BSN366 EXIT HESI
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1. The nurse is providing teaching to a client with type 2 B) Get an eye exam with
DM about important points for disease and symptom an opthalmologist annu-
management. Which statement by the client indicates ally
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
2. The nurse is providing educations to a client who C) Practice using muscle
experiences recurrent levels of moderate anxiety to relaxation techniques
situations and perceived stress. In addition to infor-
mations about prescribed medications and adminis-
tration, 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
3. The charge nurse is planning for the shift and has a RN C) A 30-year old depresses
and a PN on the team. Which client should the charge client who admits to sui-
nurse assign to the RN? cide ideation
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
, BSN366 EXIT HESI
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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
4. NGN: (Nurses Notes) Diabetic Findings:
1800: The client is a female neonate born at 37 weeks BG 35
of gestation to a G 2 P 1 mother, who was diag- Axillary temp 96
nosed with gestational diabetes. Following a spon- Ballard score maturity rat-
taneous vaginal birth, she received Apgar scores of ing 37
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 subcu- Normal Presentation:
taneous fat. She is noted to be slightly jittery at 30min Soft Fontanelles
of age. Axillary temperature 96F, pulse 140, RR 80. Acrocyanosis
Blood glucose 35, Billy Rubin seven, fontanelles soft, (normal findings in-
mongolian spot noted on lower back, Ballard maturity clude acrocyanosis, soft
rating 37 weeks. (For each assessment finding, click to fontanelles, mongolian
indicate whether the findings are associated with an spots, and Apgar scores 7
infant of a diabetic mother or normal presentation.) to 10)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37
5. NGN: (Nurses Notes) Hyperbilirubinemia , Re-
1800: The client is a female neonate born at 37 weeks sppiratory Distress Syn-
of gestation to a G 2 P 1 mother, who was diag- drome , and Cardiomy-
nosed with gestational diabetes. Following a spon- opathy
, BSN366 EXIT HESI
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taneous 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 subcu-
taneous 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
_________________
6. NGN: Orders A) Feed Immedicately
Breast-feed immediately once stable then on de- B) Monitor for Respiratory
mand. If unstable, may feed breastmilk via orogastric Distress
tube. If two feeding attempts failed to increase the D) Keep in warmer with
glucose levels or if symptoms of hypoglycemia devel- bili lights
op, apply dextrose gel inside the babies cheek. If the E) Monitor temp q30min
above are ineffective, IV glucose should be adminis- G) Contact RT for ABG and
tered to maintain glucose levels above 45. Bolus of O2 therapy
2mL/kg glucose 10% IV, hello by a continuous glucose J) Blood glucose level
perfusion of 6 to 8mg/kg/min, maintain glycemic lev-
els 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
, BSN366 EXIT HESI
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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
7. NGN Laboratory Results (same case of patient who A) Keep infant in warmer
just gave birth) with bili lights to maintain
Which actions are appropriate for the nurse to take at temp of 97F
this time? SATA E) Explain to the mother
that the babys RR need to
A) Keep infant in warmer with bili lights to maintain be below 60
temp of 97.6F F) Inform the mother that
B) Monitor Temp the baby is stable enough
C) Continue to monitor glucose level to take out of the warmer
D) Tell the mother that she will need to discuss this G) Observe for signs of
with the neonatologist respiratory distress and
E) Explain to the mother that the babys RR needs to be monitor oxygenation by
below 60 pulse ox
F) Inform the mother that the baby is stable enought
to take out of the warmer
G) Observe for signs of respiratory distress and mon-
itor O2 with pulse ox
8. NGN: 1800: The client is a female neonate born at 37 A)
weeks of gestation to a G 2 P 1 mother, who was di- B)
agnosed with gestational diabetes. Following a spon- C)
taneous vaginal birth, she received Apgar scores of D) Indicated
seven at one minute and eight at five minutes. The E)
client weighs 4036.97g (8lbs 9oz) and appears pink ?????????
