with Rationales | Stroke, Seizures & Increased ICP | HESI ATI
Nursing Exit Exam Study Guide
Nursing Exit Exam Topics (HESI / NCLEX) 6 quiz
Showing 75 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: Nursing Exit Exam Topics (HESI / NCLEX) 6
Question pool uses the same RN / PN selector as the tutor dashboard (Manage quizzes). Set it to mirror a
student's nursing track.
,1 Question 1
A client with seizure disorder should wear a medical alert bracelet mainly because:
☐ A. It improves medication absorption
☑ B. Emergency staff can identify the condition quickly
☐ C. It prevents seizures completely
☐ D. It increases oxygen levels
RATIONALE
A medical alert bracelet helps emergency personnel recognize the seizure disorder quickly and
provide safe treatment if the client is unable to speak.
KEY TERMS EXPLAINED
Medical alert bracelet = emergency identification jewelry
Seizure disorder = condition causing repeated seizures
Emergency identification = quick recognition of medical conditions
Safe treatment = avoiding harmful delays or mistakes
,2 Question 2
A client with increased ICP is receiving tube feedings. Which assessment finding
requires immediate action?
☐ A. Residual feeding noted
☑ B. Sudden coughing and decreased oxygen saturation
☐ C. Mild dry lips
☐ D. Slight hunger
RATIONALE
Sudden coughing with decreased oxygen saturation suggests aspiration, which can quickly lead
to airway compromise and respiratory failure. Immediate intervention is required.
KEY TERMS EXPLAINED
Tube feeding = nutrition given directly through a feeding tube
Aspiration = food or liquid entering the lungs
Oxygen saturation = percentage of oxygen in the blood
Airway compromise = unsafe breathing condition
, 3 Question 3
Which finding is a classic sign of stroke involving the left hemisphere?
☐ A. Left-sided neglect
☑ B. Right-sided weakness and aphasia
☐ C. Impulsive behavior
☐ D. Poor judgment only
RATIONALE
The left hemisphere controls language and the right side of the body. Damage often causes
right-sided weakness and aphasia (difficulty speaking or understanding language).
KEY TERMS EXPLAINED
Left hemisphere = brain side responsible for language in most people
Aphasia = difficulty speaking or understanding language
Hemiparesis = weakness on one side of the body
Stroke deficit = loss of function caused by brain injury