HESI RN EXIT EXAM NEXT GENERATION SCREENSHOTS-
QUESTIONS & ANSWERS (NGN HESI RN EXIT)-2024 EDITION
Ay3-year-
oldyboyywasysuccessfullyytoiletytrainedypriorytoyhisyadmissionytoytheyhospitalyforyinjuriesysu
stainedyfromyayfall.yHisyparentsyareyveryyconcernedythatytheychildyhasyregressedyinyhisytoil
etingybehaviors.yWhichyinformationyshouldytheynurseyprovideytoytheyparents?
A.yAyretrainingyprogramywillyneedytoybeyinitiatedywhenytheychildyreturnsyhome.y
B.yDiaperingywillybeyprovidedysinceyhospitalizationyisystressfulytoypreschoolers
C.yAypottyychairyshouldybeybroughtyfromyhomeysoyheycanymaintainyhisytoiletingyskills
D.yChildrenyusuallyyresumeytheirytoiletingybehaviorsywhenytheyyleaveytheyhospitaly–
yansyD.yChildrenyusuallyyresumeytheirytoiletingybehaviorsywhenytheyyleaveytheyhospital
Ay7-
yearyoldyisyadmittedytoytheyhospitalywithypersistentyvomiting,yandyaynasogastricytubeyattac
hedytoylowyintermittentysuctionyisyapplied.yWhichyfindingyisymostyimportantyforytheynurseyto
yreportytoytheyhealthcareyprovider?
A.yShiftyintakeyofy640mLyIVyfluidsyplusy30mLyPOyiceychipsy
B.ySerumypHyofy7.45
C.yGastricyoutputyofy100ymLyinytheylasty8yhours
D.ySerumypotassiumyofy3.0ymg/dLy–yansyD.ySerumypotassiumyofy3.0ymg/dL
Aychildynewlyydiagnosedywithysickleycellyanemiay(SCA)yisybeingydischargedyfromytheyhosp
ital.yWhichyinformationyisymostyimportantyforytheynurseytoyprovideytheyparentsypriorytoydisc
harge?
A.yInstructionsyaboutyhowymuchyfluidytheychildyshouldydrinkydaily.
B.ySignsyofyaddictionytoyopioidypainymedications
C.yInformationyaboutynon-pharmaceuticalypainyreliefymeasures
D.yReferralyforysocialyservicesyforytheychildyandyfamilyy–
yansyA.yInstructionsyaboutyhowymuchyfluidytheychildyshouldydrinkydaily
Ayclientyasksytheynurseyforyinformationyaboutyhowytoyreduceyriskyfactorsyforybenignyprostat
icyhyperplasiay(BPH).yWhichyinformationyshouldytheynurseyprovide?
A.yConsumeyayhighyproteinydiet
B.yIncreaseyphysicalyactivity
C.yTakeyvitaminysupplements
D.yObtainyayprostate-specificyantigenybloodylevelytesty–yansyB.yIncreaseyphysicalyactivity
Ayclientyaty12yweeksygestationyisyadmittedytoytheyantepartumyunitywithyaydiagnosisyofyhype
remesisygravidarum.yWhichyactionyisymostyimportantyforytheynurseytoyimplement?
A.yObtainytheyclient'sy24-hourydietaryyrecall
B.yDocumentymucosalymembraneystatus
C.yScheduleyayconsultywithyaynutritionist
D.yInitiateyprescribedyintravenousyfluidsy–yansyD.yInitiateyprescribedyintravenousyfluids
Ayclientydiagnosedywithycalciumykidneyystonesyhasyayhistoryyofygout.yAynewyprescriptionyf
oryaluminumyhydroxideyisyscheduledytoybeginyaty0730.yWhichyclientymedicationyshouldythe
ynurseybringytoytheyhealthcareyprovider'syattention?
,A.yEsinaprily
B.yAllopurinol
C.yFurosemide
D.yAspirin,ylowydosey–yansyB.yAllopurinol
Ayclientyfellyinytheybathroomywhenyleftyunattendedybyytheyunlicensedyassistiveypersonnely(
UAP).yWhichyinformationyshouldytheynurseyincludeyinytheyclient'syhealthyrecord?
