Exam (elaborations)
Exam (elaborations) (NGN) HESI PN
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Exam (elaborations) (NGN) HESI PN
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What skin care measure should the nurse implement for a client who underwent an external
radiation treatment the previous day?
A. Cleanse the radiated area with water and pat the skin dry
B. Lightly massage the radiated skin with a lanolin-based lotion
C. Rinse the site with normal saline and cover with a sterile towel
D. Use of soft washcloth to gently remove the skin markings
Give this one a go later!
, A. Cleanse the radiated area with water and pat the skin dry
A client is diagnosed with Clostridium Difficile (CDIFF). What action should the nurse
implement to prevent the spread of the organism?
A. Place a surgical mask on the client during transport
B. Don non-sterile gloves when performing direct care
C. Wear a particular respirator mask when in the room
D. Keep the door closed to the client's room at all times
Give this one a go later!
B. Don non-sterile gloves when performing direct care
36 hours after delivery, the nurse determines a client's fundus is just above the umbilicus and
displaced to the right of midline. What action should the nurse take first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
D. Assess the amount of lochia
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A. Palpate the bladder for distention
A Client is admitted to the hospital with second and third-degree burns to the face and neck.
How should the nurse best position the client to maximize the function of the neck and face
and prevent contracture?
,A. The neck extended backward using a rolled towel behind the neck
B. Prone position using pillows to support both arms outward from the torso C. Side-lying
position using pillows to support the abdomen and back
D. The neck forward using pillows under the head and sandbags on both sides
Give this one a go later!
A. The neck extended backward using a rolled towel behind the neck
During preoperative preparation, the nurse should offer the client which explanation about
why deep breathing exercising with an incentive spirometer are necessary after surgery?
A. "Deep breathing exercises using spirometer will help prevent postoperative
complications."
B. "failure to keep your lungs working may result in pneumonia and death."
C. "Incentive spirometry is uncomfortable but necessary for your postoperative care."
D. "You will use the spirometer for the first postoperative day only."
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A. "Deep breathing exercises using spirometer will help prevent postoperative
complications."
What length of blood pressure cuff should be the nurse use when obtaining a client's blood
pressure?
A. A cuff that is no longer than the circumference of the extremity should be used
B. The length of the blood pressure cuff does not make a difference
C. The cuff and its bladder should be nearly encircled in the extremity's circumference
D. At least two-thirds the circumference of the extremity should be covered
Give this one a go later!
, C. The cuff and its bladder should be nearly encircled in the extremity's
circumference
A female client complains to the nurse about being admitted to a semi- private room and
expresses her displeasure because she requested a private room prior to admission. What
response is best for the nurse to provide this client?
A. Room assignments are based on client's acuity level, not necessarily by request
B. I will place your name on the room request list for the next available private room
C. Your healthcare provider must provide a written request to get you a private room
D. There are no private rooms available, so you will have to stay here for the time being.
Give this one a go later!
C. Your healthcare provider must provide a written request to get you a private
room
A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant.
Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Give this one a go later!
B. Amenorrhea
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