HESI EXIT EXAM NEXT GENERATION (NGN) TEST BANK LATEST ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (100% 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 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
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
Vessel narrowing results in ischemia