KAPLAN-CAT-1-COMPREHENSIVE-HESI –EXAM NCLEX –READY 2025/2026 WITH VERIFIED ANSWERS COMPLETE DETAILED A+ KAPLAN CAT-1-COMPREHENSIVE-HESI –EXAM –NCLEX READY 2025/2026 WITH VERIFIED ANSWERS COMPLETE DETAILED A+

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1.The nurse performs an assessment on a full-term newborn. Which 昀椀nding does the nurse report to the health care provider? 1. 2. 3. 4. Ans: 3 The client's blood pressure of 70/44 mm... Hg. The umbilical cord is whitish gray in color. Bowel sounds cannot be auscultated in the abdomen. The big toe dorsi昀氀exes when the side of the foot is stroked. 2. The nurse in an antepartum clinic has several phone messages from clients. Which client does the nurse call 昀椀rst? 1. days. 2 days. 2. 3. morning. 4. Ans: 4 The client who is 10 weeks pregnant and reports vomiting after dinner for the past 5 The client who is 18 weeks pregnant and reports a headache in the evening for the past The client who is 32 weeks pregnant and reports that her feet are swollen in the The client who is 37 weeks pregnant and reports that her membranes have ruptured. 3. The nurse prepares a medication in a pre昀椀lled syringe and notes that the syringe does not have a label with the client's name. What action will the nurse take? 1. 2. 3. 4. Ans: 1 Notify the pharmacy. Call the health care provider. Label the syringe. Administer the medication. 4. The nurse plans to teach a local community group about chronic obstructive pulmonary disease (COPD). Which information does the nurse include? (Select all that apply.) 1. 2. 3. 4. 5. Ans: 1, 3,5 Uncontrolled COPD can lead to cardiac disease. Asthma in childhood leads to COPD later in life. Cigarette smoking is the leading COPD risk factor. More females are a昀昀ected by COPD than males. Co-existing illness may cause COPD exacerbation. 5. The nurse notes that a client requires protective isolation. Which additional client will the nurse safely pair with the client in protective isolation? 1. 2. 3. 4. Ans: 3 Client with a urinary tract infection. Client with a stage 3 sacral pressure ulcer. Client with unstable diabetes mellitus. Client recovering from surgery for a perforated bowel. Downloaded by Morris Muthii (muthiimorris68@gmail.com) 6. A client who is pregnant asks the nurse what an elevated serum alpha-fetoprotein (AFP) level indicates. Which information does the nurse provide to the mother? 1. 2. 3. 4. Ans: 1 Gestational diabetes. A neural tube defects. Trisomy 21 (Down syndrome). Lack of lung maturity. 7. The nurse notes that a toddler-age client has burn marks in various stages of healing and is fearful of male health care professionals. Which action will the nurse take next? 1. 2. 3. 4. Ans: 1 Document the 昀椀ndings in the chart. Talk to the nursing supervisor. Ask the client what happened. Discuss the 昀椀ndings with the health care provider. 8. The nurse mentors a nursing student. The student asks which organization requires all clients to be assessed for pain. Which response by the nurse is correct? 1. 2. 3. 4. Ans: 3 The National Council of State Boards of Nursing (NCSBN). The American Nursing Association (ANA). The Joint Commission. The National League of Nursing (NLN). 9. The nurse provides care for several clients. Which task does the nurse delegate to the nursing assistive personnel (NAP)? (Select all that apply.) 1. 2. 3. 4. 5. Ans: 3, 4, 5 Determine client’s pain level. Perform walker use training. Assist with meal trays. Bathe a client with wounds. Obtain routine vital signs. 10. A client receives an antibiotic every 8 hours. The antibiotic has an onset of action of 2 hours and a duration of action of 8 hours. The client is prescribed a peak blood level. If the medication is provided at 1000, at which time will the nurse schedule the peak level to be drawn? 1. 1100. 2. 1200. 3. 1400. 4. 1800. Ans: 3 Downloaded by Morris Muthii (muthiimorris68@gmail.com) 11. The nurse provides care to a client at risk for hypercalcemia. Which action is most appropriate for the nurse to take? 1. 