Ngn Pn Hesi Exit Exam Vi, 2 And 3 Test Bank/Latest Updated With Correct Detailed Answers/A+ Grade

NGN PN HESI EXIT EXAM VI, 2 AND 3 TEST vr vr vr vr vr vr vr vr vr




vr BANK/LATEST UPDATED WITH CORRECT DETAILED vr vr vr vr vr




ANSWERS/A+ GRADE vr vr




A client with depression remains in bed most of the day, and declines
vr vr vr vr vr vr vr vr vr vr vr vr




activities. Which nursing problem has the greatest priority for this client?
vr vr vr vr vr vr vr vr vr vr vr




A. Loss of interest in diversional activity.
vr vr vr vr vr




B. Social isolation. vr




C. Refusal to address nutritional needs. vr vr vr vr




D. Low self-esteem. vr




The RN is preparing medications for a client with bipolar disorder and notices
vr vr vr vr vr vr vr vr vr vr vr vr




that the client discontinued antipsychotic medication for several days. Which
vr vr vr vr vr vr vr vr vr vr




medication should also be discontinued?
vr vr vr vr vr




a. Lithium. (Lithotabs) vr




b. Benzotropine (Cogentin). vr




c. Alprazolam (Xanax). vr




d. Magnesium (Milk of Magnesia). vr vr vr




A female client requests that her husband be allowed to stay in the room during
vr vr vr vr vr vr vr vr vr vr vr vr vr vr




the admission assessment. When interviewing the client, the RN notesa
vr vr vr vr vr vr vr vr vr vr rv




discrepancy between the client’s verbal and nonverbal communication.
vr vr vr vr vr vr vr vr




What action does the RN take? vr vr vr vr vr




A. Pay close attention and document the nonverbal messages. vr vr v r v r v r vr vr




B. Ask the client’s husband to interpret the discrepancy. vr vr vr vr vr vr vr




C. Ignore the nonverbal behavior and focus on the client’s verbal vr vr vr vr vr vr vr vr vr




messages. rv




D. Integrate the verbal and nonverbal messages and interpret them v r v r vr vr v r v r vr v r




asone. v r rv




A male client approaches the RN with an angry expression on his face and
vr vr vr vr vr vr vr vr vr vr vr vr vr




raises his voice, saying “My roommate is the most selfish, self-centered,
vr vr vr vr vr vr vr vr vr vr vr




angry person I have ever met. If he loses his temper one more time with me,I
vr vr vr vr vr vr vr v r vr vr vr vr vr vr vr vr vr rv




am going to punch him out!” The RN recognizes that the client is using which
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr




defense mechanism?
vr vr




A. Denial. vr vr vr v r




B.
vr




Projection.
v r




C. Rationalization. v r




D. Splitting. v r




A male client with bipolar disorder who began taking lithium carbonate five days
vr vr vr vr vr vr vr vr vr vr vr vr




ago is complaining of excessive thirst, and the RN finds him attemptingto
vr vr vr vr vr vr vr vr vr vr vr vr rv




drink water from the bathroom sink faucet. Which intervention should the RN
vr vr vr vr vr vr vr vr vr vr vr vr

, implement?
vr

, A. Report the client’s serum lithium level to the HCP. vr vr vr vr vr vr vr vr




B. Encouragetheclienttosuckonhardcandytorelievethe symptoms. vr vr vr vr vr vr vr vr vr vr vr




C. No action is needed since polydipsia is a common side effect.
vr vr vr vr vr vr vr vr vr vr




D. Tell the client that drinking from the faucet is not allowed.
vr vr vr vr vr vr vr vr vr vr




The RN is teaching a client about the initiation of the prescribed abstinence
vr vr vr vr vr vr vr vr vr vr vr vr




therapy using disulfiram (Antabuse). What information should the client
rv vr vr vr vr vr vr vr vr




acknowledge understanding?
vr vr




A. Completely abstain from heroin or cocaine use. vr vr vr vr vr vr




B. Remain alcohol free for 12 hours prior to the first dose. vr vr vr vr vr vr vr vr vr vr




C. Attend monthly meetings of alcoholics anonymous. vr vr vr v r v r




D. Admittoothersthatheisasubstanceuser. vr vr vr vr vr vr vr vr




A male client with schizophrenia is admitted to the mental health unit after
vr vr vr vr vr vr vr vr vr vr vr vr




abruptly stopping his prescription for ziprasidone (Geodon) one month ago.
rv vr vr vr vr vr vr vr vr vr




Which question is most important for the RN to ask the client?
vr vr vr vr vr vr vr vr vr vr vr vr




A. Have you lost interest in the things that you used to enjoy? vr vr vr vr vr vr vr vr vr vr vr




B. Is your ability to think or concentrate decreased? vr vr vr vr vr vr vr




C. How many continuous hours do you sleep at night? D. vr vr vr vr vr vr vr vr vr




Do you hear sounds or voices that others do not hear?
vr vr vr vr vr vr vr vr vr vr vr




