BSNlHESIl366lRNlExitlExaml(Latestl
Update)lQuestionslandlVerifiedlAnswers|
100%lCorrect|lGradelA-lNightingale
Q:lThelnurselislprovidinglteachingltolalclientlwithltypel2lDMlaboutlimportantlpointslforldisea
selandlsymptomlmanagement.lWhichlstatementlbylthelclientlindicateslunderstanding?
A)lUsinglsalt,lherbs,landlspiceslwilllimprovelthelflavorloflfoods
B)lGetlanleyelexamlwithlanlophthalmologistlannually
C)lArrangeldietlschedulelaroundlthreelregularlmealslalday
D)lInspectlfeetleverylmonthlforlingrownlnails,lcuts,landlcalluses
Answer:
B)lGetlanleyelexamlwithlanlophthalmologistlannually
Q:lThelnurselislprovidingleducationsltolalclientlwholexperienceslrecurrentllevelsloflmoderatel
anxietyltolsituationslandlperceivedlstress.lInladditionltolinformation’slaboutlprescribedlmedicati
onslandladministration,lwhichlinstructionlshouldlthelnurselincludelinlthelteaching?
A)lCenterlattentionlonlpositivelupbeatlmusic
B)lFindloutletslforlmorelsociallinteractionl
C)lPracticelusinglmusclelrelaxationltechniques
D)lThinklaboutlreasonslthelepisodesloccur
Answer:
C)lPracticelusinglmusclelrelaxationltechniques
Q:lThelchargelnurselislplanninglforlthelshiftlandlhaslalRNlandlalPNlonlthelteam.lWhichlclien
tlshouldlthelchargelnurselassignltolthelRN?
A)lAl75-yearloldlclientlwithlrenallcalculilwholrequireslurinelstraining
B)lAl64-yearloldlclientlwholhadlaltotallhiplreplacementlthelpreiouslday
C)lAl30-yearloldldepresseslclientlwholadmitsltolsuicidelideation
D)lAnladolescentlwithlmultiplelcontusionsldueltolalfalllthatloccurredl2ldayslago
,Answer:
C)lAl30-yearloldldepresseslclientlwholadmitsltolsuicidelideation
Q:lNGN:l(NurseslNotes)l
1800:lThelclientlislalfemalelneonatelbornlatl37lweeksloflgestationltolalGl2lPl1lmother,lwholwa
sldiagnosedlwithlgestationalldiabetes.lFollowinglalspontaneouslvaginallbirth,lshelreceivedlApga
rlscoresloflsevenlatlonelminutelandleightlatlfivelminutes.lThelclientlweighsl4036.97gl(8lbsl9oz)
landlappearslpinklwithlacrocyanosislandlalmoderatelamountloflsubcutaneouslfat.lShelislnotedlto
lbelslightlyljitterylatl30minloflage.lAxillaryltemperaturel96F,lpulsel140,lRRl80.lBloodlglucosel
35,lBillylRubinlseven,lfontanelleslsoft,lmongolianlspotlnotedlonllowerlback,lBallardlmaturitylra
tingl37lweeks.l(Forleachlassessmentlfinding,lclickltolindicatelwhetherlthelfindingslarelassociate
dlwithlanlinfantloflaldiabeticlmotherlorlnormallpresentation.)
SoftlFontanelles
BloodlGlucosel35
Axillaryltemp.l96F
Acrocyanosis
Ballardlscorelmaturitylratingl37
Answer:
DiabeticlFindings:
BGl35
Axillaryltempl96
Ballardlscorelmaturitylratingl37
???????
NormallPresentation:
SoftlFontanelles
Acrocyanosis
(normallfindingslincludelacrocyanosis,lsoftlfontanelles,lmongolianlspots,landlApgarlscoresl7ltol
10)
Q:lNGN:l(NurseslNotes)l
1800:lThelclientlislalfemalelneonatelbornlatl37lweeksloflgestationltolalGl2lPl1lmother,lwholwa
sldiagnosedlwithlgestationalldiabetes.lFollowinglalspontaneouslvaginallbirth,lshelreceivedlApga
rlscoresloflsevenlatlonelminutelandleightlatlfivelminutes.lThelclientlweighsl4036.97gl(8lbsl9oz)
landlappearslpinklwithlacrocyanosislandlalmoderatelamountloflsubcutaneouslfat.lShelislnotedlto
lbelslightlyljitterylatl30minloflage.lAxillaryltemperaturel96F,lpulsel140,lRRl80.lBloodlglucosel
,35,lBillylRubinlseven,lfontanelleslsoft,lmongolianlspotlnotedlonllowerlback,lBallardlmaturitylra
tingl37lweeks.l
Thelnurselrecognizeslthatlthelinfantloflaldiabeticlmotherlislatlrisklforl_________l,l__________
___l,landl_________________
Answer:
Hyperbilirubinemial,lResppiratorylDistresslSyndromel,landlCardiomyopathy
Q:lNGN:lOrders
Breast-
feedlimmediatelyloncelstablelthenlonldemand.lIflunstable,lmaylfeedlbreastmilklvialorogastricltu
be.lIfltwolfeedinglattemptslfailedltolincreaselthelglucosellevelslorliflsymptomsloflhypoglycemia
ldevelop,lapplyldextroselgellinsidelthelbabieslcheek.lIflthelabovelarelineffective,lIVlglucoselsho
uldlbeladministeredltolmaintainlglucosellevelslabovel45.lBoluslofl2mL/kglglucosel10%lIV,lhell
olbylalcontinuouslglucoselperfusionlofl6ltol8mg/kg/min,lmaintainlglycemicllevelsloverl40.
