HESI RN CAT Exit Exam

HESI RN CAT Exit Exam Related

Review HESI RN CAT Exit Exam related questions and content

A college student who is diagnosed with a vaginal infection and vulva irritation describes the vaginal discharge as having a 'cottage cheese' appearance. Which prescription should the nurse implement first?

  • A. Cleanse the perineum with warm soapy water 3 times per day
  • B. Instill the first dose of nystatin (Mycostatin) vaginally per applicator
  • C. Perform a glucose measurement using a capillary blood sample
  • D. Obtain a blood specimen for sexually transmitted diseases (STDs)
Correct Answer: B

Rationale: The correct answer is B: Instill the first dose of nystatin (Mycostatin) vaginally per applicator. This is the appropriate action for a college student with symptoms of a vaginal infection with a 'cottage cheese' appearance discharge, which is indicative of a yeast infection (most likely caused by Candida). Nystatin is an antifungal medication effective against Candida, hence addressing the root cause of the infection. It is essential to start with the treatment first to alleviate the symptoms and prevent further complications.

Incorrect choices:
A: Cleansing the perineum with warm soapy water may provide some comfort but does not address the underlying infection.
C: Performing a glucose measurement is not necessary at this stage as the symptoms suggest a yeast infection, not diabetes.
D: Obtaining a blood specimen for STDs is not the priority in this case as the symptoms are indicative of a yeast infection, not an STD.

You may also like to solve these questions

The nurse is caring for a client who is receiving heparin therapy. Which laboratory value should the nurse monitor to determine the effectiveness of the therapy?

  • A. Prothrombin time (PT)
  • B. Partial thromboplastin time (PTT)
  • C. International normalized ratio (INR)
  • D. Activated partial thromboplastin time (aPTT)
Correct Answer: C

Rationale: Rationale:
1. Heparin primarily affects the intrinsic pathway of coagulation.
2. International Normalized Ratio (INR) is used to monitor the effectiveness of anticoagulation therapy.
3. INR is more specific for monitoring heparin therapy compared to other options.
4. Prothrombin Time (PT) and Activated Partial Thromboplastin Time (aPTT) are not as accurate for heparin monitoring.
5. Partial Thromboplastin Time (PTT) is used to monitor heparin therapy, but INR is a more precise indicator of heparin's effect.

A 3-year-old boy is brought to the emergency center with dysphagia, drooling, a fever of 102°F, and stridor. Which intervention should the nurse implement first?

  • A. Place the child in a mist tent
  • B. Obtain a sputum culture
  • C. Prepare for an emergent tracheostomy
  • D. Examine the child's oropharynx and report the findings to the healthcare provider
Correct Answer: A

Rationale: The correct answer is A: Place the child in a mist tent. This intervention is crucial in managing a child with croup, which presents with stridor, fever, and respiratory distress. Placing the child in a mist tent provides humidified air, which can help reduce airway inflammation and ease breathing. It is the first-line treatment for croup and should be initiated promptly to relieve the child's symptoms. Obtaining a sputum culture (B) is not necessary in this scenario as the child's presentation is consistent with croup, which is a clinical diagnosis. Preparing for an emergent tracheostomy (C) is an invasive procedure that should only be considered if other treatments fail. Examining the child's oropharynx (D) can be helpful but is not the most urgent intervention in this situation.

A client is taught how to collect a 24-hour urine specimen. Which statement indicates understanding of the procedure?

  • A. I should keep the urine specimen refrigerated.
  • B. I need to start the collection in the morning after my first void.
  • C. I will collect the urine for 24 hours and keep it on ice.
  • D. I will start collecting the urine after discarding my first morning specimen.
Correct Answer: D

Rationale: The correct answer is D because discarding the first morning specimen ensures accurate collection starts. Choice A is incorrect because refrigeration is unnecessary for a 24-hour urine collection. Choice B is incorrect as the first void should be included. Choice C is incorrect as there's no need to keep the urine on ice.

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
Correct Answer: A

Rationale: The correct answer is A: Blow cool air from a hair dryer under the cast. This method helps to relieve itching by providing airflow without causing damage to the cast or skin. It is safe and effective.

Choice B: Twisting the cast back and forth may cause discomfort or injury to the child's arm.

Choice C: Shaking powder into the cast can create a mess and may lead to skin irritation or infection.

Choice D: Pushing a pencil under the cast edge can cause damage to the skin or lead to complications.

An experienced nurse tells the nurse-manager that working with a new graduate is impossible because the new graduate will not listen to suggestions. The new graduate comes to the nurse-manager describing the senior nurse's attitude as challenging and offensive. What action is best for the nurse manager to take?

  • A. Have both nurses meet separately with the staff mental health consultant
  • B. Listen actively to both nurses and offer suggestions to solve the dilemma
  • C. Ask the senior nurse to examine mentoring strategies used with the new graduate
  • D. Ask the nurses to meet with the nurse-manager to identify ways of working together
Correct Answer: D

Rationale: The correct answer is D. The nurse-manager should ask the nurses to meet to identify ways of working together. This is the best action because it promotes open communication, collaboration, and conflict resolution between the two nurses. By facilitating a discussion between them, the nurse-manager can help address the underlying issues, clarify misunderstandings, and find common ground for effective teamwork. This approach encourages mutual understanding and fosters a positive working relationship.

A: Having both nurses meet separately with the staff mental health consultant does not directly address the conflict between them.
B: While listening actively and offering suggestions is important, involving both nurses in the discussion is crucial for resolving the conflict.
C: Asking the senior nurse to examine mentoring strategies does not involve the new graduate in the conversation and may not address the overall issue.

Copyright © 2025 Nokea. All rights reserved.