A.yTheyUAPyleftytheyclientytoyassistyanotheryclient
B.yTheylastytimeyclientywasyassistedytoytheybathroom
C.yTheyunitywasyunderstaffedywhenytheyclientyfell
D.yTheyclientyfellysustainingyayfractureytoytheyleftyhipy–
yansyD.yTheyclientyfellysustainingyayfractureytoytheyleftyhip
Ayclientyinytheyemergencyycenterydemonstratesyrapidyspeech,yflightyofyideas,yandyreportsy
sleepingyonlyythreeyhoursyduringytheypasty48yhours.yBasedyonytheseyfindings,yityisymostyim
portantyforytheynurseytoyreviewytheylaboratoryyvalueyforywhichymedication?
A.yLorazepam
B.yFluoxetine
C.yDivalproex
D.yOlanzapiney–yansyC.yDivalproex
Ayclientyinytheythirdytrimesteryofypregnancyyreportsythatysheyfellsysomey"lumpyyplaces"yinyh
erybreastsyandythatyherynipplesysometimesyleakyayyellowishyfluid.ySheyhasyanyappointmen
tywithyheryhealthcareyprovideryinytwoyweeks.yWhatyactionyshouldytheynurseytake?
A.yTellytheyclientytoybeginynippleystimulationytoyprepareyforybreastyfeeding.y
B.yRescheduleytheyclient'syprenatalyappointmentyforytheyfollowingyday
C.yExplainythatythisynormalysecretionycanybeyassessedyatytheynextyvisit
D.yRecommendythatytheyclientystartywearingyaysupportiveybrassierey–
yansyC.yExplainythatythisynormalysecretionycanybeyassessedyatytheynextyvisit
Ayclientyisyadmittedywithyaydiagnosisyofyurolithiasis.yWhichyfindingyisymostyimportantyforyth
eynurseytoyreportytoytheyhealthcareyprovider?
A.yVolumeyofyeachyvoidingyisymoreythany300mL
B.ySerumypotassiumythatyisyelevated
C.yReliefyofyflankypainythatyradiatedyintoytheygroin
D.yHematuriaythatyisybeginningytoyturnypinky–
yansyD.yHematuriaythatyisybeginningytoyturnypink
AyclientyisydiagnosedywithyMeniere'sydisease.yWhichyproblemyshouldytheynurseyidentifyyas
ymostyimportantyinytheyplanyofycare?y
A.yRiskyforyineffectiveyself-healthymanagementyrelatedytoydeficientyknowledge
B.yIneffectiveycopingyrelatedytoypersonalyvulnerabilityy
C.yRiskyforyinjuryyrelatedytoyvertigoy
D.yAnxietyyrelatedytoydisruptionyofylifestyley–yansyC.yRiskyforyinjuryyrelatedytoyvertigo.
Ayclientyisyreceivingyenoxapariny30mgysubcutaneouslyytwiceyayday.yInyassessingyforyadve
rseyeffectsyofytheymedication,ywhichyserumylaboratoryyvalueyisymostyimportantyforytheynurs
eytoymonitor?y
A.yGlucosey
,B.yCalcium
C.yPlateletycount
D.yWhiteybloodycellycounty-yansC.yPlateletycount
Ayclientyisyrecoveringyinytheycriticalycareyunityfollowingyaycardiacycatheterization.yIVynitrogl
ycerinyandyheparinyareyinfusing.yTheyclientyisysedatedybutyrespondsytoyverbalyinstructions.
yAfterychangingypositions,ytheyclientycomplainsyofypainyatytheyrightygroinyinsertionysite.yWh
atyactionyshouldytheynurseyimplement?y
A.yCheckyfemoralysiteyforyhematomayformation
B.yStimulateytheyclientytoytakeydeepybreaths
C.yEvaluateytheyintegrityyofytheyIVyinsertionysite
D.yAssessydistalyloweryextremityycapillaryyrefilly-
yansB.yStimulateytheyclientytoytakeydeepybreaths
Ayclientyisyscheduledyforyayspiralycomputedytomographyy(CT)yscanywithycontrastytoyevalua
teyforypulmonaryyembolism.yWhichyinformationyinytheyclient'syhistoryyrequiresyfollow-
upybyytheynurse?
