HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
Am3-year-
oldmboymwasmsuccessfullymtoiletmtrainedmpriormtomhismadmissionmtomthemhospital mforminjuries
msustained mfrommamfall.mHismparentsmaremverymconcerned mthatmthemchildmhasmregressed min m
hismtoiletingmbehaviors.mWhich minformation mshouldmthemnursemprovidemtomthemparents?
A.mAmretrainingmprogrammwill mneedmtombeminitiatedmwhen mthemchildmreturnsmhome.m
B.mDiaperingmwillmbemprovidedmsincemhospitalization mismstressful mtompreschoolers
C.mAmpottymchairmshouldmbembroughtmfrommhomemsomhemcan mmaintain mhismtoiletingmskills
D.mChildren musuallymresumemtheirmtoiletingmbehaviorsmwhen mtheymleavemthemhospital m-
mansD.mChildren musuallymresumemtheirmtoileting mbehaviorsmwhen mtheymleavemthemhospital
Am7-
yearmoldmismadmittedmtomthemhospital mwith mpersistentmvomiting,mandmamnasogastricmtubematt
achedmtomlow mintermittentmsuctionmismapplied.mWhichmfindingmismmostmimportantmformthemnu
rsemtomreportmtomthemhealthcaremprovider?
A.mShiftmintakemof m640mLmIVmfluidsmplusm30mLmPOmicemchipsm
B.mSerummpHmof m7.45
C.mGastricmoutputmof m100mmLmin mthemlastm8mhours
D.mSerummpotassiummof m3.0mmg/dLm-mansD.mSerummpotassiummof m3.0mmg/dL
Amchildmnewlymdiagnosedmwithmsicklemcellmanemiam(SCA)mismbeingmdischargedmfrommthemh
ospital.mWhich minformationmismmostmimportantmformthemnursemtomprovidemthemparentsmpriormt
omdischarge?
A.mInstructionsmaboutmhow mmuch mfluidmthemchildmshouldmdrinkmdaily.
B.mSignsmof maddiction mtomopioidmpain mmedications
C.mInformation maboutmnon-pharmaceutical mpain mrelief mmeasures
D.mReferral mformsocial mservicesmformthemchildmandmfamilym-
mansA.mInstructionsmaboutmhow mmuch mfluidmthemchildmshouldmdrinkmdaily
Amclientmasksmthemnursemforminformationmaboutmhow mtomreducemriskmfactorsmformbenign mpro
staticmhyperplasiam(BPH).mWhich minformation mshouldmthemnursemprovide?
A.mConsumemamhigh mprotein mdiet
B.mIncreasemphysical mactivity
C.mTakemvitamin msupplements
D.mObtain mamprostate-specificmantigenmbloodmlevel mtestm-mansB.mIncreasemphysical mactivity
Amclientmatm12mweeksmgestationmismadmittedmtomthemantepartummunitmwithmamdiagnosismof mh
yperemesismgravidarum.mWhich maction mismmostmimportantmformthemnursemtomimplement?
A.mObtain mthemclient'sm24-hourmdietarymrecall
B.mDocumentmmucosal mmembranemstatus
C.mSchedulemamconsultmwith mamnutritionist
D.mInitiatemprescribedmintravenousmfluidsm-mansD.mInitiatemprescribedmintravenousmfluids
Amclientmdiagnosedmwithmcalciummkidneymstonesmhasmamhistorymof mgout.mAmnewmprescriptio
n mformaluminummhydroxidemismscheduledmtombeginmatm0730.mWhichmclientmmedicationmshou
ldmthemnursembringmtomthemhealthcaremprovider'smattention?
A.mEsinapril m
, HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
B.mAllopurinol
C.mFurosemide
D.mAspirin,mlow mdosem-mansB.mAllopurinol
Amclientmfell minmthembathroommwhenmleftmunattendedmbymthemunlicensedmassistivempersonn
elm(UAP).mWhich minformation mshouldmthemnursemincludemin mthemclient'smhealth mrecord?
