HESI LEADERSHIP
EXIT EXAM
✓ LATEST 15 VERSIONS / 15 SETS EXAM
✓ 3500 + VERIFIED QUESTIONS AND ANSWERS
✓ COMPLETE AND BEST DOCUMENT FOR EXAM
✓ GRADED A+
ACADEMIC Year-2023/2024
, HESI EXIT EXAM
1. The client with which type of wound is most likely to need
immediate intervention by the nurse?
a- Laceration
b- Abrasion
c- Contusion
d- Ulceration
Rationale: A laceration is an open wound whose edges are often jagged
and whose tissue are torn apart that is produced by the tearing of soft
body tissue, placing the client at risk for bleeding, so this type of wound
is likely to require the most immediate nursing intervention. A laceration
wound is often contaminated with bacteria and debris from whatever
object caused the cut.
2. The nurse is planning care for a client admitted with a
diagnosis of pheochromocytoma. Which intervention has
thehighest priority for inclusion in this client‟s plan of
care?
a- Record urine output every hour
b- Monitor blood pressure frequently
c- Evaluate neurological status
d- Maintain seizure precautions
, Rationale: A pheochromocytoma is a rare, catecholamine-secreting
tumor that may precipitate life-threatening hypertension. The tumor is
malignant in 10% of cases but may be cured completely by surgical
removal. Although pheochromocytoma has classically been associated
with 3 syndromes—von Hippel-Lindau (VHL) syndrome, multiple
endocrine neoplasia type 2 (MEN 2), and neurofibromatosis type 1
(NF1)—there are now 10 genes that have been identified as sites of
mutations leading to pheochromocytoma.
3. When caring for a client who has acute respiratory distress
syndrome (ARDS), the nurse elevates the head of the bed
30 degrees. What is the reason for this intervention?
a- To reduce abdominal pressure on the diaphragm
b- to promote retraction of the intercostal accessory muscle of respiration
c- to promote bronchodilation and effective airway clearance
d- to decrease pressure on the medullary center which stimulates
breathing
Rationale: a semi-sitting position is the best position for matching ventilation and perfusion and for decreasing abdominal pressure
thediaphragm, so that the client can maximize breathing
, .
4. When assessing a mildly obese 35-year-old female client, the
nurse is unable to locate the gallbladder when palpating
below the liver margin at the lateral border of the rectus
abdominal muscle. What is the most likely explanation for
failure to locatethe gallbladder by palpation?
a- The client is too obese
EXIT EXAM
✓ LATEST 15 VERSIONS / 15 SETS EXAM
✓ 3500 + VERIFIED QUESTIONS AND ANSWERS
✓ COMPLETE AND BEST DOCUMENT FOR EXAM
✓ GRADED A+
ACADEMIC Year-2023/2024
, HESI EXIT EXAM
1. The client with which type of wound is most likely to need
immediate intervention by the nurse?
a- Laceration
b- Abrasion
c- Contusion
d- Ulceration
Rationale: A laceration is an open wound whose edges are often jagged
and whose tissue are torn apart that is produced by the tearing of soft
body tissue, placing the client at risk for bleeding, so this type of wound
is likely to require the most immediate nursing intervention. A laceration
wound is often contaminated with bacteria and debris from whatever
object caused the cut.
2. The nurse is planning care for a client admitted with a
diagnosis of pheochromocytoma. Which intervention has
thehighest priority for inclusion in this client‟s plan of
care?
a- Record urine output every hour
b- Monitor blood pressure frequently
c- Evaluate neurological status
d- Maintain seizure precautions
, Rationale: A pheochromocytoma is a rare, catecholamine-secreting
tumor that may precipitate life-threatening hypertension. The tumor is
malignant in 10% of cases but may be cured completely by surgical
removal. Although pheochromocytoma has classically been associated
with 3 syndromes—von Hippel-Lindau (VHL) syndrome, multiple
endocrine neoplasia type 2 (MEN 2), and neurofibromatosis type 1
(NF1)—there are now 10 genes that have been identified as sites of
mutations leading to pheochromocytoma.
3. When caring for a client who has acute respiratory distress
syndrome (ARDS), the nurse elevates the head of the bed
30 degrees. What is the reason for this intervention?
a- To reduce abdominal pressure on the diaphragm
b- to promote retraction of the intercostal accessory muscle of respiration
c- to promote bronchodilation and effective airway clearance
d- to decrease pressure on the medullary center which stimulates
breathing
Rationale: a semi-sitting position is the best position for matching ventilation and perfusion and for decreasing abdominal pressure
thediaphragm, so that the client can maximize breathing
, .
4. When assessing a mildly obese 35-year-old female client, the
nurse is unable to locate the gallbladder when palpating
below the liver margin at the lateral border of the rectus
abdominal muscle. What is the most likely explanation for
failure to locatethe gallbladder by palpation?
a- The client is too obese
