HESI EXIT EXAM 2023-2024 QUESTIONS AND ANSWERS NEW UPDATE

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HESI EXIT EXAM 2023-2024 QUESTIONS AND ANSWERS NEW UPDATE 1. While assessing a radial artery catheter, the client complains of numbness and pain distal to the inser- tion site. What interventions s... hould the nurse imple- ment? Promptly remove the arterial catheter from the radial artery. 2. A client is admitted with an epidural hematoma that re- sulted from a skateboard- ing accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor? Rapid onset of decreased level of conscious- ness. 3. When preparing a client for discharge from the hospital following a cystectomy and a urinary diversion to treat bladder cancer, which in- struction is most important for the nurse to include in the client's discharge teach- ing plan? Report any signs of cloudy urine output. 4. After repositioning an im- mobile client, the nurse ob- serves an area of hyper- emia. To assess for blanch- ing, what action should the nurse take? Apply light pressure over the area. 5. The nurse enters a client's room and observes the client's wrist restraint se- cured as seen in the pic- ture. What action should the nurse take? Reposition the restraint tie onto the bed- frame. 6. A female client with acute respiratory distress syn- drome (ARDS) is chemically paralyzed and sedated while she is on as assist-control ventilator using 50% FIO2. Which assessment finding warrants immediate intervention by the nurse? Diminished left lower lobe sounds Rationale: Diminished lobe sounds indicate collapsed alveoli or tension pneumothorax, which required immediate chest tube insertion to re-inflate the lung. 7. The development of athero- sclerosis is a process of se- quential events. Arrange the pathophysiological events in orders of occurrence. (Place the first event on top and the last on the bottom) Arterial endothelium injury causes inflamma- tion Macrophages consume low density lipopro- tein (LDL), creating foam cells Foam cells release growth factors for smooth muscle cells Smooth muscle grows over fatty streaks cre- ating fibrous plaques Vessel narrowing results in ischemia 8. Following a motor vehicle collision, an adult female with a ruptured spleen and a blood pressure of 70/44, had an emergency splenec- tomy. Twelve hours after the surgery, her urine output is 25 ml/hour for the last two hours. What pathophysi- ological reason supports the nurse's decision to report this finding to the healthcare provider? Oliguria signals tubular necrosis related to hypoperfusion 9. A nurse-manager is prepar- ing the curricula for a class [Show More]

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