2024 NGN HESI RN Exit Exam V1 - Verified Solution

The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which outcome indicates that the program was effective? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER initiate prescribed IV fluids A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse should ensure that the pt bed is in which position? - ANSWER Picture with the bed sitting up A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the pt for the procedure, which intervention has the highest priority? - ANSWER Instruct pt to write down questions While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the provider, the nurse should review which of the pt lab values? - ANSWER culture for sensitive organisms A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon snack, which dietary choice should the nurse provide? - ANSWER Cinnamon apple sauce An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should the nurse implement these interventions? - ANSWER Send emesis to lab Elevate HOB complete focused assessment offers PRN pain meds A patient who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the med. Which side effect should the nurse report to the healthcare provider? - ANSWER Somnambulism A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow up by the nurse? - ANSWER take metformin for type 2 diabetes The nurse should withhold which medication if the client's serum potassium level is 6.2 mEq/? - ANSWER Spironolactone A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The previous nurse reports that it was necessary to change the client's perineal pad hourly and that it is again saturated. The previous nurse also reports that the client's urinary output has decreased. Which action should the nurse implement first? - ANSWER Assess for weakness or dizziness A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the pt, in which sequence should the nurse complete these actions? - ANSWER -Observe breathing patterns -assess blood pressure -measure body temp -palpate for pedal edema The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the admission assessment is relevant to the nurse's plan for taking the blood pressure reading? SATA - ANSWER Blurred Vision Flat Affect frequent syncope After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication? - ANSWER Ask the pt about gastrointestinal pain ,,,,,,