A.mThemUAPmleftmthemclientmtomassistmanothermclient
B.mThemlastmtimemclientmwasmassistedmtomthembathroom
C.mThemunitmwasmunderstaffedmwhen mthemclientmfell
D.mThemclientmfell msustainingmamfracturemtomthemleftmhipm-
mansD.mThemclientmfell msustaining mamfracture mtomthemleftmhip
Amclientminmthememergencymcentermdemonstratesmrapidmspeech,mflightmof mideas,mandmrepor
tsmsleepingmonlymthreemhoursmduringmthempastm48mhours.mBasedmonmthesemfindings,mitmismm
ostmimportantmformthemnursemtomreview mthemlaboratorymvaluemformwhich mmedication?
A.mLorazepam
B.mFluoxetine
C.mDivalproex
D.mOlanzapinem-mansC.mDivalproex
Amclientminmthemthirdmtrimestermof mpregnancymreportsmthatmshemfellsmsomem"lumpymplaces"mi
n mhermbreastsmandmthatmhermnipplesmsometimesmleakmamyellowishmfluid.mShemhasmanmappoi
ntmentmwith mhermhealthcaremproviderminmtwomweeks.mWhatmactionmshouldmthemnursemtake?
A.mTell mthemclientmtombegin mnipplemstimulation mtompreparemformbreastmfeeding.m
B.mReschedulemthemclient'smprenatal mappointmentmformthemfollowingmday
C.mExplain mthatmthismnormal msecretion mcan mbemassessedmatmthemnextmvisit
D.mRecommendmthatmthemclientmstartmwearingmamsupportivembrassierem-
mansC.mExplain mthatmthismnormal msecretion mcan mbemassessedmatmthemnextmvisit
Amclientmismadmittedmwith mamdiagnosismofmurolithiasis.mWhichmfindingmismmostmimportantmfor
mthemnursemtomreportmtomthemhealthcare mprovider?
A.mVolumemof meach mvoidingmismmoremthan m300mL
B.mSerummpotassiummthatmismelevated
C.mRelief mof mflankmpain mthatmradiatedmintomthemgroin
D.mHematuriamthatmismbeginningmtomturn mpinkm-
mansD.mHematuriamthatmismbeginning mtomturn mpink
AmclientmismdiagnosedmwithmMeniere'smdisease.mWhichmproblemmshouldmthemnursemidentify
masmmostmimportantmin mthemplan mof mcare?m
A.mRiskmformineffectivemself-health mmanagementmrelatedmtomdeficientmknowledge
B.mIneffectivemcopingmrelatedmtompersonal mvulnerabilitym
C.mRiskmforminjurymrelatedmtomvertigom
D.mAnxietymrelatedmtomdisruption mof mlifestylem-mansC.mRiskmforminjurymrelatedmtomvertigo.
, HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
Amclientmismreceivingmenoxaparinm30mgmsubcutaneouslymtwicemamday.mIn massessingmformad
versemeffectsmof mthemmedication,mwhichmserummlaboratorymvaluemismmostmimportantmformth
emnursemtommonitor?m
A.mGlucosem
B.mCalcium
C.mPlateletmcount
D.mWhitembloodmcell mcountm-mansC.mPlateletmcount
Amclientmismrecoveringminmthemcritical mcaremunitmfollowingmamcardiacmcatheterization.mIVmnitr
oglycerin mandmheparinmareminfusing.mThemclientmismsedatedmbutmrespondsmtomverbal minstru
ctions.mAftermchangingmpositions,mthemclientmcomplainsmof mpainmatmthemrightmgroinminsertion
msite.mWhatmaction mshouldmthemnursemimplement?m
A.mCheckmfemoral msitemformhematomamformation
B.mStimulatemthemclientmtomtakemdeepmbreaths
C.mEvaluatemthemintegritymof mthemIVminsertion msite
D.mAssessmdistal mlowermextremitymcapillarymrefill m-
mansB.mStimulatemthemclientmtomtakemdeepmbreaths
Amclientmismscheduledmformamspiral mcomputedmtomographym(CT)mscan mwith mcontrastmtomeva
luatemformpulmonarymembolism.mWhichminformation minmthemclient'smhistorymrequiresmfollow-
upmbymthemnurse?