2. 3. 4. Ans: 3 Encourage strict bed rest. Limit dietary 昀椀ber. Encourage oral 昀氀uids. Hold prescribed zoledronate. 12. The nurse provides care for several clients in Buck traction. Which client is at greatest risk for skin breakdown? 1. 2. 3. 4. Ans: 1 An elderly client with severe Alzheimer disease. An elderly client with a history of atrial 昀椀brillation. An elderly client with chronic bronchitis. An elderly client with diverticulosis. 13. The charge nurse reviews the medical records of several clients. Which documentation from a sta昀昀 nurse requires the charge nurse to follow-up? 1. “Returned from radiology department following a chest X-ray. Requesting lunch but remains nothing by mouth until seen by the health care provider as prescribed.” 2. “Late – entry. Ambulated from bed to doorway without assistance. No shortness of breath or diaphoresis noted. Vital signs remained within baseline after ambulating.” 3. “Intravenous catheter site in left antecubital space is red and warm to touch. Intravenous solution infusing slowly. Catheter removed intact. New catheter placed in right forearm.” 4. “Found client sitting on 昀氀oor. All four side rails were in upright position. Client reports no pain. No abrasions or bleeding noted. Health care provider noti昀椀ed. Incident report completed.” Ans: 4 14. The nurse delegates vital sign measurement to the nursing assistive personnel (NAP). Which statement provides the best information for the nurse to give when delegating this task? 1. “Please obtain blood pressure, heart rate, respiratory rate, temperature, and pulse oximetry. Let me know if anyone’s systolic blood pressure is <100 or >160, heart rate <60 or >100, respiratory rate <12 or >20, temperature >100.50F (40.60C), or pulse oximetry <95%." 2. “Please obtain blood pressure, heart rate, respiratory rate, temperature, and pulse oximetry. Report any readings outside the normal ranges." 3. “Please obtain blood pressure, heart rate, respiratory rate, temperature, pain rating, and pulse oximetry. Let me know if anyone’s systolic blood pressure is <100 or >160, heart rate <60 or >100, respiratory rate <12 or >20, temperature >100.50F (40.60C), pain level >5/10, or pulse oximetry <95%." 4. “Please obtain blood pressure, heart rate, respiratory rate, temperature, and pulse oximetry. Let me know if anyone’s blood pressure is <100 or >160, heart rate <50, respiratory rate <12, temperature >100.50F (45.60C), or pulse oximetry <93%." Ans: 1 Downloaded by Morris Muthii (muthiimorris68@gmail.com) 15. A client takes a beta 2 afrenergic agonist. Which 昀椀nding indicates to mthe nurse that the client is experiencing and adverse reaction? 1. Drowsiness 2. Dysphagia 3. Palpitation 4. Paresthesias Ans: 3 16. The nurse notes that a client's laboratory values are blood urea nitrogen (BUN) 55 mg/dL (19.64 mmol/L) and creatinine 3.5 mg/dL (309.4 µmol/L). For which acid-base imbalance will the nurse assess the client? 1. 2. 3. 4. Ans: 3 Respiratory acidosis. Respiratory alkalosis. Metabolic acidosis. Metabolic alkalosis. 17. The nurse performs a nitrazine test on a client at 38 weeks' gestation. Which color change indicates that membranes have likely ruptured? 1. 2. 3. 4. Ans: 4 Yellow. Olive-green. Olive-yellow. Blue green. 18. A client develops ventricular tachycardia (VT). Which action does the nurse take next when providing care to this client? 1. 2. 3. 4. Ans: 3 Auscultate breath sounds. Check pulse for a full minute. Establish responsiveness. Start cardiac compressions. 19. The nurse notes that a client who follows Judaism has roast beef and whole milk on the dinner tray. Which action will the nurse take 昀椀rst? 1. 2. 3. 4. Ans: 3 Ask the nutrition department to replace the roast beef with pork. Deliver the food tray to the client. Ask the nutrition department for a new tray. [Show More]

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