NGN HESI Exit Exam 4 Questions and Correct Verified Answers / HESI EXIT NGN Exam Prep (130 Ideal Questions and Answers for the HESI Exit Exam Prep)Questions and Correct Answers with Rationales/ Correctly Answered Questions and 100% Correct Answ

NGN HESI Exit Exam 4 Questions and Correct Verified Answers / HESI EXIT NGN Exam Prep (130 Ideal Questions and Answers for the HESI Exit Exam Prep)Questions and Correct Answers with Rationales/ Correctly Answered Questions and 100% Correct Answers With Rationales (New!)|GRADED A+| (EXAM READY) (Solved) SCORE A NGN HESI Exit Exam A+ TEST BANK 2 A client receiving parenteral nutrition (PN) suddenly experiences chest pain and dyspnea, and the nurse suspects an air embolism. The nurse immediately places the client in a lateral Trendelenburg position, on the left side. What action does the nurse take next? Auscultating heart sounds Clamping the intravenous catheter Checking the client's blood pressure Obtaining an arterial blood gas specimen – Correct Answer :Clamping the intravenous catheter Rationale: The nurse next clamps the intravenous catheter and notifies the primary health care provider. The signs/symptoms of air embolism include chest pain, dyspnea, and hypoxia. Tachycardia and hypotension will also be present, and the client will experience anxiety. The nurse will also hear a loud churning sound on auscultation over the pericardium. The nurse immediately places the client in a lateral Trendelenburg position, on the left side. This position prevents air from flowing into the pulmonary veins. Although auscultating heart sounds, checking the client's blood pressure, and obtaining an arterial blood gas specimen may be appropriate interventions, none is the next action to take after positioning the client. A nurse is teaching a client with left-side weakness how to walk with the use of a quad-cane. What does the nurse ensure? The client places the cane on the left side The top of the cane is level with the client's waist 30-degree flexion of the client's elbow is maintained when the client is holding the cane The client leans on the cane and places as much weight as possible on the cane when moving it forward - Correct Answer :30-degree flexion of the client's elbow is maintained when the client is holding the cane NGN HESI Exit Exam A+ TEST BANK 3 Rationale: The cane, which is placed on the unaffected side, should produce no more than 30 degrees of flexion of the elbow. A cane may be used if a client needs minimal support for an affected leg. A straight cane offers the least support. A hemi-cane or quad-cane provides a broader base for the cane and therefore more support. The top of the cane should be level with the greater trochanter of the femur A nurse is preparing the room of a client in skeletal traction who will be admitted to the nursing unit. Which item for use by the client does the nurse identify as most important? Telephone Television Trapeze bar Bedside commode – Correct Answer :Trapeze bar Rationale: The most important item for the client in skeletal traction to use is a trapeze bar. This bar is a triangular device that hangs from a securely fastened overhead bar that is attached to the bed frame. It allows the client to pull up with the upper extremities to raise the trunk off the bed. It is a useful device for helping increase independence, maintain upper-body strength, and reducing the shearing action that results when the client slides across or up and down in the bed. The client in traction would not be allowed to get out of bed to use a bedside commode; rather, a bedpan or fracture pan would be used. Although a telephone and a television are helpful for diversion and maintaining social contact, they are not the most important items. A nurse taking the vital signs of a client immediately after she has delivered a newborn notes that the client's heart rate is 110 beats/min. What should the nurse do first? Document the findings Offer the client oral fluids Recheck the heart rate in 1 hou NGN HESI Exit Exam A+ TEST BANK 2 A client receiving parenteral nutrition (PN) suddenly experiences chest pain and dyspnea, and the nurse suspects an air embolism. The nurse immediately places the client in a lateral Trendelenburg position, on the left side. What action does the nurse take next? Auscultating heart sounds Clamping the intravenous catheter Checking the client's blood pressure Obtaining an arterial blood gas specimen – Correct Answer :Clamping the intravenous catheter Rationale: The nurse next clamps the intravenous catheter and notifies the primary health care provider. The signs/symptoms of air embolism include chest pain, dyspnea, and hypoxia. Tachycardia and hypotension will also be present, and the client will experience anxiety. The nurse will also hear a loud churning sound on auscultation over the pericardium. The nurse immediately places the client in a lateral Trendelenburg position, on the left side. This position prevents air from flowing into the pulmonary veins. Although auscultating heart sounds, checking the client's blood pressure, and obtaining an arterial blood gas specimen may be appropriate interventions, none is the next action to take after positioning the client. A nurse is teaching a client with left-side weakness how to walk with the use of a quad-cane. What does the nurse ensure? The client places the cane on the left side The top of the cane is level with the client's waist 30-degree flexion of the client's elbow is maintained when the client is holding the cane The client leans on the cane and places as much weight as possible on the cane when moving it forward - Correct Answer :30-degree flexion of the client's elbow is maintained when the client is holding the cane NGN HESI Exit Exam A+ TEST BANK 3 Rationale: The cane, which is placed on the unaffected side, should produce no more than 30 degrees of flexion of the elbow. A cane may be used if a client needs minimal support for an affected leg. A straight cane offers the least support. A hemi-cane or quad-cane provides a broader base for the cane and therefore more support. The top of the cane should be level with the greater trochanter of the femur A nurse is preparing the room of a client in skeletal traction who will be admitted to the nursing unit. Which item for use by the client does the nurse identify as most important? Telephone Television Trapeze bar Bedside commode – Correct Answer :Trapeze bar Rationale: The most important item for the client in skeletal traction to use is a trapeze bar. This bar is a triangular device that hangs from a securely fastened overhead bar that is attached to the bed frame. It allows the client to pull up with the upper extremities to raise the trunk off the bed. It is a useful device for helping increase independence, maintain upper-body strength, and reducing the shearing action that results when the client slides across or up and down in the bed. The client in traction would not be allowed to get out of bed to use a bedside commode; rather, a bedpan or fracture pan would be used. Although a telephone and a television are helpful for diversion and maintaining social contact, they are not the most important items. A nurse taking the vital signs of a client immediately after she has delivered a newborn notes that the client's heart rate is 110 beats/min. What should the nurse do first? Document the findings Offer the client oral fluids Recheck the heart rate in 1 hou