NR 442 HESI PN COMMUNITY RETAKE 2019 QUESTIONS & ANSWERS

NR 442 HESI PN COMMUNITY RETAKE 2019 QUESTIONS & ANSWERS 1.) The nurse is providing discharge instructions to a client with diabetes. To prevent blood- borne infections, the nurse includes which statement in the teaching about self- monitoring of blood glucose levels- “Do not share your monitoring equipment.” 2.) A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which pf the following should the nurse take first? - Check the clients vital signs 3.) Which medication will the nurse prepare to administer to the client who is experiencing status epilepticus? Lorazepam 4.) A patient appears dyspneic, but the oxygen saturation is 97%. What action by the nurse is best?. - Assess for other manifestations of hypoxia. 5.) After receiving change-of-shift report, which of the following patients should the nurse assess first? - A patient who has abdominal distention and apical heart rate of 136 bpm. 6.) A nurse is reviewing the BUN and creatinine levels of an older adult who has chronic kidney disease. The nurse should expect which of the following findings? - BUN 34 mg/dL and creatinine 5.2 mg/dL 7.) The nurse is caring for a client with Parkinson’s disease. Which intervention does the nurse implement to prevent aspiration related respiratory compressions in the client? - Maintain the head of the bed at least 30 degrees or greater. 8.) A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows that which of the following best explains the purpose of the medication? - This medication helps dry up excess secretions - This medication lowers extraocular pressure - It strengthens the muscles of the eye - This medication lowers intraocular pressure 9.) (poss dosage cal) 10.) A patient with mild dementia has a new prescription for donepezil. Which nursing action will be most effective in ensuring compliance with medication? - Having the patients spouse administer the medication 11.) A client being treated for a spinal cord injury needs immediate ventilator support. The nurse realizes that this client’s lev of injury is…. - C3 12.) A client was admitted to the ICU with a diagnosis with hyponatremia. Which of the following assessment findings would cause the nurse to become concerned (couldn’t see but select all that apply)? - Coma - Lethargy - Seizures 13.) Which arterial blood gas (ABG) values are expected with hyperventilation? - ph, 7.55; PaCO2, 32 mm Hg: HCO3 25 14.) Emergency medical serves arrive to the ER department with a client who has a cervical spinal cord injury. Which priority assessment does the ER need to do at this time? Respiratory status and airway patency. 15.) The nurse is assessing a client diagnosed with type 1 diabetes mellitus for symptoms associated with DKA. Which of the following will the nurse most likely see? (Select all that apply - Fruity breath odor - Polyuria - Increased appetite 16.) The nurse is caring for a client who is about to have immunotherapy initiated due to severe allergies. Knowing that this patient is being exposed to known allergies what interventions should the nurse implement to provide for client safety this allergy treatment? - Stay with the client and ensure that emergency equipment is in the room. 17.) The nurse is assessing the patient who has started to complain of muscle cramps and parethesias in his hands and feet. The nurse notes positive Chvostek sign… results is associated with which electrolyte disorder?- Hypocalcemia 18.) A patient has a tonic-clonic seizure while the nurse is in the patient’s room. Which action should the nurse take? -Time and observe and record the details of the seizure and postictal state 19.) To communicate effectively with a client who has sensorineural hearing loss caused by the natural aging process, the nurse should use which strategy to implement communication with the patient. (Select all that apply.) - Approach the client from the front - Turn down background noise from radio or TV before speaking. - Room should be well-lighted 20.) A nurse suspects anaphylaxis when caring for a client following the initial administration of an intravenous infusion of an antibiotic. Which of the following results ….. Hypotension - Angioedema - Tachycardia - Abdomen cramping 21.) Which intervention will the nurse include in the plan of care for a patient who has late-stage Alzheimer’s disease? - Maintain a consistent daily routine for the patient’s care 22.) A patient with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan - The patient will list three ways to protect the feet from injury by discharge 23.) Patient with renal failure who has been taking aluminum hydroxide/magnesium hydroxide suspension at home for ingestion- couldn’t see the rest- action should the nurse take first?. - Review the magnesium level on the patient’s chart. 24.) Which clinical manifestation is recognized by the nurse as an early warning for the client who experiences migraines with aura? - Visual disturbances 25.) The nurse is caring for a client with COPD and is reviewing the new ABG’s. Which of the following arterial blood gas values is considered to be fully compensated respiratory (alkalosis or acidosis couldn’t see) - pH 7.37, HC03- 36 mEq/L, PC02 65 mm Hg 26.) A nurse assessing a client that states she has leakage of small amounts of urine when attempting to get out of bed. The nurse should associate these findings as which kind of urinary incontinence? - Stress incontinence 27.) Which action by the nurse is most effective to prevent becoming exposed to the Human immunodeficiency virus? - Always use Standard Precautions with all clients in the workplace. 29.) A client has hypokalemia. Which question by the nurse obtains the most information on the possible cause- “Do you take diuretics or use laxatives 30.) The nurse assesses a client’s legs. Which assessment findings indicates arterial insufficiency? - Calf muscle pain with walking 31.) A client receiving care for a spinal cord injury complains of a pounding headache, flushed skin, cardiac dysthymias and has a blood pressure of 223/23 what action