HESI RN CAT EXAM EXIT
1- A 59-year-old male client is brought to the emergency room where he is
assessed to have a Glasgow Coma Scale of 3. Based on
... [Show More] this assessment, how
should the nurse characterize the client’s condition?
a. The client has increased intracranial pressure
b. He has a good prognosis for recovery
c. This client is conscious, but is not oriented to time and place
d. He is in a coma, and has a very poor prognosis
Correct D
2- At a community health fair, a 50-year-old woman tells the nurse that she has an
annual physical exam that includes a clinical breast exam and an annual
mammogram. How should the nurse respond?
a. Encourage the woman to explore her fears about breast cancer.
b. Ask the woman if she also performs monthly breast self- exams.
c. Commend the woman for adhering to the recommended cancer detection
guidelines.
d. Advise the woman that mammograms are only needed every two years at
her age.
Correct B
3- Which assessment finding should indicate to the nurse that a client with arterial
hypertension is experiencing a cardiac complication?
a. Complaints of an occipital headache
b. A palpable dorsal is pedis pulse bilaterally
c. Complaints of shortness of breath on exertion
d. A blood pressure of 160/90
Correct C
4- A college student who is diagnosed with a vaginal infection and vulva irritation
describes the vaginal discharge as having a “cottage cheese” appearance.
Which prescription should the nurse implement first?
a. Cleanse perineum with warm soapy water 3 times per day
b. Instill the first dose of nystatin (Mycostatin) vaginally per applicator
c. Perform glucose measurement using a capillary blood sample
d. Obtain a blood specimen for sexually transmitted disease (STDs)
Correct B
5- A client in acute renal failure has serum potassium of 7.5 mEq/L. Based on this
finding, the nurse should anticipate implementing which action?
a. Administer an IV of normal saline rapidly and NPH insulsubcutaneously.
b. Administer a retention enema of Kayexalate
c. Add 40 mEq of KCL (potassium chloride) to present IV solution.
d. Administer a lidocaine bolus IV push.
Correct B
6- A client who had an intraosseous (IO) cannula placed by the healthcare provider
for an emergent fluid resuscitation is complaining of severe pain and numbness
below the IO site. The skin around the site is pale and edematous. What action
should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare provider
Correct A
7- The nurse-manager of a perinatal unit is notified that one client from the
medical-surgical unit needs to be transferred to male room for new
admissions. Which client should the nurse recommend for transfer to the
antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of the vulva
Correct B
8- A nurse is teaching a client postoperative breathing techniques using an
incentive spirometer (IS). What should the nurse encourage this client to do
to maintain sustained maximal inspiration?
a. Breathe into the spirometer using normal breath volumes
b. Exhale forcefully into the tubing for 3 to 5 seconds
c. Inspire deeply and slowly over 3 to 5 seconds
d. Perform IS breathing exercises every 6 hours
Correct C
9- The nurse plans to educate a client about the purpose for taking the
prescribed antipsychotic medication clozapine (Clozaril). Which statement
should the nurse provide?
a. You will be able to cope with your symptoms
b. It will help you function better in the community
c. The medication will help you think more clearly [Show Less]