3/29/25, 8:19 HESI Exit Exam Flashcards |
AM
HESI EXIT EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (303)
While assessing a radial artery catheter, the Promptly remove the arterial catheter from the radial artery.
client complains of numbness and pain
distal to the insertion site. What
interventions should the nurse implement?
A client is admitted with an epidural Rapid onset of decreased level of consciousness.
hematoma that resulted from a
skateboarding accident. To differentiate
the vascular source of the intracranial
bleeding, which finding should the nurse
monitor?
When preparing a client for discharge from Report any signs of cloudy urine output.
the hospital following a cystectomy and a
urinary diversion to treat bladder cancer,
which instruction is most important for the
nurse to include in the client's discharge
teaching plan?
After repositioning an immobile client, the Apply light pressure over the area.
nurse observes an area of hyperemia. To
assess for blanching, what action should
the nurse take?
The nurse enters a client's room and Reposition the restraint tie onto the bedframe.
observes the client's wrist restraint secured
as seen in the picture. What action should
the nurse take?
A female client with acute respiratory Diminished left lower lobe sounds
distress syndrome (ARDS) is chemically
paralyzed and sedated while she is on Rationale: Diminished lobe sounds indicate collapsed alveoli or tension
as assist-control ventilator using 50% pneumothorax, which required
FIO2. immediate chest tube insertion to re-inflate the lung.
Which assessment finding warrants
immediate intervention by the nurse?
1/18
,3/29/25, 8:19 HESI Exit Exam Flashcards |
AM
The development of atherosclerosis is a Arterial endothelium injury causes inflammation
process of sequential events. Arrange the Macrophages consume low density lipoprotein (LDL), creating foam cells
pathophysiological events in orders of Foam cells release growth factors for smooth muscle cells
occurrence. (Place the first event on top Smooth muscle grows over fatty streaks creating fibrous plaques
and the last on the bottom) Vessel narrowing results in ischemia
Following a motor vehicle collision, an Oliguria signals tubular necrosis related to hypoperfusion
adult female with a ruptured spleen and a
blood pressure of 70/44, had an
emergency splenectomy. Twelve hours
after the surgery, her urine output is 25
ml/hour for the last two hours. What
pathophysiological reason supports the
nurse's decision to report this finding to the
healthcare provider?
A nurse-manager is preparing the curricula Skills of staff and client acuity
for a class for charge nurses. A staffing
formula based on what data ensures quality
client care and is most cost-effective?
When performing postural drainage on Explain that the client may be placed in five positions
a client with Chronic Obstructive
Pulmonary Disease (COPD), which
approach should
the nurse use?
A client presents in the emergency room Inability to close the affected eye, raise brow, or smile
with right-sided facial asymmetry. The nurse
asks the client to perform a series of
movements that require use of the facial
muscles. What symptoms suggest that the
client has most likely experience a Bell's
palsy rather than a stroke?
The nurse is teaching a client how to Keeps the irrigating container less than 18 inches above the stoma
perform colostomy irrigations. When
observing the client's return demonstration,
which action indicated that the client
understood the teaching?
The nurse should teach the client to Avoid grapefruits and its juice
observe which precaution while taking
dronedarone?
2/18
, 3/29/25, 8:19 HESI Exit Exam Flashcards |
AM
Increased Glasgow coma scale score.
A client who sustained a head injury
Nuchal rigidity and papilledema.
following an automobile collision is
Confusion and papilledema
admitted to the hospital. The nurse include
Periorbital ecchymosis.
the client's risk for developing increased
intracranial pressure (ICP) in the plan of
Rationale: papilledema is always an indicator of increased ICP, and confusion is
care. Which signs indicate to the nurse that
usually the first sign of
ICP has increased?
increased ICP. Other options do not necessarily reflect increased ICP.
The nurse is caring for a client Confirm the necessity for continued use of the CVC.
receiving continuous IV fluids through a
single lumen central venous catheter
(CVC). Based on the CVC care bundle,
which action should be completed daily
to reduce the
risk for infection?
During an annual physical examination, Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI).
an older woman's fasting blood sugar
(FBS) is determined to be 140 mg/dl or 7.8
mmol/L (SI). Which additional finding
obtained
during a follow-up visit 2 weeks later
is most indicative that the client has
diabetes
mellitus (DM)?
A client who was admitted yesterday Stop the normal saline infusion.
with severe dehydration is complaining of
pain a 24 gauge IV with normal saline is
infusing at a rate of 150 ml/hour. Which
intervention
should the nurse implement first?
An elderly female is admitted because of a Ensure proper alignment of the leg in traction.
change in her level of sensorium.
During the evening shift, the client
attempts to get out bed and falls,
breaking her left hip.
Buck's skin traction is applied to the left leg
while waiting for surgery. Which
intervention is most important for the nurse
to include in this client's plan care?
