2023 HESI NGN Exit Exam Actual Version 2 Guaranteed A+ Actual Questions and Answers, Complete 100%

2023 HESI NGN Exit Exam Actual Version 2 Guaranteed A+ Actual Questions and Answers, Complete 100% 1. 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. 2. 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. 3. When preparing a client for discharge from the hospital following a cystectomy and a urinary diversion to treat bladder 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. 4. 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. 5. 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. 6. 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 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.