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HESI PN EXIT EXAM TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN)
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HESI PN EXIT EXAM TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN)
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Page 1 of 29 HESI PN EXIT EXAM TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN) The LPN/LVN carries out a standard prescription for a stat elec trocardiogram (ECG) on a client who has an episode of chest pain. The nurse should take which action next? - ANSWER -Give sublingual nitroglycerin (Nitrostat) per the health care provider's prescriptions. A client admitted to the hospital with a diagnosis of myocardial infarction (MI) tells the nurse that the pain likely resulted from the fried chicken sandwich that the client had for lunch. The nurse's response is based on which fact? - ANSWER -Denial is a common occurrence early after MI. The nurse is pre paring to provide a therapeutic environment for a client who recently had a myocardial infarction (MI). Which are characteristics of a therapeutic environment? - ANSWER -Low stimulus, low stress A client who experienced a myocardial infarction (MI) tells t he nurse that he is fearful about not being able to return to a normal life. Which action by the nurse is therapeutic at this time? - ANSWER -Explore the specific concerns with the client. Page 2 of 29 A client complaining of chest pain has an as -needed (PRN) prescript ion for sublingual nitroglycerin (Nitrostat). Before administering the medication to the client, the nurse should first check which? - ANSWER -Blood pressure A client who has undergone femoropopliteal bypass grafting says to the nurse, "I hope I don't have any more problems that could make me lose my leg. I'm so afraid that I'll have gone through this for nothing." Which is an appropriate nursing response? - ANSWER -"You are concerned about losing your leg?" The nurse is teaching a hospitalized client who h as had aortoiliac bypass grafting about measures to improve circulation. The nurse should tell the client to do which? - ANSWER -Keep the ankles uncrossed. A client is admitted to the hospital with possible rheumatic heart disease. The LPN/LVN collects data from the client and checks the client for which signs/symptoms? - ANSWER -Fever and sore throat A client with infective endocarditis is at risk for heart failure. The nurse monitors the client for which signs and symptoms of heart failure? - ANSWER -Lung crackles, peripheral edema, and weight gain A client has just returned from the cardiac catheterization laboratory. The left femoral vessel was used as the access site. After returning the client to bed and conducting an initial Page 3 of 29 assessment, the nurse assisting in caring for the client expects the health care provider to write a prescription for the client to remain on bed rest. In which position should the b ed be positioned? - ANSWER -With the head of bed elevated no more than 30 degrees The nurse is collecting data from a client with varicose veins. Which finding would the nurse identify as an indication of a potential complication associated with this disor der? - ANSWER -
The client complains of leg edema, and skin breakdown has started. A client with coronary artery disease has selected guided imagery to help cope with psychological stress. Which statement by the client indicates understanding of this stress reduction measure? - ANSWER -"The best thing about this is that I can use it anywhere, anytime." A client, who is 36 hours post -myocardial infarction, has ambulated for the first time. The nurse determines that the client best tolerated the activity if wh ich observation is made? - ANSWER -
The pre activity pulse rate is 86 beats per minute; the post activity pulse rate is 94 beats per minute. The nurse is planning a dietary menu for a client with heart failure being treated with digoxin (Lanoxin) and furose mide (Lasix). Which would be the best dinner choice from the daily menu? - ANSWER -Baked pollock, mashed potatoes, and carrot -raisin salad
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