HESI NGN NEWEST 2024 EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+ 1 / 15

HESI NGN NEWEST 2024 EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+ 1 / 15 1. The nurse notices that the hispanic parents of a toddler who returns from surgery offer the child only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices, remain untouched. What explanation is most appropriate for this behavior?: "hot" remediesrestorebalance after surgery, which is considered a "cold" condition. common parental practices and health beliefs among hispanic, Chinese, filipino, andarab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and must be balanced to maintain health and prevent illness. The perception that surgery is a "cold" condition implies that only "hot" remedies such as soup, should be used to restore the healthy balance within the body 2. 20 minutes after beginning a heat application, the client states that the heating pad no longer feels warm enough.What is the best response by thenurse?: "The body's receptors adapt over time as they are exposed to heat" --thermal adaptation, which occurs 20-30 minutes after heat application 3. An african-american grandmother tells the nurse that her 4-year-old grand-son is suffering with "Miseries". based on this statement, which focused assessment should the nurse conduct?: Inquire about the source and type of pain Different cultural groups often have their own terms for health conditions. African-American clients may refer to pain as "miseries" 4. A female client with a nasogastric tube attached to low suction states that she is nauseated.The nurse assess that there has been no drainage through the NG tube in the last two hours.What action should the nurse takefirst?: Reposition the client on her side 2 / 15 The immediate priority is to determine if the tube is functioning correctly, which would then relieve the client's nausea.The least invasive intervention should be attemptedfirst, followed by irrigating the NG tube with sterile normal saline and advancing the NG tube an additional 5cm, unless contraindicated. If these procedures do not work, the client may require an antiemetic. 5. A hospitalized male client is receiving NG tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now.What action is best forthe nurse to take?: After clearing the tube with 30ml of air, check the pH of fluid withdrawn from the tube. 3 / 15 coughing, vomitting, and suctioning can precipitate displacement of the tip of the small bore feeding tube upward into the esophagus, placing the client at increasedrisk for aspiration. Checking the sample of fluid withdrawn from the tube (after clearing the tube with 30ml of air) for acidic (stomach) or alkaline (intestine) valuesis a more sensitive method for these tubes, and the nurse should assess tube placement in this way prior to taking any other action 6. A sub-saharan african widowed immigrant woman lives with her deceasedhusband's brother and his family, which includes the brother-in-law's childrenand the widow's adult children. each family member speaks fluent english. surgery was recommended for the client. What is the best plan to obtain consent for surgery for this client?: Tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is provided to him an the widow Customary law in some sub-saharan countries encompasses wife inheritance and polygamy; the widow becomes the inherited wife of her husband's brother. In those rural areas women live in patriarchal family where decision are made by men. Most likely, the brother-in-law will make the decision for his inherited wife. 7. An older client who is a resident in a long term care facility has been bedridden for a week.Which finding should the nurse ID as a client risk factorfor pressure ulcers?: Rashes in axillary, groin, and skin fold regions. immobility, constant contact with bed clothing, and excessive heat and moisture inareas where air flow is limited contributes to bacterial and fungal growth, which increases the risk for rashes, skin breakdown, an the development of pressure ulcers. 8. The nurse is teaching a client proper use of an inhaler. When should the client 4 / 15 administer the inhaler-delivered medication to demonstrate correct useof the inhaler?: during the inhalation the client should be instructed to deliver the medication during the last part of inhalation. After medication is delivered, the client should remove the mouthpiece,keeping their lips closed and breath held for several seconds to allow for distributionof the medication.The client should deliver no more than two inhalations at a time. 9. an unlicensed UAP places a client in a left lateral position prior to admin- istering a soap suds enema. Which instruction should the nurse provide the UAP?: Reposition in Sim's position with the client's weight on the anterior ilium. The left sided Sim's position allows the enema solution to follow the anatomical 5 / 15 course of the intestines and allows the best overall results, so the UAP should resposition the client in the Sim's position, which distributes the client's weight tothe anterior ilium. 10. Which nutritional assessment data should the nurse collect to best reflecttotal muscle mass in an adolescent?: Upper arm circumference is an indirect measure of muscle mass. 11. Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-pitched sounds, that is placed at points on the anteriorchest.: 12. A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating. Based on these findings, which intervention should the nurse implement first?: Assist the ambulating client back to bed. An oxygen saturation below 90% indicates inadequate oxygenation. First, the clientshould be assisted to return to bed to minimize oxygen demands. Ambulation increases aeration of the lungs to prevent pooling of respiratory secretions, but theclient's activity at this time is depleting oxygen saturation of the blood.Oxygen levelsat different sites should be evaluated after the client returns to bed. 13. A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion site.The nurse observes erythema, swelling, anda red streak along the vessel above the IV access site. Which action should the nurse take at this time?: Initiate an alternative site for the IV infusion of the medication A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotat-ing the infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site should be initiated before administering the next dose. 14. A client who is 5'5" tall and weighs 200 lbs is scheduled for surgery the next day. What question is more important for the nurse to include during thepreoperative assessment?: What vitamin and mineral supplements do you take? 6 / 15 Vitamin and mineralsupplements may impact medications used during the operativeperiod. 15. A client with chronic kidney disease selects a scrambled egg for his breakfast.What action should the nurse take?: Commend the client for selectinga high biologic value protei