HESI CAT Exam

Question 1 of 5

A 9-year-old received a short arm cast for a right radius. To relieve itching under the child's cast, which instructions should the nurse provide to the parents?

A. Blow cool air from a hair dryer under the cast B. Twist the cast back and forth C. Shake powder into the cast D. Push a pencil under the cast edge

Question 2 of 5

A client with major depression who is taking fluoxetine calls the psychiatric clinic reporting being more agitated, irritable, and anxious than usual. Which intervention should the nurse implement?

A. Tell the client to have a complete blood count (CBC) drawn B. Instruct the client to seek medical attention immediately C. Encourage them to take the medication at night with a snack D. Explain that these are common side effects of the medication

Question 3 of 5

A young female adult wanders into the Emergency Department. She is disheveled and confused and states, 'My date must have put something in my drink. He took my car, and I think he raped me. I don't exactly remember, but I know he hurt me.' How should the nurse respond?

A. Did you try to resist or fight back when you felt uncomfortable? B. He hurt you? Can you elaborate on what happened? C. It is okay to cry, but first, let's address your injuries and the situation. D. Yes, I can see. Tell me more about what you remember.

Question 4 of 5

The nurse is caring for a client who is receiving continuous ambulatory peritoneal dialysis (CAPD) and notes that the output flow is 100ml less than the input flow. Which actions should the nurse implement first?

A. Continue to monitor intake and output with the next exchange B. Check the client's blood pressure and serum bicarbonate levels C. Irrigate the dialysis catheter D. Change the client's position

Question 5 of 5

A client with deep vein thrombosis (DVT) in the left leg is on a heparin protocol. Which intervention is most important for the nurse to include in this client's plan of care?

A. Observe for bleeding side effects related to heparin therapy. B. Assess blood pressure and heart rate at least every 4 hours. C. Measure calf girth to evaluate edema in the affected leg. D. Encourage mobilization to prevent pulmonary embolism.

Skildor

HESI LPN