A.yCTyscanythatywasyperformedy6ymonthsyearlier
B.yMetalyhipyprosthesisywasyplacedy20yyearsyago
C.yReportyofyclient'sysobrietyyforytheylasty5yyears
D.yTakesymetforminyforytypey2ydiabetesymellitusy-
yansD.yTakesymetforminyforytypey2ydiabetesymellitus
Ayclientypresentsytoytheyemergencyydepartmentywithymuscleyaches,yheadache,yfever,yand
ydescribesyayrecentylossyofytasteyandysmell.yTheynurseyobtainsyaynasalyswabyforyCOVID-1
9ytesting.yWhichyactionyisymostyimportantyforytheynurseytoytake?y
A.yPlaceytheynasalyswabyspecimenyforyCOVID-19ydirectlyyintoyaybiohazardybag
B.yMoveytheyclientytoyayprivateyroom,ykeepytheydooryclosed,yandyinitiateydropletyprecaution
s.y
C.yTeachytheyclientytoywearyaymask,yhandywash,yandysocialydistanceytoypreventyspreading
ytheyvirusy
D.yExplainytoytheyclientytoyinformyothersythatytheyymayyhaveybeenypotentiallyyexposedyinyth
eylasty14ydays.y-
yansA.yPlaceytheynasalyswabyspecimenyforyCOVID-19ydirectlyyintoyaybiohazardybag
Ayclientypresentsytoytheylaboryandydeliveryyunitywithyayreportyofyleakingyfluidythatyisygreenis
h-brownyvaginalydischarge.yWhichyactionyshouldytheynurseytakeyfirst?
A.yStartyanyintravenousyinfusiony
B.yAdministeryoxygenyviayfacemask
C.yPerformyayvaginalyexam
D.yBeginycontinuousyfetalymonitoringy-yansD.yBeginycontinuousyfetalymonitoring
Ayclientypressesytheycallybellyandyrequestsypainymedicationyforyaysevereyheadache.yToyas
sessytheyqualityyofytheyclient'sypain,ywhichyapproachyshouldytheynurseyuse?
A.yAskytheyclientytoydescribeytheypain
B.yObserveybodyylanguageyandymovementy
C.yIdentifyyeffectiveypainyreliefymeasures
D.yProvideyaynumericypainyscaley-yansA.yAskytheyclientytoydescribeytheypain
, Ayclientytakingyclopidogrelyreportsytheyonsetyofydiarrhea.yWhichynursingyactionyshouldythey
nurseyimplementyfirst?
A.yObserveytheyappearanceyofytheystool
B.yAssessytheyelasticityyofytheyclient'syskin
C.yReviewytheyclient'sylaboratoryyvalues
D.yAuscultateytheyclient'sybowelysoundsy-yansA.yObserveytheyappearanceyofytheystool
Ayclientytellsytheynurseyaboutyworkingyoutywithyaypersonalytraineryandyswimmingythreeytim
esyayweekyinyanyeffortytoyloseyweightyandysleepybetter.yTheyclientystatesythatyitystillyisytakin
gyhoursytoyfallyasleepyatynight.yWhichyactionyshouldytheynurseyimplement?
