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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
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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
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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
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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?
Questions & Answers Included - Guaranteed Pass
A+ LATEST UPDATED
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
,HESI EXIT RN V1 EXAM TEST BANK NEW All
Questions & Answers Included - Guaranteed Pass
A+ LATEST UPDATED
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
,HESI EXIT RN V1 EXAM TEST BANK NEW All
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A+ LATEST UPDATED
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
, HESI EXIT RN V1 EXAM TEST BANK NEW All
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A+ LATEST UPDATED
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?
