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Cat Exam 1-Hesi Exit /Questions With Complete Solutions
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Cat Exam 1-Hesi Exit 2023-2024 /Questions WithComplete Solutions
Quiz :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? - √Answer :A
nasopharyngeal tube
Quiz :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? - √Answer :Answer: 200
25 ml x 8hrs = 200
Quiz :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? - √Answer :Check the probe position
, Quiz :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? - √Answer :Reassess the respiratory rate,
counting for one full minute
Quiz :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? - √Answer :"What about your life makes you proud?"
Quiz :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? -
√Answer :A cervical laceration
Quiz :In preparing assignments for the shift, which client is best for the charge
nurse to assign to a practical nurse? - √Answer :An elderly client with
Alzheimer's disease complicated by dysphagia
Quiz :The healthcare provider prescribes oxygen per nasal cannula at 2 L/min.
Which action has the highest priority when the nurse implements this
prescription? - √Answer :Set the flow meter
Quiz :9. 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? -
√Answer :C. Instruct the nurse to select another injection site
Quiz :10. After diagnosis and initial treatment of a 3-year-old child with cystic
fibrosis, the nurse provides home care instructions to the mother. Which
statement by the child's mother indicates that she understands home care
treatment to promote pulmonary function? - √Answer :"Chest physiotherapy
should be performed at least twice a day"
Quiz :The nurse is preparing a community education program on osteoporosis.
Which instruction is helpful in preventing bone loss and promoting bone
formation? - √Answer :Encourage physical activity
, Quiz :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? - √Answer :Sweating
Quiz :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? - √Answer :Stage 1 pressure ulcer on sacrum
Quiz :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? - √Answer :Report assessment findings to the proper
legal authorities
Quiz :15. 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? - √Answer :Acute withdrawal from
anticonvulsant medication
Quiz :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 balance of cold and hot forces.
When planning nursing care, what nursing diagnosis has the highest priority? -
√Answer :Impaired tissue integrity related to episiotomy
Quiz :17. 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? - √Answer :High risk for fluid volume deficit related to temperature
elevation
Quiz :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? - √Answer :Determine if the client has
taken acyclovir (Zovirax) for this outbreak of genital herpes
Quiz :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
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