A.yAdviseytheyclientythatylifestyleychangesyoftenytakeyseveralyweeksytoybeyeffective
B.yEncourageytheyclientytoyexerciseyeverydayytoyeliminateybedtimeywakefulness
C.yAskytheyclientyforyaydescriptionyofytheyexerciseyscheduleythatyisybeingyfollowed
D.yDetermineytheyamountyofyweightytheyclientyhasylostysinceyincreasingyactivityy-
yansC.yAskytheyclientyforyaydescriptionyofytheyexerciseyscheduleythatyisybeingyfollowed
Ayclientywhoyexperiencedyaycerebrovascularyaccidenty(CVA)yisyaphasicyandyhasyleftysided
yparalysis.yWhichynurseyshouldybeyresponsibleyforycoordinatingytheyprogressionyofythisycli
ent'sycare?y
A.yNurseycaseymanager
B.yAdultynurseypractitioner
C.yNeurologyyunitysupervisory
D.yRiskymanagementynursey-yansB.yAdultynurseypractitioner
Ayclientywhoygaveybirthy48yhoursyagoyhasydecidedytoybottleyfeedytheyinfant.yDuringytheyass
essment,ytheynurseyobservesythatybothybreastsyareyswollen,ywarm,yandytenderyonypalpati
on.yWhichyinstructionyshouldytheynurseyprovide?
A.yApplyyiceytoytheybreastsyforycomfort
B.yWearyayloose-fittingybrayduringytheydayytoypreventynippleyirritation
C.yRunywarmywateryoverybreasts
D.yExpressysmallyamountsyofymilkyfromytheybreastsytoyrelieveypressurey-
yansA.yApplyyiceytoytheybreastsyforycomfort
Ayclientywhoyisyadmittedyforyprimaryyhypothyroidismyhasyearlyysignsyofymyxedemaycoma.yI
nyassessingytheyclient,yinywhichysequenceyshouldytheynurseycompleteytheseyactions?
y(descendingyorder)y-yans1.yObserveybreathingypatterns
2.yAssessybloodypressure
3.yMeasureybodyytemperature
4.yPalpateyforypedalyedema
Ayclientywhoyisyadmittedywithycomplicationsyrelatedytoyhypopituitarismyisydiaphoreticyandyh
ypotensive.yWhichyassessmentyfindingywarrantsyimmediateyinterventionybyytheynurse?y-
yansLethargy
Ayclientywhoyisyscheduledyforyaybronchoscopyyinytheymorningyisyanxiousyandyaskingytheyn
urseynumerousyquestionsyaboutytheyprocedure.yInypreparingytheyclientyforytheyprocedure,y
whichyinterventionyhasytheyhighestypriority?
A.yAllowyclientytoygargleywithywarmysaltywater
B.yAdministeryaysedativeytoyalleviateyanxiety
QUESTIONS & ANSWERS (NGN HESI RN EXIT)-2024 EDITION
Ay3-year-
oldyboyywasysuccessfullyytoiletytrainedypriorytoyhisyadmissionytoytheyhospitalyforyinjuriesysu
stainedyfromyayfall.yHisyparentsyareyveryyconcernedythatytheychildyhasyregressedyinyhisytoil
etingybehaviors.yWhichyinformationyshouldytheynurseyprovideytoytheyparents?
A.yAyretrainingyprogramywillyneedytoybeyinitiatedywhenytheychildyreturnsyhome.y
B.yDiaperingywillybeyprovidedysinceyhospitalizationyisystressfulytoypreschoolers
C.yAypottyychairyshouldybeybroughtyfromyhomeysoyheycanymaintainyhisytoiletingyskills
D.yChildrenyusuallyyresumeytheirytoiletingybehaviorsywhenytheyyleaveytheyhospitaly–
yansyD.yChildrenyusuallyyresumeytheirytoiletingybehaviorsywhenytheyyleaveytheyhospital
Ay7-
yearyoldyisyadmittedytoytheyhospitalywithypersistentyvomiting,yandyaynasogastricytubeyattac
hedytoylowyintermittentysuctionyisyapplied.yWhichyfindingyisymostyimportantyforytheynurseyto
yreportytoytheyhealthcareyprovider?
A.yShiftyintakeyofy640mLyIVyfluidsyplusy30mLyPOyiceychipsy
B.ySerumypHyofy7.45
C.yGastricyoutputyofy100ymLyinytheylasty8yhours
D.ySerumypotassiumyofy3.0ymg/dLy–yansyD.ySerumypotassiumyofy3.0ymg/dL
Aychildynewlyydiagnosedywithysickleycellyanemiay(SCA)yisybeingydischargedyfromytheyhosp
ital.yWhichyinformationyisymostyimportantyforytheynurseytoyprovideytheyparentsypriorytoydisc
harge?
