NGN HESI EXIT ATI OB 2025 Exam – Verified
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a staff nurse is observing a newly licensed nurse suction a client’s
tracheotomy which of thefollowing actions by the newly licensed nurse requires
intervention by the staff nurse
1. wait two minutes between suctions
2. insert the catheter without applying suction
3. applies suction for 15 seconds
4. encourage the client to cough during suction
a nurse is preparing to administer a medication that is available in a glass
ampule which ofthe following actions to the nurse plans to take
1. the nurse should use the same needle to draw up and inject the client
2. the nurse should dispose of the ampule in the trash can
3. the nurse should use a filter needle to withdraw the medication
4. the nurse should break the neck of the ampule toward their body
A nurse is caring for a client who has an increased intracranial pressure
following a traumaticbrain injury which of the following actions to the nurse
take select all that apply
1. administers stool softeners to the client
2. obtain client vital signs every eight hours
3. maintain the head of the bed elevated at 30-
degree angle4. provide a quiet environment for
the client
5. encourage the client to cough and deep breathing exercises
Rational: 30/45 dree angle keep the bed , administer oxygen, administer
, meds, decreaseenvironmental stimuli
A nurse in a mental health facility is caring for a client who is
experiencing panic levelanxiety which of the following actions should the
,nurse take
1. use short sentences when communicating with the client
2. tell the client to sit alone in a private place and reflect on the situation
3. have the client Journal about what is happening to him
4. encourage the client to talk about his feelings
nurse is reviewing the laboratory report of a client who has been
receiving LITHIUM carbonate For the past 12 months dinners notes a lithium
level of 0.8 which of the followingorders from the provider should the nurse
expect
1. withhold the next dose
2. increase the dosage
3. discontinue the
medication4. administer
the medication
nurse in an emergency Department is caring for a client who has closed
head injurywhich of the following actions to nurse take first
1. administer mannitol IV to the client
2. determine the clients Glasgow coma scale score
3. insert an indwelling urinary catheter to the client
4. prepare the client for an MRI to the brain
nurse is providing the authorities into a client who has end stage kidney
disease and a potassium level of 6 which of the following is the best food for
the nurse to recommend theclient
1. 1 Cup of cubed
cantaloupe2. one large
hardboiled egg
3. 1 Cup of diced white potatoes
4. one large avocado
A nurse is planning care for a client who sustained a major burn 20% of the body
which ofthe following interventions should the nurse include to support the
client's nutritional requirements
1. provide a low protein diet, high carbohydrate diet
, 2. schedule meals at 6-hour intervals
3. keep a calorie count for food and
beverages4. maintain calorie intake at
1,500 per day
Nurse is assessing a client who is 2 hours postpartum for uterine atony. which of
thefollowing actions should the nurse take
1. monitor the client’s urinary output
2. evaluate clients pain
level 3. palpate the
client’s fundus
4. check the client's vital signs
I notice is assessing with food selection for a client following kosher dietary which
of thefollowing food choices should the nurse indicate for the client’s food tray
scrambled eggs and toast with milk
a health nurse is preparing to make an initial visit to a family following a referral
from alocal provider identify the sequence of steps the nurse should follow
when conducting a home visit
1- clarify the reason for the referral with the providers office
2-contact the family to determine availability and readiness to make
an appointment3-identify family needs an intervention using the
nursing process
4-discuss plans for the future visits with the family
5-record information about the home visit according to the agency policy
Nurse is preparing to initiate intravenous fluids via infusion pump for a client
which ofthe following actions should the nurse take
1. verify that the extension cord for the pump is ungrounded
2. check the expiration date on the safety inspection sticker of the pump
3. obtain a search protector that can accommodate the pump and several
Questions and Answers | A+ Graded Success
Guaranteed | Latest Update
a staff nurse is observing a newly licensed nurse suction a client’s
tracheotomy which of thefollowing actions by the newly licensed nurse requires
intervention by the staff nurse
1. wait two minutes between suctions
2. insert the catheter without applying suction
3. applies suction for 15 seconds
4. encourage the client to cough during suction
a nurse is preparing to administer a medication that is available in a glass
ampule which ofthe following actions to the nurse plans to take
1. the nurse should use the same needle to draw up and inject the client
2. the nurse should dispose of the ampule in the trash can
3. the nurse should use a filter needle to withdraw the medication
4. the nurse should break the neck of the ampule toward their body
A nurse is caring for a client who has an increased intracranial pressure
following a traumaticbrain injury which of the following actions to the nurse
take select all that apply
1. administers stool softeners to the client
2. obtain client vital signs every eight hours
3. maintain the head of the bed elevated at 30-
degree angle4. provide a quiet environment for
the client
5. encourage the client to cough and deep breathing exercises
Rational: 30/45 dree angle keep the bed , administer oxygen, administer
, meds, decreaseenvironmental stimuli
A nurse in a mental health facility is caring for a client who is
experiencing panic levelanxiety which of the following actions should the
,nurse take
1. use short sentences when communicating with the client
2. tell the client to sit alone in a private place and reflect on the situation
3. have the client Journal about what is happening to him
4. encourage the client to talk about his feelings
nurse is reviewing the laboratory report of a client who has been
receiving LITHIUM carbonate For the past 12 months dinners notes a lithium
level of 0.8 which of the followingorders from the provider should the nurse
expect
1. withhold the next dose
2. increase the dosage
3. discontinue the
medication4. administer
the medication
nurse in an emergency Department is caring for a client who has closed
head injurywhich of the following actions to nurse take first
1. administer mannitol IV to the client
2. determine the clients Glasgow coma scale score
3. insert an indwelling urinary catheter to the client
4. prepare the client for an MRI to the brain
nurse is providing the authorities into a client who has end stage kidney
disease and a potassium level of 6 which of the following is the best food for
the nurse to recommend theclient
1. 1 Cup of cubed
cantaloupe2. one large
hardboiled egg
3. 1 Cup of diced white potatoes
4. one large avocado
A nurse is planning care for a client who sustained a major burn 20% of the body
which ofthe following interventions should the nurse include to support the
client's nutritional requirements
1. provide a low protein diet, high carbohydrate diet
, 2. schedule meals at 6-hour intervals
3. keep a calorie count for food and
beverages4. maintain calorie intake at
1,500 per day
Nurse is assessing a client who is 2 hours postpartum for uterine atony. which of
thefollowing actions should the nurse take
1. monitor the client’s urinary output
2. evaluate clients pain
level 3. palpate the
client’s fundus
4. check the client's vital signs
I notice is assessing with food selection for a client following kosher dietary which
of thefollowing food choices should the nurse indicate for the client’s food tray
scrambled eggs and toast with milk
a health nurse is preparing to make an initial visit to a family following a referral
from alocal provider identify the sequence of steps the nurse should follow
when conducting a home visit
1- clarify the reason for the referral with the providers office
2-contact the family to determine availability and readiness to make
an appointment3-identify family needs an intervention using the
nursing process
4-discuss plans for the future visits with the family
5-record information about the home visit according to the agency policy
Nurse is preparing to initiate intravenous fluids via infusion pump for a client
which ofthe following actions should the nurse take
1. verify that the extension cord for the pump is ungrounded
2. check the expiration date on the safety inspection sticker of the pump
3. obtain a search protector that can accommodate the pump and several
