QUESTIONS AND ANSWERS.
An adolescent who was diagnosed with diabetes mellitus
Type 1 at the age of 9 is admitted to the hospital in diabetic
ketoacidosis. Which occurrence is the most likely cause of
ketoacidosis? - <,Answers>>>>had a cold and ear infection
for the past two days.
The nurse assesses a pt who had bilateral total knee
replacements four hours ago. The nurse notes that the dressing
on the right knee is saturated with serosanguineous drainage.
What action should the nurse implement? -
<,Answers>>>>Determine if the wound drainage device is
functioning correctly.
When providing patient care, the nurse sees a problem and
develops a related clinical question. Next, the nurse intends to
gather evidence so that the decision making process in
response to the problem and clinical question is evidence-
based. When gathering evidence, which consideration is most
important? - <,Answers>>>>Relevance to the situation
The nurse is auscultating a pt lung sounds. Which description
should the nurse use to document this sound? -
<,Answers>>>>High pitched or fine crackles
When admitting a pt with a dx of transient ischemic attack
(TIA), which intervention is most important for the nurse to
include in the client's plan of care? - <,Answers>>>>Initiate
neurological monitoring every 2 hours
, NGN EXIT HESI (ACTUAL 2024-2025)EXAM
QUESTIONS AND ANSWERS.
The nurse is developing a plan of care for a pt who reports
tingling of the feet and who is newly diagnosed with
peripheral vascular disease. Which outcome should the nurse
include in the plan of care for this client? -
<,Answers>>>>The pt blood pressure readings will be less
than 160/90
Prior to surgery, written consent must be obtained. Which is
the nurse's legal responsibility with regard to obtaining written
consent? - <,Answers>>>>Determine that the surgical consent
form has been signed and is included in the pt record
A client presents to the emergency dept with muscle aches,
headache, fever, and describes a recent loss of taste and smell.
The nurse obtains a swab for COVID -19 testing. Which
action is most important for the nurse to take? -
<,Answers>>>>place the nasal swab specimen for COVID 19
directly in a biohazard bag.
What might the nurse suggest to a pt with fibrocystic breasts
in an attempt to help relieve her symptoms? -
<,Answers>>>>increase high calcium foods in diet
The nurse is assessing a pt who reported falling 2 days ago
and has a history of gouty arthritis that is controlled with
allopurinol. The pt states the left knee is swollen and
extremely painful to the touch. Which instructions should the
nurse include in the discharge teaching? -
, NGN EXIT HESI (ACTUAL 2024-2025)EXAM
QUESTIONS AND ANSWERS.
<,Answers>>>>decrease consumption of red meat and most
seafood.
The nurse is teaching a group of women about osteoporosis
and exercise. The nurse should emphasize the need for which
type of regular activity? - <,Answers>>>>Weight bearing
exercise
A male client with cirrhosis has jaundice and pruritus. He tells
the nurse that he has been soaking in hot baths at night with
no relief of his discomfort. Which action should the nurse
take? - <,Answers>>>>Encourage the pt to use cooler water
and apply calamine lotion after soaking.
A pt with rheumatoid arthritis starts a new prescription for
subcutaneously once weekly. The nurse emphasizes the
importance of reporting which problem to the healthcare
provider? - <,Answers>>>>Joint stiffness
An adult female tells the nurse that though she is afraid that
her abusive boyfriend might one day kill her, she keeps
hoping that he will change. Which action should the nurse
take first? - <,Answers>>>>Explore the pt readiness to
discuss the situation
A male client approaches the nurse with an angry expression
on his face and raises his voice, saying, "My roommate is the