NSG 123-HESI FINAL EXAM | NEWEST n n n n n
ACTUAL EXAM COMPREHENSIVE QUE n n n
STIONS AND VERIFIED ANSWERS GRA n n n n
DED A+ | 100% CORRECT | 2024 UPDA
n n n n n n n
TE!!
A client with urolithiasis is preparing for discharge after lithotripsy. Which
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nintervention should the nurse include in the client's postoperative discha
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rge instructions?
n
A. Report when hematuria becomes pink tinged
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B. Use incentive spirometer
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C. Restrict physical activities n n
D. Monitor urinary stream for decrease in output -
n n n n n n n
n✔✔✔ Correct Answer > D. Monitor urinary stream for decrease i
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n output
n
A client with unstable asthma had an emergent cardiac catheterization.
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Which complication should the nurse monitor for in the initial 24 hours a
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fter the procedure? - ✔✔✔ Correct Answer > Thrombus formation
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A male client tells the clinic nurse that he is experiencing burning on urina
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tion, and assessment reveals that he had sexual intercourse four
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,days ago with a woman he casually met. Which action should the nurse im
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plement?
A. Observe the perineal area for a chancroid-like lesion
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B. Obtain a specimen of urethral drainage for culture
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C. Assess for perineal itching, erythema and excoriation
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D. Identify all sexual partners in the last four days -
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n✔✔✔ Correct Answer > B. Obtain a specimen of urethral drainag
n n n n n n n n n n
e for culture
n n
An older male client with long-
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standing lung disease is admitted to the medical unit for treatment of pul
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monary infection. In assessing for signs of increasing hypoxia, which actio
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n should the nurse include? (select all that apply)
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A. Monitor dryness of mucous membranes n n n n
B. Check for changes in mentation
n n n n
C. Observe color of skin and nailbeds n n n n n
D. Note appearance of jugular veins
n n n n
E. Assess breathing patterns -
n n n
n✔✔✔ Correct Answer > B. Check for changes in mentation.
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C. Observe color of skin and mucous.
n n n n n n
E. Assess breathing patterns
n n n
,An adult client is admitted with flank pain and is diagnosed with acute pye
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lonephritis. What is the priority nursing action?
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A. Auscultate for presence of bowl sounds.
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B. Monitor hemoglobin and hematocrit
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C. Encourage turning and deep breathing
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D. Administer IV antibiotics as prescribed. - ✔✔✔ Correct Answer >
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D. Administer IV antibiotics as prescribed
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A client with Addison's disease started taking hydrocortisone in a
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divided daily dose last week. It is most important for the nurse to
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monitor which serum laboratory value?
n n n n
A. Osmolarity
n
B. Glucose
n
C. Albumin
n
D. Platelets - ✔✔✔ Correct Answer > B. Glucose
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A male client with a history of asthma reports having episodes of broncho
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constriction and increased mucous production while exercising. Which ac
n n n n n n n n
tion should the nurse implement? -
n n n n n
n✔✔✔ Correct Answer > Determine if the client is using an inhaler befo
n n n n n n n n n n n n
re exercising
n
, After a transurethral resection of the prostate (TURP), a client has bloody
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urine output with large clots. The nurse implements the postoperative pr
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escription to irrigate the indwelling catheter PRN to maintain the cathete
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r's patency. Which action should the nurse implement? -
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n✔✔✔ Correct Answer > Clamp the catheter for 30 minutes prior to irri
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gating with saline n n
A fair-
n
skinned female client who is an avid runner is diagnosed with malignant
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melanoma, which is located on the lateral surface of the lower leg. After
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wide margin resection, the nurse provides discharge teaching. I t is most i
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mportant for the nurse to emphasize the need to observe for changes in
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which characteristic? n
A. Elasticity of the skin
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B. Appearance of any moles
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C. Muscle aches and pains
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D. Pigmentation of the skin -
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✔✔✔ Correct Answer > B. Appearance of any moles
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A healthcare worker with no known exposure to tuberculosis has receive
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d a Mantoux tuberculosis skin test. The nurse's assessment of the test aft
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er 62 hours indicates 5 mm of erythema without induration. What is the b
n n n n n n n n n n n n n
est initial nursing action? -
n n n n
n✔✔✔ Correct Answer > Document negative results in the client's med
n n n n n n n n n n
ical record n
ACTUAL EXAM COMPREHENSIVE QUE n n n
STIONS AND VERIFIED ANSWERS GRA n n n n
DED A+ | 100% CORRECT | 2024 UPDA
n n n n n n n
TE!!
