HESI EXIT EXAM ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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HESI
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HESI
HESI EXIT EXAM ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/HESI EXIT EXAM ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/HESI EXIT EXAM ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
HESI EXIT EXAM 2024-2025
ACTUAL EXAM 700+
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
,HESI Exit Exam 2024-2025 ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES
What PO2 value indicates respiratory failure in adults? - correct answer PO2 < 60 mmHg
What blood value indicates hypercapnia? - correct answer PCO2 > 45 mmHg
What condition occurs when the PO2 is < 60 mmHg (acute hypoxemia), the CO2 tension rises >
50 mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or both? - correct answer
Acute respiratory failure
What are the S/S of respiratory failure in adults? - correct answer Dyspnea, SOB
Tachypnea
Intercostal & sternal retractions
Cyanosis
Tachycardia
Cough that produces sputum
Fatigue
Fever
Crackles, wheezes
Chest pain (especially when trying to deep breathe)
Hypotension
Confusion
Agitation, restlessness
What are the common causes of respiratory failure in peds? - correct answer CHD
RDS
Infection, sepsis
NM diseases
Trauma, burns
Aspiration
FVO & dehydration
Anesthesia & narcotic OD
Structural anomalies resulting in airway obstruction
,HESI Exit Exam 2024-2025 ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES
What percentage of O2 should a child in severe respiratory distress receive? - correct answer
100% O2
What is shock? - correct answer Widespread, serious reduction of tissue perfusion, which leads
to generalized impairment of cellular function.
What is the most common cause of shock? - correct answer Hypovolemia
What causes septic shock? - correct answer Release of endotoxins from bacteria, which act on
the nerves in peripheral vascular spaces, causing vascular pooling, reduced venous return,
decreased CO & results in poor systemic perfusion.
What is the goal of tx for hypovolemic shock? - correct answer Quick restoration of CO & tissue
perfusion.
It's important to differentiate between hypovolemic & cardiogenic shock. How might the RN
determine the existence of cardiogenic shock? - correct answer H/o MI with LV failure or
possible cardiomyopathy, with S/S of pulmonary edema.
If a pt is in cardiogenic shock, what might result from administration of volume-expanding
fluids, and what intervention can the RN expect to perform in the event of such an occurrence?
- correct answer Pulmonary edema -- administer meds to manage preload, contractility and/or
afterload. For example, to decrease afterload, nitroprusside may be given.
What are 5 assessment findings occur in most shock pt's? - correct answer Tachycardia
Tachypnea
Hypotension
Cool, clammy skin
Decreased urine output
Once circulating volume is restored, vasopressors may be given to increase venous return.
What are the main drugs that are used? - correct answer Epi & NE
Dopamine
Dobutamine
Isoproterenol
What is the established minimum renal output per hour? - correct answer 30 mL/hr
What are 4 measurable criteria that are the major expected outcomes of a shock crisis? -
correct answer MAP 80-90 mmHg
PO2 > 50 mmHg
, HESI Exit Exam 2024-2025 ACTUAL EXAM 700+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES
CVP 2-6 mmHg H2O
Urine output ≥ 30 mL/hr
What is DIC? - correct answer A coagulation disorder in which there's paradoxical thrombosis
& hemorrhage.
What medication is used to tx DIC? - correct answer Heparin
The RN assesses a pt with the admitting dx of bipolar affective disorder, mania. Which pt S/S
require the RN's immediate action?
a) Incessant talking & sexual innuendos
b) Grandiose delusions & poor concentration
c) Outlandish behaviors & inappropriate dress
d) Nonstop physical activity & poor nutritional intake - correct answer d) Nonstop physical
activity & poor nutritional intake
Rationale:
Mania is a mood characterized by excitement, euphoria, hyperactivity, excessive energy,
decreased need for sleep, and impaired ability to concentrate or complete a single train of
thought. The client's mood is predominantly elevated, expansive, or irritable. All of the options
reflect a client's possible symptoms. However, the correct option clearly presents a problem
that compromises physiological integrity and needs to be addressed immediately.
The RN is caring for a pt who was involuntarily hospitalized to a mental health unit & is
scheduled for ECT. The RN notes that the informed consent hasn't been obtained for the
procedure. Based on this information, what is the RN's best determination in care planning?
a) The informed consent doesn't need to be obtained.
b) The informed consent would be obtained from the family.
c) The informed consent needs to be obtained from the pt.
d) The PCP will provide informed consent. - correct answer c) The informed consent needs to
be obtained from the pt.
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