During an annual physical by the occupational RN working in a corporate
vr vr vr vr vr vr vr vr vr vr vr




clinic, a male employee tells the RN that is high-stress job is causing troublein
vr vr vr vr vr vr vr vr vr vr vr vr vr vr rv




his personal life. He further explains that he often gets so angry while driving to
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr




and from work that he has considered “getting even” with other drivers. How
vr vr vr vr vr vr vr vr vr vr vr vr vr




should the RN respond?
vr vr vr vr




A. “Anger is contagious and could result in major confrontation.” vr vr vr vr vr vr vr vr




B. “Try not to let your anger cause you to act impulsively.” vr vr vr vr vr vr vr vr vr vr




C. “Expressingyourangertoastrangercouldresult in anunsafesituation.”D. “It vr vr vr vr vr vr vr vr vr vr vr rv vr




soundsasifthere aremanysituations thatmakeyoufeelangry.”
vr vr rv vr vr vr vr vr vr vr vr vr




A client who has agoraphobia (a fear of crowds) is beginning desensitization
vr vr vr vr vr vr vr vr vr vr vr




with the therapist, and the RN is reinforcing the process. Which intervention
vr vr vr vr vr vr vr vr vr vr vr vr




has the highest priority for this client’s plan of care?
rv vr vr vr vr vr vr vr vr vr




A. Encourage substitution of positive thoughts and negative ones.
v r vr vr vr vr vr vr vr




B. Establish trust by providing a calm, safe environment.
rv v r vr vr vr vr vr vr vr




C. Progressively expose the client to larger crowds.
v r vr vr vr vr vr vr




D. Encourage deep breathing when anxiety escalates in a crowd.
v r vr vr vr vr vr vr vr vr




Which nursing actions are likely to help promote the self-esteem of a maleclient
vr vr vr vr vr vr vr vr vr vr vr vr rv




with modern depression?
vr vr vr




A. Ask the client what his long term goals are. vr vr vr vr vr vr vr vr

, B. Discuss the challenges of his medical condition. vr vr vr vr vr vr




C. Include the client in determining treatment protocol. D. vr vr vr vr vr vr vr




Encourage the client to engage in recreational therapy.
v r vr vr vr vr vr vr vr




E. Provide opportunities for the client to discuss his concerns.
v r vr vr vr vr vr vr vr vr




A male client is admitted to the psychiatric unit for recurrent negative
vr vr vr vr vr vr vr vr vr vr vr




symptoms of chronic schizophrenia and medication adjustment of
vr vr vr vr vr vr vr vr




Risperidone (Risperdal). When the client walks to the nurse’s station in a
vr vr vr vr vr vr vr vr vr vr vr vr




laterally contracted position, he states that something has made his body
vr vr vr vr vr vr vr vr vr vr vr




contort into a monster. What action should the RN take?
rv vr vr vr vr vr vr vr vr vr




A. Medicate the client with the prescribed antipsychotic thioridazine vr vr vr vr vr vr vr




(Mellaril).
rv




B. Offer the client a prescribed physical therapy hot pack for muscle spasms.
vr vr vr vr vr vr vr vr vr vr vr




C. Direct client to occupational therapy to distract him from somatic
vr vr vr vr vr vr vr vr vr




complaints.
rv




D. Administer the prescribed anticholinergic benztropine (Cogentin) for vr vr vr vr vr vr




dystonia.
rv




A mental health worker is caring for a client with escalating aggressive
vr vr vr vr vr vr vr vr vr vr vr




behavior. Which action by the MHW warrant immediate intervention by theRN?
vr vr vr vr vr vr vr vr vr vr vr rv




A. Is attempting to physically restrain the patient.
vr vr vr vr vr vr




B. Tells the client to go to the quiet area of the unit.
vr vr vr vr vr vr vr vr vr vr vr




C. Is using a loid voice to talk to the client.
vr vr vr vr vr vr vr vr vr




D. Remains at a distance of 4 feet from the client. vr vr vr vr vr vr vr vr vr




A client on the mental health unit is becoming more agitated, shouting at the
vr vr vr vr vr vr vr vr vr vr vr vr vr




staff, and pacing in the hallway. When the PRN medication is offered, the client
rv vr vr vr vr vr vr vr vr vr vr vr vr vr




refuses the medication and defiantly sits on the floor in the middle of the unit
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr




hallway. What nursing intervention should the RN implement first?
vr vr vr vr vr vr vr vr vr




A. Transport of the client to the seclusion room. vr vr vr vr vr vr vr




B. Quietly approach the client with additional staff members. vr vr vr vr vr vr vr




C.
rv v r Take other clients in the area to the client lounge. vr vr vr vr vr vr vr vr vr




D. v r Administer medication to chemically restrain the patient. vr vr vr vr vr vr




A client is admitted to the mental health unit and reports taking extra antianxiety
vr vr vr vr vr vr vr vr vr vr vr vr vr




medication because, “I’m so stressed out. I just want to go to sleep.” The RN
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr




should plan one-on-one observation of the client based onwhich statement?
vr vr vr vr vr vr vr vr vr rv vr




A. “Whatshould I do? Nothing seems to help.” vr vr vr v r vr vr vr




B. “I have been so tired lately and needed to sleep.”
vr vr vr vr vr vr vr vr vr