HESI EXIT TEST BANK V1 QUESTIONS AND 100% CORRECT ANSWERS A GRADE LATEST UPDATE EXAM 

While assessing a radial artery catheter, the client complains of numbness
and pain distal to the insertion site. What interventions should the nurse
implement? -- CORRECT 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? -- CORRECT
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? -- CORRECT 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? --
CORRECT 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? --
CORRECT 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? -- CORRECT 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) -- CORRECT ANSWER-Arterial
endothelium injury causes inflammation