HESI CAT EXAM LATEST COMPLETE TEST WITH ACTUAL
EXAM QUESTIONS AND WELL ELABORATED ANSWERS
WITH RATIONALES (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION |ALREADY
GRADED A+ (BRAND NEW!!) HESI CAT EXAM
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
EXAM QUESTIONS AND WELL ELABORATED ANSWERS
WITH RATIONALES (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION |ALREADY
GRADED A+ (BRAND NEW!!) HESI CAT EXAM
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