3/18
AM
HESI EXIT EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (303)
While assessing a radial artery catheter, the Promptly remove the arterial catheter from the radial artery.
client complains of numbness and pain
distal to the insertion site. What
interventions should the nurse implement?
A client is admitted with an epidural Rapid onset of decreased level of consciousness.
hematoma that resulted from a
skateboarding accident. To differentiate
the vascular source of the intracranial
bleeding, which finding should the nurse
monitor?
When preparing a client for discharge from Report any signs of cloudy urine output.
the hospital following a cystectomy and a
urinary diversion to treat bladder cancer,
which instruction is most important for the
nurse to include in the client's discharge
teaching plan?
After repositioning an immobile client, the Apply light pressure over the area.
nurse observes an area of hyperemia. To
assess for blanching, what action should
the nurse take?
The nurse enters a client's room and Reposition the restraint tie onto the bedframe.
observes the client's wrist restraint secured
as seen in the picture. What action should
the nurse take?
A female client with acute respiratory Diminished left lower lobe sounds
distress syndrome (ARDS) is chemically
paralyzed and sedated while she is on Rationale: Diminished lobe sounds indicate collapsed alveoli or tension
as assist-control ventilator using 50% pneumothorax, which required
FIO2. immediate chest tube insertion to re-inflate the lung.
Which assessment finding warrants
immediate intervention by the nurse?
1/18
,3/29/25, 8:19 HESI Exit Exam Flashcards |
AM
The development of atherosclerosis is a Arterial endothelium injury causes inflammation
process of sequential events. Arrange the Macrophages consume low density lipoprotein (LDL), creating foam cells
pathophysiological events in orders of Foam cells release growth factors for smooth muscle cells
occurrence. (Place the first event on top Smooth muscle grows over fatty streaks creating fibrous plaques
and the last on the bottom) Vessel narrowing results in ischemia
Following a motor vehicle collision, an Oliguria signals tubular necrosis related to hypoperfusion
adult female with a ruptured spleen and a
blood pressure of 70/44, had an
emergency splenectomy. Twelve hours
after the surgery, her urine output is 25
ml/hour for the last two hours. What
pathophysiological reason supports the
nurse's decision to report this finding to the
healthcare provider?
A nurse-manager is preparing the curricula Skills of staff and client acuity
for a class for charge nurses. A staffing
formula based on what data ensures quality
client care and is most cost-effective?
When performing postural drainage on Explain that the client may be placed in five positions
a client with Chronic Obstructive
Pulmonary Disease (COPD), which
approach should
the nurse use?
A client presents in the emergency room Inability to close the affected eye, raise brow, or smile
with right-sided facial asymmetry. The nurse
asks the client to perform a series of
movements that require use of the facial
muscles. What symptoms suggest that the
client has most likely experience a Bell's
palsy rather than a stroke?
The nurse is teaching a client how to Keeps the irrigating container less than 18 inches above the stoma
perform colostomy irrigations. When
observing the client's return demonstration,
which action indicated that the client
understood the teaching?
The nurse should teach the client to Avoid grapefruits and its juice
observe which precaution while taking
dronedarone?
2/18
, 3/29/25, 8:19 HESI Exit Exam Flashcards |
AM
Increased Glasgow coma scale score.
A client who sustained a head injury
Nuchal rigidity and papilledema.
following an automobile collision is
Confusion and papilledema
admitted to the hospital. The nurse include
Periorbital ecchymosis.
the client's risk for developing increased
intracranial pressure (ICP) in the plan of
Rationale: papilledema is always an indicator of increased ICP, and confusion is
care. Which signs indicate to the nurse that
usually the first sign of
ICP has increased?
increased ICP. Other options do not necessarily reflect increased ICP.
The nurse is caring for a client Confirm the necessity for continued use of the CVC.
receiving continuous IV fluids through a
single lumen central venous catheter
(CVC). Based on the CVC care bundle,
which action should be completed daily
to reduce the
risk for infection?
During an annual physical examination, Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI).
an older woman's fasting blood sugar
(FBS) is determined to be 140 mg/dl or 7.8
mmol/L (SI). Which additional finding
obtained
during a follow-up visit 2 weeks later
is most indicative that the client has
diabetes
mellitus (DM)?
A client who was admitted yesterday Stop the normal saline infusion.
with severe dehydration is complaining of
pain a 24 gauge IV with normal saline is
infusing at a rate of 150 ml/hour. Which
intervention
should the nurse implement first?
An elderly female is admitted because of a Ensure proper alignment of the leg in traction.
change in her level of sensorium.
During the evening shift, the client
attempts to get out bed and falls,
breaking her left hip.
Buck's skin traction is applied to the left leg
while waiting for surgery. Which
intervention is most important for the nurse
to include in this client's plan care?
3/18
