HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2025-
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2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORREC zl zl zl zl zl zl zl zl zl zl
T DETAILED ANSWERS
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The nurse is completing the admission assessment of a 3-
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year old who is admitted with bacterial meningitis and hydrocephalus. Which assessmen
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t finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
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A. Tachycardia and tachypnea
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B. Sluggish and unequal pupillary responses
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C. Increased head circumference and bulging fontanels
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D. Blood pressure fluctuations and syncope
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B. Sluggish and unequal pupillary responses
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A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an eleva
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ted serum amylase. Which additional information is the client most likely to report to the nurs
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e?
A. Abdominal pain decreases when lying supine
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B. Pain lasts an hour and leaves the abdomen tender
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C. Right upper quadrant pain refers to right scapula
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D. Drinks alcohol until intoxicated at least twice weekly.
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A. Abdominal pain decreases when lying supine
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A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
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Which information is most important for the nurse to provide the parents prior to discharge?
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A. Instructions about how much fluid the child should drink daily.
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B. Signs of addiction to opioid pain medications
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C. Information about non-pharmaceutical pain relief measures
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D. Referral for social services for the child and family
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A. Instructions about how much fluid the child should drink daily
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To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the l
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ocation on the image with a red dot). zl zl zl zl zl zl zl
I placed the red dot on the base of the neck on the right side
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,After receiving report on an inpatient acute care unit, which client should the nurse assess first
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?
A. The client with an obstruction of the large intestine who is experiencing abdominal distentio
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n
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowe
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l sounds
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C. The client with a small bowel obstruction who has a nasogastric tube that is draining greeni
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sh fluid zl
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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A teenager presents to the emergency department with palpitations after vaping at a party.
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The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing
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which acid base imbalance?
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A. Respiratory acidosis
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B. Metabolic alkalosis
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C. Metabolic acidosis
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D. Respiratory alkalosis
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D. Respiratory alkalosis
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A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arri
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val, the nurse should ensure that the client's bed is in which position?
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A. Supine
B. supine; feet elevated higher than head zl zl zl zl zl
C. supine; head elevated higher than feet zl zl zl zl zl
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
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Which information in the client's admission assessment is relevant to the nurse's plan for ta
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king the blood pressure reading? (Select all the apply)
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A. Frequent syncope zl
,B. Occasional nocturia zl
C. Flat affect zl
D. Blurred vision zl
E. Frequent drooling zl
A. Frequent syncope zl
C. Flat affect zl
D. Blurred vision zl
While caring for a client's postoperative dressing, the nurse observes purulent drainage at th
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e wound. Before reporting this finding to the healthcare provider, the nurse should review w
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hich of the client's laboratory values?
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A. Serum albumin zl
B. Culture for sensitive organisms zl zl zl
C. Serum blood glucose level zl zl zl
D. Creatinine level zl
B. Culture for sensitive organisms zl zl zl
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
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from a near- zl zl
drowning incident. While providing care to the child, the nurse begins talking with his preado
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lescent brother who rescued the child from the swimming pool and initiated resuscitation. The
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nurse notices the older boy becomes withdrawn when asked about what happened. Which act
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ion should the nurse take?
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A. Develop a water safety teaching plan for the family zl zl zl zl zl zl zl zl
B. Ask the older brother how he felt during the incident
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C. Tell the older brother that he seems depressed
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D. Commend the older brother for his heroic actions zl zl zl zl zl zl zl
B. Ask the older brother how he felt during the incident
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A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soa
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king in hot baths at night with no relief of his discomfort. Which action should the nurse take?
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A. Encourage the client to use cooler water and apply calamine lotion after soaking
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B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
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, C. Suggest that the client take brief showers and apply oil-based lotion after showering
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D. Explain that the symptoms are caused by liver damage and cannot be relieved
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A. Encourage the client to use cooler water and apply calamine lotion after soaking
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An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
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heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress.
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The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide
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should the nurse expected in the client with acute HF?
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A. Increased cardiac contractility
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B. Reduced preload
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C. Relaxed vascular tone
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D. Decreased afterload
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B. Reduced preload
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Which intervention should the nurse include in the plan of care for a child with tetanus?
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A. Encourage coughing and deep breathing
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B. Minimize the amount of stimuli in the room
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C. Reposition from side to side every hour
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D. Open window shades to provide natural light
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B. Minimize the amount of stimuli in the room
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An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to t
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he hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoaci
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dosis?
A. Ate an extra peanut butter sandwich before gym class
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B. incorrectly administered too much insulin
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C. Had a cold and ear infection for the past two days
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D. Skipped eating lunch
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C. Had a cold and ear infection for the past two days
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A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of im
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pending death. After notifying the family of the client's status, what priority action shou
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ld the nurse implement?