Whichl6lordersltakelpriority?
A)lFeedlImmediately
B)lMonitorlforlrespiratoryldistress
C)lApplyldextroselgelllinsidelthelbaby'slcheekl
D)lKeeplinlwarmerlwithlbilirubinllights
E)lMonitorltempleveryl30lmin
F)lBolusl2lmL/kglglucosel10%lIV
G)lContactlRTlforlABGlandloxygenltherapy
H)lEcho
I)lTransferltolNICU
J)lBloodlglucosellevel
Answer:
A)lFeedlImmedicately
B)lMonitorlforlRespiratorylDistress
D)lKeeplinlwarmerlwithlbilillights
E)lMonitorltemplq30min
G)lContactlRTlforlABGlandlO2ltherapy
J)lBloodlglucosellevel
Q:lNGNlLaboratorylResultsl(samelcaseloflpatientlwholjustlgavelbirth)
Whichlactionslarelappropriatelforlthelnurseltoltakelatlthisltime?lSATA
, A)lKeeplinfantlinlwarmerlwithlbilillightsltolmaintainltemplofl97.6F
B)lMonitorlTemp
C)lContinueltolmonitorlglucosellevel
D)lTelllthelmotherlthatlshelwilllneedltoldiscusslthislwithlthelneonatologist
E)lExplainltolthelmotherlthatlthelbabyslRRlneedsltolbelbelowl60
F)lInformlthelmotherlthatlthelbabylislstablelenoughtltoltakeloutloflthelwarmer
G)lObservelforlsignsloflrespiratoryldistresslandlmonitorlO2lwithlpulselox
Answer:
A)lKeeplinfantlinlwarmerlwithlbilillightsltolmaintainltemplofl97F
E)lExplainltolthelmotherlthatlthelbabyslRRlneedltolbelbelowl60
F)lInformlthelmotherlthatlthelbabylislstablelenoughltoltakeloutloflthelwarmer
G)lObservelforlsignsloflrespiratoryldistresslandlmonitorloxygenationlbylpulselox
Q:lNGN:l1800:lThelclientlislalfemalelneonatelbornlatl37lweeksloflgestationltolalGl2lPl1lmot
her,lwholwasldiagnosedlwithlgestationalldiabetes.lFollowinglalspontaneouslvaginallbirth,lshelre
ceivedlApgarlscoresloflsevenlatlonelminutelandleightlatlfivelminutes.lThelclientlweighsl4036.9
7gl(8lbsl9oz)landlappearslpinklwithlacrocyanosislandlalmoderatelamountloflsubcutaneouslfat.lS
helislnotedltolbelslightlyljitterylatl30minloflage.lAxillaryltemperaturel96F,lpulsel140,lRRl80.lBl
oodlglucosel35,lBillylRubinlseven,lfontanelleslsoft,lmongolianlspotlnotedlonllowerlback,lBallar
dlmaturitylratingl37lweeks.l
(Theldaylshiftlnurselreviewslthelnurseslnotes,llabs,landlflowlsheetlfromlthelnightlbefore.lTheln
urselplanslonlprovidinglhealthlteachinglforlthelclientlandlherlfamilylinlpreparationlforldischarge
.)
Forleachlteachinglpoint,lclickltolindicatelwhetherlitlislindicatedlorlcontraindicated.lOnlylonelrig
htloptionlperlrow.
A)lYoulwilllneedltolse
Answer:
A)
B)
C)
D)lIndicated
E)
?????????
Q:lNGN:l1800:lThelclientlislalfemalelneonatelbornlatl37lweeksloflgestationltolalGl2lPl1lmot
her,lwholwasldiagnosedlwithlgestationalldiabetes.lFollowinglalspontaneouslvaginallbirth,lshelre
ceivedlApgarlscoresloflsevenlatlonelminutelandleightlatlfivelminutes.lThelclientlweighsl4036.9
