NURSING BANK

HEALTH ASSESSMENT HESI EXAM 1) The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a 4-year old child. What should the nurse do next? a) Palpate over the area for increased pain and tenderness. b) Ask the child to take shallow breaths and percuss over the area again. c) Refer the child immediately because of an increased amount of air in the lungs. d) Consider this a normal finding for a child this age and proceed with the examination. 2) A patient h...

HESI Health Assessment Exam 1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. D) ...

A client is reporting chest pain. What statement made by the client helps the nurse to understand the client has a naturalistic belief in the cause of illness? A. "My life is really out of balance." B. "I knew I should have changed my diet." C. "I should have gone to church last week." D. "I forgot to take my medicines last night." - ANS-A. "My life is really out of balance." A nurse is working in a healthcare facility that serves a diverse population. What action(s) ...

HESI Health Assessment V1 and V2 Exam Review Latest Update 2023/2024 The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? (Ans- Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper quadrant. What action should the nurse take next? (Ans- Note the character and frequency of bowel sounds During inspection o...

Med Surge Final Exam 1…. A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Amylase Rational Amylase is an enzyme that changes complex sugars into simple sugars that can be used by the body. It is produced by the pancreas and salivary glands and released into the mouth, stomach, and intestines to aid in digestion. The amylase level of a client who has acute pancreatitis usually incr...

HESI RN Critical Care Exit Exam with NGN Complete Solution Package Updated 2023/2024

RN Critical Care HESI Exit Exam The nurse cares for a client with a cuffed tracheostomy tube. Before performing oral care, the nurse notes that the client's tracheostomy cuff is inflated. Which of the following is the MOST appropriate action for the nurse to take? - Leave the cuff inflated and suction through the tracheostomy. A young adult brings a friend to the emergency department and states that the friend has been using heroin. Which action by the nurse is the MOST appropriate? - Ass...

HESI RN CRITICAL CARE EXIT EXAM 1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50, anD HCO3 24. What does the patient have? • Resp. Acidosis *Remember: If the CO2 is high it will always be resp. acidosis 2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in SVT. What is the nursing intervention? • Coach client in relaxation and deep breathing. 3). This is an insulin PROTOCOL question....

Critical Care- HESI Exam How to calculate HR on EKG - Correct Answer-big boxes: take 300 and divide by the number of boxes between RR Atrial Fibrillation - Correct Answer-Rapid, random, ineffective *contractions of the atrium* No P Waves, *Normal QRS w/ irreg intervals* Risk for thrombi Tx: anti coagulants (Heparin), TEE, Synchronized Cardioversion Atrial Flutter - Correct Answer-No P Waves, QRS at reg intervals Sawtooth or FLUTTER WAVES Tx: Anti coagulants, TEE, synchr...

The nurse is caring for a client who just been brought into the emergency department after a myocardial infarction. Which action is the priority for this client? a. Administer pain medications. b. Begin educating the client about what to expect in the cath lab. c. Administer 2-4L oxygen by nasal cannula. d. Obtain an electrocardiogram. - ANS-c The nurse is preparing discharge instructions for a client diagnosed with acute coronary syndrome. Which is an expected o...

A client recovering from a percutaneous coronary intervention (PCI) after an acute myocardial infarction is being transferred from the PACU to the Cardiac ICU. Which assessment finding should the PACU nurse inform the healthcare provider of immediately? a. onset of chest pain b. need to apply pressure dressing c. presence of occasional PVCs d. absence of any urinary output during PACU stay - Correct Answer-a. onset of chest pain This suggests the onset of another MI and reocclusion of a...

HESI Critical Care Exit Exam Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notes telemetry pattern shows second degree heart block with Ventricular rate of 50. Action Hold scheduled dose and notify HCP of telemetry pattern Nurse is reviewing client ECG and determines PR interval prolonged. Indicates Increased conduction time from the SA node to the AV junction When assessing a restless, intubated client on mechanical ventilation, nurse auscultate...

HESI Critical Care Exam 1. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? A. Carteolol (Ocupress). B. Propranolol hydrochloride (Inderal). C. Pindolol (Visken). Incorrect D. Metoprolol tartrate (Lopressor). Correct The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking age...

HESI Medical-Surgical LPN/PN Question 1 The nurse is providing care for a patient who is unhappy with the health care provider’s care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient’s medical record or on the AMA form? 1. Documentation that the patient was informed that he or she cannot come back to the hospital 2. Documentation that the patient was i...

What is included in the IDVA definition of a dependent? being forced to witness confinement of another person What is not among the historical roots of feminism and the battered women's movement? the medical profession's treatment Who is most responsible for the creation of the National Coalition Against Domestic Violence in 1978? The U.S. Commission of Civil Rights What percentage of men who abuse their partners also abuse their children? Over 50% During the tension buildi...

NR-503 Epidemiology Final Exam Kleinman explanatory Model - Correct Answer-Eliciting the patient's (explanatory) model gives the physician knowledge of the beliefs the patient holds about his illness, the personal and social meaning he attaches to his disorder, his expectations about what will happen to him and what the doctor will do, and his own therapeutic goals Cultural competence - Correct Answer-Cultural competence is defined as "a dynamic, fluid, continuous process whereby an ind...

MN Dental Jurisprudence Exam A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should contact his or her nursing professional organization. A nurse who contacts a physician to clarify a medication order is A.fulfilling a duty to keep the patient safe. B.likely to detract from a collegial nurse-physician relationship. C.engaging in action that is the duty of the pharmacist. D.not fulfilling nursing tasks with other patients. Whe...

MN Jurisprudence Exam Which of the following is an obligation of non-harm and identifies an action as wrong if harm is inflicted on an individual? Nonmaleficence Beneficence Veracity Fidelity - Correct Answer-Nonmaleficence Which of the following stresses the duty to maintain confidentiality? Nonmaleficence Beneficence Veracity Fidelity - Correct Answer-Fidelity Truthfulness and honesty are characteristics of Nonmaleficence Beneficence Veracity Fidelity - Correct Answe...

*general supervision - Correct Answer-The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises. *indirect - Correct Answer-The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel. direct - Correct Answer-The dentist is in the dental office, personally diagnoses the c...

Which of the following cannot be applied by a licensed dental assistant? A. Topical anesthetic B. Topical fluoride C. Intravenous drugs D. Cavity varnish - Answer -C. Intravenous drugs Any person desiring to perform services as a dentist, hygienist, or licensed dental assistant must submit an application to the board of dentistrya. True b. False - Answer -True A dental technician who repairs a patient's denture at the request of the patient would be practicing dentistry wit...