Practice Question
The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?
Answer Choices:
Correct Answer:
Right foot is cool to the touch and appears pale and blanched.
Rationale:
💠This finding indicates arterial obstruction, potentially compromising perfusion to the extremity post-catheterization.
💠The cool temperature and pallor suggest impaired circulation due to possible clot or hematoma at the insertion site.
💠Prompt identification of ischemia signs is critical to preserve tissue integrity and prevent limb damage.
💠This is a vascular emergency that requires immediate intervention.
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This question is from RN-HESI Exit~2025 Exam 4 which contains 100 questions.
More Questions from This Exam
While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?
Answer Choices:
A. serum albumin.
B. Neutrophil count.
C. Serum blood glucose (BG) level.
D. hematocrit.
The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which response by the client indicates understanding?
Answer Choices:
A. Soak feet daily in hot water no longer than 10 minutes.
B. Include no more than 1-2 alcoholic beverages in diet per day
C. Remember exercise will not affect blood glucose levels.
D. Keep any wounds covered with an antibiotic ointment.
When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?
Answer Choices:
A. Leave the client's room and return later in the day.
B. Refer client to the social worker for support therapy
C. Encourage client to implement relaxation techniques.
D. Explain that insulin is a life-saving drug for the client
After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?
Answer Choices:
A. Notify information services department of the situation.
B. Print electronic medical record (EMR) from backup server.
C. Wait for notification that the system has been rebooted.
D. Identify information as late entry in the record.
The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?
Answer Choices:
A. Monitor blood glucose level.
B. Maintain strict intake and output.
C. Assess warmth of extremities.
D. Keep head of bed raised 45 degrees.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2025
- Answer Choices: 4