2025 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
pain distal 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 signs of 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 the restraint 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
the last 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
plaques 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? - 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 the patient 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 rather than 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
usually the 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
pain distal 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 signs of 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 the restraint 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
the last 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
plaques 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? - 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 the patient 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 rather than 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
usually the 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.
