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NSG-322 PRACTICE HESI EXAM | COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| BRAND NEW!!
The nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications.
The client is pacing, is extremely irritable, and has a blood pressure of
146/96. What is the priority nursing action? ......ANSWER......Reevaluate
the client's blood pressure in an hour.
A young adult female client with panic disorder arrives in the
Emergency Center with a 4-day history of chest pain that began when
her boyfriend left her. Initial assessment reveals normal
cardiopulmonary findings. Which information is most important for the
nurse to obtain? ......ANSWER......Drugs taken in last 7 days.
A female client comes to an outpatient therapy appointment
intoxicated. The spouse tells the nurse, "There wasn't anything I could
do to stop her drinking this morning." What intervention should the
nurse take at this time? ......ANSWER......Tell the client that therapy
cannot take place while she is intoxicated.
The nurse is planning care for a client with major depression who is
admitted to the unit after a recent suicide attempt. Which intervention
has the highest priority for inclusion in this client's plan of care?
......ANSWER......Search the client's personal belongings.
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A male client is brought to the emergency department by a police
officer, who reports the client was "disturbing the peace" by running
naked in the street, striking out at others, and smashing car windows.
Which behaviors should the client demonstrate to determine if he
should be evaluated for involuntary commitment? (Choose all that
apply.) ......ANSWER......Threats to kill his friend, hears voices telling him
to kill himself, reports he has not needed a bath in 4 months and says
he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia
who is mute and motionless. What is the priority nursing problem?
......ANSWER......High risk for fluid and electrolyte imbalance.
At the end of a group therapy session, a client who is hospitalized for
psychosis falls to the floor when attempting to stand. What intervention
should the nurse implement first? ......ANSWER......Ask a group member
to seek help.
Which nursing intervention should the nurse implement with parents
who experience a fetal demise and express the wish not to see the
baby? ......ANSWER......Keep the body available for a few hours in case
they change their minds.
An adult female who is married and works full-time in a factory has
been absent from work for three days at a time on several occasions.
Each time she returns to work, she wears dark glasses to cover facial
bruising. Her supervisor refers her to the occupational health nurse.
NSG-322 PRACTICE HESI EXAM | COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| BRAND NEW!!
The nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications.
The client is pacing, is extremely irritable, and has a blood pressure of
146/96. What is the priority nursing action? ......ANSWER......Reevaluate
the client's blood pressure in an hour.
A young adult female client with panic disorder arrives in the
Emergency Center with a 4-day history of chest pain that began when
her boyfriend left her. Initial assessment reveals normal
cardiopulmonary findings. Which information is most important for the
nurse to obtain? ......ANSWER......Drugs taken in last 7 days.
A female client comes to an outpatient therapy appointment
intoxicated. The spouse tells the nurse, "There wasn't anything I could
do to stop her drinking this morning." What intervention should the
nurse take at this time? ......ANSWER......Tell the client that therapy
cannot take place while she is intoxicated.
The nurse is planning care for a client with major depression who is
admitted to the unit after a recent suicide attempt. Which intervention
has the highest priority for inclusion in this client's plan of care?
......ANSWER......Search the client's personal belongings.
, 2|Page
A male client is brought to the emergency department by a police
officer, who reports the client was "disturbing the peace" by running
naked in the street, striking out at others, and smashing car windows.
Which behaviors should the client demonstrate to determine if he
should be evaluated for involuntary commitment? (Choose all that
apply.) ......ANSWER......Threats to kill his friend, hears voices telling him
to kill himself, reports he has not needed a bath in 4 months and says
he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia
who is mute and motionless. What is the priority nursing problem?
......ANSWER......High risk for fluid and electrolyte imbalance.
At the end of a group therapy session, a client who is hospitalized for
psychosis falls to the floor when attempting to stand. What intervention
should the nurse implement first? ......ANSWER......Ask a group member
to seek help.
Which nursing intervention should the nurse implement with parents
who experience a fetal demise and express the wish not to see the
baby? ......ANSWER......Keep the body available for a few hours in case
they change their minds.
An adult female who is married and works full-time in a factory has
been absent from work for three days at a time on several occasions.
Each time she returns to work, she wears dark glasses to cover facial
bruising. Her supervisor refers her to the occupational health nurse.
