NSG 123 HESI LATEST UPDATED 2024 FINAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+
What is gamma globulin and when is it used? - ANSWER-
Gamma globulin, which is an immune globulin, contains most of
the antibodies circulating in the blood. When injected into an
individual, it prevents a specific antigen from entering a host
cell. So the antigen is neutralized by the antibodies gamma
globulin supplies. Used when a pt is exposed to Hep A
A nurse is obtaining a health history from the newly admitted
client who has chronic pain in the knee. What should the nurse
include in the pain assessment? Select all that apply.
1
Pain history, including location, intensity, and quality of pain
2
Client's purposeful body movement in arranging the papers on
the bedside table
3
Pain pattern, including precipitating and alleviating factors
4
Vital signs, such as increased blood pressure and heart rate
,5
The client's family statement about increases in pain with
ambulation - ANSWER-1 & 3
Why not others?? Physiological responses such as elevated
blood pressure and heart rate are most likely to be absent in
the client with chronic pain. Pain is a subjective experience, and
therefore the nurse has to ask the client directly instead of
accepting the statement of the family members.
Pressure Ulcers and stages - ANSWER-stage I pressure ulcer- an
area of persistent redness with no break in skin integrity.
stage II pressure ulcer-partial-thickness wound with skin loss
involving the epidermis, dermis, or both; the ulcer is superficial
and may present as an abrasion, blister, or shallow crater
stage III pressure ulcer- full-thickness tissue loss with visible
subcutaneous fat. Bone, tendon, and muscle are not exposed.
stage IV- full thickness tissue loss with exposed bone, tendon,
muscle, bone (slough or eschar may be present within wound
bed)
unstageable- contains necrotic tissue, necrotic tissue must be
removed before the wound can be staged.
,While assessing a client's skin, a nurse notices that the skin is
dry. What is the probable etiology of the condition? Select all
that apply. - ANSWER-The use of hard soap and frequent
bathing may result in dry skin. A skin allergy may result in skin
rashes, but not dry skin. Using tanning pills and petroleum
products may result in skin cancer.
The community nurse is assessing an elderly client who lives
alone at home. the client refrains from physical activity for fear
of falling when walking. Which interventions by the nurse are
most beneficial to promote a healthy lifestyle? - ANSWER-
Encourage the client to wear nonskid shoes.
Suggest that the client use an assistive device.
Help the client rearrange furniture in the house.
Which features distinguish nursing diagnoses from medical
diagnoses? Select all that apply.
1
Nursing diagnoses involve the client when possible.
2
Nursing diagnoses are based on results of diagnostic tests and
procedures.
3
, Nursing diagnoses are the identification of a disease condition
in the client.
4
Nursing diagnoses involve the sorting of health problems within
the nursing domain.
5
Nursing diagnoses involve clinical judgment about the client's
response to health problems. - ANSWER-Nursing diagnoses
involve (client participation) the client when possible.
Nursing diagnoses involve the sorting of health problems within
the nursing domain.
Nursing diagnoses involve clinical judgment about the client's
response to health problems.
WRONG ANSWER:
Nursing diagnoses are based on results of diagnostic tests and
procedures.
WRONG ANSWER:
Nursing diagnoses are the identification of a disease condition
in the client.
A 50-year-old client with a 30-year history of smoking reports a
chronic cough and shortness of breath related to chronic
obstructive pulmonary disease (COPD). The clinical data on
COMPLETE QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+
What is gamma globulin and when is it used? - ANSWER-
Gamma globulin, which is an immune globulin, contains most of
the antibodies circulating in the blood. When injected into an
individual, it prevents a specific antigen from entering a host
cell. So the antigen is neutralized by the antibodies gamma
globulin supplies. Used when a pt is exposed to Hep A
A nurse is obtaining a health history from the newly admitted
client who has chronic pain in the knee. What should the nurse
include in the pain assessment? Select all that apply.
1
Pain history, including location, intensity, and quality of pain
2
Client's purposeful body movement in arranging the papers on
the bedside table
3
Pain pattern, including precipitating and alleviating factors
4
Vital signs, such as increased blood pressure and heart rate
,5
The client's family statement about increases in pain with
ambulation - ANSWER-1 & 3
Why not others?? Physiological responses such as elevated
blood pressure and heart rate are most likely to be absent in
the client with chronic pain. Pain is a subjective experience, and
therefore the nurse has to ask the client directly instead of
accepting the statement of the family members.
Pressure Ulcers and stages - ANSWER-stage I pressure ulcer- an
area of persistent redness with no break in skin integrity.
stage II pressure ulcer-partial-thickness wound with skin loss
involving the epidermis, dermis, or both; the ulcer is superficial
and may present as an abrasion, blister, or shallow crater
stage III pressure ulcer- full-thickness tissue loss with visible
subcutaneous fat. Bone, tendon, and muscle are not exposed.
stage IV- full thickness tissue loss with exposed bone, tendon,
muscle, bone (slough or eschar may be present within wound
bed)
unstageable- contains necrotic tissue, necrotic tissue must be
removed before the wound can be staged.
,While assessing a client's skin, a nurse notices that the skin is
dry. What is the probable etiology of the condition? Select all
that apply. - ANSWER-The use of hard soap and frequent
bathing may result in dry skin. A skin allergy may result in skin
rashes, but not dry skin. Using tanning pills and petroleum
products may result in skin cancer.
The community nurse is assessing an elderly client who lives
alone at home. the client refrains from physical activity for fear
of falling when walking. Which interventions by the nurse are
most beneficial to promote a healthy lifestyle? - ANSWER-
Encourage the client to wear nonskid shoes.
Suggest that the client use an assistive device.
Help the client rearrange furniture in the house.
Which features distinguish nursing diagnoses from medical
diagnoses? Select all that apply.
1
Nursing diagnoses involve the client when possible.
2
Nursing diagnoses are based on results of diagnostic tests and
procedures.
3
, Nursing diagnoses are the identification of a disease condition
in the client.
4
Nursing diagnoses involve the sorting of health problems within
the nursing domain.
5
Nursing diagnoses involve clinical judgment about the client's
response to health problems. - ANSWER-Nursing diagnoses
involve (client participation) the client when possible.
Nursing diagnoses involve the sorting of health problems within
the nursing domain.
Nursing diagnoses involve clinical judgment about the client's
response to health problems.
WRONG ANSWER:
Nursing diagnoses are based on results of diagnostic tests and
procedures.
WRONG ANSWER:
Nursing diagnoses are the identification of a disease condition
in the client.
A 50-year-old client with a 30-year history of smoking reports a
chronic cough and shortness of breath related to chronic
obstructive pulmonary disease (COPD). The clinical data on
