HESI EXAM 1 LATEST UPDATE 2023-2024 UPDATED 2023 STUDY GUIDE EXAM QUESTIONS WITH CORRECT ANSWERS

HESI EXAM 1 LATEST UPDATE
2023-2024
UPDATED 2023 STUDY GUIDE EXAM
QUESTIONS WITH CORRECT ANSWERS

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 lef t 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
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? -answer- 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 client care and is most cost-effective? -answer- Skills of staff and client
acuity
When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease (COPD),
which approach should the nurse use? -answer- Explain that the client may be placed in five positions
A client presents in the emergency room with right-sided facial asymmetry. The nurse asks the client to
perform a series of movements that require use of the facial muscles. What symptoms suggest that the
client has most likely experience a Bell's palsy rather than a stroke? -answer- Inability to close the
affected eye, raise brow, or smile
The nurse is teaching a client how to perform colostomy irrigations. When observing the client's return
demonstration, which action indicated that the client understood the teaching? -answer- Keeps the
irrigating container less than 18 inches above the stoma
The nurse should teach the client to observe which precaution while taking dro