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Exam (elaborations)

2025 NGN HESI A2 Entrance Exam New Latest Version with All Questions from Actual Past Exam and 100% Correct Answers

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2025 NGN HESI A2 Entrance Exam New Latest Version with All Questions from Actual Past Exam and 100% Correct Answers

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2025 NGN HESI A2 Entrance Exam New Latest Version
with All Questions from Actual Past Exam and 100%
Correct Answers

Clients with recent medication changes or abnormal physiological findings require
further assessment and intervention... - ans -Most important action for the nurse
to implement is to review medications for drug and food interactions

Postpartum Hemorrhage Risk Factors (SATA) - ans ->fetal weight> 8.8
pounds (4 kg),
>prolonged use of oxytocin,
>hematocrit <30, platelets <100/mm (100 x 10)
>high parity, multiple gestation, episiotomy, cervical, vaginal or perineal
lacerations, precipitous delivery,
>blood loss >500 mL for vaginal delivery, >1,000 mL for cesarean delivery.


Energy balance (case study) - ans -**Multiply BEE or BMR by the physical
activity**

>Nurse can compare total intake of caloric needs
>eating too few calories, they will lose weight
>eating too many calories, they will gain
>intervention: should be targeted at helping the client reach their individual
weight goals

Kororkoff sounds - ans -When the first sound is heard, the nurse should
continue to listen to the Kororkoff sounds until all sounds disappear

client's analgesic prescription is changed - ans -the nurse should assess
the client's pain using a pain scale to determine if the client is recieving an
equivalent amount of analgesia

To reduce the possibility of developing a postop infection - ans -prophylatic
antibiotic administration of cefazolin takes precedence over the other
prescriptions

, osteoarthritis manifests as asymmetric joint pain and stiffness as well as -
ans -the joint cartilage is destroyed

Individual following a fall, symptoms include - ans -swelling at the site of
injury, skin cool to touch, decreased range of motion, intense pain, and
bone misalignment, requires further investigation by the nurse

Clients with rotator cuff injuries and shoulder or humeral fractures may
present.. - ans -decreased range of motion
pain
weakness

Following surgical procedures, - ans ->checking pulses and capillary refill
distal to the surgical site and having the client move the fingers to show
mobility on the affected side of comparison with nonsurgical extremity

>inspect the dressing for drainage, as this could indicate a problem.

>should administer an antimetic for nausea

>follow orders to provide adequate pain control

>client with a nerve block, where no pain is felt, as PRN pain intervention is
not required

Following orthopedic surgery of a fracture of a humeral head, clients noted
improvement - ans ->ability to sleep
>skin on the affected operative side will be warm to touch
>shoulder and collarbone will be symmetrical

myocardial infarction occurs when the myocardial tissue is deprived of
adequate oxygenation - ans -The nurse should initially apply oxygen and
titrate to keep oxygen above 93%

A Client with Myxedema coma is at risk for respiratory failure, hypotension,
and hypothermia (order of steps) - ans -1.breathing patterns
2.Blood pressure
3.Body temperature
4. nonpitting edema (hypothyriodism)

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