Page 1 of 86
NEW HESI CAT ACTUAL EXAM
QUESTIONS WITH VERIDIED
SOLUTIONS GRADED A+ TESTED AND
APPROVED!!!
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. -- ANSWER--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. -- ANSWER--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?
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A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. -- ANSWER--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. -- ANSWER--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." --
ANSWER--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.
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B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. -- ANSWER--A. Preparing the
client for emergency abdominal surgery.
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." --
ANSWER--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. -- ANSWER--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.
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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. -- ANSWER--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.) -- ANSWER--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. -- ANSWER--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.
NEW HESI CAT ACTUAL EXAM
QUESTIONS WITH VERIDIED
SOLUTIONS GRADED A+ TESTED AND
APPROVED!!!
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. -- ANSWER--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. -- ANSWER--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?
, Page 2 of 86
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. -- ANSWER--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. -- ANSWER--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." --
ANSWER--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.
, Page 3 of 86
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. -- ANSWER--A. Preparing the
client for emergency abdominal surgery.
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." --
ANSWER--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. -- ANSWER--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.
, Page 4 of 86
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. -- ANSWER--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.) -- ANSWER--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. -- ANSWER--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.
