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HESI Critical Care RN Exit Exam 2 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) WITH RATIONALES/ GUARANTEED PASS GRADED A+

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HESI Critical Care RN Exit Exam 2 QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) WITH RATIONALES/ GUARANTEED PASS GRADED A+ In evaluating the effectiveness of a postoperative client's intermittent pneumatic compression devices, which assessment is most important for the nurse to complete? A. Monitor the amount of drainage from the client's incision B. Observe both lower extremities for redness and swelling C. Evaluate the client's ability to use an incentive spirometer D. Palpate all peripheral pulse points for volume and strength – HESI Critical Care RN Exit Exam A+ TEST BANK 2 Correct Answer :B. Observe both lower extremities for redness and swelling The nurse is caring for a client who is still experiencing light sedation after undergoing an emergency colectomy for bowel obstruction. Which postoperative pain intervention should the nurse implement first? A. Review medical records to obtain pain tolerance expectations B. Attempt to obtain a self-report of pain level from the client C. Provide the first medication prescribed for pain management D. Wait until the client is awake before providing pain management – Correct Answer :B. Attempt to obtain a self-report of pain level from the client The nurse assessing a client who reports falling 2 days ago and has a history of gouty arthritis that is controlled with allopurinol. The client states the left knee is swollen and extremely pain to touch. Which instruction should the nurse include in the discharge teaching? A. Decrease consumption of red meat and most seafood B. Substitute natural fruit juices for carbonated drinks C. Limit use of mobility equipment to avoid muscle atrophy D. Use electric heating pad when pain is at its worse – Correct Answer :A. Decrease consumption of red meat and most seafood HESI Critical Care RN Exit Exam A+ TEST BANK 3 The nurse on a pediatric unit observes a distraught mother in the hallway scolding her 3 year old son for wetting his pants. What initial action should the nurse take? A. Provide disposable training pants while calming the mother B. Refer the mother to a community parent education program C. Inform the mother that toilet training is slower for boys D. Suggest that the mother consult a pediatric nephrologist – Correct Answer :C. Inform the mother that toilet training is slower for boys The nurse is caring for a client with heart failure. Which method is used in computing the cardiac index to measure how the client's heart is functioning? A. Mean arterial pressure minus right atrial pressure B. Cardiac output divided by body surface area C. Stroke volume divided by end diastolic volume D. Stroke volume multiplied by heart rate – Correct Answer :B. Cardiac output divided by body surface area Two days prior to discharge from the rehabilitation facility, the nurse is teaching a client who is recovering from Guillain-Barre syndrome about home care. Which actions should the nurse include when providing discharge teaching to the client and spouse? (Select all that apply) A. Review safe transfer strategies B. Develop a nutritional plan

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HESI Critical Care RN Exit Exam




HESI Critical Care RN Exit Exam 2 QUESTIONS
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+

In evaluating the effectiveness of a postoperative client's intermittent
pneumatic compression devices, which assessment is most important for the
nurse to complete?
A. Monitor the amount of drainage from the client's incision
B. Observe both lower extremities for redness and swelling
C. Evaluate the client's ability to use an incentive spirometer
D. Palpate all peripheral pulse points for volume and strength –



A+ TEST BANK 1

, HESI Critical Care RN Exit Exam

Correct Answer :B. Observe both lower extremities for redness and swelling


The nurse is caring for a client who is still experiencing light sedation after
undergoing an emergency colectomy for bowel obstruction. Which
postoperative pain intervention should the nurse implement first?
A. Review medical records to obtain pain tolerance expectations
B. Attempt to obtain a self-report of pain level from the client
C. Provide the first medication prescribed for pain management
D. Wait until the client is awake before providing pain management –


Correct Answer :B. Attempt to obtain a self-report of pain level from the client


The nurse assessing a client who reports falling 2 days ago and has a history of
gouty arthritis that is controlled with allopurinol. The client states the left knee is
swollen and extremely pain to touch. Which instruction should the nurse include
in the discharge teaching?
A. Decrease consumption of red meat and most seafood
B. Substitute natural fruit juices for carbonated drinks
C. Limit use of mobility equipment to avoid muscle atrophy
D. Use electric heating pad when pain is at its worse –


Correct Answer :A. Decrease consumption of red meat and most seafood




A+ TEST BANK 2

, HESI Critical Care RN Exit Exam

The nurse on a pediatric unit observes a distraught mother in the hallway
scolding her 3 year old son for wetting his pants. What initial action should the
nurse take?
A. Provide disposable training pants while calming the mother
B. Refer the mother to a community parent education program
C. Inform the mother that toilet training is slower for boys
D. Suggest that the mother consult a pediatric nephrologist –


Correct Answer :C. Inform the mother that toilet training is slower for boys


The nurse is caring for a client with heart failure. Which method is used in
computing the cardiac index to measure how the client's heart is functioning?
A. Mean arterial pressure minus right atrial pressure
B. Cardiac output divided by body surface area
C. Stroke volume divided by end diastolic volume
D. Stroke volume multiplied by heart rate –


Correct Answer :B. Cardiac output divided by body surface area


Two days prior to discharge from the rehabilitation facility, the nurse is teaching
a client who is recovering from Guillain-Barre syndrome about home care. Which
actions should the nurse include when providing discharge teaching to the client
and spouse? (Select all that apply)
A. Review safe transfer strategies
B. Develop a nutritional plan

A+ TEST BANK 3

, HESI Critical Care RN Exit Exam

C. Help identify community support
D. Initiate a rigorous exercise routine
E. Provide cooking instructions –


Correct Answer :A. Review safe transfer strategies
B. Develop a nutritional plan
C. Help identify community support


A client presents to the emergency department with muscle aches, headache,
fever, and describes a recent loss of taste and smell. The nurse obtains a nasal
swab for COVID-19 testing. Which action is most important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and initiate droplet
precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent
spreading the virus
D. Explain to the client to inform others that they may have been potentially
exposed in the last 14 days. –


Correct Answer :A. Place the nasal swab specimen for COVID-19 directly into a
biohazard bag


An older adult client with systemic inflammatory response syndrome (SIRS) has
a temperature of 101.8F, heart rate of 110 beats/minute, and respiratory rate of
24 breaths/minute. Which additional finding is most important to report to the
healthcare provider?

A+ TEST BANK 4

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