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NR 322 Passpoint Review Nclex Questions And Answers Question 1 See full question What is the nurse’s most important intervention for a client having a tonic-clonic seizure? You Selected: • P rotec t the client from further injury Correct response: • Protect the client from further injury Explanation: The priority during and after a seizure is to protect the person from injury by keeping them from falling to the floor. Furniture or other objects that be a source of injury during the seizure...

MCD-1 Final Exam Study Guide Hygiene: Benefits of Bathing: Ø Bathe clients to cleanse body, stimulate circulation, provide relaxation, and enhance healing. Ø Bathe clients whose health problems have exhausted them or limited their mobility Ø Give a complete bath to clients who can tolerate it and whose hygiene needs warrant it. Ø Allow rest periods for clients who become tired. Ø Partial baths are useful when clients cannot tolerate a complete bath, need cleanings of odorous or uncomfortabl...

Pharmacology Pre-Assessment Quiz A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication? Select one: a. Notify your provider if you experience restlessness or spasms of the face or neck. An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the medication and notify the provider if these occur. b. This medication can cause urinary frequency. c. Decrease your fluid intake while taking this...

1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? a. Bradycardia- more tachycardia cuz of a failing ventricle , SNS is activa ted to compensate . b. Flushed skin- duskly it wIll look like c. Frothy sputum-Left sided- can be blood tinged d. Jugular vein distention→ Right Rationale: ATI MS: pg. 198 ch 32 pdf Left side: dyspnea, orthopnea, fatigue, pulmonary congestion, frothy sputum, organ failure such as oliguria. Right S...

Hesi Study Module 1 1. ID: 0A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson's theory of ps yc hosocial development, what should the nurse tell the group about the infants? Rely on the fact that their needs will be met Correct Need to tolerate a great deal of frustration and discomfort to develop a healthy personality Must have needs ignored for short periods to develop a healthy personality Need to...

Hesi Study Module 3 Questions 1. ID: 8The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which def ense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Displacement Correct Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less threatening...

Hesi Study Module 5 Exam Questions 1. ID: 1A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treat ment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing? Justice Fidelity Autonomy Nonmaleficence Correct Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in healthcare ethics, ethic...

Hesi Study Module 6 Exam Questions 1. ID: 9Which event would require a nurse to complete and file an incident report? A client has a seizure. The nurse determines that a client would b enefit from the use of a walker to ambulate. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor’s blood pressure and takes the visitor to the emergency department for tre...

Hesi Study Module 7 Exam Questions 1. ID: 4The nurse is instructing a client with hypertension about foods that are low in sodium. Which menu selections by the client indicate to the nur se t hat the client understands what has been taught? Select all that apply. Spaghetti with fresh tomatoes Correct Boiled lobster with baked potato Grilled chicken with turnip greens Correct Instant hot cereal with bacon Tomato soup with a ham sandwich Rationale: Foods that are lower in sodium include fruits and...

Hesi Study Module 8 Exam Questions 1. ID: 0A nurse notes that the site of a client’s peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous near the in sert ion point of the catheter. On the basis of this assessment, the nurse first: Removes the IV catheter Correct Slows the rate of infusion Notifies the healthcare provider Checks for loose catheter connections Rationale: Phlebitis is an inflammatory process in the vein. Phlebitis at an IV site may be indicated...