NSG-322 PRACTICE HESI EXAM 2024/2025 QUESTIONS WITH 100% CORRECT ANSWERS

NSG-322 PRACTICE HESI EXAM 2024/2025 QUESTIONS WITH 100% CORRECT ANSWERS The nurse completes an emergency admission of a male client with schizophrenia who has not been taking his antipsychotic medications. The client is pacing, is extremely irritable, and has a blood pressure of 146/96. What is the priority nursing action? - ANSWERS Reevaluate the client's blood pressure in an hour. A young adult female client with panic disorder arrives in the Emergency Center with a 4-day history of chest pain that began when her boyfriend left her. Initial assessment reveals normal cardiopulmonary findings. Which information is most important for the nurse to obtain? - ANSWERS Drugs taken in last 7 days. A female client comes to an outpatient therapy appointment intoxicated. The spouse tells the nurse, "There wasn't anything I could do to stop her drinking this morning." What intervention should the nurse take at this time? - ANSWERS Tell the client that therapy cannot take place while she is intoxicated. The nurse is planning care for a client with major depression who is admitted to the unit after a recent suicide attempt. Which intervention has the highest priority for inclusion in this client's plan of care? - ANSWERS Search the client's personal belongings. A male client is brought to the emergency department by a police officer, who reports the client was "disturbing the peace" by running naked in the street, striking out at others, and smashing car windows. Which behaviors should the client demonstrate to determine if he should be evaluated for involuntary commitment? (Choose all that apply.) - ANSWERS Threats to kill his friend, hears voices telling him to kill himself, reports he has not needed a bath in 4 months and says he has not eaten in 3 days. The nurse is caring for an adult male client with catatonic schizophrenia who is mute and motionless. What is the priority nursing problem? - ANSWERS High risk for fluid and electrolyte imbalance. At the end of a group therapy session, a client who is hospitalized for psychosis falls to the floor when attempting to stand. What intervention should the nurse implement first? - ANSWERS Ask a group member to seek help. Which nursing intervention should the nurse implement with parents who experience a fetal demise and express the wish not to see the baby? - ANSWERS Keep the body available for a few hours in case they change their minds. An adult female who is married and works full-time in a factory has been absent from work for three days at a time on several occasions. Each time she returns to work, she wears dark glasses to cover facial bruising. Her supervisor refers her to the occupational health nurse. What assessment question should the nurse use? - ANSWERS How did this happen to you? A client on the mental health unit reports concerns about weight gain as a result of taking divalproex (Depakote) and requests assistance to fill out a menu. The nurse should initiate a referral to which healthcare team member? - ANSWERS Dietician. The nurse is planning the care for a client based on the psychoanalytical model. Which intervention should the nurse include in the plan of care? - ANSWERS Focus on the client's positive or negative feelings toward the nurse. A woman admitted to the Emergency Department is bleeding profusely from a patch where hair was lost from her scalp. She is accompanied by her husband who tells the nurse that his wife caught her hair on the railing and pulled it out when she fell down the stairs. The husband is solicitous of his wife and quickly answers questions on her behalf. He attempts to comfort his wife by saying to her, "I am right here with you, dear. Nothing can keep us apart." What is the priority nursing intervention? - ANSWERS Require the husband to leave the cubicle while the client is being treated. A female client with severe depression is given information about the risks, benefits, alternatives, and expected outcomes of electroconvulsive therapy (ECT) and signs the informed consent for treatment. After the client's family leaves, the client tells the nurse, "I signed the papers because my husband told me I will be deported if my depression is not cured." What information should the nurse report to the healthcare provider? - ANSWERS The client's consent may have been coerced. A male client with severe orthopedic injuries following a motor vehicle collision is irritable, angry, and belittles the nurses. While a nurse is changing the dressing over a laceration, the client screams, "Don't touch me! You're so stupid that you'll make it worse!" Which intervention is best for the nurse to implement? - ANSWERS Provide information about infection prevention. The nurse is assessing a client with a history of borderline personality disorder. Which question should the nurse include in the assessment? - ANSWERS Do you frequently have temper tantrums? During the admission of a male client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physician's office. Which question is most important for the nurse to ask this client? - ANSWERS Have you had any thoughts of hurting yourself? The daughter of an older male client tells the nurse that her father is becoming increasingly forgetful. Which finding indicates that the client needs further evaluation of cognitive function? - ANSWERS Cannot mentally retrace objects that were recently misplaced. Which action should the nurse implement first for a client experiencing alcohol withdrawal? - ANSWERS Prepare the environment to prevent self-injury. The nurse is caring for a client who received the first-time electroconvulsive therapy (ECT) a half hour ago. Which action should the nurse implement first? - ANSWERS Monitor vital signs. The client with depression asks the nurse, " What are neurotransmitters? My doctor thinks my problem may lie with the neurotransmitters in my brain." What information should the nurse use to support an explanation of neurotransmitters? - ANSWERS Chemical messengers that cause brain cells to turn on or off. During an inpatient therapy group session, a client tells the members that he hears voices that say his doctor is going to poison him. He continues, "I look around to see who's talking to me, and I can't see anybody." Another client replies, "I used to hear voices, too. I found out they were my imagination. The voices you hear aren't real either." Which phenomenon, common to groups, is exemplified in this interchange? - ANSWERS Reality testin