with acrocyanosis and a moderate amount of subcu-
taneous fat. She is noted to be slightly jittery at 30min
Study online at https://quizlet.com/_evre4z
1. The nurse is providing teaching to a client with type 2 B) Get an eye exam with
DM about important points for disease and symptom an opthalmologist annu-
management. Which statement by the client indicates ally
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
2. The nurse is providing educations to a client who C) Practice using muscle
experiences recurrent levels of moderate anxiety to relaxation techniques
situations and perceived stress. In addition to infor-
mations about prescribed medications and adminis-
tration, 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
3. The charge nurse is planning for the shift and has a RN C) A 30-year old depresses
and a PN on the team. Which client should the charge client who admits to sui-
nurse assign to the RN? cide ideation
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
, BSN366 EXIT HESI
Study online at https://quizlet.com/_evre4z
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
4. NGN: (Nurses Notes) Diabetic Findings:
1800: The client is a female neonate born at 37 weeks BG 35
of gestation to a G 2 P 1 mother, who was diag- Axillary temp 96
nosed with gestational diabetes. Following a spon- Ballard score maturity rat-
taneous vaginal birth, she received Apgar scores of ing 37
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 subcu- Normal Presentation:
taneous fat. She is noted to be slightly jittery at 30min Soft Fontanelles
of age. Axillary temperature 96F, pulse 140, RR 80. Acrocyanosis
Blood glucose 35, Billy Rubin seven, fontanelles soft, (normal findings in-
mongolian spot noted on lower back, Ballard maturity clude acrocyanosis, soft
rating 37 weeks. (For each assessment finding, click to fontanelles, mongolian
indicate whether the findings are associated with an spots, and Apgar scores 7
infant of a diabetic mother or normal presentation.) to 10)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37
5. NGN: (Nurses Notes) Hyperbilirubinemia , Re-
1800: The client is a female neonate born at 37 weeks sppiratory Distress Syn-
of gestation to a G 2 P 1 mother, who was diag- drome , and Cardiomy-
nosed with gestational diabetes. Following a spon- opathy
, BSN366 EXIT HESI
Study online at https://quizlet.com/_evre4z
taneous 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 subcu-
taneous 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
_________________
6. NGN: Orders A) Feed Immedicately
Breast-feed immediately once stable then on de- B) Monitor for Respiratory
mand. If unstable, may feed breastmilk via orogastric Distress
tube. If two feeding attempts failed to increase the D) Keep in warmer with
glucose levels or if symptoms of hypoglycemia devel- bili lights
op, apply dextrose gel inside the babies cheek. If the E) Monitor temp q30min
above are ineffective, IV glucose should be adminis- G) Contact RT for ABG and
tered to maintain glucose levels above 45. Bolus of O2 therapy
2mL/kg glucose 10% IV, hello by a continuous glucose J) Blood glucose level
perfusion of 6 to 8mg/kg/min, maintain glycemic lev-
els 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
, BSN366 EXIT HESI
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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
7. NGN Laboratory Results (same case of patient who A) Keep infant in warmer
just gave birth) with bili lights to maintain
Which actions are appropriate for the nurse to take at temp of 97F
this time? SATA E) Explain to the mother
that the babys RR need to
A) Keep infant in warmer with bili lights to maintain be below 60
temp of 97.6F F) Inform the mother that
B) Monitor Temp the baby is stable enough
C) Continue to monitor glucose level to take out of the warmer
D) Tell the mother that she will need to discuss this G) Observe for signs of
with the neonatologist respiratory distress and
E) Explain to the mother that the babys RR needs to be monitor oxygenation by
below 60 pulse ox
F) Inform the mother that the baby is stable enought
to take out of the warmer
G) Observe for signs of respiratory distress and mon-
itor O2 with pulse ox
8. NGN: 1800: The client is a female neonate born at 37 A)
weeks of gestation to a G 2 P 1 mother, who was di- B)
agnosed with gestational diabetes. Following a spon- C)
taneous vaginal birth, she received Apgar scores of D) Indicated
seven at one minute and eight at five minutes. The E)
client weighs 4036.97g (8lbs 9oz) and appears pink ?????????
with acrocyanosis and a moderate amount of subcu-
taneous fat. She is noted to be slightly jittery at 30min
