NGN HESI PN EXIT EXAM 2024 WITH VERIFIED
QUESTIONS AND ANSWERS LATEST UPDATE
The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When reviewing the information, which statement should the nurse recognize as needing additional education? - ANSWER✔✔Empty the pouch when it is half full.A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which action is most important for the nurse to implement? - ANSWER✔✔initiate prescribed IV fluids A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse should ensure that the pt bed is in which position? - ANSWER✔✔Picture with the bed sitting up A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the pt for the procedure, which intervention has the highest priority? - ANSWER✔✔Instruct pt to write down questions While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the provider, the nurse should review which of the pt lab values? - ANSWER✔✔culture for sensitive organisms A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon snack, which dietary choice should the nurse provide? - ANSWER✔✔Cinnamon apple sauce An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should the nurse implement these interventions? - ANSWER✔✔Send emesis to lab Elevate HOB complete focused assessment 1 / 3
offers PRN pain meds A patient who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the med. Which side effect should the nurse report to the healthcare provider? - ANSWER✔✔Somnambulism A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow up by the nurse? - ANSWER✔✔take metformin for type
- diabetes
The nurse should withhold which medication if the client's serum potassium level is 6.2 mEq/? - ANSWER✔✔Spironolactone A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The previous nurse reports that it was necessary to change the client's perineal pad hourly and that it is again saturated. The previous nurse also reports that the client's urinary output has decreased. Which action should the nurse implement first? - ANSWER✔✔Assess for weakness or dizziness A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the pt, in which sequence should the nurse complete these actions? - ANSWER✔✔-Observe breathing patterns -assess blood pressure -measure body temp -palpate for pedal edema The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the admission assessment is relevant to the nurse's plan for taking the blood pressure reading? SATA - ANSWER✔✔Blurred Vision Flat Affect frequent syncope 2 / 3
After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication? - ANSWER✔✔Ask the pt about gastrointestinal pain A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects of the medication, which serum laboratory value most important for the nurse to monitor - ANSWER✔✔platelet count A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan, the nurse should teach the parents to report which sign of overdose? - ANSWER✔✔Bradycardia The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel working on a rehab unit. The UAP asks the nurse how to safely move a physically disabled pt from the... wheelchair to the bed. Which action should the nurse recommend? - ANSWER✔✔Place the pt locked wheelchair on the pt strong side next to the bed The nurse has completed the diet teaching of a client who is being discharged following tx of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the pt indicates that the teaching was effective? - ANSWER✔✔A tuna fish sandwich with chips and ice cream When conducting diet teaching for a pt who was dx with a myocardial infarction, which snack foods should the nurse encourage the pt to eat? SATA - ANSWER✔✔Fresh Turkey slices and berries chick bouillon soup and toast raw unsalted almonds and apples A pt taking clopidogrel reports the onset of diarrhea. Which nursing action should the nurse implement first? - ANSWER✔✔Observe the appearance of the stool A pt is dx with Meniere's disease. Which problem should the nurse identify as most important in the plan of care? - ANSWER✔✔Risk for injury related to vertigo A new nurse preparing to irrigate an IV catheter is attaching a 24 gauge needle. Which action should the charge nurse implement? - ANSWER✔✔Suggest the nurse use 20g needle
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