NGN Exit hesi questions and answers.

NGN Exit hesi
questions and answers
A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of
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the pt. Pain, which approach should the nurse use? - Correct Answer - Ask the patient to describe
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the pain
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The nurse is wearing personal protective equipment while caring for a pt. When exiting the room,
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which PPE should be removed first? - Correct Answer - Gloves
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An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a
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fall at home. The daughter, who has power of attorney, has brought the client's prescriptions. Which
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information should the nurse provide first when reporting to the healthcare provider using SBAR
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communication? - Correct Answer - Increasing confusion of the pt.
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A pt tells the nurse about working out with a personal trainer and swimming three times a week in an
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effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep at night.
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Which action should the nurse implement? - Correct Answer - Ask the pt for a description of the
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exercise schedule that is being followed
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2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from
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Guillain-Barre syndrome about home. Which actions should the nurse include when providing
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discharge teaching to the pt and spouse? SATA - Correct Answer - -review safe transfer strategies
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-develop a nutritional plan M M M




-help identify community support
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The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which
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outcome indicates that the program was effective? - Correct Answer - pt who develop disease
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complications promptly received rehabilitation
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The nurse has received funding to design a health promotion project for African American women
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who are at risk for developing breast cancer. Which resource is most important in designing this
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program? - Correct Answer - participation of community leaders in planning the program
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A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries
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occurred. The healthcare provider instructs the nurse to avoid auto contamination when performing
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, M dressing changes. Which intervention is most important for the nurse to implement? - Correct
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M Answer - use gown, mask, and gloves with dressing changes
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A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are infusing.
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The pt is sedated but responds to instructions. After changing positions, the pt complains of pain at
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the right groin insertion site. What action should the nurse implement? - Correct Answer - Stimulate
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the pt to take deep breaths
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Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most important
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for the nurse to obtain? - Correct Answer - upper body muscle strength
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While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never falling.
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Which action should the nurse take? - Correct Answer - Continue to obtain pt data needed to
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complete the fall risk survey
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The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is weak and
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begins coughing while attempting to drink through a straw. Which intervention should the nurse
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implement? - Correct Answer - Teach coughing and deep breathing exercises
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The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When
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reviewing the information, which statement should the nurse recognize as needing additional
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education? - Correct Answer - Empty the pouch when it is half full.
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A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which
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action is most important for the nurse to implement? - Correct Answer - initiate prescribed IV fluids
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A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse
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should ensure that the pt bed is in which position? - Correct Answer - Picture with the bed sitting up
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A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous
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questions about the procedure. In preparing the pt for the procedure, which intervention has the
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highest priority? - Correct Answer - Instruct pt to write down questions
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While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound.
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Before reporting this finding to the provider, the nurse should review which of the pt lab values? -
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Correct Answer - culture for sensitive organisms
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A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every
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12hrs. When the client requests an afternoon snack, which dietary choice should the nurse provide? -
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Correct Answer - Cinnamon apple sauce
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An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and
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his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should the
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nurse implement these interventions? - Correct Answer - Send emesis to lab
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