Exam (elaborations)
2024 NGN HESI RN Exit V2 Exam with 160 Questions and Answers (Verified by Expert)
- Course
- Institution
2024 NGN HESI RN Exit V2 Exam with 160 Questions and Answers (Verified by Expert)
[Show more]
Content preview
2024 NGN HESI RN Exit V2 Exam with 160 Questionsand Correct Answers (Verified by Expert)
1.The nurse assumes care of a postoperative adult client with type 2
diabetes mellitus and learns that the client has a current blood glucose level
of 720 mg/dL. When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate: A. Assess for signs of fluid volume
deficit
2.A male client tells the nurse that he is concerned that he may have a
stomach ulcer, because he is experiencing heartburn and dull gnawing pain
that is relieved when he eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since
1/
107
,these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer
pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation
and treatment of these symptoms: A. Encourage the client to obtain a
complete physical exam, since these symptoms are consistent with an
ulcer
3.A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV. One hour after admission to the unit, the
nurse notes 300mL of blood in the suction canister, the client's heart rate is
155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to
reporting the findings to the surgeon, which action should the nurse
2/
107
,implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution: D. Increase
the infusion rate of Lactated Ringer's solution
4.A heparin infusion is prescribed for a client who weighs 220 pounds. After
administering a bolus dose of 80 units/kg, the nurse calculates the infusion
rate for the heparin solution as 18 units/kg/hour. The available solution is
He- parin Sodium 25,000 Units in 5% Dextrose Injection 250 mL. The nurse
should program the infusion pump to deliver how many mL/hour?: -1st:
calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800 units/hr
- 25000 units - in 250
3/
107
, 1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
5.An adult male who fell 20 feet from the roof of his home has multiple
injuries, including a right pneumothorax. Chest tubes were inserted in the
emergency department prior to his transfer to the intensive care unit (ICU).
The nurse notes that the suction control chamber is bubbling at the -10cm
H2O mark, which fluctuation in the water seal, and over the past hour 75 mL
of bright red blood is measured in the collection chamber. Which
intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal: A. Add
sterile water to the suction control chamber
4/
107
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Vannesah. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81113 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now