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2024NGNHESIEXITATIOBExamquestionsandanswers
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astaffnurseisobservinganewlylicensednursesuctionaclient’s
tracheotomywhichofthefollowingactionsbythenewlylicensednurserequires
interventionbythestaffnurse
1.waittwominutesbetweensuctions
2.insertthecatheterwithoutapplyingsuction
3.appliessuctionfor15seconds
4.encouragetheclienttocoughduringsuction
anurseispreparingtoadministeramedicationthatisavailableinaglass
ampulewhichofthefollowingactionstothenurseplanstotake
1.thenurseshouldusethesameneedletodrawupandinjecttheclient
2.thenurseshoulddisposeoftheampuleinthetrashcan
3.thenurseshoulduseafilterneedletowithdrawthemedication
4.thenurseshouldbreaktheneckoftheampuletowardtheirbody
Anurseiscaringforaclientwhohasanincreasedintracranialpressure
followingatraumaticbraininjurywhichofthefollowingactionstothenurse
takeselectallthatapply
1.administersstoolsoftenerstotheclient
2.obtainclientvitalsignseveryeighthours
3.maintaintheheadofthebedelevatedat30-
degreeangle4.provideaquietenvironmentfor
theclient
5.encouragetheclienttocoughanddeepbreathingexercises
Rational:30/45dreeanglekeepthebed,administeroxygen,administer
meds,decreaseenvironmentalstimuli
Anurseinamentalhealthfacilityiscaringforaclientwhois
experiencingpaniclevelanxietywhichofthefollowingactionsshouldthe NGNHESIEXITATIOBExamquestionsandanswers
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2024nursetake
1.useshortsentenceswhencommunicatingwiththeclient
2.telltheclienttositaloneinaprivateplaceandreflectonthesituation
3.havetheclientJournalaboutwhatishappeningtohim
4.encouragetheclienttotalkabouthisfeelings
nurseisreviewingthelaboratoryreportofaclientwhohasbeen
receivingLITHIUMcarbonateForthepast12monthsdinnersnotesalithium
levelof0.8whichofthefollowingordersfromtheprovidershouldthenurse
expect
1.withholdthenextdose
2.increasethedosage
3.discontinuethe
medication4.administer
themedication
nurseinanemergencyDepartmentiscaringforaclientwhohasclosed
headinjurywhichofthefollowingactionstonursetakefirst
1.administermannitolIVtotheclient
2.determinetheclientsGlasgowcomascalescore
3.insertanindwellingurinarycathetertotheclient
4.preparetheclientforanMRItothebrain
nurseisprovidingtheauthoritiesintoaclientwhohasendstagekidney
diseaseandapotassiumlevelof6whichofthefollowingisthebestfoodfor
thenursetorecommendtheclient
1.1Cupofcubed
cantaloupe2.onelarge
hardboiledegg
3.1Cupofdicedwhitepotatoes
4.onelargeavocado
Anurseisplanningcareforaclientwhosustainedamajorburn20%ofthebody
whichofthefollowinginterventionsshouldthenurseincludetosupportthe
client'snutritionalrequirements
1.providealowproteindiet,highcarbohydratediet NGNHESIEXITATIOBExamquestionsandanswers
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20242.schedulemealsat6-hourintervals
3.keepacaloriecountforfoodand
beverages4.maintaincalorieintakeat
1,500perday
Nurseisassessingaclientwhois2hourspostpartumforuterineatony.whichof
thefollowingactionsshouldthenursetake
1.monitortheclient’surinaryoutput
2.evaluateclientspain
level3.palpatethe
client’sfundus
4.checktheclient'svitalsigns
Inoticeisassessingwithfoodselectionforaclientfollowingkosherdietarywhich
ofthefollowingfoodchoicesshouldthenurseindicatefortheclient’sfoodtray
scrambledeggsandtoastwithmilk
ahealthnurseispreparingtomakeaninitialvisittoafamilyfollowingareferral
fromalocalprovideridentifythesequenceofstepsthenurseshouldfollow
whenconductingahomevisit
1-clarifythereasonforthereferralwiththeprovidersoffice
2-contactthefamilytodetermineavailabilityandreadinesstomake
anappointment3-identifyfamilyneedsaninterventionusingthe
nursingprocess
4-discussplansforthefuturevisitswiththefamily
5-recordinformationaboutthehomevisitaccordingtotheagencypolicy
Nurseispreparingtoinitiateintravenousfluidsviainfusionpumpforaclient
whichofthefollowingactionsshouldthenursetake
1.verifythattheextensioncordforthepumpisungrounded
2.checktheexpirationdateonthesafetyinspectionstickerofthepump
3.obtainasearchprotectorthatcanaccommodatethepumpandseveral NGNHESIEXITATIOBExamquestionsandanswers
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4.reportthepumphasafrayedcourtandproceedwithinfusion
Nurseisteachingaclientwhohasheartfailureaboutengaginginexercise
programwhichofthefollowingstatementsbytheclientindicatesan
understandingoftheteaching
1.IwillmakesureIcanstilltalkwhileexercising
2.IwillslowmywalkingpaceifIexperiencechestpain
3.Iwillwait30minutesaftereatingbeforeexercising
4.Iwillworktoachieve60minutesofexerciseeachday
nurseiscaringforaclientwhoisexperiencingadiazepamoverdose
whichofthefollowingmedicationsshouldthenurseadminister
1.naloxone
2.dilsufira
n3.
flumazenil
4.naltrexenon
nurseiscaringforaclientwhohasseverehypertensionandistoreceive
nitroprussideviacontinueIVinfusion
1.Keepcalciumgluconateattheclient's
bedside2.protecttheIVbagfrom
exposuretolight
3.attachainlinefiltertotheIVtubbing
4.monitorbloodpressureeverytwohours
4.anurseispreparingtoperformadressingchangeonapreschoolerwhichof
thefollowingactionstothenursetaketopreparethechildfortheprocedure
1.limitteachingsessionsabouttheprocedureto20minutes
2.asktheparentstowaitoutsidetheroomduringthe
procedure3.explaininsimpletermshowthe
procedurewillaffectthechild
4.instructthechildindeepbreathingmethodspriortotheprocedure