BSN 366 HESI RN EXIT With NGN Test Bank Actual Exam Questions And 100% Correct Answers | Graded A+ | Latest Update 2026/2027 | NIGHTINGALE

BSN 366 HESI RN EXIT With NGN Test Bank Actual Exam Questions And 100% Correct Answers | Graded A+ | Latest Update 2026/2027 | NIGHTINGALE. A female client has been taking a high dose of prednisone, a corticosteroid, for several months. After stopping the medication abruptly, the client reports feeling "very tired". Which nursing intervention is most important for the nurse to implement? a. Measure vital signs b. Auscultate breath sounds c. Palpate the abdomen d. Observe the skin for bruising Measure vital signs Rationale: Abrupt withdrawal of an exogenous corticosteroids can precipitate adrenal insufficiency and hypoglycemia, hypokalemia, and circulatory collapse can occur. Is most important for the nurse to assess vital sign to impending shock. A male client reports the onset of numbness and tingling in his fingers and around his mouth. Which lab is important for the nurse to review before contacting the health care provider? a. capillary glucose b. urine specific gravity c. Serum calcium d. white blood cell count Serum calcium Rationale: Numbness and tingling of the fingers and around the mouth, along with muscle cramps are signs of hypocalcemia .! What explanation is best for the nurse to provide a client who asks the purpose of using the logrolling technique for turning? a. working together can decrease the risk for back injury b. The technique is intended to maintain straight spinal alignment. c. Using two or three people increases client safety. A+ TEST BANK 2 d. turning instead of pulling reduces the likelihood of skin damage The technique is intended to maintain straight spinal alignment. . A client receiving chemotherapy has severe neutropenia. Which snack is best for the nurse to recommend to the client? a. Plain yogurt with sweetened with raw honey b. Peanuts in the shell, roasted or un-roasted. c. Aged farmer's cheese with celery sticks d. Baked apples topped with dried raisins Baked apples topped with dried raisins Rationale: A patient with chemotherapy-induced severe neutropenia is at high risk for infection. A low bacteria diet is required D is a healthy snack for a client receiving chemotherapy. A, B and C have a high bacterial count and should be avoided. Which action should the school nurse take first when conducting a screening for scoliosis? a. Compare dorsal measurement of trunk b. Extend arms over head for visualization c. Inspect for symmetrical shoulder height. d. Observe weight-bearing on each leg. Inspect for symmetrical shoulder height. Rationale: Children between 9 and 15 years old should be screening for scoliosis, which is exhibited.... Vertebral column. Screening for scoliosis should begin with inspection of shoulder height .! Rationale: The main rationale for use of the long-rolling technique is to maintain the client's spine straight alignment. ! A+ TEST BANK 3 An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports to the charge nurse that a client has a weak pulse with a rate of 44 beat/ minutes. What action should the charge nurse implement? a- Instruct the UAP to count the client apical pulse rate for sixty seconds b- Determine if the UAP also measured the client's capillary refill time. c- Assign a practical nurse (LPN) to determine if an apical radial deficit is present. d- Notify the health care provider of the abnormal pulse rate and pulse volume. Assign a practical nurse (LPN) to determine if an apical radial deficit is present After a sudden loss of consciousness, a female client is taken to the ED and initial assessment indicate that her blood glucose level is critically low. Once her glucose level is stabilized, the client reports that was recently diagnosed with anorexia nervosa and is being treated at an outpatient clinic. Which intervention is more important to include in this client's discharge plan? a. Describe the signs and symptoms of hypoglycemia. b. Encourage a low-carbohydrate and high-protein diet c. Reinforce the need to continue outpatient treatment d. Suggest wearing a medical alert bracelet at all time. Encourage a low-carbohydrate and high-protein diet Rationale: A client with anorexia nervosa with long term starvation or who self-restrict intake can sign.... Reserves. Providing the client with dietary selections such as low-carbohydrate, high protein.... Hypoglycemic episodes, which can become life-threating. A 12 year old client who had an appendectomy two days ago is receiving 0.9% normal saline at 50 ml/hour. The client's urine specific gravity is 1.035. What action should the nurse implement? a. Evaluate postural blood pressure measurements b. Obtain specimen for uranalysis c. Encourage popsicles and fluids of choice d. Assess bowel sounds in all quadrants Encourage popsicles and fluids of choice An older male client arrives at the clinic complaining that his bladder always feels full. He complains of weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating his urine stream. Which action should the nurse implement? Rationale: specific gravity of urine is a measurement of hydration status (normal range of 1.010 to 1.025) which is indicative of fluid volume deficit when Sp Gr increases as urine becomes more concentrated. .! A+ TEST BANK 4 a. Obtain a urine specimen for culture and sensitivity b. Palpate the client's suprapubic area for distention c. Advise the client to maintain a voiding diary for one week d. Instruct in effective technique to cleanse the glans penis Palpate the client's suprapubic area for distention Rationale: the client is exhibiting classic signs of an enlarge prostate gland, which restricts urine flow and cause bothersome lower urinary tract symptoms (LUTS) and urinary retention, which is characterized by the client's voiding patterns and perception of incomplete bladder emptying. .! .! A client who had a below the knee amputation is experiencing severe phantom limb pain (PLP) and ask the nurse if mirror therapy will make the pain stop. Which response by the nurse is likely to be most helpful? a. Research indicates that mirror therapy is effective in reducing phantom limb pain b. You can try mirror therapy, but do not expect to complete elimination of the pain c. Transcutaneous electrical nerve stimulators (TENS) have been found to be more effective d. Where did you learn about the use of mirror therapy in treating in treating phantom limb pain? Research indicates that mirror therapy is effective in reducing phantom limb pain Rationale: pain relief associated with mirror therapy may be due to the activation of neurons in the hemisphere of the brain that is contralateral to the amputated limb when visual input reduces the activity of systems that perceive protopathic pain. .! An older adult client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant, heart sounds, and is anxious and restless. After initiating oxygen therapy and IV hydration, which intervention is most important for the nurse to implement? a. Observe neck for jugular vein distention b. Notify healthcare provider to prepare for pericardiocentesis c. Asses for paradoxical blood pressure d. Monitor oxygen saturation (Sp02) via continuous pulse oximetry Notify healthcare provider to prepare for pericardiocentesis A+ TEST BANK 5 Rationale: Cardiac tamponade is pressure on the heart that occurs when blood or fluid builds up in the space between the heart muscle (myocardium) and the outer covering sac of the heart (pericardium). In this condition, blood or fluid collects in the pericardium, the sac surrounding the heart. This prevents the heart ventricles from expanding fully. The excess pressure from the fluid prevents the heart from working properly. As a result, the body does not get enough blood. .! A new member joins the nursing team spreads books on the table, puts items on two chairs, and sits on a third chair. The members of the group are forced to move closer and remove their possessions from the table what action should the nurse leader take?