NGN|RN HESI EXIT EXAM VI NEWEST
ACTUAL EXAM WITH QUESTIONS AND
DETAILED ANSWERS GRADED A+|100%
VERIFIED |2024 UPDATE |LATEST
UPDATE!!!
A male client with stomach cancer returns to the unit following
a total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hour IV. One hour
after admission to the unit, the nurse notes 300 mL of blood in
the suction canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition to reporting
the finding to the surgeon. Which action should the nurse
implement first?
Increase the infusion rate of lactated ringer
An adult male who fell 20 feet from the roof of this home has
multiple injuries, including a
right pneumothorax. Chest tubes were inserted in the
emergency department prior to his
,transfer to the intensive care unit (ICU).
the nurse notes that the suction control chamber is
bubbling at the -10 cm H2O mark, with fluctuation in the water
seal, and over the past hour 75 ml of bright red blood is
measured in the collection chamber. Which intervention should
the nurse implement?
Add sterile water to the suction control chamber
A client who received hemodialysis yesterday is experiencing a
blood pressure of 200/100
mmHg, heart rate 110 beats/minute, and respiratory rate 36
breaths/minute. The client is manifesting shortness of breath,
bilateral 2+ pedal edema, and an oxygen saturation on room air
of 89%. Which action should the nurse take first?
Begin supplemental oxygen
A client with Addison's crisis is admitted for treatment with
adrenal cortical supplementation. Based on the client's
admitting diagnosis, which findings require immediate action
by the nurse? (Select all that apply)
, -headache and tremors
-irregular heart rate
-pallor and diaphoresis
An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare
provider?
Skin tenting occurs when the clients forearm is pinched
After an inservice about electronic health record (EHR) security
and safeguarding client information, the nurse observes a
colleague going home with printed copies of client information
in a uniform pocket. Which action should the nurse take?
File a detailed incident report with the specific hiring facility
The nurse is evaluating a tertiary prevention program for clients
with cardiovascular disease implemented in a rural health
clinic. Which outcome indicate the program is effective?
Clients who incurred disease complications promptly received
rehabilitation
ACTUAL EXAM WITH QUESTIONS AND
DETAILED ANSWERS GRADED A+|100%
VERIFIED |2024 UPDATE |LATEST
UPDATE!!!
A male client with stomach cancer returns to the unit following
a total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hour IV. One hour
after admission to the unit, the nurse notes 300 mL of blood in
the suction canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition to reporting
the finding to the surgeon. Which action should the nurse
implement first?
Increase the infusion rate of lactated ringer
An adult male who fell 20 feet from the roof of this home has
multiple injuries, including a
right pneumothorax. Chest tubes were inserted in the
emergency department prior to his
,transfer to the intensive care unit (ICU).
the nurse notes that the suction control chamber is
bubbling at the -10 cm H2O mark, with fluctuation in the water
seal, and over the past hour 75 ml of bright red blood is
measured in the collection chamber. Which intervention should
the nurse implement?
Add sterile water to the suction control chamber
A client who received hemodialysis yesterday is experiencing a
blood pressure of 200/100
mmHg, heart rate 110 beats/minute, and respiratory rate 36
breaths/minute. The client is manifesting shortness of breath,
bilateral 2+ pedal edema, and an oxygen saturation on room air
of 89%. Which action should the nurse take first?
Begin supplemental oxygen
A client with Addison's crisis is admitted for treatment with
adrenal cortical supplementation. Based on the client's
admitting diagnosis, which findings require immediate action
by the nurse? (Select all that apply)
, -headache and tremors
-irregular heart rate
-pallor and diaphoresis
An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare
provider?
Skin tenting occurs when the clients forearm is pinched
After an inservice about electronic health record (EHR) security
and safeguarding client information, the nurse observes a
colleague going home with printed copies of client information
in a uniform pocket. Which action should the nurse take?
File a detailed incident report with the specific hiring facility
The nurse is evaluating a tertiary prevention program for clients
with cardiovascular disease implemented in a rural health
clinic. Which outcome indicate the program is effective?
Clients who incurred disease complications promptly received
rehabilitation