A.yInstructionsyaboutyhowymuchyfluidytheychildyshouldydrinkydaily.
B.ySignsyofyaddictionytoyopioidypainymedications
C.yInformationyaboutynon-pharmaceuticalypainyreliefymeasures
D.yReferralyforysocialyservicesyforytheychildyandyfamilyy–
yansyA.yInstructionsyaboutyhowymuchyfluidytheychildyshouldydrinkydaily
Ayclientyasksytheynurseyforyinformationyaboutyhowytoyreduceyriskyfactorsyforybenignyprostat
icyhyperplasiay(BPH).yWhichyinformationyshouldytheynurseyprovide?
A.yConsumeyayhighyproteinydiet
B.yIncreaseyphysicalyactivity
C.yTakeyvitaminysupplements
D.yObtainyayprostate-specificyantigenybloodylevelytesty–yansyB.yIncreaseyphysicalyactivity
Ayclientyaty12yweeksygestationyisyadmittedytoytheyantepartumyunitywithyaydiagnosisyofyhype
remesisygravidarum.yWhichyactionyisymostyimportantyforytheynurseytoyimplement?
A.yObtainytheyclient'sy24-hourydietaryyrecall
B.yDocumentymucosalymembraneystatus
C.yScheduleyayconsultywithyaynutritionist
D.yInitiateyprescribedyintravenousyfluidsy–yansyD.yInitiateyprescribedyintravenousyfluids
Ayclientydiagnosedywithycalciumykidneyystonesyhasyayhistoryyofygout.yAynewyprescriptionyf
oryaluminumyhydroxideyisyscheduledytoybeginyaty0730.yWhichyclientymedicationyshouldythe
ynurseybringytoytheyhealthcareyprovider'syattention?
,A.yEsinaprily
B.yAllopurinol
C.yFurosemide
D.yAspirin,ylowydosey–yansyB.yAllopurinol
Ayclientyfellyinytheybathroomywhenyleftyunattendedybyytheyunlicensedyassistiveypersonnely(
UAP).yWhichyinformationyshouldytheynurseyincludeyinytheyclient'syhealthyrecord?
A.yTheyUAPyleftytheyclientytoyassistyanotheryclient
B.yTheylastytimeyclientywasyassistedytoytheybathroom
C.yTheyunitywasyunderstaffedywhenytheyclientyfell
D.yTheyclientyfellysustainingyayfractureytoytheyleftyhipy–
yansyD.yTheyclientyfellysustainingyayfractureytoytheyleftyhip
Ayclientyinytheyemergencyycenterydemonstratesyrapidyspeech,yflightyofyideas,yandyreportsy
sleepingyonlyythreeyhoursyduringytheypasty48yhours.yBasedyonytheseyfindings,yityisymostyim
portantyforytheynurseytoyreviewytheylaboratoryyvalueyforywhichymedication?
A.yLorazepam
B.yFluoxetine
C.yDivalproex
D.yOlanzapiney–yansyC.yDivalproex
Ayclientyinytheythirdytrimesteryofypregnancyyreportsythatysheyfellsysomey"lumpyyplaces"yinyh
erybreastsyandythatyherynipplesysometimesyleakyayyellowishyfluid.ySheyhasyanyappointmen
tywithyheryhealthcareyprovideryinytwoyweeks.yWhatyactionyshouldytheynurseytake?
A.yTellytheyclientytoybeginynippleystimulationytoyprepareyforybreastyfeeding.y
B.yRescheduleytheyclient'syprenatalyappointmentyforytheyfollowingyday
C.yExplainythatythisynormalysecretionycanybeyassessedyatytheynextyvisit
D.yRecommendythatytheyclientystartywearingyaysupportiveybrassierey–
yansyC.yExplainythatythisynormalysecretionycanybeyassessedyatytheynextyvisit
Ayclientyisyadmittedywithyaydiagnosisyofyurolithiasis.yWhichyfindingyisymostyimportantyforyth
eynurseytoyreportytoytheyhealthcareyprovider?
