HESI EXIT CAT EXAM 2024 LATEST
ACTUAL EXAM| 640 QUESTIONS AND
100% CORRECT ANSWER S| CAT EXAMS
1,2,3 AND 4 2024 VERSIONS EACH WITH
160 QUESTIONS AND DETAILED
ACCURATE ANSWERS WITH
RATIONALES
CAT 1
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's Glasgow Coma Scale (GCS) is 6.Which intervention should the nurse prepare to implement to maintain the client's airway? Correct Answer A nasopharyngeal tube
A client is receiving a continuous half strength tube feeding at 50 ml/hr. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse need? Correct
Answer Answer: 200
25 ml x 8hrs = 200
The alarm of a client's pulse oximeter sounds and the nurse notes that the oxygen saturation rate is indicated at 85%. What action should the nurse take first? Correct Answer Check the probe position 1 / 4
A client is known to have an irregular respiratory rate with periods of apnea lasting 10 to 15 seconds. Currently, the nurse counts 22 respiratory cycles in a 30-second interval followed by an apneic period. What intervention should the nurse implement? Correct Answer Reassess the respiratory rate, counting for one full minute
A retiree with depression complains of feeling "lonely and having no purpose" in life.Based on Erikson's developmental theory, which questions suggest that the nurse understands the client's most important emotional need? Correct Answer "What about your life makes you proud?"
Following a precipitous labor, a client has a continuous trickling of bright red blood from her vagina. Her uterus is firm and her vital signs are within normal limits. The nurse determines that the client's symptoms may indicate which condition? Correct Answer A cervical laceration
In preparing assignments for the shift, which client is best for the charge nurse to assign to a practical nurse? Correct Answer An elderly client with Alzheimer's disease complicated by dysphagia
The healthcare provider prescribes oxygen per nasal cannula at 2 L/min. Which action has the highest priority when the nurse implements this prescription? Correct Answer Set the flow meter
- A nurse who is new to the pediatric unit is positioning a 6-
month-old for an injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should the nurse-manager who is supervising this nurse take first? Correct Answer C. Instruct the nurse to select another injection site
- After diagnosis and initial treatment of a 3-year-old child with
cystic fibrosis, the nurse provides home care instructions to the 2 / 4
mother. Which statement by the child's mother indicates that she understands home care treatment to promote pulmonary function? Correct Answer "Chest physiotherapy should be performed at least twice a day"
The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in preventing bone loss and promoting bone formation? Correct Answer Encourage physical activity
The nurse reviews the signs of hypoglycemia with the parents of a child with Type 1 diabetes mellitus. The parents correctly understands signs of hypoglycemia if they include which symptom? Correct Answer Sweating
The nurse observes a 2 cm area nonblanchable erythema on the sacrum of an immobile client. What documentation of this finding is best for the nurse to enter into the client's record? Correct Answer Stage 1 pressure ulcer on sacrum
When assessing a 7-year-old girl, the nurse notes that she has multiple bruises on her back and upper arms. The child's aunt tells the nurse that the child's parents abuse drugs and alcohol.What intervention is most essential for the nurse to implement?Correct Answer Report assessment findings to the proper legal authorities
- A 14-year-old male client arrives at the emergency room in
status epilepticus. He was diagnosed with a seizure disorder in childhood. What is the most likely cause of his present condition?Correct Answer Acute withdrawal from anticonvulsant medication
A Chinese-American client who just delivered a baby states that she will not be able to take the prescribed sitz baths to help heal her episiotomy incision because this will cause an unhealthy 3 / 4
balance of cold and hot forces. When planning nursing care, what nursing diagnosis has the highest priority? Correct Answer Impaired tissue integrity related to episiotomy
- A 2-year-old with sickle cell anemia has an axillary
temperature of 102 F. In planning care for this child, which nursing diagnosis has the highest priority? Correct Answer High risk for fluid volume deficit related to temperature elevation
During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir (Zovirax) prior to this pregnancy tells the nurse that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?Correct Answer Determine if the client has taken acyclovir (Zovirax) for this outbreak of genital herpes
The nurse is obtaining a medication history for a client with a new prescription for paroxetine (Paxil). The client reports current use of the MAO inhibitor isocarboxazid (Marplan). What intervention is most important for the nurse to implement? Correct Answer Notify the healthcare provider that the client is currently taking Marplan
While performing a skin inspection on a newborn, the nurse finds a small dimple and a dark tuft of hair in the lumbosacral area of the infant's back. What is the most likely indication of this finding?Correct Answer External manifestation of a spinal abnormality
What action should the nurse implement first when delegating nursing activities to an unlicensed assistive personnel (UAP)?Correct Answer Evaluate the experience of the UAP
A female resident of a long-term care facility is being admitted to the medical department. The client has a fractured hip and has methicillin-resistant
- / 4