NGN EXIT HESI QUESTIONS AND COMPLETE SOLUTIONS WITH EXPLANATIONS (VERY RESOURCEFUL)

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 the nurse use? - ANS Ask the patient to describe the pain The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should be removed first? - ANS Gloves An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The daughter, who has power of attorney, has brought the client's prescriptions. Which information should the nurse provide first when reporting to the healthcare provider using SBAR communication? - ANS Increasing confusion of the pt. A pt tells the nurse about working out with a personal trainer and swimming three times a week in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep at night. Which action should the nurse implement? - ANS Ask the pt for a description of the exercise schedule that is being followed 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from Guillain-Barre syndrome about home. Which actions should the nurse include when providing discharge teaching to the pt and spouse? SATA - ANS -review safe transfer strategies -develop a nutritional plan -help identify community support The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which outcome indicates that the program was effective? - ANS pt who develop disease complications promptly received rehabilitation The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program? - ANS participation of community leaders in planning the program A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries occurred. The healthcare provider instructs the nurse to avoid auto contamination when performing dressing changes. Which intervention is most important for the nurse to implement? - ANS use gown, mask, and gloves with dressing changes A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are infusing. The pt is sedated but responds to instructions. After changing positions, the pt complains of pain at the right groin insertion site. What action should the nurse implement? - ANS Stimulate the pt to take deep breaths Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most important for the nurse to obtain? - ANS upper body muscle strength While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never falling. Which action should the nurse take? - ANS Continue to obtain pt data needed to complete the fall risk survey The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? - ANS Teach coughing and deep breathing exercises The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When reviewing the information, which statement should the nurse recognize as needing additional education? - ANS Empty the pouch when it is half full. A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which action is most important for the nurse to implement? - ANS initiate prescribed IV fluids A pt with dyspnea is being admitted to the medical