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Exam (elaborations)

Exam (elaborations)NGN Exit hesi

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Exam (elaborations)NGN Exit hesi

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Document information

  • September 6, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • exam elaborations ngn hesi pn

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  • HESI PN
  • HESI PN

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codersimon

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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?


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, place the nasal swab specimen for COVID 19 directly in a biohazard bag.




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?


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Initiate neurological monitoring every 2 hours




A pt who is admitted with complications related to hypopituitarism is diaphoretic and
hypotensive. Which assessment finding warrants immediate intervention by the nurse?


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Lethargy




When providing patient care, the nurse sees a problem and develops a related clinical
question. Next, the nurse intends to gather evidence so that the decision making process in
response to the problem and clinical question is evidence- based. When gathering evidence,
which consideration is most important?


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Relevance to the situation

,A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse
effects of the medication, which serum laboratory value most important for the nurse to
monitor


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platelet count




The nurse is evaluating the chest drainage system of a patient with a chest tube inserted to
treat a left hemothorax. Which finding requires intervention by the nurse?


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cont. bubbling in the water seal chamber




A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a
teaching plan, the nurse should teach the parents to report which sign of overdose?


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Bradycardia




A young adult visits the clinic reporting symptoms associated with gastritis. Which
information in the pt history is most important for the nurse to address in the teaching?

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consume 10 or more drinks of alcohol every weekend.




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


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respiratory alkalosis




The nurse is auscultating a pt lung sounds. Which description should the nurse use to
document this sound?


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High pitched or fine crackles




The nurse instructs a pt in use of an incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the
return demonstration?


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