NGN Exit Hesi Test Questions with Answers

NGN Exit Hesi Test Questions with Answers A client with urge incontinence was treated with onabotulinumtoxinA injections and is now experiencing urinary retention. Which action should the nurse include in the client's plan of care? - Answer-Remind the pt to practice pelvic floor exercises regularly. A pt is admitted with a dx of urolithiasis. Which finding is most important for the nurse to report to the healthcare provider? - Answer-Hematuria that is beginning to turn pink The nurse is evaluating the chest drainage system of a patient with a chest tube inserted to treat a left hemothorax. Which finding requires intervention by the nurse? - Answer-cont. bubbling in the water seal chamber The nurse is caring for a pt who has chronic obstructive pulmonary disease and chest pain related to a recent fall. What nursing intervention requires the greatest caution when caring for a pt with COPD? - Answer-administering narcotics for pain relief The nurse instructs a pt in use of an incentive spirometer. The client performs a return demonstration as seen in the video. Which action should the nurse take in response to the return demonstration? - Answer-Remind the pt to cough using the spirometer The healthcare provider prescribes a sepsis protocol for a pt with organ failure caused by a ruptured appendix. Which intervention is most important for the nurse to include in the plan of care? - Answer-Maintain strict intake and output A pt diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the healthcare provider's attention? - Answer-Allopurinol An adult client is admitted to the ED after falling from a ladder. While waiting to have a CT scan, the client requests something for a severe headache. When the nurse offers a prescribed dose of acetaminophen, the pt asks for something stronger. Which intervention should the nurse implement? - Answer-Explain the reason for using only non-narcotics The nurse is providing care for a pt with severe peripheral arterial disease. The pt reports a history of rest ischemia, with leg pain that occurs during the night. Which action should the nurse take in response to this finding? - Answer-Offer cold packs when pain occurs When taking a health history, which information collected by the nurse correlates most directly to a diagnosis of chronic peripheral arterial insufficiency? - Answer-History of intermittent claudication