LEADERSHIP MANAGEMENT HESI EXIT EXAM LATEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Question: The nurse who is assisting in caring for a client with a
tracheostomy tube notes heavy bleeding from the stoma. The
nurse also notes that the tracheostomy tube pulsates with the
client's heartbeat. The nurse immediately performs which action?
- Answer: Applies pressure to the artery at the stoma site
Question: The nurse is caring for a client who had a tracheostomy
tube inserted 1 week ago. The client begins to cough vigorously,
and accidental decannulation of the tracheostomy tube occurs.
Which action would be the nurse's immediate response? -
Answer: Replace the tracheostomy tube.
Question: The nurse is suctioning an adult client through a
tracheostomy tube. During the procedure, the nurse notes that the
client's oxygen saturation by pulse oximetry is 89%. Which action
would the nurse implement? - Answer: Stop the suctioning
procedure.
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Question: The nurse provides instructions to a breastfeeding
mother who is experiencing breast engorgement about measures
that will provide comfort. Which statement by the mother indicates
an understanding of these measures? - Answer: "I will massage
the breasts before feeding to stimulate let-down."
Question: The nurse is caring for a client who is being treated for
a pneumothorax with a closed chest tube drainage system. When
repositioning the client, the chest tube disconnects. Which nursing
action would be immediate? - Answer: Reattach the chest tube to
the drainage system.
Question: The nurse is assisting a client with a closed chest tube
drainage system to get out of bed to a chair. During the transfer,
the chest tube gets caught in the leg of the chair and accidentally
dislodges from the insertion site. Which action would the nurse
implement? - Answer: Cover the insertion site with sterile gauze.
Question: The nurse is collecting data from a pregnant client
when the client asks the nurse about the purpose of the fallopian
tubes. Which is the accurate response the nurse would make? -
Answer: Where fertilization occurs
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Question: The low-exhaled volume (low-pressure) alarm sounds
on a ventilator. The nurse rushes to the client's room and checks
the client to determine the cause of the alarm but is unable to do
so. Which would be the next immediate nursing action? - Answer:
Ventilate the client with a resuscitation bag.
Question: The nurse is performing nasopharyngeal suctioning on
a client and suddenly notes the presence of bloody secretions.
Which action would the nurse implement? - Answer: Check the
amount of suction pressure being applied.
Question: The nurse is suctioning a client through a tracheostomy
tube. During the procedure, the client begins to cough, and the
nurse notes the presence of an audible wheeze. The nurse
attempts to remove the suction catheter from the client's trachea
but is unable to do so. What is the nurse's priority response? -
Answer: Disconnect the suction source from the catheter.
Question: A client attached to mechanical ventilation suddenly
becomes restless and pulls out the tracheostomy tube. Which is
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the nurse's priority intervention? - Answer: Check the client for
spontaneous breathing.
Question: The nurse checks a closed chest tube drainage system
on a client who had a lobectomy of the left lung 24 hours ago. The
nurse notes that there has been no chest tube drainage for the
past hour. Which would the nurse do first? - Answer: Check for
kinks in the chest drainage system.
Question: A cardiac monitor alarm sounds, and the nurse notes a
straight line on the monitor screen. What is the nurse's immediate
nursing action? - Answer: Check the client.
Question: The nurse notes that a client with acquired
immunodeficiency syndrome (AIDS) appears anxious and is
reluctant to ask questions. Which action would the nurse take to
best address these observations? - Answer: Discuss common
fears and questions expressed by other clients with the same
diagnosis.