A.mCTmscan mthatmwasmperformedm6mmonthsmearlier
B.mMetal mhipmprosthesismwasmplacedm20myearsmago
C.mReportmof mclient'smsobrietymformthemlastm5myears
D.mTakesmmetformin mformtypem2mdiabetesmmellitusm-
mansD.mTakesmmetformin mformtypem2mdiabetesmmellitus
Amclientmpresentsmtomthememergencymdepartmentmwith mmusclemaches,mheadache,mfever,ma
ndmdescribesmamrecentmlossmofmtastemandmsmell.mThemnursemobtainsmamnasalmswabmformCO
VID-19mtesting.mWhich maction mismmostmimportantmformthemnursemtomtake?m
A.mPlacemthemnasal mswabmspecimen mformCOVID-19mdirectlymintomambiohazardmbag
B.mMovemthemclientmtomamprivatemroom,mkeepmthemdoormclosed,mandminitiatemdropletmprecaut
ions.m
C.mTeach mthemclientmtomwearmammask,mhandmwash,mandmsocial mdistancemtompreventmspread
ingmthemvirusm
D.mExplain mtomthemclientmtominformmothersmthatmtheymmaymhavembeenmpotentiallymexposedmi
n mthemlastm14mdays.m-mansA.mPlacemthemnasal mswabmspecimen mformCOVID-
19mdirectlymintomambiohazardmbag
Amclientmpresentsmtomthemlabormandmdeliverymunitmwith mamreportmof mleakingmfluidmthatmismgre
enish-brown mvaginal mdischarge.mWhich maction mshouldmthemnursemtakemfirst?
A.mStartman mintravenousminfusion m
B.mAdministermoxygen mviamfacemask
C.mPerformmamvaginal mexam
D.mBegin mcontinuousmfetal mmonitoringm-mansD.mBegin mcontinuousmfetal mmonitoring
, HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
Amclientmpressesmthemcall mbellmandmrequestsmpainmmedicationmformamseveremheadache.mTom
assessmthemqualitymof mthemclient'smpain,mwhich mapproach mshouldmthemnursemuse?
A.mAskmthemclientmtomdescribemthempain
B.mObservembodymlanguagemandmmovementm
C.mIdentifymeffectivempain mrelief mmeasures
D.mProvidemamnumericmpain mscalem-mansA.mAskmthemclientmtomdescribemthempain
Amclientmtakingmclopidogrel mreportsmthemonsetmof mdiarrhea.mWhichmnursingmactionmshouldmt
hemnursemimplementmfirst?
A.mObservemthemappearancemof mthemstool
B.mAssessmthemelasticitymof mthemclient'smskin
C.mReview mthemclient'smlaboratorymvalues
D.mAuscultatemthemclient'smbowel msoundsm-mansA.mObservemthemappearancemof mthemstool
Amclientmtellsmthemnursemaboutmworkingmoutmwithmampersonal mtrainermandmswimmingmthreemt
imesmamweekminmanmeffortmtomlosemweightmandmsleepmbetter.mThemclientmstatesmthatmitmstillmis
mtakingmhoursmtomfall masleep matmnight.mWhich maction mshould mthemnurse mimplement?
