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HESI CRITICAL CARE EXIT EXAM 2024 / CRITICAL CARE HESI EXIT EXAM 2024 ACTUAL EXAM ALL305 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)$29.99
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HESI CRITICAL CARE EXIT EXAM 2024 / CRITICAL CARE HESI EXIT EXAM 2024 ACTUAL EXAM ALL305 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
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Course
HESI CRITICAL CARE
Institution
HESI CRITICAL CARE
HESI CRITICAL CARE EXIT EXAM 2024 / CRITICAL CARE HESI EXIT EXAM 2024
ACTUAL EXAM ALL305 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
HESI CRITICAL CARE EXIT EXAM 2024 / CRITICAL CARE HESI EXIT EXAM 2024
ACTUAL EXAM ALL305 QUESTIONS AND CORRECT DETAILED
ANS...
HESI CRITICAL CARE EXIT EXAM 2024 / CRITICAL CARE HESI EXIT EXAM 2024
ACTUAL EXAM ALL305 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
A 56-year-old female client is receiving intracavitary radiation via a
radium implant. Which nurse should be assigned to care for this
client?
A. The nurse who is caring for another client receiving intracavitary
radiation.
B. A nurse with Marfan's syndrome who is postmenopausal.
C. A nurse with oncology experience who may be pregnant.
D. The nurse who is caring for another client who has Clostridium
difficile. - ANSWER-B. A nurse with Marfan's syndrome who is
postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation hazard as
long as the intracavity radiation source is in place. A nurse's ability
to care of this client is not affected by Marfan's syndrome (B),
which is a hereditary disorder of connective tissues, bones,
muscles, ligaments and skeletal structures. The goal is to limit any
one staff member's exposure to the calculated time span based on
the half-life of radium, such as the number of minutes at the
bedside per day, so (A) should not be assigned. (C) should not be
exposed to the radiation due to the possible
effect on the fetus. A radiation exposure decreases the immune
response in the client who should not be exposed to the
,potential inadvertent transmission of an infectious organism
(D).
1.A client who has active tuberculosis (TB) is admitted to the medical
unit. What action is most important for the nurse to implement?
A. Fit the client with a respirator mask.
B. Assign the client to a negative air-flow room.
C. Don a clean gown for client care.
D. Place an isolation cart in the hallway - ANSWER-Assign the client
to a negative air-flow room RATIONALE:
Active tuberculosis requires implementation of airborne precautions,
so the client should be assigned to a negative pressure air-flow room
(D). Although (A and C) should be implemented for clients in isolation
with contact precautions, it is most important that air flow from the
room is minimized when the client has TB. (B) should be implemented
when the client leaves the isolation environment.
2.A client is receiving atenolol (Tenormin) 25 mg PO after a
myocardial infarction. The nurse
determines the client's apical pulse is 65 beats per minute. What
action should the nurse implement next?
A. Measure the blood pressure.
B. Reassess the apical pulse.
C. Notify the healthcare provider.
D. Administer the medication. - ANSWER-Administer the medication
RATIONALE:
,Atenolol, a beta-blocker, blocks the beta receptors of the sinoatrial
node to reduce the heart rate, so the medication should be
administered (C) because the client's apical pulse is greater than
60.
(A, B, and D) are not indicated at this time.
3.The nurse is assessing a client and identifies a bruit over the
thyroid. This finding is consistent with which interpretation?
A. Hypothyroidism.
B. Thyroid cyst.
C. Thyroid cancer.
D. Hyperthyroidism - ANSWER-Hyperthyroidism
Rationale:Hyperthyroidism (D) is an enlargement of the thyroid gland,
often referred to as a goiter, and a bruit may be auscultated over the
goiter due to an increase in glandular vascularity which
increases as the thyroid gland becomes hyperactive. A bruit is not
common with (A, B, and C).
A 6-year-old child is alert but quiet when brought to the emergency
center with periorbital ecchymosis and ecchymosis behind the ears.
The nurse suspects potential child abuse and continues to assess the
child for additional manifestations of a basilar skull fracture. What
assessment finding would be consistent with a basilar skull fracture?
A. Hematemesis and abdominal distention.
B. Asymmetry of the face and eye movements.
C. Rhinorrhoea or otorrhoea with Halo sign.
, D. Abnormal position and movement of the arm. – ANSWER-
Rhinorrhoea or otorrhoea with Halo sign.
RATIONALE:
Raccoon eyes (periorbital ecchymosis) and Battle's sign (ecchymosis
behind the ear over the mastoid process) are both signs of a basilar
skull fracture, so the nurse should assess for possible meningeal
tears that manifest as a Halo sign with CSF leakage from the ears or
nose (D). (A) is consistent with orbital fractures. (B) occurs with
wrenching traumas of the shoulder or arm fractures. (C) occurs with
blunt abdominal injuries.
The nurse is assessing a client who complains of weight loss, racing
heart rate, and difficulty
sleeping. The nurse determines the client has moist skin with fine
hair, prominent eyes, lid retraction, and a staring expression.
These findings are consistent with which disorder? A. Grave's
disease.
B. Multiple sclerosis.
C. Addison's disease.
D. Cushing syndrome. - ANSWER-Grave's disease RATIONALE:
This client is exhibiting symptoms associated with hyperthyroidism
or Grave's disease (A), which is an autoimmune condition affecting
the thyroid. (B, C, and D) are not associated with these symptoms.
The nurse is assessing an older client and determines that the client's
left upper eyelid droops, covering more of the iris than the right
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