A.yVolumeyofyeachyvoidingyisymoreythany300mL
B.ySerumypotassiumythatyisyelevated
C.yReliefyofyflankypainythatyradiatedyintoytheygroin
D.yHematuriaythatyisybeginningytoyturnypinky–
yansyD.yHematuriaythatyisybeginningytoyturnypink
AyclientyisydiagnosedywithyMeniere'sydisease.yWhichyproblemyshouldytheynurseyidentifyyas
ymostyimportantyinytheyplanyofycare?y
A.yRiskyforyineffectiveyself-healthymanagementyrelatedytoydeficientyknowledge
B.yIneffectiveycopingyrelatedytoypersonalyvulnerabilityy
C.yRiskyforyinjuryyrelatedytoyvertigoy
D.yAnxietyyrelatedytoydisruptionyofylifestyley–yansyC.yRiskyforyinjuryyrelatedytoyvertigo.
Ayclientyisyreceivingyenoxapariny30mgysubcutaneouslyytwiceyayday.yInyassessingyforyadve
rseyeffectsyofytheymedication,ywhichyserumylaboratoryyvalueyisymostyimportantyforytheynurs
eytoymonitor?y
A.yGlucosey
,B.yCalcium
C.yPlateletycount
D.yWhiteybloodycellycounty-yansC.yPlateletycount
Ayclientyisyrecoveringyinytheycriticalycareyunityfollowingyaycardiacycatheterization.yIVynitrogl
ycerinyandyheparinyareyinfusing.yTheyclientyisysedatedybutyrespondsytoyverbalyinstructions.
yAfterychangingypositions,ytheyclientycomplainsyofypainyatytheyrightygroinyinsertionysite.yWh
atyactionyshouldytheynurseyimplement?y
A.yCheckyfemoralysiteyforyhematomayformation
B.yStimulateytheyclientytoytakeydeepybreaths
C.yEvaluateytheyintegrityyofytheyIVyinsertionysite
D.yAssessydistalyloweryextremityycapillaryyrefilly-
yansB.yStimulateytheyclientytoytakeydeepybreaths
Ayclientyisyscheduledyforyayspiralycomputedytomographyy(CT)yscanywithycontrastytoyevalua
teyforypulmonaryyembolism.yWhichyinformationyinytheyclient'syhistoryyrequiresyfollow-
upybyytheynurse?
A.yCTyscanythatywasyperformedy6ymonthsyearlier
B.yMetalyhipyprosthesisywasyplacedy20yyearsyago
C.yReportyofyclient'sysobrietyyforytheylasty5yyears
D.yTakesymetforminyforytypey2ydiabetesymellitusy-
yansD.yTakesymetforminyforytypey2ydiabetesymellitus
Ayclientypresentsytoytheyemergencyydepartmentywithymuscleyaches,yheadache,yfever,yand
ydescribesyayrecentylossyofytasteyandysmell.yTheynurseyobtainsyaynasalyswabyforyCOVID-1
9ytesting.yWhichyactionyisymostyimportantyforytheynurseytoytake?y
A.yPlaceytheynasalyswabyspecimenyforyCOVID-19ydirectlyyintoyaybiohazardybag
B.yMoveytheyclientytoyayprivateyroom,ykeepytheydooryclosed,yandyinitiateydropletyprecaution
s.y
C.yTeachytheyclientytoywearyaymask,yhandywash,yandysocialydistanceytoypreventyspreading
ytheyvirusy
D.yExplainytoytheyclientytoyinformyothersythatytheyymayyhaveybeenypotentiallyyexposedyinyth
eylasty14ydays.y-
yansA.yPlaceytheynasalyswabyspecimenyforyCOVID-19ydirectlyyintoyaybiohazardybag
Ayclientypresentsytoytheylaboryandydeliveryyunitywithyayreportyofyleakingyfluidythatyisygreenis
h-brownyvaginalydischarge.yWhichyactionyshouldytheynurseytakeyfirst?