A client with urolithiasis is preparing for discharge after lithotripsy. Which
n n n n n n n n n n
nintervention should the nurse include in the client's postoperative discha
n n n n n n n n n
rge instructions?
n
A. Report when hematuria becomes pink tinged
n n n n n
B. Use incentive spirometer
n n
C. Restrict physical activities n n
D. Monitor urinary stream for decrease in output -
n n n n n n n
n✔✔✔ Correct Answer > D. Monitor urinary stream for decrease i
n n n n n n n n n n
n output
n
A client with unstable asthma had an emergent cardiac catheterization.
n n n n n n n n n n
Which complication should the nurse monitor for in the initial 24 hours a
n n n n n n n n n n n n
fter the procedure? - ✔✔✔ Correct Answer > Thrombus formation
n n n n n n n n n
A male client tells the clinic nurse that he is experiencing burning on urina
n n n n n n n n n n n n n
tion, and assessment reveals that he had sexual intercourse four
n n n n n n n n n
,days ago with a woman he casually met. Which action should the nurse im
n n n n n n n n n n n n n
plement?
A. Observe the perineal area for a chancroid-like lesion
n n n n n n n
B. Obtain a specimen of urethral drainage for culture
n n n n n n n
C. Assess for perineal itching, erythema and excoriation
n n n n n n
D. Identify all sexual partners in the last four days -
n n n n n n n n n
n✔✔✔ Correct Answer > B. Obtain a specimen of urethral drainag
n n n n n n n n n n
e for culture
n n
An older male client with long-
n n n n n
standing lung disease is admitted to the medical unit for treatment of pul
n n n n n n n n n n n n
monary infection. In assessing for signs of increasing hypoxia, which actio
n n n n n n n n n n
n should the nurse include? (select all that apply)
n n n n n n n n
A. Monitor dryness of mucous membranes n n n n
B. Check for changes in mentation
n n n n
C. Observe color of skin and nailbeds n n n n n
D. Note appearance of jugular veins
n n n n
E. Assess breathing patterns -
n n n
n✔✔✔ Correct Answer > B. Check for changes in mentation.
n n n n n n n n n
C. Observe color of skin and mucous.
n n n n n n
E. Assess breathing patterns
n n n
,An adult client is admitted with flank pain and is diagnosed with acute pye
n n n n n n n n n n n n n
lonephritis. What is the priority nursing action?
n n n n n n
A. Auscultate for presence of bowl sounds.
n n n n n n
B. Monitor hemoglobin and hematocrit
n n n n
C. Encourage turning and deep breathing
n n n n n
D. Administer IV antibiotics as prescribed. - ✔✔✔ Correct Answer >
n n n n n n n n n n
D. Administer IV antibiotics as prescribed
n n n n n
A client with Addison's disease started taking hydrocortisone in a
n n n n n n n n n n
divided daily dose last week. It is most important for the nurse to
n n n n n n n n n n n n n
monitor which serum laboratory value?
n n n n
A. Osmolarity
n
B. Glucose
n
C. Albumin
n
D. Platelets - ✔✔✔ Correct Answer > B. Glucose
n n n n n n n n
A male client with a history of asthma reports having episodes of broncho
n n n n n n n n n n n n
constriction and increased mucous production while exercising. Which ac
n n n n n n n n
tion should the nurse implement? -
n n n n n
n✔✔✔ Correct Answer > Determine if the client is using an inhaler befo
n n n n n n n n n n n n
re exercising
n
, After a transurethral resection of the prostate (TURP), a client has bloody
n n n n n n n n n n n n
urine output with large clots. The nurse implements the postoperative pr
n n n n n n n n n n
escription to irrigate the indwelling catheter PRN to maintain the cathete
n n n n n n n n n n
r's patency. Which action should the nurse implement? -
n n n n n n n n
n✔✔✔ Correct Answer > Clamp the catheter for 30 minutes prior to irri
n n n n n n n n n n n n
gating with saline n n
A fair-
n
skinned female client who is an avid runner is diagnosed with malignant
n n n n n n n n n n n n
melanoma, which is located on the lateral surface of the lower leg. After
n n n n n n n n n n n n n
wide margin resection, the nurse provides discharge teaching. I t is most i
n n n n n n n n n n n n
mportant for the nurse to emphasize the need to observe for changes in
n n n n n n n n n n n n n
which characteristic? n
A. Elasticity of the skin
n n n n
B. Appearance of any moles
n n n n
C. Muscle aches and pains
n n n n
D. Pigmentation of the skin -
n n n n n
✔✔✔ Correct Answer > B. Appearance of any moles
n n n n n n n n n
A healthcare worker with no known exposure to tuberculosis has receive
n n n n n n n n n n
d a Mantoux tuberculosis skin test. The nurse's assessment of the test aft
n n n n n n n n n n n n
er 62 hours indicates 5 mm of erythema without induration. What is the b
n n n n n n n n n n n n n
est initial nursing action? -
n n n n
n✔✔✔ Correct Answer > Document negative results in the client's med
n n n n n n n n n n
ical record n
