NGN HESI EXI MED SURG Comprehensive
Predictor best exam WITH solution latest update
2025 graded A+
A client who is admitted after a thermal burn injury has the following vital signs: blood
pressure, 70/40; heart rate, 140 beats/min; respiratory rate, 25/min. He is pale in color
and it is difficult to find pedal pulses. Which action will the nurse take first?
A) Begin intravenous fluids
B) Check the pulses with a Doppler device
C) Obtain a complete blood count (CBC)
D) Obtain an electrocardiogram (ECG)
Question 8 (1 point) KATHY
A client who has had a full-thickness burn is being discharged from the hospital.
Which information ismost important for the nurse to provide prior to discharge?
A) How to maintain home smoke detectors
B) Joining a community reintegration program p.
1868 C) Learning to performdressing changes. P.
1866, 1870,
D) Options available for scar removal.
Question 9 (1 point) KATHY
A client who was burned has crackles and a respiratory rate of 40/min, and is
coughing up blood-tinged sputum. What action will the nurse take first?
A) Administer digoxin
B) Perform chest physiotherapy
C) Monitor urine output
D) Place the client in an upright position
Question 10 (1 point) LILY
Using the rule of nines, an adult with a burn of the legs, genitals, and
posterior trunk has a percent totalbody surface area burn. (Use number
keys for answer)
ANSWER IS 55% calculated as below: per figure
62-3 on page 1849 Both legs =18% X 2 legs
Genitals = 1% Post trunk = 18%
, A client had a percutaneous transluminal coronary angioplasty for
peripheral arterial disease. What assessment finding by the nurse indicates
a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
c. Remains on bedrest as directed
d. Verbalizes understanding of procedure
A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy.
Which statement shouldthe nurse include in this client’s teaching?
a. “Avoid taking aspirin or aspirin-containing products.”
b. “Increase your intake of foods that are high in potassium.”
c. “Hold this medication if your pulse rate is below 80 beats/min.”
d. “Do not take this medication within 1 hour of taking an antacid.”
A nurse admits a client who is experiencing an exacerbation of heart failure.
Which action shouldthe nurse take first?
a. Assess the client’s respiratory status.
b. Draw blood to assess the client’s serum electrolytes.
c. Administer intravenous furosemide (Lasix).
d. Ask the client about current medications.
A nurse assesses a client who has a history of heart failure. Which question
should the nurse askto assess the extent of the client’s heart failure”
a. “Do you have trouble breathing or chest pain?”
b. “Are you able to walk upstairs without fatigue?”
c. “Do you awake with breathlessness during the night?”
d. “Do you have new-onset heaviness in your legs?”
After teaching a client with diverticular disease, a nurse assesses the client’s
understanding. Which menu selection made by the client indicates the client
correctly understood the teaching?
a. Roasted chicken with rice pilaf and a cup of coffee with cream
b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea
c. Garden salad with a cup of bean soup and a glass of low-fat milk
d. Baked fish with steamed carrots and a glass of apple juice
A nurse cares for a client who is prescribed mesalamine (Asacol) for
ulcerative colitis. The clientstates, “I am having trouble swallowing this
pill.” Which action should the nurse take?
a. Contact the clinical pharmacist and request the medication in
suspension form
, b. Empty the contents of the capsule into applesauce or pudding for
administration.
c. Ask the health care provider to prescribe the medication as an enema
instead.
d. Crush the pill carefully and administer it in applesauce or pudding.
A nurse assesses a client who has ulcerative colitis and severe diarrhea.
Which assessmentshould the nurse complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
c. Heart rate and rhythm
d. Percussion of abdomen
A nurse assesses a client with Crohn’s disease and colonic strictures. Which clinical
manifestationshould alert the nurse to urgently contact the health care provider?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Loose and bloody stool
d. Lower abdominal cramps
A nurse reviews the chart of a client who has Crohn’s disease and a draining fistula.
Whichdocumentation should alert the nurse to urgently contact the provider for
additional prescriptions?
a. Serum potassium of 2.6 mEq/L
b. Client ate 20% of breakfast meal
c. White blood cell count of 8200/mm3
d. Client’s weight decreased by 3 pounds
A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the followingmanifestations should the nurse
expect?
A. Loose
stoolsB.
Jitteriness
C. Hypertonia
D. Abdominal distention
, A nurse is completing an incident report after a client fall. Which of the
following competencies of Qualityand Safety Education for Nurse is the
use demonstrating?
A. Quality improvement.
B. Patient (Unable to read)
C. Evidence based practice.
D. Informatics.
A nurse is talking with another nurse on the unit and smells alcohol on
her breath. Which of the followingactions should the nurse take?
A. Confront the nurse about the suspected alcohol use.
B. Inform another nurse on the unit about the suspected alcohol use.
C. Ask the nurse to finish administering
medications and then go home.D. Notify the
nursing manager about the suspected alcohol
use.
A nurse is caring for a client who has diaper dermatitis. Which of the
following actions should the nursetake?
