Exam (elaborations)
HESI EXIT VN19 3 QUESTIONS AND ANSWERS
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HESI EXIT VN19 3 QUESTIONS AND ANSWERS
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HESI EXIT VN19 3 QUESTIONS AND ANSWERSMale client admitted the morning of scheduled surgery told nurse he drank water last
night - Answers-amount of water and what time was taken
A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - Answers-Wear a supportive
bra at all times
A female Native American client who is receiving chemotherapy places a native
artifact...the health care provider removes the medicine wheel and tells the client "this
type..hospital" what intervention should the PN implement - Answers-Act as the clients
advocate when discussing the issue with the HCP
A client on bed rest refuses to wear the prescribed pneumatic compression device after
surgery, what action should the PN implement in response to the clients refusal -
Answers-emphasize the importance of active foot flexion
why would nurse apply pressure to lacrimal duct after optic meds - Answers-reduce
systemic effects
comatose patient mouth care - Answers-side lying position
morning care client have seizure - Answers-protect pt head
charge nurse assign pn - Answers-insulin injections
2 doses missing - Answers-complete report
pt on suicide ask about discharge - Answers-increases suicide precautions
photo of chest and locating apical HR - Answers-just below left nipple
at the end of 12hr shift the nurse observes the urine in a clients drainage - Answers-
most recent white blood count
male client diagnosed with schizophrenia is withdrawn, isolates himself, with one or two
word responses - Answers-measure appropriate vital signs
8 yr old on 90-90 traction for a fractured femur - Answers-weights are touching the foot
of the bed
nurse reviewing diet instructions with female client who has hyper and increased her
intakes of protein and calories - Answers-continue dietary changes she has made
, discontinue IV therapy infusing at 150ml per hour at 1200 the pn notes that there are
750ml of solution remaining - Answers-1700
the PN is caring for a client who had a total laryngectomy, left radical neck dissection...
client is receiving nasogastric tube feedings via an internal pump. today the rate of the
feeding was increased...ml/hr. What parameter should the PN use to evaluate the
clients tolerate to the rate of the feeding? - Answers-gastric residual volumes
A new mother is breastfeeding her newborn for the first time after delivery and
complains of nipple pain...Based on the client complaint, what action should the PN
take? - Answers-Ensure that all the areolar tissue of the nipple is in the infants mouth.
Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client? - Answers-deltoid
A client recovering from a stroke is learning how to use a cane. How should it be placed
- Answers-on the stronger side of the body
A client with small bowel obstruction is experiencing frequent vomiting which
instructions are most important for the PN to provide to the UAP who is completing
morning care for this clien - Answers-measure all emeisies accurately
on admission to the medical unit a client who is homeless and has a history of HIV with
persistent cough? - Answers-erythema and indurations of 5mm at site
When preparing to administer medications to an older resident the PN notices that
several medications that were supposed to be administered during the previous shift
have not been entered as given In the computer. What action should the PN take -
Answers-contact the medication nurse to clarify the findings
the PN is implementing the plan of care for a client who admits having...indicates the
highest risk for the client acting on these suicidal thoughts - Answers-Begins to show
signs of improvement
The PN observes that a male clients urinary catheter drainage tubing is...the attached to
the bed frame. What action should the PN implement? - Answers-observe the
appearance of the urine in the drainage tubing
A clients chief complaint is being able to swallow only small bites of solid food...PN
should assess for what additional information? - Answers-History of alcohol and tobacco
use
when the PN plans daily care for a group pf clients, which client should the PN see first
due to the risk of complication?` - Answers-An older client with a stroke who is febrile
and confused
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