HESI CAT Exam Latest 2026/2027|
A Review Of Real 420 Selected Past
Exam Questions and Correct Answers
With Rationale| Guaranteed Pass |
Already Graded A+ (New!!)
1.Which screening report will help the nurse determine skeletal growth in a child?
1
Electroencephalogram reports
2
Radiographs of the hand and wrist
3
Magnetic resonance imaging (MRI)
4
Denver Developmental Screening Test - ANSWER✔️-2
Skeletal growth in a child can be determined from the ossification centers. At 5 to
6 months of age, the capitate and hamate bones in the wrist are the earliest centers.
Therefore radiographs of the hand and wrist will help determine skeletal growth in
the child. Electroencephalogram reports will help assess a child's brain activity.
MRI is used to scan the internal structures of a client. The Denver Developmental
Screening Test is used to understand developmental issues of a child.
2.A client describes his delusions in minute detail to the nurse. How should the
nurse respond?
1
Changing the topic to reality-based events
2
Continuing to discuss the delusion with the client
3
Getting the client involved in a social project with peers
4
Disputing the perceptions with the use of logical thinking - ANSWER✔️-1
,Decreasing time spent on delusions prevents reinforcement of psychotic thinking.
Discussing reality-based events improves contact with reality. Encouraging
discussion will give validity to the delusion. The client will have difficulty getting
involved in a social activity; the activity will not stop the delusion. Challenging the
client may increase anxiety.
3.A nurse working on a mental health unit is caring for several clients who are at
risk for suicide. Which client is at the greatest risk for successful suicide?
1
Young adult who is acutely psychotic
2
Adolescent who was recently sexually abused
3
Older single man just found to have pancreatic cancer
4
Middle-age woman experiencing dysfunctional grieving - ANSWER✔️-3
Older single men with chronic health problems are at the highest risk of suicide.
This is because men have fewer social supports than women do. (Men are less
social then women in general.) Less social support at times of stress can increase
the risk of suicide. Also, chronic health problems can lead to learned helplessness,
which can lead to depression. People who are acutely psychotic as a group are at
higher risk for suicide, but they do not have the suicide rate of older single adult
men with chronic health problems. An adolescent who was recently sexually
abused, although severely traumatized, does not have the risk of suicide of an older
single man with chronic health problems. Dysfunctional grieving is prolonged
grieving that is characterized by greater disability and dysfunctional patterns of
behavior. Although people with complicated dysfunctional grieving may be at risk
for self-directed violence, they do not have the suicide risk of older single men
with chronic health problems.
4.Which stages would the nurse explain that a toddler goes through, according to
Freud's theory? Select all that apply.
1
Oral
2
Anal
3
Phallic
,4
Genital
5
Latency - ANSWER✔️-12
According to Freud's theory, a toddler goes through the oral and anal stages. The
phallic stage is seen in children between the ages of 3 to 6 years. The genital stage
is seen during puberty through adulthood. The latency stage is seen in children
ages 6 to 12 years of age.
5.A client is found to have a borderline personality disorder. What behavior does
the nurse consider is most typical of these clients?
1
Inept
2
Eccentric
3
Impulsive
4
Dependent - ANSWER✔️-3
Impulsive, potentially self-damaging behaviors are typical of clients with this
personality disorder. Inept behavior, by itself, is not typical of clients with any
specific personality disorder. Eccentric behavior is more typical of the client with a
schizotypal personality disorder. Dependent behavior is more typical of the client
with a dependent personality disorder.
6.An older adult, accompanied by family members, is admitted to a long-term care
facility with symptoms of dementia. What initial statement by the nurse during the
admission procedure would be most helpful to this client?
1
"You're a little disoriented now, but don't worry. You'll be all right in a few days."
2
"Don't be afraid. I'm your nurse, and everyone here in the hospital is here to help
you."
3
"I'm the nurse on duty today. You're in the hospital. Your family can stay with you
for a while."
4
, "Let me introduce you to the staff here first. In a little while I'll get you acquainted
with our unit routine." - ANSWER✔️-2
Familiarity with the environment and a self-introduction may help promote
security and feelings of trust. Telling the client "You're a little disoriented now, but
don't worry. You'll be all right in a few days" denies the client's feelings and
provides false reassurance. A self-introducing one's self followed by telling the
client that of being in the hospital and that the family may stay for a while denies
the client's feelings but does provide self-introduction and orientation regarding the
client's location. A person under stress cannot assimilate much information;
verbiage could lead to more confusion.
7.Which identity may fail to develop if the adolescent fails to feel a sense of
belonging and acceptance?
1
Sexual identity
2
Group identity
3
Family identity
4
Health identity - ANSWER✔️-2
Failure to feel acceptance and belonging results in failure to establish a group
identity. A lack of physical evidence of maturity can predispose the adolescent to
fail to establish a sexual identity. Adolescents depend on these physical cues
because they want assurance of maleness or femaleness and do not wish to be
different from their peers. If an adolescent fails to foster independence and balance
in the family structure, it may hamper family identity. Healthy adolescents evaluate
their own health on the basis of feelings of well-being, ability to function normally,
and absence of symptoms.
8.In her eighth month of pregnancy, a 24-year-old client is brought to the hospital
by the police, who were called when she barricaded herself in a ladies' restroom of
a restaurant. During admission the client shouts, "Don't come near me! My
stomach is filled with bombs, and I'll blow up this place if anyone comes near me."
What does the nurse conclude that the client is exhibiting?
