HESI

HESI NGN EXIT EXAM QUESTIONS AND ANSWERS 2024/2025 GRADED A+ BEST FOR REVISION. 2 / 10 1. A pt presses the call bell and requests pain medication for a severe headache.To assess the quality of the pt. Pain, which approach should thenurse use?: Ask the patient to describe the pain 2. The nurse is wearing personal protective equipment while caring for a pt.When exiting the room, which PPE should be removed first?: Gloves 3. An older pt is brought to the ED with a sudden onset of confusion...

1. 1 . What assessment findings should he nurse document in the electronicmedical record for a client who is experiencing autonomic dysreflexia after a T-4 spinal cord injury?: Ans: Severe hypertension, diaphroresis, and flushing above the lesion 2. 2 As the nurse is turning a client with a chest tube,the chest tube becomesdislodged from the pleural space.What action should the nurse take first?: Ans: Have the client exhale forcefully and tape 3 sides of a sterile gauze over theinsertion ...

During the first 48 hours after a client has sustained a thermal injury, which conditions should the nurse assess for? - CORRECT ANS Hyperkalemia and Hyponatremia A nurse is assessing a client's EKG reading. The client's atrial and ventricular heart rates are equal at 88 beats per minute. The PR interval is 0.14 seconds, and the QRS width is 0.10 seconds. Rhythm is regular with normal P waves and QRS complexes. How will the nurse interpret this rhythm? - CORRECT ANS normal sinus The nu...

The nurse is providing postprocedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take? a. Notify the primary healthcare provider immediately b. Apply a warm, moist compress to the incision site c. Increase the intravenous fluid rate by 20 mL/hr d. Monitor vital signs more frequently b A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse rushe...

spinal cord injury at the scene - CORRECT ANS Nursing interventions are focused on stabilization of the spine, preserving the airway and respiratory status and preventing complications associate with SCI. Assessment of respiratory and neurological status is first priority, might need to be tubed. If in neurogenic shock, they cannot regulate body temperature teaching for ICD - CORRECT ANS site care and symptoms of complications, hematoma at the site is common, wear a medic alert bracelet, w...

an unexpected, catastrophic pulmonary complication with no previous pulmonary problems - CORRECT ANS ARDS ARDS mortality rate: - CORRECT ANS 50% (high) interventions to prevent complications of vented patients with ARDS: - CORRECT ANS elevate HOB to at least 30 degrees sedation vacations strict oral hygiene implement mobilization program increased risk and mortality rate from ARDS in individuals who have a history of _____________ - CORRECT ANS alcohol abuse suction only when _________...

spinal cord injury at the scene - CORRECT ANS Nursing interventions are focused on stabilization of the spine, preserving the airway and respiratory status and preventing complications associate with SCI. Assessment of respiratory and neurological status is first priority, might need to be tubed. If in neurogenic shock, they cannot regulate body temperature teaching for ICD - CORRECT ANS site care and symptoms of complications, hematoma at the site is common, wear a medic alert bracelet, w...

pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - CORRECT ANSWER respiratory acidosis (if CO2 is high it will always be resp. acidosis) "heart is pounding outside of her chest" client is in SVT; intervention - CORRECT ANSWER coach client in relaxation and deep breathing insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what to do? - CORRECT ANSWER increase drip by 1 unit/hr calculate; 1,500,000 IU in 500 mL of 0.9% NS - CORRECT ...

The nurses calculating fluid resuscitation for young adult male who was burned in a bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that the client has burn over 30% of his body, mainly over his arms and chest. Using the Parkland formula for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 hours. Which goal should the nurse establish for this clients plan of care? - CORRECT ANS By 2000, the client will have received 3500 mL of fluid When caring...