HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2025-
2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
A female client presents in the emergency department and tells the nurse that she was raped last
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
night. Which question is most important for the nurse to ask?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Has she taken a bath since the rape occurred?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Is the place where she lives a safe place?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Does she know the person who raped her?
Il` Il` Il` Il` Il` Il` Il` Il`
D. Did she report the rape to the police department? - Correct Answers A. Has she taken a bath
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
since the rape occurred?
Il` Il` Il` Il`
Il` The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` meningitis and hydrocephalus. Which assessment finding is evidence that the child is Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` experiencing increased intracranial pressure (ICP)? Il` Il` Il` Il`
A. Tachycardia and tachypnea
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B. Sluggish and unequal pupillary responses
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C. Increased head circumference and bulging fontanels
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D. Blood pressure fluctuations and syncope - Correct Answers B. Sluggish and unequal pupillary
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responses
Il`
Il` A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` serum amylase. Which additional information is the client most likely to report to the nurse?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Abdominal pain decreases when lying supine
Il` Il` Il` Il` Il` Il`
B. Pain lasts an hour and leaves the abdomen tender
Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Right upper quadrant pain refers to right scapula
Il` Il` Il` Il` Il` Il` Il` Il`
D. Drinks alcohol until intoxicated at least twice weekly. - Correct Answers A. Abdominal pain
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
decreases when lying supine
Il` Il` Il` Il`
,Il` A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Which information is most important for the nurse to provide the parents prior to discharge?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Instructions about how much fluid the child should drink daily.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Signs of addiction to opioid pain medications
Il` Il` Il` Il` Il` Il` Il`
C. Information about non-pharmaceutical pain relief measures
Il` Il` Il` Il` Il` Il`
D. Referral for social services for the child and family - Correct Answers A. Instructions about how
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
much fluid the child should drink daily
Il` Il` Il` Il` Il` Il` Il`
Il` To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` location on the image with a red dot). - Correct Answers I placed the red dot on the base of the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` neck on the right side
Il` Il` Il` Il`
Il` After receiving report on an inpatient acute care unit, which client should the nurse assess first?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sounds
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C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
fluid
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D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity -
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Correct Answers D. The client with a bowel obstruction due to a volvulus who is experiencing
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
abdominal rigidity
Il` Il`
Il` A teenager presents to the emergency department with palpitations after vaping at a party. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` acid base imbalance?
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A. Respiratory acidosis
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B. Metabolic alkalosis
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C. Metabolic acidosis
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,D. Respiratory alkalosis - Correct Answers D. Respiratory alkalosis
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arrival,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the nurse should ensure that the client's bed is in which position?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. SupineIl`
B. supine; feet elevated higher than head
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C. supine; head elevated higher than feet
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D. Fowlers - Correct Answers Fowlers
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` information in the client's admission assessment is relevant to the nurse's plan for taking the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` blood pressure reading? (Select all the apply)
Il` Il` Il` Il` Il` Il`
A. Frequent syncope
Il` Il`
B. Occasional nocturia
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C. Flat affect
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D. Blurred vision
Il` Il`
E. Frequent drooling - Correct Answers A. Frequent syncope
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C. Flat affect
Il` Il`
D. Blurred vision
Il` Il`
Il` While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` wound. Before reporting this finding to the healthcare provider, the nurse should review which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the client's laboratory values?
Il` Il` Il`
A. Serum albumin
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B. Culture for sensitive organisms
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C. Serum blood glucose level
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D. Creatinine level - Correct Answers B. Culture for sensitive organisms
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
, Il` A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` near-drowning incident. While providing care to the child, the nurse begins talking with his Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse notices the older boy becomes withdrawn when asked about what happened. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` action should the nurse take? Il` Il` Il` Il`
A. Develop a water safety teaching plan for the family
Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Ask the older brother how he felt during the incident
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Tell the older brother that he seems depressed
Il` Il` Il` Il` Il` Il` Il` Il`
D. Commend the older brother for his heroic actions - Correct Answers B. Ask the older brother
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
how he felt during the incident
Il` Il` Il` Il` Il` Il`
Il` A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` in hot baths at night with no relief of his discomfort. Which action should the nurse take?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Encourage the client to use cooler water and apply calamine lotion after soaking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Suggest that the client take brief showers and apply oil-based lotion after showering
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
D. Explain that the symptoms are caused by liver damage and cannot be relieved - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Answers A. Encourage the client to use cooler water and apply calamine lotion after soaking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the nurse expected in the client with acute HF?
Il` Il` Il` Il` Il` Il` Il` Il`
A. Increased cardiac contractility
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B. Reduced preload
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C. Relaxed vascular tone
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D. Decreased afterload - Correct Answers B. Reduced preload
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2026/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
A female client presents in the emergency department and tells the nurse that she was raped last
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
night. Which question is most important for the nurse to ask?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Has she taken a bath since the rape occurred?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Is the place where she lives a safe place?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Does she know the person who raped her?
