BSN366 EXIT HESI
1. The nurse is providing teaching to a client with type 2 DM about important
points for disease and symptom management. Which statement by the client
indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses Ans: B) Get
an eye exam with an opthalmologist annually
2. The nurse is providing educations to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
informations about prescribed medications and administration, which instruc-
tion should the nurse include in the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur Ans: C) Practice using muscle
relaxation techniques
3. The charge nurse is planning for the shift and has a RN and a PN on the
team. Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
,D) An adolescent with multiple contusions due to a fall that occurred 2 days
ago Ans: C) A 30-year old depresses client who admits to suicide ideation
4. NGN Ans: (Nurses Notes)
1800 Ans: The client is a female neonate born at 37 weeks of gestation
to a G 2 P 1 mother, who was diagnosed with gestational diabetes.
Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks. (For each assessment
finding, click to indicate whether the findings are associated with an infant of
a diabetic mother or normal presentation.)
,Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 Ans: Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar
scores 7 to 10)
5. NGN Ans: (Nurses Notes)
1800 Ans: The client is a female neonate born at 37 weeks of gestation
to a G 2 P 1 mother, who was diagnosed with gestational diabetes.
Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks.
, The nurse recognizes that the infant of a diabetic mother is at risk for
, , and Ans:
Hyperbilirubinemia , Re- sppiratory Distress Syndrome , and Cardiomyopathy
6. NGN Ans: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed
breastmilk via orogastric tube. If two feeding attempts failed to increase the
glucose levels or if symptoms of hypoglycemia develop, apply dextrose gel
inside the babies cheek. If the above are ineffective, IV glucose should be
administered to maintain glucose levels above 45. Bolus of 2mL/kg glucose
10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain
glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
1. The nurse is providing teaching to a client with type 2 DM about important
points for disease and symptom management. Which statement by the client
indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses Ans: B) Get
an eye exam with an opthalmologist annually
2. The nurse is providing educations to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
informations about prescribed medications and administration, which instruc-
tion should the nurse include in the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur Ans: C) Practice using muscle
relaxation techniques
3. The charge nurse is planning for the shift and has a RN and a PN on the
team. Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
,D) An adolescent with multiple contusions due to a fall that occurred 2 days
ago Ans: C) A 30-year old depresses client who admits to suicide ideation
4. NGN Ans: (Nurses Notes)
1800 Ans: The client is a female neonate born at 37 weeks of gestation
to a G 2 P 1 mother, who was diagnosed with gestational diabetes.
Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks. (For each assessment
finding, click to indicate whether the findings are associated with an infant of
a diabetic mother or normal presentation.)
,Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 Ans: Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar
scores 7 to 10)
5. NGN Ans: (Nurses Notes)
1800 Ans: The client is a female neonate born at 37 weeks of gestation
to a G 2 P 1 mother, who was diagnosed with gestational diabetes.
Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks.
, The nurse recognizes that the infant of a diabetic mother is at risk for
, , and Ans:
Hyperbilirubinemia , Re- sppiratory Distress Syndrome , and Cardiomyopathy
6. NGN Ans: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed
breastmilk via orogastric tube. If two feeding attempts failed to increase the
glucose levels or if symptoms of hypoglycemia develop, apply dextrose gel
inside the babies cheek. If the above are ineffective, IV glucose should be
administered to maintain glucose levels above 45. Bolus of 2mL/kg glucose
10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain
glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
