ACTUAL NSG 233 HESI FINAL EXAM 2024/2025 COMPLETE
150 REAL QUESTIONS AND CORRECT ANSWERS (100%
CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
The nurse plans to assess urine in the cather bag of a
client who is recieving bladder irrrigation of fluid
following a transuthethral resection of the prostate
(TURP). Which observation indicates a possible
postoperative complication and should be reported to
the healthcare provider immediately?
Answer- D) Thick, amber colored fluid in the urinary
drainage bag 24 hours postoperative.
The nurse performs a postoperative assessment of a
client following an abdominal gunshot wound repair and
finds the dressing saturated with blood and petechiae is
observed on the extensor surfaces of the extremities.
The client's current blood pressure is 80/40 mm Hg and
the heart rate is 130 beats/minute. Which laboratory
result should the nurse expect to find confirming the
,presence of disseminated intravascular coagulopathy
(DIC)?
Answer- D) Positive D-dimer.
A client involved in a motor vehicle collision is admitted
to the trauma intensive care unit. Which assessment
finding warrants immediate intervention by the nurse?
Answer- D) Diminished peripheral capillary refill.
The nurse is developing a plan of care for a client with
dementia caused by AIDS. Which nursing problem has
the highest priority?
Answer- B) Risk for injury
A client is admitted to the psychiatric unit for alcohol
detoxification. On the second day of hospitalization, the
client is nauseated, confused, incontinent, has visible
hand tremors, and a blood pressure of 160/102 mm Hg.
,Which intervention is most important for the nurse to
implement?
Answer- C) Implement seizure precautions and pad the
bedrails.
A client with a gram-negative bacterial infection develops
disseminated intravascular coagulation (DIC). Which
intervention should the nurse prioritize in the client's
plan of care?
Answer- B) Maintain vascular volume with fluid
replacement.
The nurse is caring for a client with pericarditis after
undergoing a bedside pericardiocentesis. Which finding
warrants immediate intervention by the nurse?
Answer- D. Asymmetrical chest rise and fall with
respiration.
, A client is admitted to the intensive care unit with
aspiration pneumonia following an intentional
acetaminophen overdose. The client is obtunded and
mechanically ventilated with 50% chronic fraction of
inspired oxygen (FiO). Serum laboratory findings include
blood urea nitrogen (BUN) 95 mg/dI (34.13 mmol/L),
creatinine 2.3 mg/d/ (203.3 mcmol/L), and alanine
aminotransferase (ALT) 113 units/L. Vital signs are
temperature 89.6° F (32° C), heart rate 54 beats/minute,
and blood pressure 60/40 mm Hg. Which intervention
should the nurse implement first?
Reference ranges:Blood urea nitrogen (BUN) 10 to 20
mg/d| (3.6 to 7.1 mmol/L)Creatinine 0.6 to 1.2 md/d (53
to 106 mmol/L)Alanine amniotransferase (ALT) 4 to 36
U/L (4 to 36 U/L)
Answer- B. Rapidly infuse IV of normal saline.
After intubating a client, correct placement of the
endotracheal tube (ETT) is confirmed with a chest x-ray.
150 REAL QUESTIONS AND CORRECT ANSWERS (100%
CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION |GUARANTEED PASS A+
The nurse plans to assess urine in the cather bag of a
client who is recieving bladder irrrigation of fluid
following a transuthethral resection of the prostate
(TURP). Which observation indicates a possible
postoperative complication and should be reported to
the healthcare provider immediately?
Answer- D) Thick, amber colored fluid in the urinary
drainage bag 24 hours postoperative.
The nurse performs a postoperative assessment of a
client following an abdominal gunshot wound repair and
finds the dressing saturated with blood and petechiae is
observed on the extensor surfaces of the extremities.
The client's current blood pressure is 80/40 mm Hg and
the heart rate is 130 beats/minute. Which laboratory
result should the nurse expect to find confirming the
,presence of disseminated intravascular coagulopathy
(DIC)?
Answer- D) Positive D-dimer.
A client involved in a motor vehicle collision is admitted
to the trauma intensive care unit. Which assessment
finding warrants immediate intervention by the nurse?
Answer- D) Diminished peripheral capillary refill.
The nurse is developing a plan of care for a client with
dementia caused by AIDS. Which nursing problem has
the highest priority?
Answer- B) Risk for injury
A client is admitted to the psychiatric unit for alcohol
detoxification. On the second day of hospitalization, the
client is nauseated, confused, incontinent, has visible
hand tremors, and a blood pressure of 160/102 mm Hg.
,Which intervention is most important for the nurse to
implement?
Answer- C) Implement seizure precautions and pad the
bedrails.
A client with a gram-negative bacterial infection develops
disseminated intravascular coagulation (DIC). Which
intervention should the nurse prioritize in the client's
plan of care?
Answer- B) Maintain vascular volume with fluid
replacement.
The nurse is caring for a client with pericarditis after
undergoing a bedside pericardiocentesis. Which finding
warrants immediate intervention by the nurse?
Answer- D. Asymmetrical chest rise and fall with
respiration.
, A client is admitted to the intensive care unit with
aspiration pneumonia following an intentional
acetaminophen overdose. The client is obtunded and
mechanically ventilated with 50% chronic fraction of
inspired oxygen (FiO). Serum laboratory findings include
blood urea nitrogen (BUN) 95 mg/dI (34.13 mmol/L),
creatinine 2.3 mg/d/ (203.3 mcmol/L), and alanine
aminotransferase (ALT) 113 units/L. Vital signs are
temperature 89.6° F (32° C), heart rate 54 beats/minute,
and blood pressure 60/40 mm Hg. Which intervention
should the nurse implement first?
Reference ranges:Blood urea nitrogen (BUN) 10 to 20
mg/d| (3.6 to 7.1 mmol/L)Creatinine 0.6 to 1.2 md/d (53
to 106 mmol/L)Alanine amniotransferase (ALT) 4 to 36
U/L (4 to 36 U/L)
Answer- B. Rapidly infuse IV of normal saline.
After intubating a client, correct placement of the
endotracheal tube (ETT) is confirmed with a chest x-ray.
