HESI CAT Exam Test Bank

Question 1 of 5

The charge nurse is making assignments for clients on an endocrine unit. Which client is best to assign to a new graduate nurse?

A. A female adult with hyperthyroidism who is returning to the unit after a thyroidectomy B. A male adult with Cushing's syndrome who reports a headache and visual disturbances C. An older man with Addison's disease who is diaphoretic and has hand tremors D. A perimenopausal woman with Graves' disease who is nervous and has exophthalmos

Correct Answer: A

Rationale: A new graduate nurse can manage the care of a stable client returning from a thyroidectomy.
Choice B is not suitable for a new graduate nurse as it involves complex symptoms of Cushing's syndrome that require more experience and knowledge.
Choice C presents a client with acute manifestations of Addison's disease, which may be challenging for a new graduate nurse.
Choice D involves a client with Graves' disease experiencing nervousness and exophthalmos, which also require a higher level of expertise to manage effectively.

Question 2 of 5

The nurse is assessing a client with pulmonary edema who is reporting two-pillow orthopnea and paroxysmal nocturnal dyspnea. The nurse identifies rapid shallow respirations and the use of accessory muscles. Which action should the nurse include in the client's plan of care?

A. Administer the prescribed amiodarone (Cordarone) immediately B. Institute a daily fluid restriction while the client is in the hospital C. Perform a blood draw for serum Troponin, CK, and CK-MB levels D. Place the client in the Trendelenburg position to facilitate perfusion

Correct Answer: A

Rationale: Administering amiodarone is appropriate if arrhythmias are present in the context of pulmonary edema, as it helps manage irregular heart rhythms. In this case, the client is experiencing symptoms related to respiratory distress, and amiodarone can address potential arrhythmias contributing to the condition. Options B and D are not directly related to managing symptoms of pulmonary edema and do not address the underlying cause of the client's distress. Option C, performing blood tests for cardiac enzymes, is important for assessing possible myocardial damage but does not directly address the immediate respiratory distress associated with pulmonary edema.

Question 3 of 5

During discharge teaching, the nurse discusses the parameters for weight monitoring with a client recently diagnosed with heart failure (HF). Which information is most important for the client to acknowledge?

A. Weigh at the same time every day B. Report weight gain of 2 pounds (0.9kg) in 24 hours C. Maintain a daily weight record D. Limit dietary salt intake

Correct Answer: B

Rationale: The correct answer is B. Reporting a weight gain of 2 pounds in 24 hours is crucial for detecting fluid retention or worsening heart failure. This rapid weight gain indicates possible fluid overload, which can be a sign of worsening HF. Option A is not as critical as the timing of weighing can vary. Option C is important for tracking trends but does not emphasize the significance of a sudden weight gain. Option D is relevant for managing HF but does not address the immediate need for reporting rapid weight gain.

Question 4 of 5

A man calls the hospital and asks to talk with the nurse about his girlfriend who was extremely intoxicated on admission and is receiving services for detoxification. He knows that she is in the facility and asks the nurse about her condition. What is the nurse's best response?

A. ''I can only report that the client is in satisfactory condition.'' B. ''Let me give you the telephone number for her room.'' C. ''I cannot acknowledge if a client is here or not.'' D. ''I will have the nurse who is working with her call you.''

Correct Answer: C

Rationale: The nurse must adhere to confidentiality rules and cannot confirm the presence or condition of the client.
Choice A is incorrect because disclosing the client's condition breaches confidentiality.
Choice B is wrong as it reveals the client's room number, which is also a breach of confidentiality.
Choice D is not the best response as it involves sharing information about the client without verifying the caller's identity or relationship to the client.

Question 5 of 5

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?

A. Invite him to participate in the evening group activity B. Schedule frequent private phone calls to his parents C. Provide access to a variety of video games in his room D. Encourage him to learn his way around the hospital

Correct Answer: A

Rationale: Inviting the adolescent to participate in group activities aligns with Erikson's theory of psychosocial development, specifically the stage of developing social relationships. By engaging in group activities, the adolescent can interact with peers, fostering social skills and aiding in adjustment to the hospital environment.

Choice B is incorrect as excessive reliance on phone calls to parents may hinder the adolescent's autonomy and independence, which are crucial aspects of Erikson's theory for this age group.
Choice C, providing access to video games, while potentially offering entertainment, does not directly address the need for social interaction and relationship-building.
Choice D, encouraging the adolescent to learn his way around the hospital, is important for familiarity but may not directly address the need for social interaction and adjustment in the hospital setting.

Nurselytic

HESI LPN

HESI LPN