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HESI NSG 123 FINAL 2024 COMPLETE EXAM/
REAL EXAM QUESTIONS WITH 100%
CORRECT VERIFIED ANSWERS/ GRADED A+
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having difficulty sleeping. What is the probable etiology of this problem?
- Pain
- Nocturia
- Dyspnea
- Frequent cough - Correct Answer - A. Pain
When planning care for a client newly diagnosed with open angle glaucoma, the nurse identifies a priority nursing diagnosis of, "visual sensory/perceptual alterations." This diagnosis is based on which etiology?
- Limited eye movement
- Decreased peripheral vision
- Blurred distance vision
- Photosensitivity - Correct Answer - B. Decreased peripheral vision
A client who is newly diagnosed with emphysema is being prepared for discharge. Which instruction is best for the nurse to provide the client to assist them with dyspnea self-management?
- Allow additional time to complete physical activities to reduce oxygen demand 1 / 4
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- Practice inhaling through the nose and exhaling slowly through pursed lips
- Use a humidifier to increase home air quality humidity between 30-50%
- Strengthen abdominal muscles by alternating leg raises during exhalation - Correct
Answer - B. Practice inhaling through the nose and exhaling slowly through pursed lips
A client with cancer is receiving chemotherapy with a known vesicant. The client's IV has been in place for 72 hours. The nurse determines that a new IV site cannot be obtained, and leaves the present IV in place. What is the greatest clinical risk related to this situation?
- Impaired skin integrity
- Fluid volume excess
- Acute pain and anxiety
- Peripheral neurovascular dysfunction - Correct Answer - A. Impaired skin integrity
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanasthesia unit. Before selecting which medication to administer, which action should the nurse implement?
- Document the client's report of pain in the electronic medical record
- Determine which prescription will have the quickest onset of action
- Compare the client's pain scale rating with the prescribed dosing
- Ask the client to choose which mediation is needed for pain - Correct Answer - C.
Compare the client's pain scale rating with the prescribed dosing
While assisting a female client to the toilet, the client begins to have a seizure and the nurse eases her to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
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- Document details of the seizure activity
- Observe for lacerations to the tongue
- Observe for prolonged periods of apnea
- Evaluate for evidence of incontinence - Correct Answer - C. Observe for prolonged
periods of apnea
A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation facility following treatment for a stroke with resulting right hemiplegia. He tells the nurse that his feet are always uncomfortably cool at night, preventing him from falling asleep. Which action should the nurse implement.
- Provide a warming pad (Aqua-pad or K-pad) to feet
- Medicate the client with a prescribed sedative
- Use a bed cradle to hold the covers off the feet
- Place warm blankets next to the client's feet - Correct Answer - D. Place warm
blankets next to the client's feet
During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?
- An old friend with eczema came for a visit
- Recently received an influenza immunization
- A grandson and his new dog recently visited
- Corticosteroid cream was applied to eczema - Correct Answer - C. A grandson and
his new dog recently visited
While planning care for a client with carpal tunnel syndrome, the nurse identifies a collaborative problem of pain. what is the etiology of this problem? 3 / 4
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- Irritation of nerve endings
- Diminished blood flow
- Ischemic tissue changes
- Compression of a nerve - Correct Answer - D. Compression of a nerve
The nurse assesses a client being treated for Herpes Zoster (shingles).Which assessments should the nurse include when evaluating the effectiveness of treatment? (Select all that apply)
- Skin integrity
- Functional ability
- Heart sounds
- Pain scale
- Bowel sounds - Correct Answer – A, B, D
A male client tells the clinic nurse that he is experiencing burning on urination, and assessment reveals that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement?
- Observe the perineal area for a chancroid-like lesion
- Obtain a specimen of urethral drainage for culture
- Assess for perineal itching, erythema and excoriation
- Identify all sexual partners in the last four days - Correct Answer - B. Obtain a
specimen of urethral drainage for culture
A client with Addison's disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value?
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