NSG 121 Health Assessment HESI Final Exam||
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The registered nurse (RN) recognizes which client group
is at the greatest risk for developing a urinary tract
infection (UTI)? (Rank from highest risk to lowest risk.)
- School-aged females
- Older males
- Older females
- Adolescent males - Answers-1. older females
2. school-aged females
3. older males
4. adolescent males
The registered nurse (RN) is interviewing a female client
who states she has a persistent productive cough during
the winter caused by bronchitis. Which additional finding
should the RN assess for bronchitis?
A.) Phlegm production & wheezing
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B.) Smoking history
C.) Hemoptysis
D.) Night sweats - Answers-A.) phlegm production &
wheezing
The registered nurse (RN) is caring for a client with
tuberculosis (TB) who is taking a combination drug
regimen. The client complains about taking "so many
pills." What information should the RN provide to the client
about the prescribed treatement?
A.) The development of resistant strains of TB are
decreased with a combination of drugs.
B.) Compliance to the medication regimen is challenging
but should be maintained.
C.) Side effects are minimized with the use of a single
medication but is less effective.
D.) The treatment time is decreased from 6 months to 3
months with this standard regimen. - Answers-A.) The
development of resistant strains of TB are decreased with
a combination of drugs.
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A client with progressive hearing loss appears distressed
when the registered nurse (RN) asks open-ended
questions about the client's health history. Which forms of
communication should the RN use? (SATA)
A.) Face the client so the client can see the RN's mouth.
B.) Increase one's speech volume when interacting with
the client.
C.) Repeat information to the client if misunderstood.
D.) Check if the client's hearing aides are working
properly.
E.) Reduce environmental noise surrounding the client. -
Answers-A.) Face the client so the client can see the RN's
mouth.
D.) Check if the client's hearing aides are working
properly.
E.) Reduce environmental noise surrounding the client.
Speaking clearly with enunciation and in a regular tone is
easier for a client to understand than increasing the
volume of speech. If a client shows signs of confusion,
rephrasing the question, instead of repeating, should be
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done to decrease client anxiety and facilitate
understanding.
The registered nurse (RN) is administering haloperidol 0.5
mg IM PRN to a client for the first time. What side effects
should the RN assess the client for during the initial dose?
A.) Bradykinesia.
B.) Dystonia.
C.) Somatization.
D.) Akathisia. - Answers-B.) Dystonia
An older client is admitted to the hospital with severe
diarrhea. The registered nurse (RN) is completing an
assessment and notes the client has dry mucous
membranes and poor skin turgor. Which assessment data
should the RN gather to determine if the client has a fluid
volume deficit?
A.) Lower extremity edema.
B.) Orthostatic hypotension.
C.) Elevated blood pressure.