HESI CAT EXAM 2024 <\/p>\n\n\n\n
VERSION A
The nurse should question the use of dopamine, and adrenergic agonist,
for a client with which assessment finding?
A. Currently receiving a loop diuretic
B. Experiencing ventricular fibrillation
C. Blood pressure if 90\/60
D. Is taking a tricyclic antidepressant – ANSWER- B. Experiencing
ventricular fibrillation
Following two defibrillation shocks, the client’s ECG continues to
indicate ventricular fibrillation (VF). Which intervention should the
nurse implement next?
A. Resume CPR immediately
B. Perform the third defribrillation shock.
C. Obtain an arterial blood gas sample.
D. Administer an IV bolus of epinephrine – ANSWER- A. Resume CPR
immediately<\/p>\n\n\n\n
A client with a prescription for “do not resuscitate ” (DNR) begins to
manifests signs of impending death. After notifying the family of the
client’s status, what priority action should the nurse implement?
A. Assess the client’s need for pain medication
B. Notify the chaplain of the client’s status
C. Report the client’s status to the healthcare provider
D. Document the client’s signs of impending death. – ANSWER- A.
Assess the client’s need for pain medication
. Which technique should be used to obtain a sterile urine specimen
using a straight catheter?
A. Discard the first specimen, clamp the catheter, then collect the next
specimen.
B. Drain the urine from the catheter into a sterile container
C. Use a sterile syringe to obtain the specimen from the port.
D. Drain the urine from the collection bad into a sterile container –
ANSWER- B. Drain the urine from the catheter into a sterile container
The nurse is caring for a client who is admitted to the telemetr unit for
complications related to a myocardial (MI) that occurred 4 days ago. A
12 lead electrcardiogram (ECG) shows right axis deviation and poor R
wave progression. Which assessment findings suggest that the client is at
risk for right ventricular hypertrophy?
A. Generalized fatigue, dizziness, swollen ankles
B. Severe chest pain and shortness of breath
C. Nausea, vomiting, and generalized edema<\/p>\n\n\n\n
D. Sharp, non-radiating chest pain and nausea – ANSWER- A.
Generalized fatigue, dizziness, swollen ankles
The nurse should question a prescription for docusate sodium (Colace)
for a client with which problem?
A. First day post myocardial infarction
B. Abdominal pain of unknown etiology
C. Two days following a knee replacement
D. History of liver disease – ANSWER- B. Abdominal pain of unknown
etiology
A client with an anterior wall myocardial infarction is admitted to the
intensive care unit with persistently low blood pressure. The nurse
determines the client’s pulmonary capillary wedge pressure (PCWP) is
28 mm Hg and systemic vascular resistance (SVR) is 2000
dynes\/sec\/cm5. Which classification of medication is likely to optimize
the client’s SVR?
A. Adrenergic
B. Vasodilator
C. Diuretic
D. Positive inotropic agent – ANSWER- B. Vasodilator
The nurse is evaluating discharge teaching of an adolescent who had a
long log cast applied in the emergency department. Which statement by
the adolescent indicates an understanding of cast care?<\/p>\n\n\n\n
A. ” I should wrap a cloth around a stick before using it to scratch under
my cast.”
B. ” I will not be able to take a shower until the cast is removed from my
leg.”
C. ” I will put adhesive tape around the edges of the cast if they become
sharp.”
D. ” If my toes are tingling I will elevate my leg above my heart, on
several pillows.” – ANSWER- C. ” I will put adhesive tape around the
edges of the cast if they become sharp.”
Which technique should the nurse use to assess for manifestations of
erythema infectiosum (fifth disease) in a 4 year-old?
A. Auscultate breath sounds
B. Observe physical appearance
C. Visualize oropharynx
D. Palpate lymph nodes – ANSWER- B. Observe physical appearance
A client is taking cromolin sodium (Intal) Inhaler for chronic asthma.
Which statement indicates the client understands the medication
teaching?
A. ” I will have my liver enzymes checked monthly.”
B. ” It is more important to take this medication with food.”
C. “I should keep my inhaler with me at all time.”
D. “I will not discontinue taking this medication abruptly.” – ANSWER\u0002D. “I will not discontinue taking this medication abruptly.”<\/p>\n\n\n\n