A.mAdvisemthemclientmthatmlifestylemchangesmoften mtakemseveral mweeksmtombemeffective
B.mEncouragemthemclientmtomexercisemeverydaymtomeliminatembedtimemwakefulness
C.mAskmthemclientmformamdescription mof mthemexercisemschedulemthatmismbeingmfollowed
D.mDeterminemthemamountmof mweightmthemclientmhasmlostmsincemincreasingmactivitym-
mansC.mAskmthemclientmformamdescription mof mthemexercise mschedule mthatmismbeingmfollowed
Amclientmwhomexperiencedmamcerebrovascularmaccidentm(CVA)mismaphasicmandmhasmleftmsid
edmparalysis.mWhichmnursemshouldmbemresponsiblemformcoordinatingmthemprogressionmofmth
ismclient'smcare?m
A.mNursemcasemmanager
B.mAdultmnursempractitioner
C.mNeurologymunitmsupervisorm
D.mRiskmmanagementmnursem-mansB.mAdultmnursempractitioner
Amclientmwhomgavembirthm48mhoursmagomhasmdecidedmtombottlemfeedmtheminfant.mDuringmthem
assessment,mthemnursemobservesmthatmboth mbreastsmaremswollen,mwarm,mandmtendermonmp
alpation.mWhich minstruction mshouldmthemnursemprovide?
A.mApplymicemtomthembreastsmformcomfort
B.mWearmamloose-fittingmbramduringmthemdaymtompreventmnipplemirritation
C.mRun mwarmmwatermovermbreasts
D.mExpressmsmallmamountsmof mmilkmfrommthembreastsmtomrelievempressurem-
mansA.mApplymicemtomthembreastsmformcomfort
Amclientmwhomismadmittedmformprimarymhypothyroidismmhasmearlymsignsmofmmyxedemamcom
a.mIn massessingmthemclient,minmwhichmsequencemshouldmthemnursemcompletemthesemactions
?m(descendingmorder)m-mans1.mObservembreathingmpatterns
2.mAssessmbloodmpressure
3.mMeasurembodymtemperature
4.mPalpatemformpedal medema
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
Am3-year-
oldmboymwasmsuccessfullymtoiletmtrainedmpriormtomhismadmissionmtomthemhospital mforminjuries
msustained mfrommamfall.mHismparentsmaremverymconcerned mthatmthemchildmhasmregressed min m
hismtoiletingmbehaviors.mWhich minformation mshouldmthemnursemprovidemtomthemparents?
A.mAmretrainingmprogrammwill mneedmtombeminitiatedmwhen mthemchildmreturnsmhome.m
B.mDiaperingmwillmbemprovidedmsincemhospitalization mismstressful mtompreschoolers
C.mAmpottymchairmshouldmbembroughtmfrommhomemsomhemcan mmaintain mhismtoiletingmskills
D.mChildren musuallymresumemtheirmtoiletingmbehaviorsmwhen mtheymleavemthemhospital m-
mansD.mChildren musuallymresumemtheirmtoileting mbehaviorsmwhen mtheymleavemthemhospital
Am7-
yearmoldmismadmittedmtomthemhospital mwith mpersistentmvomiting,mandmamnasogastricmtubematt
achedmtomlow mintermittentmsuctionmismapplied.mWhichmfindingmismmostmimportantmformthemnu
rsemtomreportmtomthemhealthcaremprovider?
A.mShiftmintakemof m640mLmIVmfluidsmplusm30mLmPOmicemchipsm
B.mSerummpHmof m7.45
C.mGastricmoutputmof m100mmLmin mthemlastm8mhours
D.mSerummpotassiummof m3.0mmg/dLm-mansD.mSerummpotassiummof m3.0mmg/dL
Amchildmnewlymdiagnosedmwithmsicklemcellmanemiam(SCA)mismbeingmdischargedmfrommthemh
ospital.mWhich minformationmismmostmimportantmformthemnursemtomprovidemthemparentsmpriormt
omdischarge?
A.mInstructionsmaboutmhow mmuch mfluidmthemchildmshouldmdrinkmdaily.
