT ANSWER-it is a
teratogen
A nurse is teaching skin and basic care to the mother of a 6-month-old infant with eczema. Which
statement indicates that the mother needs further teaching? - CORRECT ANSWER-I'll have to be careful
not to cut my baby's nails short."
The registered nurse (RN) delegated a task to a licensed practical nurse (LPN). The LPN completed the
task effectively. Which statement made by the RN is appropriate feedback? - CORRECT ANSWER-"You
performed that procedure safely and professionally.
A nurse in the pediatric clinic is planning care for a 7-year-old boy with enuresis. What is an appropriate
short-term goal for this child? - CORRECT ANSWER-The interval between voidings will increase by 1 hour
Which statement of the nurse is true regarding Hersey's Situational Leadership Model? - CORRECT
ANSWER-The situational leadership model provides a solid foundation for delegation decisions.
The nurse leader performs his or her own honest appraisals on a regular basis and feels good about the
job. Which rule is the nurse leader implementing by this action? - CORRECT ANSWER-Building self-
confidence
A newborn is found to have Down syndrome. The nurse knows that Down syndrome is usually
accompanied by several problems. Which assessment should the nurse perform during the physical
examination? - CORRECT ANSWER-ardiac irregularities for congenital heart disease
Which model of nursing care would include working "within the walls" as well as "beyond the walls" of
the hospital? - CORRECT ANSWER-nursing case-management model
, A registered nurse (RN) delegates the task of oral care of a client with stomatitis, to an unlicensed
assistive personnel (UAP). Which instruction should be given by the RN to the UAP? - CORRECT ANSWER-
"Be certain to use mouthwash containing sodium bicarbonate with the client."
The nurse is reviewing a plan of care for a client who has experienced a traumatic amputation of a leg.
The nurse recognizes that which intervention listed on the plan is of lowest priority? - CORRECT
ANSWER-Teaching residual limb care
While working with a delegatee, the registered nurse says to the delegate, "It's easy; you can do the
procedure tomorrow after watching me do it today. Just follow the steps I have demonstrated." What is
the behavior of the registered nurse in this situation? - CORRECT ANSWER-selling
At which body temperature does the blood pressure of a victim of hypothermia become obtainable only
by Doppler? - CORRECT ANSWER-91.4
The nurse manager finds that there is an increased infection rate in the unit due to an increased number
of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection
rates. The leader is initiating an open dialogue about external and internal realities among the team
members. Which attribute of Kotter's eight-step model is involved in this action by the nurse manager? -
CORRECT ANSWER-creating urgency
The nurse manager is implementing a change in evening care for clients to include back rubs to promote
sleep. The nurse manager convinces the managers of various nursing units and also supports nursing
staff who are willing to implement the change. Which component of Kotter's eight step model is
involved in this scenario? - CORRECT ANSWER-forming coalition
The nurse is caring for a client who meets the criteria for the emergency severity index level 2 (ESI-2).
How soon should the client be seen by the physician? - CORRECT ANSWER-within 10 minutes
A nurse auscultates a client's lungs and hears a fine crackling sound in the left lower lung during
respiration. The nurse charts, "crackles and rhonchi in the left lower lung." What does this
documentation represent? - CORRECT ANSWER-inaccurate interpretation
ACTUAL EXAM ALL QUESTIONS AND ANSWERS
FOR 2024-2024 ALREADY A GRADED HIGHLY
RECOMMENDED | NEW AND REVISED
A 20-year-old woman comes into the clinic after missing her menstrual period 2 weeks ago and states
that she suspects that she is pregnant. As the nurse is reviewing her medications, the client says that she
is taking isotretinoin. What should the nurse consider regarding isotretinoin? - CORRECT ANSWER-it is a
teratogen
A nurse is teaching skin and basic care to the mother of a 6-month-old infant with eczema. Which
statement indicates that the mother needs further teaching? - CORRECT ANSWER-I'll have to be careful
not to cut my baby's nails short."
The registered nurse (RN) delegated a task to a licensed practical nurse (LPN). The LPN completed the
task effectively. Which statement made by the RN is appropriate feedback? - CORRECT ANSWER-"You
performed that procedure safely and professionally.
A nurse in the pediatric clinic is planning care for a 7-year-old boy with enuresis. What is an appropriate
short-term goal for this child? - CORRECT ANSWER-The interval between voidings will increase by 1 hour
Which statement of the nurse is true regarding Hersey's Situational Leadership Model? - CORRECT
ANSWER-The situational leadership model provides a solid foundation for delegation decisions.
The nurse leader performs his or her own honest appraisals on a regular basis and feels good about the
job. Which rule is the nurse leader implementing by this action? - CORRECT ANSWER-Building self-
confidence
A newborn is found to have Down syndrome. The nurse knows that Down syndrome is usually
accompanied by several problems. Which assessment should the nurse perform during the physical
examination? - CORRECT ANSWER-ardiac irregularities for congenital heart disease
Which model of nursing care would include working "within the walls" as well as "beyond the walls" of
the hospital? - CORRECT ANSWER-nursing case-management model
, A registered nurse (RN) delegates the task of oral care of a client with stomatitis, to an unlicensed
assistive personnel (UAP). Which instruction should be given by the RN to the UAP? - CORRECT ANSWER-
"Be certain to use mouthwash containing sodium bicarbonate with the client."
The nurse is reviewing a plan of care for a client who has experienced a traumatic amputation of a leg.
The nurse recognizes that which intervention listed on the plan is of lowest priority? - CORRECT
ANSWER-Teaching residual limb care
While working with a delegatee, the registered nurse says to the delegate, "It's easy; you can do the
procedure tomorrow after watching me do it today. Just follow the steps I have demonstrated." What is
the behavior of the registered nurse in this situation? - CORRECT ANSWER-selling
At which body temperature does the blood pressure of a victim of hypothermia become obtainable only
by Doppler? - CORRECT ANSWER-91.4
The nurse manager finds that there is an increased infection rate in the unit due to an increased number
of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection
rates. The leader is initiating an open dialogue about external and internal realities among the team
members. Which attribute of Kotter's eight-step model is involved in this action by the nurse manager? -
CORRECT ANSWER-creating urgency
The nurse manager is implementing a change in evening care for clients to include back rubs to promote
sleep. The nurse manager convinces the managers of various nursing units and also supports nursing
staff who are willing to implement the change. Which component of Kotter's eight step model is
involved in this scenario? - CORRECT ANSWER-forming coalition
The nurse is caring for a client who meets the criteria for the emergency severity index level 2 (ESI-2).
How soon should the client be seen by the physician? - CORRECT ANSWER-within 10 minutes
A nurse auscultates a client's lungs and hears a fine crackling sound in the left lower lung during
respiration. The nurse charts, "crackles and rhonchi in the left lower lung." What does this
documentation represent? - CORRECT ANSWER-inaccurate interpretation
