10/7/24, 5:14 AM HESI CRITICAL CARE EXAM WITH NGN NEWEST 2024-2025 ACTUAL EXAM COMPLETE 124 QUESTIONS AND CORRECT D…
HESI CRITICAL CARE EXAM WITH NGN NEWEST
2024-2025 ACTUAL EXAM COMPLETE 124
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
Terms in this set (124)
A 56-year-old female B. A nurse with Marfan's syndrome who is
client is receiving postmenopausal.
intracavitary radiation via a RATIONALE:
radium implant. Which A client receiving intracavity radiation poses a
nurse should be assigned radiation hazard as long as the intracavity
to care for this client? radiation source is in place. A nurse's ability to care of
A. The nurse who is caring this client is not affected by Marfan's
for another client syndrome (B), which is a hereditary disorder of
receiving intracavitary connective tissues, bones, muscles, ligaments
radiation. and skeletal structures. The goal is to limit any one
B. A nurse with Marfan's staff member's exposure to the calculated
syndrome who is time span based on the half-life of radium, such as the
postmenopausal. number of minutes at the bedside per day,
C. A nurse with oncology so (A) should not be assigned. (C) should not be
experience who may be exposed to the radiation due to the possible
pregnant. effect on the fetus. A radiation exposure decreases
D. The nurse who is caring the immune response in the client who should
for another client who has not be exposed to the potential inadvertent
Clostridium difficile. transmission of an infectious organism (D).
,10/7/24, 5:14 AM HESI CRITICAL CARE EXAM WITH NGN NEWEST 2024-2025 ACTUAL EXAM COMPLETE 124 QUESTIONS AND CORRECT D…
1.A client who has active Assign the client to a negative air-flow room
tuberculosis (TB) is RATIONALE:
admitted to the medical Active tuberculosis requires implementation of
unit. What action is most airborne precautions, so the client should be
important for the nurse to assigned to a negative pressure air-flow room (D).
implement? Although (A and C) should be implemented
A. Fit the client with a for clients in isolation with contact precautions, it is
respirator mask. most important that air flow from the room
B. Assign the client to a is minimized when the client has TB. (B) should be
negative air-flow room. implemented when the client leaves the
C. Don a clean gown for isolation environment.
client care.
D. Place an isolation cart
in the hallway
2.A client is receiving Administer the medication
atenolol (Tenormin) 25 mg RATIONALE:
PO after a myocardial Atenolol, a beta-blocker, blocks the beta receptors of
infarction. The nurse the sinoatrial node to reduce the heart rate,
determines the client's so the medication should be administered (C)
apical pulse is 65 beats because the client's apical pulse is greater than 60.
per minute. What action (A, B, and D) are not indicated at this time.
should the nurse
implement
next?
A. Measure the blood
pressure.
B. Reassess the apical
pulse.
C. Notify the healthcare
provider.
D. Administer the
medication.
,10/7/24, 5:14 AM HESI CRITICAL CARE EXAM WITH NGN NEWEST 2024-2025 ACTUAL EXAM COMPLETE 124 QUESTIONS AND CORRECT D…
3.The nurse is assessing a Hyperthyroidism
client and identifies a bruit Rationale:Hyperthyroidism (D) is an enlargement of
over the thyroid. This the thyroid gland, often referred to as a goiter, and a
finding is consistent bruit may be auscultated over the goiter due to an
with which interpretation? increase in glandular vascularity which
A. Hypothyroidism. increases as the thyroid gland becomes hyperactive.
B. Thyroid cyst. A bruit is not common with (A, B, and C).
C. Thyroid cancer.
D. Hyperthyroidism
A 6-year-old child is alert Rhinorrhoea or otorrhoea with Halo sign.
but quiet when brought to RATIONALE:
the emergency center Raccoon eyes (periorbital ecchymosis) and Battle's
with periorbital sign (ecchymosis behind the ear over the
ecchymosis and mastoid process) are both signs of a basilar skull
ecchymosis behind the fracture, so the nurse should assess for possible
ears. The nurse suspects meningeal tears that manifest as a Halo sign with CSF
potential child abuse and leakage from the ears or nose (D). (A) is
continues to assess the consistent with orbital fractures. (B) occurs with
child for additional wrenching traumas of the shoulder or arm
manifestations of a basilar fractures. (C) occurs with blunt abdominal injuries.
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.
, 10/7/24, 5:14 AM HESI CRITICAL CARE EXAM WITH NGN NEWEST 2024-2025 ACTUAL EXAM COMPLETE 124 QUESTIONS AND CORRECT D…
The nurse is assessing a Grave's disease
client who complains of RATIONALE:
weight loss, racing heart This client is exhibiting symptoms associated with
rate, and difficulty hyperthyroidism or Grave's disease (A),
sleeping. The nurse which is an autoimmune condition affecting the
determines the client has thyroid. (B, C, and D) are not associated with
moist skin with fine hair, these symptoms.
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.
The nurse is assessing an Ptosis on the left eyelid
older client and Rationale: Ptosis is the term to describe an eyelid
determines that the client's droop that covers a large portion of the iris (A), which
left upper eyelid droops, may result from oculomotor nerve or eyelid muscle
covering more of the iris disorder. (B) is characterized by rapid,
than the right eyelid. rhythmic movement of both eyes. (C) is a distortion of
Which description should the lens of the eye, causing decreased
the nurse use to visual acuity. (D) is a term used to describe a
document this finding? protrusion of the eyeballs that occurs with
A. A nystagmus on the left. hyperthyroidism.
B. Exophthalmos on the
right.
C. Ptosis on the left eyelid.
D. Astigmatism on the
right.
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