{"id":118565,"date":"2023-09-05T02:14:02","date_gmt":"2023-09-05T02:14:02","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118565"},"modified":"2023-09-05T02:14:04","modified_gmt":"2023-09-05T02:14:04","slug":"cat-exam-1-hesi-exit-2022-quiz-bank-with-complete-solution","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/05\/cat-exam-1-hesi-exit-2022-quiz-bank-with-complete-solution\/","title":{"rendered":"Cat exam 1-Hesi Exit 2022 Quiz Bank with complete solution"},"content":{"rendered":"\n<p>A client is comatose upon arrival to the emergency department after falling a roof.<br>The client flexes with painful stimuli, and the nurse determines the client&#8217;s<br>Glasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare to<br>implement to maintain the client&#8217;s airway?<br>A nasopharyngeal tube<br>A client is receiving a continuous half strength tube feeding at 50 ml\/hr. To<br>prepare enough of the solution for eight hours, how many ml of full strength<br>feeding will the nurse need?<br>Answer: 200<br>25 ml x 8hrs = 200<br>The alarm of a client&#8217;s pulse oximeter sounds and the nurse notes that the<br>oxygen saturation rate is indicated at 85%. What action should the nurse take<br>first?<br>Check the probe position<br>A client is known to have an irregular respiratory rate with periods of apnea<br>lasting 10 to 15 seconds. Currently, the nurse counts 22 respiratory cycles in a<br>30-second interval followed by an apneic period. What intervention should the<br>nurse implement?<br>Reassess the respiratory rate, counting for one full minute<br>A retiree with depression complains of feeling &#8220;lonely and having no purpose&#8221; in<br>life.Based on Erikson&#8217;s developmental theory, which questions suggest that the<br>nurse understands the client&#8217;s most important emotional need?<br>&#8220;What about your life makes you proud?&#8221;<br>Following a precipitous labor, a client has a continuous trickling of bright red<br>blood from her vagina. Her uterus is firm and her vital signs are within normal<br>limits. The<br>nurse determines that the client&#8217;s symptoms may indicate which condition?<br>A cervical laceration<br>In preparing assignments for the shift, which client is best for the charge nurse to<br>assign to a practical nurse?<br>An elderly client with Alzheimer&#8217;s disease complicated by dysphagia<br>The healthcare provider prescribes oxygen per nasal cannula at 2 L\/min. Which<br>action has the highest priority when the nurse implements this prescription?<br>Set the flow meter<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>A nurse who is new to the pediatric unit is positioning a 6-month-old for an<br>injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should<br>the nurse-manager who is supervising this nurse take first?<br>C. Instruct the nurse to select another injection site<\/li>\n\n\n\n<li>After diagnosis and initial treatment of a 3-year-old child with cystic fibrosis,<br>the nurse provides home care instructions to the mother. Which statement by the<br><br>child&#8217;s mother indicates that she understands home care treatment to promote<br>pulmonary function?<br>&#8220;Chest physiotherapy should be performed at least twice a day&#8221;<br>The nurse is preparing a community education program on osteoporosis. Which<br>instruction is helpful in preventing bone loss and promoting bone formation?<br>Encourage physical activity<br>The nurse reviews the signs of hypoglycemia with the parents of a child with<br>Type 1 diabetes mellitus. The parents correctly understands signs of<br>hypoglycemia if they include which symptom?<br>Sweating<br>The nurse observes a 2 cm area nonblanchable erythema on the sacrum of an<br>immobile client. What documentation of this finding is best for the nurse to enter<br>into the client&#8217;s record?<br>Stage 1 pressure ulcer on sacrum<br>When assessing a 7-year-old girl, the nurse notes that she has multiple bruises<br>on her back and upper arms. The child&#8217;s aunt tells the nurse that the child&#8217;s<br>parents abuse drugs and alcohol. What intervention is most essential for the<br>nurse to implement?<br>Report assessment findings to the proper legal authorities<\/li>\n\n\n\n<li>A 14-year-old male client arrives at the emergency room in status epilepticus.<br>He was diagnosed with a seizure disorder in childhood. What is the most likely<br>cause of his present condition?<br>Acute withdrawal from anticonvulsant medication<br>A Chinese-American client who just delivered a baby states that she will not be<br>able to take the prescribed sitz baths to help heal her episiotomy incision<br>because this will cause an unhealthy balance of cold and hot forces. When<br>planning nursing care, what nursing diagnosis has the highest priority?