Alcohol and drug abuse impairs judgment and increases risk-taking behavior. What nursing diagnosis best applies?
A) Risk for injury
Which of these findings would the nurse more closely associate with anemia in a 10-month-old infant?
B) Pale mucosa of the eyelids and lips
.
The nurse is...
What is the most important consideration when teaching parents how to reduce
risks in the home?
D) Age of children in the home
A 35-year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should
C) Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?
A) Lethargy
The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
B) "The seizure may or may not mean your child has epilepsy."
,2024 UPDATED HESI RN EXIT LATEST
EXAM COMPLETE &VERIFIED
Alcohol and drug abuse impairs judgment and increases risk-taking behavior. What
nursing diagnosis best applies?
A) Risk for injury
Which of these findings would the nurse more closely associate with anemia in a 10-
month-old infant?
B) Pale mucosa of the eyelids and lips
.
The nurse is caring for a client in a hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is
D) Pupil responses
.
Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient-controlled analgesia (PCA) with a pump?
D) A preschooler with intermittent episodes of alertness
.
The nurse is about to assess a 6-month-old child with nonorganic failure to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be
D) Pale, thin arms and legs, uninterested in surroundings
.
As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested
in during the discussion?
.
While caring for a client who was admitted with myocardial infarction (MI) 2 days
ago, the nurse noted today's temperature is 101.1 degrees Fahrenheit (38.5
degrees Celsius). The appropriate nursing intervention is to
B) Administer acetaminophen as ordered as this is normal at this time
.
A client is admitted for first and second-degree burns on the face, neck, anterior
chest, and hands. The nurse's priority should be
B) Assess for dyspnea or stridor
.
Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
D) I went to the bathroom and my urine looked very red and it didn't hurt when I
went.
.
Which of these parents' comments for a newborn would most likely reveal an initial
finding of a suspected pyloric stenosis?
C) Mild vomiting that progressed to vomiting shooting across the room.
The nurse is assessing a child for clinical manifestations of iron deficiency anemia.
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