NGN EXIT HESI ALL ANSWERS CORRECT
A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of
the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while carin...
NGN EXIT HESI ALL ANSWERS CORRECT
A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of
the pt. Pain, which approach should the nurse use? Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the room,
which PPE should be removed first? Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a
fall at home. The daughter, who has power of attorney, has brought the client's prescriptions. Which
information should the nurse provide first when reporting to the healthcare provider using SBAR
communication? Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times a week in
an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep at
night. Which action should the nurse implement? Ask the pt for a description of the exercise
schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from
Guillain-Barre syndrome about home. Which actions should the nurse include when providing
discharge teaching to the pt and spouse? SATA -review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic.
Which outcome indicates that the program was effective? pt who develop disease complications
promptly received rehabilitation
The nurse has received funding to design a health promotion project for African American women
who are at risk for developing breast cancer. Which resource is most important in designing this
program? participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries
occurred. The healthcare provider instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the nurse to implement? use gown,
mask, and gloves with dressing changes
, A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are infusing.
The pt is sedated but responds to instructions. After changing positions, the pt complains of pain at
the right groin insertion site. What action should the nurse implement? Stimulate the pt to take
deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most important
for the nurse to obtain? upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never falling.
Which action should the nurse take? Continue to obtain pt data needed to complete the fall risk
survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is weak and
begins coughing while attempting to drink through a straw. Which intervention should the nurse
implement? Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When
reviewing the information, which statement should the nurse recognize as needing additional
education? Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which
action is most important for the nurse to implement? initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse
should ensure that the pt bed is in which position? Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous
questions about the procedure. In preparing the pt for the procedure, which intervention has the
highest priority? Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound.
Before reporting this finding to the provider, the nurse should review which of the pt lab values?
culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every
12hrs. When the client requests an afternoon snack, which dietary choice should the nurse provide?
Cinnamon apple sauce
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