PN HESI EXIT EXAM REVISION PACK
Evaluation 17
Contents
ICU & Emergency Nursing Mastery........................................................................................................................................................................3
Advanced Cardiac Rhythms....................................................................................................................................................................................5
,Complex Pediatric Cases.........................................................................................................................................................................................7
Advanced Maternal-Newborn Questions...............................................................................................................................................................9
Mental Health Prioritization.................................................................................................................................................................................11
NCLEX NGN-Style Clinical Judgment.....................................................................................................................................................................12
HESI Exit High-Predictor Items..............................................................................................................................................................................14
, Questions 426–450
ICU & Emergency Nursing Mastery
Question 426
A client in the ICU suddenly becomes unresponsive. The monitor shows ventricular fibrillation. What is the nurse's
priority action?
A. Check blood glucose
B. Begin CPR and prepare for defibrillation
C. Obtain a 12-lead
ECG D. Notify dietary
services
Answer: B
Rationale:
Ventricular fibrillation is a shockable rhythm requiring immediate CPR and defibrillation.
Question 427
A trauma client develops hypotension, tachycardia, and cool clammy skin. What type of shock should the nurse
suspect?
A. Hypovolemic shock
B. Neurogenic shock
C. Septic shock
D. Cardiogenic shock
Answer: A
Rationale:
Trauma-related blood loss commonly causes hypovolemic shock.
Evaluation 17
Contents
ICU & Emergency Nursing Mastery........................................................................................................................................................................3
Advanced Cardiac Rhythms....................................................................................................................................................................................5
,Complex Pediatric Cases.........................................................................................................................................................................................7
Advanced Maternal-Newborn Questions...............................................................................................................................................................9
Mental Health Prioritization.................................................................................................................................................................................11
NCLEX NGN-Style Clinical Judgment.....................................................................................................................................................................12
HESI Exit High-Predictor Items..............................................................................................................................................................................14
, Questions 426–450
ICU & Emergency Nursing Mastery
Question 426
A client in the ICU suddenly becomes unresponsive. The monitor shows ventricular fibrillation. What is the nurse's
priority action?
A. Check blood glucose
B. Begin CPR and prepare for defibrillation
C. Obtain a 12-lead
ECG D. Notify dietary
services
Answer: B
Rationale:
Ventricular fibrillation is a shockable rhythm requiring immediate CPR and defibrillation.
Question 427
A trauma client develops hypotension, tachycardia, and cool clammy skin. What type of shock should the nurse
suspect?
A. Hypovolemic shock
B. Neurogenic shock
C. Septic shock
D. Cardiogenic shock
Answer: A
Rationale:
Trauma-related blood loss commonly causes hypovolemic shock.