B.mSignsmof maddiction mtomopioidmpain mmedications
C.mInformation maboutmnon-pharmaceutical mpain mrelief mmeasures
D.mReferral mformsocial mservicesmformthemchildmandmfamilym-
mansA.mInstructionsmaboutmhow mmuch mfluidmthemchildmshouldmdrinkmdaily
Amclientmasksmthemnursemforminformationmaboutmhow mtomreducemriskmfactorsmformbenign mpro
staticmhyperplasiam(BPH).mWhich minformation mshouldmthemnursemprovide?
A.mConsumemamhigh mprotein mdiet
B.mIncreasemphysical mactivity
C.mTakemvitamin msupplements
D.mObtain mamprostate-specificmantigenmbloodmlevel mtestm-mansB.mIncreasemphysical mactivity
Amclientmatm12mweeksmgestationmismadmittedmtomthemantepartummunitmwithmamdiagnosismof mh
yperemesismgravidarum.mWhich maction mismmostmimportantmformthemnursemtomimplement?
A.mObtain mthemclient'sm24-hourmdietarymrecall
B.mDocumentmmucosal mmembranemstatus
C.mSchedulemamconsultmwith mamnutritionist
D.mInitiatemprescribedmintravenousmfluidsm-mansD.mInitiatemprescribedmintravenousmfluids
Amclientmdiagnosedmwithmcalciummkidneymstonesmhasmamhistorymof mgout.mAmnewmprescriptio
n mformaluminummhydroxidemismscheduledmtombeginmatm0730.mWhichmclientmmedicationmshou
ldmthemnursembringmtomthemhealthcaremprovider'smattention?
A.mEsinapril m
, HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
B.mAllopurinol
C.mFurosemide
D.mAspirin,mlow mdosem-mansB.mAllopurinol
Amclientmfell minmthembathroommwhenmleftmunattendedmbymthemunlicensedmassistivempersonn
elm(UAP).mWhich minformation mshouldmthemnursemincludemin mthemclient'smhealth mrecord?
A.mThemUAPmleftmthemclientmtomassistmanothermclient
B.mThemlastmtimemclientmwasmassistedmtomthembathroom
C.mThemunitmwasmunderstaffedmwhen mthemclientmfell
D.mThemclientmfell msustainingmamfracturemtomthemleftmhipm-
mansD.mThemclientmfell msustaining mamfracture mtomthemleftmhip
Amclientminmthememergencymcentermdemonstratesmrapidmspeech,mflightmof mideas,mandmrepor
tsmsleepingmonlymthreemhoursmduringmthempastm48mhours.mBasedmonmthesemfindings,mitmismm
ostmimportantmformthemnursemtomreview mthemlaboratorymvaluemformwhich mmedication?
A.mLorazepam
B.mFluoxetine
C.mDivalproex
D.mOlanzapinem-mansC.mDivalproex
Amclientminmthemthirdmtrimestermof mpregnancymreportsmthatmshemfellsmsomem"lumpymplaces"mi
n mhermbreastsmandmthatmhermnipplesmsometimesmleakmamyellowishmfluid.mShemhasmanmappoi
ntmentmwith mhermhealthcaremproviderminmtwomweeks.mWhatmactionmshouldmthemnursemtake?
A.mTell mthemclientmtombegin mnipplemstimulation mtompreparemformbreastmfeeding.m
B.mReschedulemthemclient'smprenatal mappointmentmformthemfollowingmday
C.mExplain mthatmthismnormal msecretion mcan mbemassessedmatmthemnextmvisit
D.mRecommendmthatmthemclientmstartmwearingmamsupportivembrassierem-
mansC.mExplain mthatmthismnormal msecretion mcan mbemassessedmatmthemnextmvisit
Amclientmismadmittedmwith mamdiagnosismofmurolithiasis.mWhichmfindingmismmostmimportantmfor
mthemnursemtomreportmtomthemhealthcare mprovider?