A.yStartyanyintravenousyinfusiony
B.yAdministeryoxygenyviayfacemask
C.yPerformyayvaginalyexam
D.yBeginycontinuousyfetalymonitoringy-yansD.yBeginycontinuousyfetalymonitoring
Ayclientypressesytheycallybellyandyrequestsypainymedicationyforyaysevereyheadache.yToyas
sessytheyqualityyofytheyclient'sypain,ywhichyapproachyshouldytheynurseyuse?
A.yAskytheyclientytoydescribeytheypain
B.yObserveybodyylanguageyandymovementy
C.yIdentifyyeffectiveypainyreliefymeasures
D.yProvideyaynumericypainyscaley-yansA.yAskytheyclientytoydescribeytheypain
, Ayclientytakingyclopidogrelyreportsytheyonsetyofydiarrhea.yWhichynursingyactionyshouldythey
nurseyimplementyfirst?
A.yObserveytheyappearanceyofytheystool
B.yAssessytheyelasticityyofytheyclient'syskin
C.yReviewytheyclient'sylaboratoryyvalues
D.yAuscultateytheyclient'sybowelysoundsy-yansA.yObserveytheyappearanceyofytheystool
Ayclientytellsytheynurseyaboutyworkingyoutywithyaypersonalytraineryandyswimmingythreeytim
esyayweekyinyanyeffortytoyloseyweightyandysleepybetter.yTheyclientystatesythatyitystillyisytakin
gyhoursytoyfallyasleepyatynight.yWhichyactionyshouldytheynurseyimplement?
A.yAdviseytheyclientythatylifestyleychangesyoftenytakeyseveralyweeksytoybeyeffective
B.yEncourageytheyclientytoyexerciseyeverydayytoyeliminateybedtimeywakefulness
C.yAskytheyclientyforyaydescriptionyofytheyexerciseyscheduleythatyisybeingyfollowed
D.yDetermineytheyamountyofyweightytheyclientyhasylostysinceyincreasingyactivityy-
yansC.yAskytheyclientyforyaydescriptionyofytheyexerciseyscheduleythatyisybeingyfollowed
Ayclientywhoyexperiencedyaycerebrovascularyaccidenty(CVA)yisyaphasicyandyhasyleftysided
yparalysis.yWhichynurseyshouldybeyresponsibleyforycoordinatingytheyprogressionyofythisycli
ent'sycare?y
A.yNurseycaseymanager
B.yAdultynurseypractitioner
C.yNeurologyyunitysupervisory
D.yRiskymanagementynursey-yansB.yAdultynurseypractitioner
Ayclientywhoygaveybirthy48yhoursyagoyhasydecidedytoybottleyfeedytheyinfant.yDuringytheyass
essment,ytheynurseyobservesythatybothybreastsyareyswollen,ywarm,yandytenderyonypalpati
on.yWhichyinstructionyshouldytheynurseyprovide?
A.yApplyyiceytoytheybreastsyforycomfort
B.yWearyayloose-fittingybrayduringytheydayytoypreventynippleyirritation
C.yRunywarmywateryoverybreasts
D.yExpressysmallyamountsyofymilkyfromytheybreastsytoyrelieveypressurey-
yansA.yApplyyiceytoytheybreastsyforycomfort
Ayclientywhoyisyadmittedyforyprimaryyhypothyroidismyhasyearlyysignsyofymyxedemaycoma.yI
nyassessingytheyclient,yinywhichysequenceyshouldytheynurseycompleteytheseyactions?
y(descendingyorder)y-yans1.yObserveybreathingypatterns
2.yAssessybloodypressure
3.yMeasureybodyytemperature
4.yPalpateyforypedalyedema
Ayclientywhoyisyadmittedywithycomplicationsyrelatedytoyhypopituitarismyisydiaphoreticyandyh
ypotensive.yWhichyassessmentyfindingywarrantsyimmediateyinterventionybyytheynurse?y-
yansLethargy
Ayclientywhoyisyscheduledyforyaybronchoscopyyinytheymorningyisyanxiousyandyaskingytheyn
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