NSG 222 HESI FINAL Newest 2025 Actual Exam Complete
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What should the nurse teach a new mother about breastfeeding?
........answer.......(Content not provided in notes, but typical information
includes techniques, frequency, and benefits of breastfeeding.)
What suggestion should a nurse provide to a client experiencing discomfort
from engorged breasts? ........answer.......Wear a supportive bra at all times.
What is the most important action for a nurse to prevent bleeding in a
neonate during the first hour after birth? ........answer.......Administer
phytonadione (Vitamin K) IM.
What intervention should a nurse implement when administering oral
medication to a reluctant preschool-age boy? ........answer.......Use a
straightforward approach with the child.
Which type of anesthesia produces a loss of sensation only to the vagina and
perineum during labor? ........answer.......Pudendal block.
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What intervention should a nurse implement to ensure safe
thermoregulation for a newborn under a radiant warmer?
........answer.......Place the temperature probe on the abdomen in line with
the radiant heat source.
What is the best action for a nurse to assist a client with a history of
domestic assault? ........answer.......Develop a plan for initiating a rapid exit.
What should the nurse implement first for a child who stepped on a rusty
nail? ........answer.......Cleanse the foot with soap and water and apply an
antibiotic ointment.
What assessment finding indicates normal function of a VP shunt in a child
with hydrocephalus? ........answer.......The child reports no evidence of
continuous headaches.
What is the purpose of the second hand during fundal massage in
postpartum assessment? ........answer.......Anchors the lower uterine segment.
What intervention should the nurse implement for a 5-month-old with TOF
who has rapid breathing? ........answer.......Auscultate heart and lungs while
the infant is held.
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What is the most important assessment action for a newborn who was
precipitously delivered and is tremulous? ........answer.......Obtain a drug
screen for cocaine.
What acid-base imbalance might an adolescent with fever and right
quadrant pain develop? ........answer.......Metabolic acidosis.
What physiological mechanism provides protection against communicable
diseases in newborns? ........answer.......Passive immunity in the first months
of life.
What is the most important prescription for a male infant with fever and
diarrhea who refuses to drink? ........answer.......Infuse normal saline
intravenously.
What instruction should the nurse provide to a client at 34 weeks' gestation
traveling by commercial airline? ........answer.......Perform ankle flexion and
extension several times throughout the trip.
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What is the chance of a new baby having PKU if the first child has the
disease? ........answer.......Each pregnancy has a 25% chance of resulting in a
child with PKU disease.
What equipment should the nurse assemble for a vaginal examination to
assess cervical dilation? ........answer.......Sterile glove and lubricant.
What nutritional information should be provided to the mother of a 6-
month-old regarding solid food introduction? ........answer.......Food should
be introduced into a child's diet one at a time, at 4-to-7-day intervals.
What should a nurse instruct a multigravida client receiving oxytocin IV for
labor augmentation who requests pain medication? ........answer.......Instruct
the client to use deep breathing during a contraction.
What should a nurse do when an infant with tetralogy of Fallot becomes pale
and cyanotic during a blood draw? ........answer.......Situate the infant in a
knee-chest position.