Il` Il` Il` Il` Il` Il` Il` Il`
D. Did she report the rape to the police department? - Correct Answers A. Has she taken a bath
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
since the rape occurred?
Il` Il` Il` Il`
Il` The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` meningitis and hydrocephalus. Which assessment finding is evidence that the child is Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` experiencing increased intracranial pressure (ICP)? Il` Il` Il` Il`
A. Tachycardia and tachypnea
Il` Il` Il`
B. Sluggish and unequal pupillary responses
Il` Il` Il` Il` Il`
C. Increased head circumference and bulging fontanels
Il` Il` Il` Il` Il` Il`
D. Blood pressure fluctuations and syncope - Correct Answers B. Sluggish and unequal pupillary
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
responses
Il`
Il` A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` serum amylase. Which additional information is the client most likely to report to the nurse?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Abdominal pain decreases when lying supine
Il` Il` Il` Il` Il` Il`
B. Pain lasts an hour and leaves the abdomen tender
Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Right upper quadrant pain refers to right scapula
Il` Il` Il` Il` Il` Il` Il` Il`
D. Drinks alcohol until intoxicated at least twice weekly. - Correct Answers A. Abdominal pain
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
decreases when lying supine
Il` Il` Il` Il`
,Il` A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Which information is most important for the nurse to provide the parents prior to discharge?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Instructions about how much fluid the child should drink daily.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Signs of addiction to opioid pain medications
Il` Il` Il` Il` Il` Il` Il`
C. Information about non-pharmaceutical pain relief measures
Il` Il` Il` Il` Il` Il`
D. Referral for social services for the child and family - Correct Answers A. Instructions about how
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
much fluid the child should drink daily
Il` Il` Il` Il` Il` Il` Il`
Il` To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` location on the image with a red dot). - Correct Answers I placed the red dot on the base of the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` neck on the right side
Il` Il` Il` Il`
Il` After receiving report on an inpatient acute care unit, which client should the nurse assess first?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. The client with an obstruction of the large intestine who is experiencing abdominal distention
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sounds
Il`
C. The client with a small bowel obstruction who has a nasogastric tube that is draining greenish
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
fluid
Il`
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity -
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Correct Answers D. The client with a bowel obstruction due to a volvulus who is experiencing
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
abdominal rigidity
Il` Il`
Il` A teenager presents to the emergency department with palpitations after vaping at a party. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` acid base imbalance?
Il` Il`
A. Respiratory acidosis
Il` Il`
B. Metabolic alkalosis
Il` Il`
C. Metabolic acidosis
Il` Il`
,D. Respiratory alkalosis - Correct Answers D. Respiratory alkalosis
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arrival,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the nurse should ensure that the client's bed is in which position?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. SupineIl`
B. supine; feet elevated higher than head
Il` Il` Il` Il` Il` Il`
C. supine; head elevated higher than feet
Il` Il` Il` Il` Il` Il`
D. Fowlers - Correct Answers Fowlers
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` information in the client's admission assessment is relevant to the nurse's plan for taking the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` blood pressure reading? (Select all the apply)
Il` Il` Il` Il` Il` Il`
A. Frequent syncope
Il` Il`
B. Occasional nocturia
Il` Il`
C. Flat affect
Il` Il`
D. Blurred vision
Il` Il`
E. Frequent drooling - Correct Answers A. Frequent syncope
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Flat affect
Il` Il`
D. Blurred vision
Il` Il`
Il` While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` wound. Before reporting this finding to the healthcare provider, the nurse should review which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the client's laboratory values?
Il` Il` Il`
A. Serum albumin
Il` Il`
B. Culture for sensitive organisms
Il` Il` Il` Il`
C. Serum blood glucose level
Il` Il` Il` Il`
D. Creatinine level - Correct Answers B. Culture for sensitive organisms
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
, Il` A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` near-drowning incident. While providing care to the child, the nurse begins talking with his Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse notices the older boy becomes withdrawn when asked about what happened. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` action should the nurse take? Il` Il` Il` Il`
A. Develop a water safety teaching plan for the family
Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Ask the older brother how he felt during the incident
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Tell the older brother that he seems depressed
Il` Il` Il` Il` Il` Il` Il` Il`
D. Commend the older brother for his heroic actions - Correct Answers B. Ask the older brother
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
how he felt during the incident
Il` Il` Il` Il` Il` Il`
Il` A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` in hot baths at night with no relief of his discomfort. Which action should the nurse take?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Encourage the client to use cooler water and apply calamine lotion after soaking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Suggest that the client take brief showers and apply oil-based lotion after showering
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
D. Explain that the symptoms are caused by liver damage and cannot be relieved - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Answers A. Encourage the client to use cooler water and apply calamine lotion after soaking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the nurse expected in the client with acute HF?
Il` Il` Il` Il` Il` Il` Il` Il`
A. Increased cardiac contractility
Il` Il` Il`
B. Reduced preload
Il` Il`
C. Relaxed vascular tone
Il` Il` Il`
D. Decreased afterload - Correct Answers B. Reduced preload
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
