Page 1 of 330
HESI EXIT EXAM REVIEW LATEST 2025 ACTUAL EAXM
COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
While assessing a radial artery catheter, the client complains of
numbness and pain distal to the insertion site. What interventions
should the nurse implement? ......ANSWER......Promptly remove
the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted
from a skateboarding accident. To differentiate the vascular
source of the intracranial bleeding, which finding should the nurse
monitor? ......ANSWER......Rapid onset of decreased level of
consciousness.
When preparing a client for discharge from the hospital
following a cystectomy and a urinary diversion to treat bladder
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cancer, which instruction is most important for the nurse to include
in the client's discharge teaching plan? ......ANSWER......Report
any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an
area of hyperemia. To assess for blanching, what action should
the nurse take? ......ANSWER......Apply light pressure over the
area.
The nurse enters a client's room and observes the client's wrist
restraint secured as seen in the picture. What action should the
nurse take? ......ANSWER......Reposition the restraint tie onto the
bedframe.
A female client with acute respiratory distress syndrome (ARDS)
is chemically paralyzed and sedated while she is on as assist-
control ventilator using 50% FIO2. Which assessment finding
warrants
,Page 3 of 330
immediate intervention by the nurse? ......ANSWER......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.
The development of atherosclerosis is a process of sequential
events. Arrange the pathophysiological events in orders of
occurrence. (Place the first event on top and the last on the
bottom) ......ANSWER......Arterial endothelium injury causes
inflammation
Macrophages consume low density lipoprotein (LDL), creating
foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous plaques
, Page 4 of 330
Vessel narrowing results in ischemia
Following a motor vehicle collision, an 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? ......ANSWER......Oliguria
signals tubular necrosis related to hypoperfusion
A nurse-manager is preparing the curricula for a class for charge
nurses. A staffing formula based on what data ensures quality
client care and is most cost-effective? ......ANSWER......Skills of
staff and client acuity
When performing postural drainage on a client with Chronic
Obstructive Pulmonary Disease (COPD), which approach should
the nurse use? ......ANSWER......Explain that the client may be
placed in five positions
HESI EXIT EXAM REVIEW LATEST 2025 ACTUAL EAXM
COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
While assessing a radial artery catheter, the client complains of
numbness and pain distal to the insertion site. What interventions
should the nurse implement? ......ANSWER......Promptly remove
the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted
from a skateboarding accident. To differentiate the vascular
source of the intracranial bleeding, which finding should the nurse
monitor? ......ANSWER......Rapid onset of decreased level of
consciousness.
When preparing a client for discharge from the hospital
following a cystectomy and a urinary diversion to treat bladder
,Page 2 of 330
cancer, which instruction is most important for the nurse to include
in the client's discharge teaching plan? ......ANSWER......Report
any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an
area of hyperemia. To assess for blanching, what action should
the nurse take? ......ANSWER......Apply light pressure over the
area.
The nurse enters a client's room and observes the client's wrist
restraint secured as seen in the picture. What action should the
nurse take? ......ANSWER......Reposition the restraint tie onto the
bedframe.
A female client with acute respiratory distress syndrome (ARDS)
is chemically paralyzed and sedated while she is on as assist-
control ventilator using 50% FIO2. Which assessment finding
warrants
,Page 3 of 330
immediate intervention by the nurse? ......ANSWER......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.
The development of atherosclerosis is a process of sequential
events. Arrange the pathophysiological events in orders of
occurrence. (Place the first event on top and the last on the
bottom) ......ANSWER......Arterial endothelium injury causes
inflammation
Macrophages consume low density lipoprotein (LDL), creating
foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous plaques
, Page 4 of 330
Vessel narrowing results in ischemia
Following a motor vehicle collision, an 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? ......ANSWER......Oliguria
signals tubular necrosis related to hypoperfusion
A nurse-manager is preparing the curricula for a class for charge
nurses. A staffing formula based on what data ensures quality
client care and is most cost-effective? ......ANSWER......Skills of
staff and client acuity
When performing postural drainage on a client with Chronic
Obstructive Pulmonary Disease (COPD), which approach should
the nurse use? ......ANSWER......Explain that the client may be
placed in five positions
