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HESI RN EXIT EXAM NEXT GENERATION (NGN) TEST BANK LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+ When admitting a pt with a dx of transient ischemic attack (TIA), which inte

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HESI RN EXIT EXAM NEXT GENERATION (NGN) TEST BANK LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+ When admitting a pt with a dx of transient ischemic attack (TIA), which intervention is most important for the nurse to include in t...

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2023-2024 HESI RN EXIT EXAM NEXT GENERATION
(NGN) TEST BANK LATEST 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+
When admitting a pt with a dx of transient ischemic attack (TIA), which intervention is most important
for the nurse to include in the client's plan of care? - ANSWER-Initiate neurological monitoring every 2
hours

The nurse is developing a plan of care for a pt who reports tingling of the feet and who is newly
diagnosed with peripheral vascular disease. Which outcome should the nurse include in the plan of care
for this client? - ANSWER-The pt blood pressure readings will be less than 160/90

Prior to surgery, written consent must be obtained. Which is the nurse's legal responsibility with regard
to obtaining written consent? - ANSWER-Determine that the surgical consent form has been signed and
is included in the pt record

A client presents to the emergency dept with muscle aches, headache, fever, and describes a recent loss
of taste and smell. The nurse obtains a swab for COVID -19 testing. Which action is most important for
the nurse to take? - ANSWER-place the nasal swab specimen for COVID 19 directly in a biohazard bag.

What might the nurse suggest to a pt with fibrocystic breasts in an attempt to help relieve her
symptoms? - ANSWER-increase high calcium foods in diet

The nurse is assessing a pt who reported falling 2 days ago and has a history of gouty arthritis that is
controlled with allopurinol. The pt states the left knee is swollen and extremely painful to the touch.
Which instructions should the nurse include in the discharge teaching? - ANSWER-decrease
consumption of red meat and most seafood.

The nurse is teaching a group of women about osteoporosis and exercise. The nurse should emphasize
the need for which type of regular activity? - ANSWER-Weight bearing exercise

A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot
baths at night with no relief of his discomfort. Which action should the nurse take? - ANSWER-
Encourage the pt to use cooler water and apply calamine lotion after soaking.

,A pt with rheumatoid arthritis starts a new prescription for subcutaneously once weekly. The nurse
emphasizes the importance of reporting which problem to the healthcare provider? - ANSWER-Joint
stiffness

An adult female tells the nurse that though she is afraid that her abusive boyfriend might one day kill
her, she keeps hoping that he will change. Which action should the nurse take first? - ANSWER-Explore
the pt readiness to discuss the situation

A male client approaches the nurse with an angry expression on his face and raises his voice, saying, "My
roommate is the most selfish, self-centered, angry person I have ever met If he loses his temper one
more time with me, I am going to punch him." The nurse recognizes that the pt is using which defense
mechanism? - ANSWER-Projection

A young adult male who is being seen at the employee health care clinic for an annual assessment tells
the nurse that his mother was diagnosed with schizophrenia when she was his age and that life with a
schizophrenic mother was difficult indeed. Which response is best for the nurse to provide? - ANSWER-
Ask the pt if he is worried about becoming schizophrenic at the same age his mother was dx.

On admission to the Emergency Department, a female client who was diagnosed with bipolar disorder 3
years ago reports that this morning she took a handful of medications and left a suicide note for her
family. Which information is most important for the nurse to obtain? - ANSWER-When the pt last took
drugs for bipolar disorder

The nurse is providing care for a pt with schizophrenia who receives haloperidol decanoate 75 mg
intramuscularly every 4 weeks. The pt begins developing puckering and smacking of the lips and facial
grimacing. Which intervention should the nurse implement? - ANSWER-Complete abnormal involuntary
movement scale

A pt with postpartum depression, who is admitted to the behavioral health unit refuses to leave her
room or eat meals. In addition to maintaining physical safety, which short term goal should the nurse
include in the plan of care? - ANSWER-Attends one group activity per day

The psychiatric nurse is caring for pts on an adolescent unit. Which client requires the nurse's immediate
attention - ANSWER-An 18 year old pt with antisocial behavior who is being yelled at by other pts.

,The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situations and perceived stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the teaching? - ANSWER-Practice using
muscle relaxation techniques

A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near
drowning incident. While providing care to the child, the nurse begins with the brother who rescued the
child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the nurse take? - ANSWER-Ask the
older brother how he felt during the incident.

The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP)?

A. Tachycardia and tachypnea

B. Sluggish and unequal pupillary responses

C. Increased head circumference and bulging fontanels

D. Blood pressure fluctuations and syncope - ANSWER-B. Sluggish and unequal pupillary responses

A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum
amylase. Which additional information is the client most likely to report to the nurse?

A. Abdominal pain decreases when lying supine

B. Pain lasts an hour and leaves the abdomen tender

C. Right upper quadrant pain refers to right scapula

D. Drinks alcohol until intoxicated at least twice weekly. - ANSWER-A. Abdominal pain decreases when
lying supine

A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
information is most important for the nurse to provide the parents prior to discharge?

A. Instructions about how much fluid the child should drink daily.

B. Signs of addiction to opioid pain medications

C. Information about non-pharmaceutical pain relief measures

, D. Referral for social services for the child and family - ANSWER-A. Instructions about how much fluid
the child should drink daily

To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location
on the image with a red dot). - ANSWER-I placed the red dot on the base of the neck on the right side

After receiving report on an inpatient acute care unit, which client should the nurse assess first?

A. The client with an obstruction of the large intestine who is experiencing abdominal distention

B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds

C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid

D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity -
ANSWER-D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity

A teenager presents to the emergency department with palpitations after vaping at a party. The client is
anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base
imbalance?

A. Respiratory acidosis

B. Metabolic alkalosis

C. Metabolic acidosis

D. Respiratory alkalosis - ANSWER-D. Respiratory alkalosis

A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arrival, the
nurse should ensure that the client's bed is in which position?

A. Supine

B. supine; feet elevated higher than head

C. supine; head elevated higher than feet

D. Fowlers - ANSWER-Fowlers

The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the client's admission assessment is relevant to the nurse's plan for taking the blood
pressure reading? (Select all the apply)

A. Frequent syncope

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Exam (elaborations)

HESI RN EXIT EXAM NEXT GENERATION (NGN) TEST BANK LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+ When admitting a pt with a dx of transient ischemic attack (TIA), which inte

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