2024 HESI EXIT EXAM NEXT GENERATION FORMAT
(NGN)/ACTUAL TESTBANK WITH ACTUAL EXAM WITH 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS) ALREADY GRADED
A+/BRAND NEW 2024-2025
While assessing a radial artery catheter, the patient complains of numbness and paindistal
to the insertion site. What interventions should the caregiverimplement? - CORRECT ANS:-
>>>Promptly remove the arterial catheter from the radial artery.
A patient 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 caregiver monitor? - CORRECT ANS:->>>Rapid onset of decreased level of
consciousness.
When preparing a patient for discharge from the hospital following a cystectomy and a
urinary diversion to treat bladder cancer, which instruction is most important for the
caregiver to include in the patient's discharge teaching plan? - CORRECT ANS:-
>>>Report any signsof cloudy urine output.
After repositioning an immobile patient, the caregiver observes an area of hyperemia. To
assess for blanching, what action should the caregiver take? - CORRECT ANS:->>>Apply
light pressure over the area.
,The caregiverenters a patient's room and observes the patient's wrist restraint secured
as seen in the picture. What action should the caregivertake? - CORRECT ANS:-
>>>Reposition therestraint tie onto the bedframe.
A female patient 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
immediate intervention by the nurse? - CORRECT ANS:->>>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 thelast
on the bottom) - CORRECT ANS:->>>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 plaquesVessel
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? - CORRECT ANS:-
>>>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 patient care and is most cost-effective? -
CORRECT ANS:->>>Skills of staff and patient acuity
When performing postural drainage on a patient with Chronic Obstructive Pulmonary
Disease (COPD), which approach should the caregiveruse? - CORRECT ANS:-
>>>Explain that thepatient may be placed in five positions
A patient presents in the emergency room with right-sided facial asymmetry. The
caregiverasks the patient to perform a series of movements that require use of the facial
muscles.What symptoms suggest that the patient has most likely experience a Bell's palsy
ratherthan a stroke? - CORRECT ANS:->>>Inability to close the affected eye, raise brow, or
smile
The caregiveris teaching a patient how to perform colostomy irrigations. When observing the
patient's return demonstration, which action indicated that the patient understood the
, teaching? - CORRECT ANS:->>>Keeps the irrigating container less than 18 inches above
the stoma
The caregivershould teach the patient to observe which precaution while taking
dronedarone? - CORRECT ANS:->>>Avoid grapefruits and its juice
A patient who sustained a head injury following an automobile collision is admitted to the
hospital. The caregiverinclude the patient's risk for developing increased intracranial
pressure (ICP) in the plan of care. Which signs indicate to the caregiverthat ICP has
increased? - CORRECT ANS:->>>Increased Glasgow coma scale score.
Nuchal rigidity and papilledema.
Confusion and papilledema
Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usuallythe
first sign of
increased ICP. Other options do not necessarily reflect increased ICP.
The caregiveris caring for a patient receiving continuous IV fluids through a single lumen
central venous catheter (CVC). Based on the CVC care bundle, which action should be
completed daily to reduce the
risk for infection? - CORRECT ANS:->>>Confirm the necessity for continued use of the CVC.
(NGN)/ACTUAL TESTBANK WITH ACTUAL EXAM WITH 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWERS) ALREADY GRADED
A+/BRAND NEW 2024-2025
While assessing a radial artery catheter, the patient complains of numbness and paindistal
to the insertion site. What interventions should the caregiverimplement? - CORRECT ANS:-
>>>Promptly remove the arterial catheter from the radial artery.
A patient 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 caregiver monitor? - CORRECT ANS:->>>Rapid onset of decreased level of
consciousness.
When preparing a patient for discharge from the hospital following a cystectomy and a
urinary diversion to treat bladder cancer, which instruction is most important for the
caregiver to include in the patient's discharge teaching plan? - CORRECT ANS:-
>>>Report any signsof cloudy urine output.
After repositioning an immobile patient, the caregiver observes an area of hyperemia. To
assess for blanching, what action should the caregiver take? - CORRECT ANS:->>>Apply
light pressure over the area.
,The caregiverenters a patient's room and observes the patient's wrist restraint secured
as seen in the picture. What action should the caregivertake? - CORRECT ANS:-
>>>Reposition therestraint tie onto the bedframe.
A female patient 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
immediate intervention by the nurse? - CORRECT ANS:->>>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 thelast
on the bottom) - CORRECT ANS:->>>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 plaquesVessel
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? - CORRECT ANS:-
>>>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 patient care and is most cost-effective? -
CORRECT ANS:->>>Skills of staff and patient acuity
When performing postural drainage on a patient with Chronic Obstructive Pulmonary
Disease (COPD), which approach should the caregiveruse? - CORRECT ANS:-
>>>Explain that thepatient may be placed in five positions
A patient presents in the emergency room with right-sided facial asymmetry. The
caregiverasks the patient to perform a series of movements that require use of the facial
muscles.What symptoms suggest that the patient has most likely experience a Bell's palsy
ratherthan a stroke? - CORRECT ANS:->>>Inability to close the affected eye, raise brow, or
smile
The caregiveris teaching a patient how to perform colostomy irrigations. When observing the
patient's return demonstration, which action indicated that the patient understood the
, teaching? - CORRECT ANS:->>>Keeps the irrigating container less than 18 inches above
the stoma
The caregivershould teach the patient to observe which precaution while taking
dronedarone? - CORRECT ANS:->>>Avoid grapefruits and its juice
A patient who sustained a head injury following an automobile collision is admitted to the
hospital. The caregiverinclude the patient's risk for developing increased intracranial
pressure (ICP) in the plan of care. Which signs indicate to the caregiverthat ICP has
increased? - CORRECT ANS:->>>Increased Glasgow coma scale score.
Nuchal rigidity and papilledema.
Confusion and papilledema
Periorbital ecchymosis.
Rationale: papilledema is always an indicator of increased ICP, and confusion is usuallythe
first sign of
increased ICP. Other options do not necessarily reflect increased ICP.
The caregiveris caring for a patient receiving continuous IV fluids through a single lumen
central venous catheter (CVC). Based on the CVC care bundle, which action should be
completed daily to reduce the
risk for infection? - CORRECT ANS:->>>Confirm the necessity for continued use of the CVC.