<br>Impaired tissue integrity related to episiotomy<\/li>\n\n\n\n<li>A 2-year-old with sickle cell anemia has an axillary temperature of 102 F. In<br>planning care for this child, which nursing diagnosis has the highest priority?<br>High risk for fluid volume deficit related to temperature elevation<br>During the first trimester of pregnancy, a client who was treated for genital<br>herpes with acyclovir (Zovirax) prior to this pregnancy tells the nurse that she is<br>experiencing an episode of genital herpes. Which nursing intervention has the<br>highest priority?<br>Determine if the client has taken acyclovir (Zovirax) for this outbreak of genital herpes<br>The nurse is obtaining a medication history for a client with a new prescription<br>for paroxetine (Paxil). The client reports current use of the MAO inhibitor<br>isocarboxazid<br>(Marplan). What intervention is most important for the nurse to implement?<br>Notify the healthcare provider that the client is currently taking Marplan<br>While performing a skin inspection on a newborn, the nurse finds a small dimple<br>and a dark tuft of hair in the lumbosacral area of the infant&#8217;s back. What is the<br>most likely indication of this finding?<br>External manifestation of a spinal abnormality<br><br>What action should the nurse implement first when delegating nursing activities<br>to an unlicensed assistive personnel (UAP)?<br>Evaluate the experience of the UAP<br>A female resident of a long-term care facility is being admitted to the medical<br>department. The client has a fractured hip and has methicillin-resistant<br>staphylococcus aureus (MRSA). Which room should the charge nurse assign this<br>client?<br>A semi-private room with a client who also has methicillin-resistant staphylococcus<br>aureus (MRSA)<br>The nurse is preparing a client for surgery. Which finding indicates that the client<br>is ready to proceed to the operating room (OR) for a scheduled surgical<br>procedure?<br>Hemoglobin 10.1 grams<br>The nurse is preparing to administer an intramuscular injection in the<br>ventrogluteal site of a client who weighs 80 kg. What size needle should the nurse<br>select?<br>21-gauge, 1.5-inch needle<br>A client at 38-weeks gestation is in active labor, and a vaginal birth after Cesarean<br>section (VBAC) is planned. Vaginal exam indicates that the client is 6 cm dilated,<br>90% effaced, and at station 0 with intact membranes. As the client&#8217;s contraction<br>become stronger, the fetal heart rate decelerates during the contractions but<br>returns to baseline. What action should the nurse take?<br>Continue to monitor the client&#8217;s labor progress<br>An elderly client with limited mobility reports frequent episodes of nocturia. To<br>reduce the risk for urinary incontinence, what action should the nurse<br>implement?<br>Keep the call bell within the client&#8217;s reach<br>Which diagnostic tests are most important for the nurse to monitor when<br>providing care for a client with a bowel obstruction?<br>Serum electrolytes<\/li>\n\n\n\n<li>A 72-year-old male client reports that he has felt depressed since his wife died<br>six months ago. What question is most important for the nurse to ask this client?<br>&#8220;Have you ever felt like hurting yourself?&#8221;<br>After administering the first dose of newly prescribed to four clients within a<br>thirty minute time frame, the nurse evaluates each client for therapeutic<br>responses or any adverse reactions. Which medication should the nurse evaluate<br>first?<br>HYdromorphone (Dilaudid)<br>What is the most important symptom the nurse should monitor the client for<br>while assisting with the insertion of a subclavian central venous catheter?<br>Shortness of breath<br>The nurse is developing a plan of care for a client who has a prescription for the<br>calcium channel-blocker nifedipine (Procardia) to treat angina pectoris. What is<br>the purpose for administration of this<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>A client is comatose upon arrival to the emergency department after falling a roof.The client flexes with painful stimuli, and the nurse determines the client&#8217;sGlasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare toimplement to maintain the client&#8217;s airway?A nasopharyngeal tubeA client is receiving a continuous half strength tube feeding at 50 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118565","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118565"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118565\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}