A.mVolumemof meach mvoidingmismmoremthan m300mL
B.mSerummpotassiummthatmismelevated
C.mRelief mof mflankmpain mthatmradiatedmintomthemgroin
D.mHematuriamthatmismbeginningmtomturn mpinkm-
mansD.mHematuriamthatmismbeginning mtomturn mpink
AmclientmismdiagnosedmwithmMeniere'smdisease.mWhichmproblemmshouldmthemnursemidentify
masmmostmimportantmin mthemplan mof mcare?m
A.mRiskmformineffectivemself-health mmanagementmrelatedmtomdeficientmknowledge
B.mIneffectivemcopingmrelatedmtompersonal mvulnerabilitym
C.mRiskmforminjurymrelatedmtomvertigom
D.mAnxietymrelatedmtomdisruption mof mlifestylem-mansC.mRiskmforminjurymrelatedmtomvertigo.
, HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
Amclientmismreceivingmenoxaparinm30mgmsubcutaneouslymtwicemamday.mIn massessingmformad
versemeffectsmof mthemmedication,mwhichmserummlaboratorymvaluemismmostmimportantmformth
emnursemtommonitor?m
A.mGlucosem
B.mCalcium
C.mPlateletmcount
D.mWhitembloodmcell mcountm-mansC.mPlateletmcount
Amclientmismrecoveringminmthemcritical mcaremunitmfollowingmamcardiacmcatheterization.mIVmnitr
oglycerin mandmheparinmareminfusing.mThemclientmismsedatedmbutmrespondsmtomverbal minstru
ctions.mAftermchangingmpositions,mthemclientmcomplainsmof mpainmatmthemrightmgroinminsertion
msite.mWhatmaction mshouldmthemnursemimplement?m
A.mCheckmfemoral msitemformhematomamformation
B.mStimulatemthemclientmtomtakemdeepmbreaths
C.mEvaluatemthemintegritymof mthemIVminsertion msite
D.mAssessmdistal mlowermextremitymcapillarymrefill m-
mansB.mStimulatemthemclientmtomtakemdeepmbreaths
Amclientmismscheduledmformamspiral mcomputedmtomographym(CT)mscan mwith mcontrastmtomeva
luatemformpulmonarymembolism.mWhichminformation minmthemclient'smhistorymrequiresmfollow-
upmbymthemnurse?
A.mCTmscan mthatmwasmperformedm6mmonthsmearlier
B.mMetal mhipmprosthesismwasmplacedm20myearsmago
C.mReportmof mclient'smsobrietymformthemlastm5myears
D.mTakesmmetformin mformtypem2mdiabetesmmellitusm-
mansD.mTakesmmetformin mformtypem2mdiabetesmmellitus
Amclientmpresentsmtomthememergencymdepartmentmwith mmusclemaches,mheadache,mfever,ma
ndmdescribesmamrecentmlossmofmtastemandmsmell.mThemnursemobtainsmamnasalmswabmformCO
VID-19mtesting.mWhich maction mismmostmimportantmformthemnursemtomtake?m
A.mPlacemthemnasal mswabmspecimen mformCOVID-19mdirectlymintomambiohazardmbag
B.mMovemthemclientmtomamprivatemroom,mkeepmthemdoormclosed,mandminitiatemdropletmprecaut
ions.m
C.mTeach mthemclientmtomwearmammask,mhandmwash,mandmsocial mdistancemtompreventmspread
ingmthemvirusm
D.mExplain mtomthemclientmtominformmothersmthatmtheymmaymhavembeenmpotentiallymexposedmi
n mthemlastm14mdays.m-mansA.mPlacemthemnasal mswabmspecimen mformCOVID-
19mdirectlymintomambiohazardmbag
Amclientmpresentsmtomthemlabormandmdeliverymunitmwith mamreportmof mleakingmfluidmthatmismgre
enish-brown mvaginal mdischarge.mWhich maction mshouldmthemnursemtakemfirst?
