NUR 3125 HESI RN CAT EXAM 2022/2023 V1&V2 QUESTIONS & ANSWERS 100% correct And verified Graded A+

• A client who had an intraosseous (IO) cannula placed by the healthcare provider for an emergent fluid resuscitation is complaining of severe pain and numbness below the IO site. The skin around the site is pale and edematous. What action should the nurse takes first? • Discontinue the IO infusion • Administer an analgesic via the IO site • Elevate the extremity with the IO site • Notify the healthcare providerCorrect A • The nurse-manager of a perinatal unit is notified that one client from the medical-surgical unit needs to be transferred to male room for new admissions. Which client should the nurse recommend for transfer to the antepartal unit? • A 45-year-old who has a chronic hepatitis B. • A 35-year-old with lupus erythematous • A 19-year-old who is diagnosed with rubella • A 25-year-old with herpes lesions of the vulvaCorrect B • A nurse is teaching a client postoperative breathing techniques using an incentivespirometer (IS). What should the nurse encourage this client to do to maintain sustained maximal inspiration? • Breathe into the spirometer using normal breath volumes • Exhale forcefully into the tubing for 3 to 5 seconds • Inspire deeply and slowly over 3 to 5 seconds • Perform IS breathing exercises every 6 hours Correct C • The nurse plans to educate a client about the purpose for taking the prescribed antipsychotic medication clozapine (Clozaril). Which statement should the nurse provide? • You will be able to cope with your symptoms • It will help you function better in the community • The medication will help you think more clearly” • It will improve your grooming and hygieneCorrect C • A 59-year-old male client is brought to the emergency room where he is assessed to have a Glasgow Coma Scale of 3. Based on this assessment, how should the nurse characterizes the client’s condition? • The client has increased intracranial pressure • He has a good prognosis for recovery • This client is conscious, but is not oriented to time and place • He isin a coma, and has a very poor prognosisCorrect D • At a community health fair, a 50-year-old woman tellsthe nurse that she has an annual physicalexam that includes a clinical breast exam and an annual mammogram. How should the nurse respond? • Encourage the woman to explore her fears about breast cancer.b. Ask the woman ifshe also performs monthly breast self- exams. • Commend the woman for adhering to the recommended cancer detectionguidelines. • Advise the woman that mammograms are only needed every two years atherage. Correct B • Which assessment finding should indicate to the nurse that a client with arterial hypertension is experiencing a cardiac complication? • Complaints of an occipital headache • A palpable dorsal is pedis pulse bilaterally • Complaints of shortness of breath on exertion • A blood pressure of 160/90Correct C • A college student who is diagnosed with a vaginal infection and vulva irritation describesthe vaginal discharge as having a “cottage cheese” appearance. Which prescription should the nurse implementfirst? • Cleanse perineum with warm soapy water 3 times per day • Instill the first dose of nystatin (Mycostatin) vaginally per applicator • Perform glucose measurement using a capillary blood sample • Obtain a blood specimen for sexually transmitted disease (STDs)CorrectB • A clientin acute renal failure has serum potassium of 7.5 mEq/L. Based on thisfinding, the nurse should anticipate implementing which action? • Administer an IV of normal saline rapidly and NPH insulsubcutaneously. • Administer a retention enema of Kayexalate • Add 40 mEq of KCL (potassium chloride) to present IV solution. • Administer a lidocaine bolusIV push. Correct B