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