BSN HESI 366 RN EXIT Test Bank Actual Exam Newest 2025/2026 With Complete 450 Questions And Correct Answers |Already Graded A+||Brand New Version!|NIGHTGALE

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BSN HESI 366 RN EXIT Test Bank Actual Exam Newest
2025/2026 With Complete 450 Questions And Correct
Answers |Already Graded A+||Brand New
Version!|NIGHTGALE



The healthcare provider prescribes methylergonovine maleate for a postpa
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rtum client with uterine atony. What findings should indicate to the nurse to w
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ithhold the next dose of the medication?
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A. Excessive lochia.
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B. Saturation of more than one pad per hour.
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C. Hypertension.
b




D. Difficulty locating the uterine fundus. - ..........ANSWER.......Answer
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C. Hypertension.
b




Rationale b




Methylergonovine, an ergot alkaloid, has vasoconstrictive effects that can e
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xaggerate primary hypertension. The nurse should withhold the medication i
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f the client's blood pressure is elevated (C) and notify the healthcare provid
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er. (A, B, and D) are signs of uterine atony and are indications for the use of t
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he medication.
b

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The nurse has completed the diet teaching of a male client who is being disch
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arged following treatment of a leg wound. A high protein diet is encourage
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d to promote wound healing. Which lunch choice by the client indicates that t
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he teaching was effective?
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A. A peanut butter sandwich with soda and cookies.
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B. A tunafish sandwich with chips and ice cream.
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C. A salad with three kinds of lettuce and fruit.
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D. Vegetable soup, crackers, and milk. - ..........ANSWER.......Answer
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B. A tunafish sandwich with chips and ice cream.
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Rationale

(B) contains the highest amount of protein. Four ounces of tuna contains 11 g
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of protein, and ice cream 5 g of protein per cup. Chips are a fat with virtuall
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y no protein value. (A) contains 4 grams of protein per tablespoon. (C) conta
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ins only 1 gram of protein per 1 cup serving. (D) may have beef flavoring bu
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t it consist mostly of vegetables and would therefore be low in protein.
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The nurse discontinues a continuous IV heparin infusion for a male client on str
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ict bed rest, and is now preparing to administer the client's first dose of in en
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oxaparin (Lovenox). Prior to giving this subcutaneous injection, which assess
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ment finding requires additional intervention by the nurse?
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A. Current lab report indicates an aPTT at 1.5 times the client's control.
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B. Several bruised areas are noted on the client's upper extremities bilatera
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lly.

C. The client states that his right calf is aching, and wants pain medicatio
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n.

D. The spouse is assisting the client who is shaving with an electric razor. -
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..........ANSWER.......Answer
b




C. The client states that his right calf is aching, and wants pain medication.
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Rationale

A calf ache severe enough for the client to request pain medication (C) shoul
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d be reported to the healthcare provider immediately so that an adjustment
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in the anticoagulation therapy can be made. Calf pain may be a sign of de
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ep vein thrombosis indicative of ineffective anticoagulant heparin therapy. (
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A and B) are expected findings. Shaving with an electric razor is recommend
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ed to reduce the possibility of bleeding (D) and does not require interventio
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n.

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While the nurse is providing morning care for a client with chronic obstructiv
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e pulmonary disease (COPD), the client becomes very dyspneic and starts to
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panic. What action should the nurse implement first?
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A. Instruct the client to perform diaphragmatic breathing.
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B. Use a calm voice to tell the client to breathe slowly.
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C. Administer two puffs of a metered-dose inhaler.
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D. Assist the client to an upright position. - ..........ANSWER.......Answer
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D. Assist the client to an upright position.
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Rationale

The nurse should first assist the client to an upright position (D), which allows t
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he lungs to expand fully. After this, the nurse can implement (A, B, and C) as n
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eeded.



A female client's estranged husband arrives at the hospital and demands th
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at his wife have no other visitors. The client becomes angry and insists that th
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e estranged husband be barred from visiting her. Which intervention should
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the nurse implement?
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A. Obtain a prescription to allow client to dictate who can visit.
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