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2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORREC zl zl zl zl zl zl zl zl zl zl
T DETAILED ANSWERS
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The nurse is completing the admission assessment of a 3-
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year old who is admitted with bacterial meningitis and hydrocephalus. Which assessmen
zl zl zl zl zl zl zl zl zl zl zl
t finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
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A. Tachycardia and tachypnea
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B. Sluggish and unequal pupillary responses
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C. Increased head circumference and bulging fontanels
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D. Blood pressure fluctuations and syncope
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B. Sluggish and unequal pupillary responses
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A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an eleva
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ted serum amylase. Which additional information is the client most likely to report to the nurs
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e?
A. Abdominal pain decreases when lying supine
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B. Pain lasts an hour and leaves the abdomen tender
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C. Right upper quadrant pain refers to right scapula
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D. Drinks alcohol until intoxicated at least twice weekly.
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A. Abdominal pain decreases when lying supine
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A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
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Which information is most important for the nurse to provide the parents prior to discharge?
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A. Instructions about how much fluid the child should drink daily.
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B. Signs of addiction to opioid pain medications
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C. Information about non-pharmaceutical pain relief measures
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D. Referral for social services for the child and family
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A. Instructions about how much fluid the child should drink daily
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To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the l
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ocation on the image with a red dot). zl zl zl zl zl zl zl
I placed the red dot on the base of the neck on the right side
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,After receiving report on an inpatient acute care unit, which client should the nurse assess first
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
?
A. The client with an obstruction of the large intestine who is experiencing abdominal distentio
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n
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowe
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
l sounds
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C. The client with a small bowel obstruction who has a nasogastric tube that is draining greeni
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
sh fluid zl
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
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A teenager presents to the emergency department with palpitations after vaping at a party.
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The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing
zl zl zl zl zl zl zl zl zl zl zl zl
which acid base imbalance?
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A. Respiratory acidosis
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B. Metabolic alkalosis
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C. Metabolic acidosis
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D. Respiratory alkalosis
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D. Respiratory alkalosis
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A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arri
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val, the nurse should ensure that the client's bed is in which position?
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A. Supine
B. supine; feet elevated higher than head zl zl zl zl zl
C. supine; head elevated higher than feet zl zl zl zl zl
D. Fowlers
Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
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Which information in the client's admission assessment is relevant to the nurse's plan for ta
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
king the blood pressure reading? (Select all the apply)
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A. Frequent syncope zl
,B. Occasional nocturia zl
C. Flat affect zl
D. Blurred vision zl
E. Frequent drooling zl
A. Frequent syncope zl
C. Flat affect zl
D. Blurred vision zl
While caring for a client's postoperative dressing, the nurse observes purulent drainage at th
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e wound. Before reporting this finding to the healthcare provider, the nurse should review w
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
hich of the client's laboratory values?
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A. Serum albumin zl
B. Culture for sensitive organisms zl zl zl
C. Serum blood glucose level zl zl zl
D. Creatinine level zl
B. Culture for sensitive organisms zl zl zl
A preschool-aged boy is admitted to the pediatric unit following successful resuscitation
zl zl zl zl zl zl zl zl zl zl zl
from a near- zl zl
drowning incident. While providing care to the child, the nurse begins talking with his preado
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lescent brother who rescued the child from the swimming pool and initiated resuscitation. The
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nurse notices the older boy becomes withdrawn when asked about what happened. Which act
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ion should the nurse take?
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A. Develop a water safety teaching plan for the family zl zl zl zl zl zl zl zl
B. Ask the older brother how he felt during the incident
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C. Tell the older brother that he seems depressed
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D. Commend the older brother for his heroic actions zl zl zl zl zl zl zl
B. Ask the older brother how he felt during the incident
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A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soa
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
king in hot baths at night with no relief of his discomfort. Which action should the nurse take?
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A. Encourage the client to use cooler water and apply calamine lotion after soaking
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B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
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, C. Suggest that the client take brief showers and apply oil-based lotion after showering
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D. Explain that the symptoms are caused by liver damage and cannot be relieved
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A. Encourage the client to use cooler water and apply calamine lotion after soaking
zl zl zl zl zl zl zl zl zl zl zl zl zl
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
zl zl zl zl zl zl zl zl zl zl zl zl zl zl z
heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress.
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The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide
zl zl zl zl zl zl zl zl zl zl zl
should the nurse expected in the client with acute HF?
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A. Increased cardiac contractility
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B. Reduced preload
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C. Relaxed vascular tone
zl zl zl
D. Decreased afterload
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B. Reduced preload
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Which intervention should the nurse include in the plan of care for a child with tetanus?
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A. Encourage coughing and deep breathing
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B. Minimize the amount of stimuli in the room
zl zl zl zl zl zl zl zl
C. Reposition from side to side every hour
zl zl zl zl zl zl zl
D. Open window shades to provide natural light
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B. Minimize the amount of stimuli in the room
zl zl zl zl zl zl zl zl
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to t
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
he hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoaci
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
dosis?
A. Ate an extra peanut butter sandwich before gym class
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B. incorrectly administered too much insulin
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C. Had a cold and ear infection for the past two days
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D. Skipped eating lunch
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C. Had a cold and ear infection for the past two days
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A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of im
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
pending death. After notifying the family of the client's status, what priority action shou
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ld the nurse implement?
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