HESI CAT EXAM EXAM QUESTIONS

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HESI CAT EXAM EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -42 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A client who has been taking sildenafil citrate (Viagra) as needed is prescribe sublingual nitro glycerin 0.3 mg as needed for chest pain what should the nurse discuss with the client about taking these medication

Answer:

Do not take a sub lingual nitroglycerin pill for 24 hours after taking Viagra

Question 2: Which test diagnose celiac disease

Answer:

Blood test and endoscopy with intestinal biopsy Question 3: 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

Question 4: A client is prescribed nitroglycerin ointment 1/2 inch every 6 hours and has a PRN prescription for nitroglycerin tablets 0.3 mg sublingual as needed for chest pain what should the nurse instruct the client about the use of these medication in the event of an acute angina attack

Answer:

Take one nitroglycerin tablet sublingual every five minutes for up to three doses in 15 minutes for chest pain

Question 5: Signs and symptoms of celiac disease

Answer:

Weight loss diarrhea abdominal cramping loss of appetite Hint: Think stomach cramp gives you diarrhea with diarrhea you dont wanna eat and if you dont eat you lose weight

Question 6: phlebitis

Answer:

Inflammation of the rain caused by irritation solutions medication or the angiocatheter being in place for days Question 7: A client recovering from an ileostomy feels like it we can dizzy the clients vital signs are blood pressure 95/60 weak and rapid pulse, temperature 99.3 and respiratory rate 20 what nursing diagnosis is a priority at this time

Answer:

Deficient fluid volume Rationale: Lightheadedness dizziness (orthostatic hypotension) low BP, tachycardia and mild increased respiratory rate are all signs of hypovolemia the nursing diagnosis is deficient fluid volume has highest priority at this time clients with ileostomies are particularly at risk for developing hypovolemia due to impaired water absorption Question 8: 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 Question 9: 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 Question 10: Prior to administering a dose of propranolol hydrochloride (Inderal)10 mg by mouth the nurse assesses the client BP as being 88/50 mmHg what should the nurse do at this time

Answer:

Hold the medication and notify the doctor with the BP reading Rationale: Propanolol hydrochloride (Inderal) is a medication to lower systolic blood pressure if this is not like pressure is below 90 mmHg the medication should not be provided and the doctor should be notified Question 11: 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 Rationale: The peripheral in a minute IV catheter device also known as a saline lock is a device flushed with saline and applied to a PICC to maintain IV access and patency. To maintain patency the lock should be flush with 3 mL of NS before and after each medication administered, after blood draw, and every 12 hours with the saline lock has been not been in use. While saline locks reduce the need to insert IV lines, they do have a risk and should be removed 72 hours after insertion to reduce the likelihood of infection Question 12: The nurse has inserted in indwelling urinary catheter into email client after the flow Of urine has started and the nurse has inserted additional length of tubing through the clients made us what should the nurse do

Answer:

Inflate the balloon with 10 mL of sterile water

Question 13: The nurse is evaluating the need for clients on a cardiac step down unit to continue to have central venous access device in place what is the primary reason for removing these devices if they are no longer needed

Answer:

Reduce the risk of hospital acquired infections Rationale: Centrally located venous access devices are a source for a hospital acquired infections the need for these devices should be evaluated and remove a soon as the clients health status once the removal Question 14: A client with community acquired pneumonia is admitted and started on IV vancomycin upon assessment the client reports itching in the nurse observes skin changes.After stopping the infusion which action should the nurse implement first

Answer:

Obtain a blood pressure Rationale: Community acquired pneumonia is a lung infection most often caused by streptococcus pneumonia. vancomycin is a powerful antibiotic commonly used to treat community acquired pneumonia the client symptoms of flushing and itching are characteristics of red man syndrome - a known side effect of vancomycin that can occur if infused to quickly Question 15: 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 Question 16: 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