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CAT Hesi Exit 3 Exam - Questions With Answers

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An adult client being admitted to the psychiatric unit with a diagnosis of bipolar disorder arrives in an elated state. What is the best room assignment the nurse can make for this client? Correct Ans:- A quiet room away from the nurse's station. The community mental health nurse is planning ...

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  • June 13, 2022
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  • 2021/2022
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CAT Hesi Exit 3 Exam - Questions With
Answers

An adult client being admitted to the psychiatric unit with a diagnosis of bipolar
disorder arrives in an elated state. What is the best room assignment the nurse can
make for this client? Correct Ans:- A quiet room away from the nurse's station.

The community mental health nurse is planning to visit four clients with
schizophrenia. Which client should the nurse see first? Correct Ans:- A mother who
took her children from school because aliens were after them.

A female client, the mother of two small children, appears depressed after learning
from her healthcare provider that she has multiple sclerosis. Which nursing
intervention should the nurse implement first? Correct Ans:- Sit quietly with the
client and answer questions she may ask.

Which statement by a client with emphysema indicates the best understanding of
the purpose of pulmonary function testing? Correct Ans:- "It will measure how well
my lungs are working."

An adolescent male client is admitted to the hospital. Based on Erikson's theory of
psychosocial development, which nursing intervention best assists this adolescent's
adjustment to his hospital stay? Correct Ans:- Invite him to participate in the
evening group activity.

Which individual may legally sign an informed consent? Correct Ans:- A 16-year-
old mother for her newborn.

The nurse working on a psychiatric unit is concerned about providing ethical and
legally defensible care for clients on the unit. Which occurrence is an indication that
a client's civil rights are being violated? Correct Ans:- refused to take an oral
psychiatric medication is administered the same medication as an IM injection.

Which statement by the mother of a toddler girl indicates to the nurse that
scheduled vaccine should not be administered? Correct Ans:- "Her throat closed
up so bad she couldn't breathe the last time she got this shot."

Thirty-six hours after delivery, the nurse assesses a client's fundus just above the
umbilicus and displaced to the right of the midline. What actions should the nurse
take first? Correct Ans:- Palpate the bladder for distention.

10. A hospitalized 81-year-old female client has numerous complaints and uses her
call button often to summon staff to help her with activities that she is capable of
performing for herself. Which plan might be most beneficial in dealing with this
client? Correct Ans:- Check on the client at designated time intervals and let the
client know when the nurse will return.

,11. When giving a cooling bath to reduce the fever of a 3-year-old child, which
action should the nurse include? Correct Ans:- Pour tepid water over the child's
back and chest.

The nurse determines that a client has a potential (high risk) problem. What is
important for the nurse to do when planning care? Correct Ans:- Direct nursing
actions toward reducing risk factors.

The nurse notes that the influenza immunization rates are much lower for certain
demographic groups than for others. Which intervention is likely to be most useful
in increasing the rates of immunization in these lower immunization groups?
Correct Ans:- Designated clinics conveniently located in target neighborhoods.

The first time a male client stands at the bedside following a total hip replacement,
he reports severe pain in his left calf. What intervention should the nurse take first?
Correct Ans:- Return the client to bed and assess the lower extremities.

A client is receiving an IV of 5% dextrose in Lactated Ringer's solution at a rate of
100 ml/hour. The client tells the nurse, "I don't need to eat because I'm getting all
the nutrition I need through this IV needle." What initial response would be best for
the nurse to provide this client? Correct Ans:- "Only a very small amount of the
calories you need are provided by your IV."

The nurse documents that a male client with paranoid schizophrenia is delusional.
Which statement by the client confirms this assessment? Correct Ans:- "The nurse
at night is trying to poison me with pills."

A male client returns to the acute care unit following surgery with sequential
compression devices in place. The nurse observes that the client dorsiflexes his feet
frequently. What action should the nurse implement? Correct Ans:- Encourage the
client to perform foot exercises regularly while his mobility is limited.

18. Which statement by a 16-year-old male client with acute osteomyelitis in his leg
indicates the best understanding of the appropriate activity level for his disorder?
Correct Ans:- "During this illness, I need to keep my leg as immobile as possible."

The nurse has conducted a cancer prevention community education program. In
evaluating the participant's understanding of the carcinogens, what statement
indicates an accurate understanding? Correct Ans:- Substances that change a cell
so that it becomes cancerous are potential cause of cancer

20. A 25-year-old female client is diagnosed with endometriosis by her healthcare
provider. Which nursing diagnosis has the highest priority? Correct Ans:- Pain
related to extrauterine tissue inflammation.

The charge nurse is supervising a newly licensed practical nurse (PN) who is
administering medications. The PN notes that a client with exophthalmus is
scheduled to receive artificial tear drops. What action should the charge nurse
implement? Correct Ans:- Remind the PN to evaluate the effectiveness of the
medication after administration.

, The charge nurse is assessing the morning lab work on four clients. Which client's
laboratory findings should prompts the charge nurse to contact the healthcare
provider immediately? Correct Ans:- c. A 29-year-old diagnosed with ulcerative
colitis having a serum potassium level of 3.1 mEq/L.

When assessing a client with Raynaud's disease, which symptoms should the nurse
expect the client to exhibit? Correct Ans:- Coldness, pain and pallor of fingertips,
toes, and tip of nose.

A client is currently receiving an infusion of 25,000 units of Heparin in 500ml of
normal saline at 10 ml/hour. A prescription is received to change the rate of the
infusion to 700 units of Heparin per hour. The nurse should set the infusion pump to
deliver how many ml/hour? (Enter numeric value only.) Correct Ans:- Answer: 14

An elderly client is suspected of having a cardiac dysrhythmia. The nurse knows
that it is most important to obtain which information when assessing this client?
Correct Ans:- Changes in mentation, personality, and behavior.

A client has developed drug toxicity after receiving a high dose of a medication with
a prolonged half-life. After consulting with the health care provider, the nurse
expects to administer which treatment plan? Correct Ans:- Several dose of
antagonistic medication with a short half life administered at frequent time
intervals.

The nurse is assigned to care for a group of clients. Based on priority of need,
arrange in the order in which the nurse should assess these four clients, with the
first client the nurse should assess on top and the last client the nurse should
assess on the bottom. The client who has Correct Ans:- A T6 spinal cord injury
with a blood pressure of 180/98.

Type 1 diabetes mellitus with a blood sugar of 55 mg/dl.

End stage renal disease with a serum creatinine of 10 m.

A total hip prosthesis with a 12 g hemoglobin.

28. A 22-year-old female client calls the public health clinic because her breasts are
tender and she felt several small lumps during a breast self-examination (SBE).
What information should the nurse elicit from the client first? Correct Ans:- Date of
last menstrual period.

29. An adolescent female who has been a lacto-ovo-vegetarian for six months tells
the nurse she is experience increased fatigue. What dietary recommendation should
the nurse provide? Correct Ans:- Eat spinach three times a weeks.

A client who has been admitted to the Emergency Department following a sexual
assault tells the nurse that she wants to use emergency contraception. Pending the
results of a pregnancy test, what information is most important for the nurse to
obtain from this client? Correct Ans:- Length of time since the rape occurred.

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