A. Apply zinc oxide ointment to the irritated area.
B. (Unable to read)
C. Wipe stool from the skin using store bought baby wipes.
D. Apply talcum powder to the irritated area.
Predictor best exam WITH solution latest update
2025 graded A+
A client who is admitted after a thermal burn injury has the following vital signs: blood
pressure, 70/40; heart rate, 140 beats/min; respiratory rate, 25/min. He is pale in color
and it is difficult to find pedal pulses. Which action will the nurse take first?
A) Begin intravenous fluids
B) Check the pulses with a Doppler device
C) Obtain a complete blood count (CBC)
D) Obtain an electrocardiogram (ECG)
Question 8 (1 point) KATHY
A client who has had a full-thickness burn is being discharged from the hospital.
Which information ismost important for the nurse to provide prior to discharge?
A) How to maintain home smoke detectors
B) Joining a community reintegration program p.
1868 C) Learning to performdressing changes. P.
1866, 1870,
D) Options available for scar removal.
Question 9 (1 point) KATHY
A client who was burned has crackles and a respiratory rate of 40/min, and is
coughing up blood-tinged sputum. What action will the nurse take first?
A) Administer digoxin
B) Perform chest physiotherapy
C) Monitor urine output
D) Place the client in an upright position
Question 10 (1 point) LILY
Using the rule of nines, an adult with a burn of the legs, genitals, and
posterior trunk has a percent totalbody surface area burn. (Use number
keys for answer)
ANSWER IS 55% calculated as below: per figure
62-3 on page 1849 Both legs =18% X 2 legs
Genitals = 1% Post trunk = 18%
, A client had a percutaneous transluminal coronary angioplasty for
peripheral arterial disease. What assessment finding by the nurse indicates
a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
c. Remains on bedrest as directed
d. Verbalizes understanding of procedure
A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy.
Which statement shouldthe nurse include in this client’s teaching?
a. “Avoid taking aspirin or aspirin-containing products.”
b. “Increase your intake of foods that are high in potassium.”
c. “Hold this medication if your pulse rate is below 80 beats/min.”
d. “Do not take this medication within 1 hour of taking an antacid.”
A nurse admits a client who is experiencing an exacerbation of heart failure.
Which action shouldthe nurse take first?
a. Assess the client’s respiratory status.
b. Draw blood to assess the client’s serum electrolytes.
c. Administer intravenous furosemide (Lasix).
d. Ask the client about current medications.
A nurse assesses a client who has a history of heart failure. Which question
should the nurse askto assess the extent of the client’s heart failure”
a. “Do you have trouble breathing or chest pain?”
b. “Are you able to walk upstairs without fatigue?”
c. “Do you awake with breathlessness during the night?”
d. “Do you have new-onset heaviness in your legs?”
After teaching a client with diverticular disease, a nurse assesses the client’s
understanding. Which menu selection made by the client indicates the client
correctly understood the teaching?
a. Roasted chicken with rice pilaf and a cup of coffee with cream
b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea
c. Garden salad with a cup of bean soup and a glass of low-fat milk
d. Baked fish with steamed carrots and a glass of apple juice
A nurse cares for a client who is prescribed mesalamine (Asacol) for
ulcerative colitis. The clientstates, “I am having trouble swallowing this
pill.” Which action should the nurse take?
a. Contact the clinical pharmacist and request the medication in
suspension form
, b. Empty the contents of the capsule into applesauce or pudding for
administration.
c. Ask the health care provider to prescribe the medication as an enema
instead.
d. Crush the pill carefully and administer it in applesauce or pudding.
A nurse assesses a client who has ulcerative colitis and severe diarrhea.
Which assessmentshould the nurse complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
c. Heart rate and rhythm
d. Percussion of abdomen
A nurse assesses a client with Crohn’s disease and colonic strictures. Which clinical
manifestationshould alert the nurse to urgently contact the health care provider?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Loose and bloody stool
d. Lower abdominal cramps
A nurse reviews the chart of a client who has Crohn’s disease and a draining fistula.
Whichdocumentation should alert the nurse to urgently contact the provider for
additional prescriptions?
a. Serum potassium of 2.6 mEq/L
b. Client ate 20% of breakfast meal
c. White blood cell count of 8200/mm3
d. Client’s weight decreased by 3 pounds
A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the followingmanifestations should the nurse
expect?
A. Loose
stoolsB.
Jitteriness
C. Hypertonia
D. Abdominal distention
, A nurse is completing an incident report after a client fall. Which of the
following competencies of Qualityand Safety Education for Nurse is the
use demonstrating?
A. Quality improvement.
B. Patient (Unable to read)
C. Evidence based practice.
D. Informatics.
A nurse is talking with another nurse on the unit and smells alcohol on
her breath. Which of the followingactions should the nurse take?
A. Confront the nurse about the suspected alcohol use.
B. Inform another nurse on the unit about the suspected alcohol use.
C. Ask the nurse to finish administering
medications and then go home.D. Notify the
nursing manager about the suspected alcohol
use.
A nurse is caring for a client who has diaper dermatitis. Which of the
following actions should the nursetake?
A. Apply zinc oxide ointment to the irritated area.
B. (Unable to read)
C. Wipe stool from the skin using store bought baby wipes.
D. Apply talcum powder to the irritated area.
