2024 HESI CAT ACTUAL LATEST EXAM

2024 HESI CAT ACTUAL LATEST EXAM

2024-2025 WITH REAL QUESTIONS AND

WELL VERIFIED CORRECT ANSWERS

||ALREADY GRADED A+ ||BRAND NEW!!

A client with peptic ulcer disease (PUD) is admitted to the emergency room complaining of sudden severe upper abdominal pain. Assessment indicates an extremely tender and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110 beat/minute. The emergency department nurse should anticipate implementation of which intervention?

• Preparing the client for emergency abdominal surgery.
• Infusing the proton pump inhibitor Protonix intravenously.
• Administering an iced saline lavage.
• Inserting a nasogastric tube to decompress the bowel. - ANSWER-A. Preparing

the client for emergency abdominal surgery.

Which finding should the nurse expect a client to exhibit who is newly diagnosed with fibromyalgia?

• Recent joint trauma.
• Disruption in sleep patterns.
• Unexplained weight gain.
• Itching and rash. - ANSWER-B. Disruption in sleep patterns.
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A male client with diabetes mellitus reports that he has had trouble following his diet, and the result of his fasting blood glucose test is 90 mg/dl. What action should the nurse implement first?

• Obtain a urine specimen from the client to test for ketonuria.
• Assure the client that his diabetes control is within normal limits.
• Schedule the client to attend classes about diet management.
• Review the findings of his glycosylated hemoglobin test. - ANSWER-D.

Review the findings of his glycosylated hemoglobin test.

A multipara postpartum client complains intense cramping while breastfeeding.What instruction should the nurse provide to the client?

• Change the infant's position during the next feeding.
• Void and completely empty bladder before each feeding.
• Take a prescribed analgesic an hour prior to breastfeeding.
• Drink two glasses of water 30 minutes prior to breastfeeding. - ANSWER-C.

Take a prescribed analgesic an hour prior to breastfeeding.

A nurse is preparing to teach the parents of a child who had a surgical repair of myelomeningocele how to change an occlusive dressing on the child's back. Which statement by the parents indicates that they understand this procedure?

• "We should rapidly remove the tape from the edges of the dressing when

changing it."

• "The dressing should be wetted periodically to keep the skin incision moist."
• "The dressing will help dry the sutures for ease of removal."
• " The purpose of the dressing is to protect the incision from fecal

contamination." - ANSWER-D. " The purpose of the dressing is to protect the incision from fecal contamination."

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While the nurse is preparing to administer a high-volume saline enema to a male client, the client appears anxious and states that he is not able to turn on his right side without help because of a recent stroke. What action should the nurse take first?

• Reassure the client that he can remain in any position of comfort during the

enema.

• Assess the client's ability to independently turn to his left side.
• Instruct the client that the procedure will only last about ten minutes.
• Ask a UAP to assist the client to maintain a right lateral position. - ANSWER-
• Assess the client's ability to independently turn to his left side.

The nurse notes that a client is experiencing supraventricular tachycardia (SVT).Which action should the nurse implement?

• Assess the client's heart sounds and vital signs.
• Call a code and start CPR immediately.
• Prepare to administer adenosine, an antidysrhythmic.
• Place a crash cart at the client's bedside. - ANSWER-C. Prepare to administer

adenosine, an antidysrhythmic.

A client at 8 weeks gestation is told her hemoglobin is 9.5 mg/dl. Which nursing intervention has the highest priority?

• Explain that this is a normal finding in early pregnancy.
• Instruct the client to eat a well-balanced diet.
• Provide the client with a list of foods high in iron
• Obtain a prescription for an iron supplement. - ANSWER-D. Obtain a

prescription for an iron supplement.

The nurse is performing a routine well-child exam on a 5 year-old. While palpating the lymph nodes, the nurse feels several 0.5 cm nodes in the cervical area that are 3 / 4

round, mobile, non-tender, and non-warm to the touch. What do these findings most likely represent?

• An indicator of early stage mumps
• An expected finding for a well child of this age.
• A sign of acute lymphadenitis
• An abnormal finding in need of further investigation - ANSWER-B. An

expected finding for a well child of this age.

An 86-year old female client complains to the nurse that she does not like to eat as much she used to because things taste differently to her now that she is older. The nurse's response should be based on which fact?

• Taste sensation decreased in older adults because of diminished gastric

secretions

• Older people often use poor taste sensation as an excuse to avoid eating foods

they do not like.

• Poorly prepared meals and eating alone are the usual causes of a decreased

appetite in older adults.

• A loss of appetite often occurs in older adults as a result of a decreased sense of

smell. - ANSWER-D. A loss of appetite often occurs in older adults as a result of a decreased sense of smell.

The nurse is conducting health assessments. Which assessment finding increases a 56 year old woman's risk for developing osteoporosis?

• Cigarette smoking
• Family history of coronary heart disease
• Use of birth control pills until age 45
• Obesity - ANSWER-A. Cigarette smoking
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