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BSN HESI 366 RN EXIT EXAM V1 EXAM LATEST WITH 128 ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+ 100%GUARANTEED PASS!

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Vista previa 4 fuera de 99 páginas

BSN HESI 366 RN EXIT EXAM V1 EXAM LATEST WITH 128 ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+ 100%GUARANTEED PASS!

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BSN HESI 366 RN EXIT EXAM V1 EXAM LATEST 2024-
2025 WITH 128 ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+
100%GUARANTEED PASS!




The nurse is providing teaching to a client with type 2 DM about important
points for disease and symptom management. Which statement by the client
indicates understanding?


A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day

D) Inspect feet every month for ingrown nails, cuts, and caluses - CORRECT
ANSWER-B) Get an eye exam with an opthalmologist annually


The nurse is providing educations to a client who experiences recurrent levels
of moderate anxiety to situations and perceived stress. In addition to
informations about prescribed medications and administration, which
instruction should the nurse include in the teaching?


A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques

D) Think about reasons the episodes occur - CORRECT ANSWER-C) Practice
using muscle relaxation techniques

,The charge nurse is planning for the shift and has a RN and a PN on the team.
Which client should the charge nurse assign to the RN?


A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days
ago - CORRECT ANSWER-C) A 30-year old depresses client who admits to
suicide ideation


NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks. (For each assessment
finding, click to indicate whether the findings are associated with an infant of a
diabetic mother or normal presentation.)


Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis

Ballard score maturity rating 37 - CORRECT ANSWER-Diabetic Findings:
BG 35
Axillary temp 96

,Ballard score maturity rating 37
???????


Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and
Apgar scores 7 to 10)


NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G 2 P 1
mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks.


The nurse recognizes that the infant of a diabetic mother is at risk for
_________ , _____________ , and _________________ - CORRECT ANSWER-
Hyperbilirubinemia , Resppiratory Distress Syndrome , and Cardiomyopathy


NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed
breastmilk via orogastric tube. If two feeding attempts failed to increase the
glucose levels or if symptoms of hypoglycemia develop, apply dextrose gel
inside the babies cheek. If the above are ineffective, IV glucose should be
administered to maintain glucose levels above 45. Bolus of 2mL/kg glucose 10%
IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain
glycemic levels over 40.

, Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU

J) Blood glucose level - CORRECT ANSWER-A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level


NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA


A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the neonatologist
E) Explain to the mother that the babys RR needs to be below 60

Información del documento

Subido en
26 de noviembre de 2024
Número de páginas
99
Escrito en
2024/2025
Tipo
Examen
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