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HESI EXIT EXAM 2024 LATEST UPDATE QUESTIONS AND VERIFIED CORRECT ANSWERS WITH COMPLETE SOLUTIONS AND GRADED A++ BY EXPERTS ALREADY PASSED!!
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HESI EXIT EXAM 2024 LATEST UPDATE QUESTIONS AND VERIFIED CORRECT ANSWERS WITH COMPLETE SOLUTIONS AND GRADED A++ BY EXPERTS ALREADY PASSED!! What PO2 value indicates respiratory failure in adults? PO2 < 60 mmHg What blood value indicates hypercapnia? PCO2 > 45 mmHg What condition occurs...

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  • April 28, 2024
  • 210
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • hesi exit exam 2024 latest update questions and

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HESI EXIT EXAM 2024 LATEST UPDATE QUESTIONS AND
VERIFIED CORRECT ANSWERS WITH COMPLETE
SOLUTIONS AND GRADED A++ BY EXPERTS ALREADY
PASSED!!

What PO2 value indicates respiratory failure in adults?
PO2 < 60 mmHg
What blood value indicates hypercapnia?
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?
Acute respiratory failure
What are the S/S of respiratory failure in adults?
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?
CHD
RDS
Infection, sepsis
NM diseases
Trauma, burns
Aspiration
FVO & dehydration
Anesthesia & narcotic OD
Structural anomalies resulting in airway obstruction
What percentage of O2 should a child in severe respiratory distress receive?
100% O2
What is shock?
Widespread, serious reduction of tissue perfusion, which leads to generalized
impairment of cellular function.
What is the most common cause of shock?
Hypovolemia
What causes septic shock?
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?
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?
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?

,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?
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?
Epi & NE
Dopamine
Dobutamine
Isoproterenol
What is the established minimum renal output per hour?
30 mL/hr
What are 4 measurable criteria that are the major expected outcomes of a shock
crisis?
MAP 80-90 mmHg
PO2 > 50 mmHg
CVP 2-6 mmHg H2O
Urine output ≥ 30 mL/hr
What is DIC?
A coagulation disorder in which there's paradoxical thrombosis & hemorrhage.
What medication is used to tx DIC?
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
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.
c) The informed consent needs to be obtained from the pt.
Rationale:
Clients who are admitted involuntarily to a mental health unit do not lose their right to
informed consent. Clients must be considered legally competent until they have been
declared incompetent through a legal proceeding. The best determination for the nurse
to make is to obtain the informed consent from the client.
A pt presents to the ED with UGI bleeding & in moderate distress. In care
planning, what is the priority RN action for this pt?


a) VS assessment
b) Abdominal examination

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