RN Exit v2 HESI MED SURG REAL EXIT EXAM WITH NGN correct Question and Answers 2024

RN Exit v2 HESI MED SURG REAL EXIT EXAM WITH NGN correct Question and Answers 2024 The nurse is preparing a dose of 60 mcg of teriparatide. The medication is labeled "750 mcg/2.4mL". How many mL should the nurse administer? Round to nearest tenth. 0.2 mL In caring for a client with Cushing's syndrome, which serum laboratory value is most important for the nurse to monitor? A. Creatinine B. Lactate C. Glucose D. Hemoglobin C. Glucose We have an expert-written solution to this problem! A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first? A. Elevate the foot of the bed B. Restrict the client's fluids C. Begin supplemental oxygen D. Prepare client for hemodialysis C. Begin supplemental oxygen When caring for a client with full thickness burns to both lower extremities, which assessment findings warrant immediate intervention? Select all that apply A. Sloughing tissue around wound edges B. Complaint of increased pain and pressure C. Change in the quality of the peripheral pulses D. Loss of sensation to the left lower extremity E. Weeping serosanguinous fluid from wounds B. Complaint of increased pain and pressure C. Change in the quality of the peripheral pulses D. Loss of sensation to the left lower extremity An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration that the nurse should report to the healthcare provider? A. Urine specific gravity is 1.040 B. Systolic blood pressure decreases 10 points when standing C. The client denies being thirsty D. Skin tenting occurs when the client's forearm is pinched D. Skin tenting occurs when the client's forearm is pinched The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine atony. What finding should indicate to the nurse to withhold the next dose of the medication? A. Difficulty locating the uterine fundus B. Excessive lochia C. Saturation of more than one pad per hour D. Hypertension D. Hypertension After an in-service about electronic health record (EHR) security and safeguarding client information, the nurse observes a colleague going home with printed copies of client information in a uniform pocket. Which action should the nurse take? A. File a detailed incident report with the specific hiring facility B. Warn the colleague that their actions are unprofessional C. Comment anonymously about the action on a staff discussion board D. Communicate the colleague's actions to the unit charge nurse A. File a detailed incident report with the specific hiring facility The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicates the program is effective? A. At-risk clients received an increased number of routine health screenings B. Clients reported having new confidence in making healthy food choices C. Clients who incurred disease complications promptly received rehabilitation D. Client relapse of 30% in a 5-year community-wide anti-smoking campaign C. Clients who incurred disease complications promptly received rehabilitation While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values? A. Culture for sensitive organisms B. Serum blood glucose (BG) level C. Creatinine level D. Serum albumin A. Culture for sensitive organisms We have an expert-written solution to this problem! A client is admitted with acute pancreatitis. The client admits to drinking a pint of bourbon daily. The nurse medicates the client for pain and monitors vital signs every 2 hours. Which finding should the nurse report immediately to the healthcare provider? A. Anorexia and abdominal distention B. Abdominal pain and vomiting C. Confusion and tremors D. Yellowing and itching of skin C. Confusion and tremors We have an expert-written solution to this problem! A client with leukemia who is receiving a myleosuppressive chemotherapy has a platelet count of 25,000/mm3. Which intervention is most important for the nurse to include in this client's plan of care? A. Assess urine and stool for occult blood B. Monitor for signs of activity intolerance C. Require visitors to wear respiratory masks D. Obtain client's temperature q4 hours A. Assess urine and stool for occult blood When assessing a 6-month-old infant, the nurse determines that the anterior fontanel is bulging. In which situation would this findings be most significant