-A 59-year-old male client is brought to the emergency room where he is assessed to
havea Glasgow Coma Scale of 3. Based on this assessment, howshould 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
A client who had a cerebral vascular accident (CVA)
Is paralyzed on the left side of the body and has developed a Stage II pressure ulcer on
the left hip. Which nursing diagnosis describes this client’s current healthstatus?
-A Risk for impaired tissue integrity related to impaired physical mobility
-B Impaired skin integrity related to altered circulation and pressure
-C Ineffective tissue perfusion related to inability to move self in bed.
-D Impaired physical mobility related to the left side paralysis
Correct B
The nurse offers diet teaching to a female college student who was diagnosedwith iron-
deficiency anemia following her voluntary adoption of a lacto-vegetarian diet. What
nutrients should the nurse suggest this client eat to best meet her nutritional needs
whileallowing her to adhere to a lacto-vegetarian diet?
-A Drink whole milk instead of skim milk to enhance the body’s production ofaminoacids
,HESI RN CAT LATEST EXAM 2024 V1_V2
QUESTIONS AND ANSWERS 100% A+ GRADED
-B Take vitamin K 10mg PO daily to enhance production of red blood cells
-C Increase amounts of dark yellow vegetables such as carrots to fortify ironstores
-D Combine several legumes and grains such as beans and rice to form
complete proteins
Correct D
The nurse is triaging clients from a train wreck. A client has multiple open wounds, a
blood pressure of 90/56, and a pulse of 112 beats/minute. Which triagetag color should
the nurse place on this client?
-A Black
-B Yellow
,HESI RN CAT LATEST EXAM 2024 V1_V2
QUESTIONS AND ANSWERS 100% A+ GRADED
-C Green
-D RedCorrect
D
Which action should the nurse include in the plan of care a client who is
receiving acyclovir (Zovirax) IV for treatment of herpes zoster (shingles)?
-A Initiate cardiac telemetry monitoring
-B Maintain continuously pulse oximetry
-C Perform capillary glucose measurements
-D Monitor serum creatinine levels
Correct D
A client receiving amlodipine (Norvasc), a calcium channel blocker, develops 1+pitting
edema around the ankles. It is most important for the nurse to obtain what additional
client data?
-A Bladder distention
-B Serum albumin level
-C Abdominal girth
-D Breath soundsCorrect
D
, HESI RN CAT LATEST EXAM 2024 V1_V2
QUESTIONS AND ANSWERS 100% A+ GRADED
A male adult client is transferred to a psychiatric facility following release from the
hospital for treatment of a self-inflicted gunshot wound. In attempting to developa
therapeutic relationship with this client, which information is most important for
thenurseto determine?
-A The family’s reaction to this situation
-B The nurse’s feeling about this client
-C What losses the client recently experienced
-D Why the client attempted to kill himself
Correct B
Which client requires careful nursing assessment for signs and symptoms of
hypomagnesaemia?
-A A young adult client with intractable vomiting from food poisoning
-B A client who developed hyperparathyroidism in late adolescence
-C A middle-age male client in renal failure following an unsuccessful kidney
transplant
-D A female client who is overzealous with her intake of simple carbohydrates
Correct C
While assessing a client who is experiencing Cheyne-Stokes respirations, thenurse
observes periods of apnea. What action should the nurse implement?
-A Elevate the head of the client’s head
-B Auscultate the client’s breath sound
-C Measure the length of the apneic periods
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