A.mStartman mintravenousminfusion m
B.mAdministermoxygen mviamfacemask
C.mPerformmamvaginal mexam
D.mBegin mcontinuousmfetal mmonitoringm-mansD.mBegin mcontinuousmfetal mmonitoring
, HESImRNmEXITmEXAMmNEXTmGENERATION m2024mSCREENSHOTS-
QUESTIONSm(NGN mHESImRNmEXIT)TESTBANK
Amclientmpressesmthemcall mbellmandmrequestsmpainmmedicationmformamseveremheadache.mTom
assessmthemqualitymof mthemclient'smpain,mwhich mapproach mshouldmthemnursemuse?
A.mAskmthemclientmtomdescribemthempain
B.mObservembodymlanguagemandmmovementm
C.mIdentifymeffectivempain mrelief mmeasures
D.mProvidemamnumericmpain mscalem-mansA.mAskmthemclientmtomdescribemthempain
Amclientmtakingmclopidogrel mreportsmthemonsetmof mdiarrhea.mWhichmnursingmactionmshouldmt
hemnursemimplementmfirst?
A.mObservemthemappearancemof mthemstool
B.mAssessmthemelasticitymof mthemclient'smskin
C.mReview mthemclient'smlaboratorymvalues
D.mAuscultatemthemclient'smbowel msoundsm-mansA.mObservemthemappearancemof mthemstool
Amclientmtellsmthemnursemaboutmworkingmoutmwithmampersonal mtrainermandmswimmingmthreemt
imesmamweekminmanmeffortmtomlosemweightmandmsleepmbetter.mThemclientmstatesmthatmitmstillmis
mtakingmhoursmtomfall masleep matmnight.mWhich maction mshould mthemnurse mimplement?
A.mAdvisemthemclientmthatmlifestylemchangesmoften mtakemseveral mweeksmtombemeffective
B.mEncouragemthemclientmtomexercisemeverydaymtomeliminatembedtimemwakefulness
C.mAskmthemclientmformamdescription mof mthemexercisemschedulemthatmismbeingmfollowed
D.mDeterminemthemamountmof mweightmthemclientmhasmlostmsincemincreasingmactivitym-
mansC.mAskmthemclientmformamdescription mof mthemexercise mschedule mthatmismbeingmfollowed
Amclientmwhomexperiencedmamcerebrovascularmaccidentm(CVA)mismaphasicmandmhasmleftmsid
edmparalysis.mWhichmnursemshouldmbemresponsiblemformcoordinatingmthemprogressionmofmth
ismclient'smcare?m
A.mNursemcasemmanager
B.mAdultmnursempractitioner
C.mNeurologymunitmsupervisorm
D.mRiskmmanagementmnursem-mansB.mAdultmnursempractitioner
Amclientmwhomgavembirthm48mhoursmagomhasmdecidedmtombottlemfeedmtheminfant.mDuringmthem
assessment,mthemnursemobservesmthatmboth mbreastsmaremswollen,mwarm,mandmtendermonmp
alpation.mWhich minstruction mshouldmthemnursemprovide?
A.mApplymicemtomthembreastsmformcomfort
B.mWearmamloose-fittingmbramduringmthemdaymtompreventmnipplemirritation
C.mRun mwarmmwatermovermbreasts
D.mExpressmsmallmamountsmof mmilkmfrommthembreastsmtomrelievempressurem-
mansA.mApplymicemtomthembreastsmformcomfort
Amclientmwhomismadmittedmformprimarymhypothyroidismmhasmearlymsignsmofmmyxedemamcom
a.mIn massessingmthemclient,minmwhichmsequencemshouldmthemnursemcompletemthesemactions
?m(descendingmorder)m-mans1.mObservembreathingmpatterns
2.mAssessmbloodmpressure
3.mMeasurembodymtemperature
4.mPalpatemformpedal medema