1
Ideas of reference
A Review Of Real 420 Selected Past
Exam Questions and Correct Answers
With Rationale| Guaranteed Pass |
Already Graded A+ (New!!)
1.Which screening report will help the nurse determine skeletal growth in a child?
1
Electroencephalogram reports
2
Radiographs of the hand and wrist
3
Magnetic resonance imaging (MRI)
4
Denver Developmental Screening Test - ANSWER✔️-2
Skeletal growth in a child can be determined from the ossification centers. At 5 to
6 months of age, the capitate and hamate bones in the wrist are the earliest centers.
Therefore radiographs of the hand and wrist will help determine skeletal growth in
the child. Electroencephalogram reports will help assess a child's brain activity.
MRI is used to scan the internal structures of a client. The Denver Developmental
Screening Test is used to understand developmental issues of a child.
2.A client describes his delusions in minute detail to the nurse. How should the
nurse respond?
1
Changing the topic to reality-based events
2
Continuing to discuss the delusion with the client
3
Getting the client involved in a social project with peers
4
Disputing the perceptions with the use of logical thinking - ANSWER✔️-1
,Decreasing time spent on delusions prevents reinforcement of psychotic thinking.
Discussing reality-based events improves contact with reality. Encouraging
discussion will give validity to the delusion. The client will have difficulty getting
involved in a social activity; the activity will not stop the delusion. Challenging the
client may increase anxiety.
3.A nurse working on a mental health unit is caring for several clients who are at
risk for suicide. Which client is at the greatest risk for successful suicide?
1
Young adult who is acutely psychotic
2
Adolescent who was recently sexually abused
3
Older single man just found to have pancreatic cancer
4
Middle-age woman experiencing dysfunctional grieving - ANSWER✔️-3
Older single men with chronic health problems are at the highest risk of suicide.
This is because men have fewer social supports than women do. (Men are less
social then women in general.) Less social support at times of stress can increase
the risk of suicide. Also, chronic health problems can lead to learned helplessness,
which can lead to depression. People who are acutely psychotic as a group are at
higher risk for suicide, but they do not have the suicide rate of older single adult
men with chronic health problems. An adolescent who was recently sexually
abused, although severely traumatized, does not have the risk of suicide of an older
single man with chronic health problems. Dysfunctional grieving is prolonged
grieving that is characterized by greater disability and dysfunctional patterns of
behavior. Although people with complicated dysfunctional grieving may be at risk
for self-directed violence, they do not have the suicide risk of older single men
with chronic health problems.
4.Which stages would the nurse explain that a toddler goes through, according to
Freud's theory? Select all that apply.
1
Oral
2
Anal
3
Phallic
,4
Genital
5
Latency - ANSWER✔️-12
According to Freud's theory, a toddler goes through the oral and anal stages. The
phallic stage is seen in children between the ages of 3 to 6 years. The genital stage
is seen during puberty through adulthood. The latency stage is seen in children
ages 6 to 12 years of age.
5.A client is found to have a borderline personality disorder. What behavior does
the nurse consider is most typical of these clients?
1
Inept
2
Eccentric
3
Impulsive
4
Dependent - ANSWER✔️-3
Impulsive, potentially self-damaging behaviors are typical of clients with this
personality disorder. Inept behavior, by itself, is not typical of clients with any
specific personality disorder. Eccentric behavior is more typical of the client with a
schizotypal personality disorder. Dependent behavior is more typical of the client
with a dependent personality disorder.
6.An older adult, accompanied by family members, is admitted to a long-term care
facility with symptoms of dementia. What initial statement by the nurse during the
admission procedure would be most helpful to this client?
1
"You're a little disoriented now, but don't worry. You'll be all right in a few days."
2
"Don't be afraid. I'm your nurse, and everyone here in the hospital is here to help
you."
3
"I'm the nurse on duty today. You're in the hospital. Your family can stay with you
for a while."
4
, "Let me introduce you to the staff here first. In a little while I'll get you acquainted
with our unit routine." - ANSWER✔️-2
Familiarity with the environment and a self-introduction may help promote
security and feelings of trust. Telling the client "You're a little disoriented now, but
don't worry. You'll be all right in a few days" denies the client's feelings and
provides false reassurance. A self-introducing one's self followed by telling the
client that of being in the hospital and that the family may stay for a while denies
the client's feelings but does provide self-introduction and orientation regarding the
client's location. A person under stress cannot assimilate much information;
verbiage could lead to more confusion.
7.Which identity may fail to develop if the adolescent fails to feel a sense of
belonging and acceptance?
1
Sexual identity
2
Group identity
3
Family identity
4
Health identity - ANSWER✔️-2
Failure to feel acceptance and belonging results in failure to establish a group
identity. A lack of physical evidence of maturity can predispose the adolescent to
fail to establish a sexual identity. Adolescents depend on these physical cues
because they want assurance of maleness or femaleness and do not wish to be
different from their peers. If an adolescent fails to foster independence and balance
in the family structure, it may hamper family identity. Healthy adolescents evaluate
their own health on the basis of feelings of well-being, ability to function normally,
and absence of symptoms.
8.In her eighth month of pregnancy, a 24-year-old client is brought to the hospital
by the police, who were called when she barricaded herself in a ladies' restroom of
a restaurant. During admission the client shouts, "Don't come near me! My
stomach is filled with bombs, and I'll blow up this place if anyone comes near me."
What does the nurse conclude that the client is exhibiting?
1
Ideas of reference
