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BSN HESI 366 RN EXIT With NGN Test
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The nurse is providing teaching to a client with type 2 DM about important points for disease
and symptom management. Which statement by the client indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses –
Correct Answer :B) Get an eye exam with an opthalmologist annually
The nurse is providing educations to a client who experiences recurrent levels of moderate
anxiety to situations and perceived stress. In addition to informations about prescribed
medications and administration, which instruction should the nurse include in the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - Correct Answer :C) Practice using muscle relaxation
techniques
The daughter of an older woman who has Parkinson's disease, call the clinic and reports that her
mother has been confused for the past week. Which actions should the nurse take? SATA.
A) Encourage increased intake of high protein foods.
B) Instructed the daughter to check her mothers temperature.
C) Determine if the mother has recently experienced a fall.
D) Ask if the mother is experiencing any pain with urination.
E) Review the clients current food and medication allergies
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. - Correct Answer :B) Instructed the daughter to check her mothers temperature.
C) Determine if the mother has recently experienced a fall.
D) Ask if the mother is experiencing any pain with urination.
The nurse is preparing a four day old infant with a serum bilirubin level of 19 for discharge from
the hospital. When teaching the parents about home photo therapy, which instruction should
the nurse include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
- Correct Answer :D) Reposition the infant every two hours.
The nurse is teaching an older client about the prevention of osteoporosis. Which foods should
the nurse recommend to the client to increase in the diet?
A) Fresh fruits and vegetables.
B) Iron-rich meats.
C) Water and herbal teas.
D) Low-fat dairy products. - Correct Answer :D) Low-fat dairy products.
Adult female client tells the nurse that though she is afraid her abusive boyfriend might one day
kill her, she keeps hoping that he will change. Which action should the nurse take first?
A) Report the findings to the police department.
B) Explore client's readiness to discuss the situation.
C) Determines the frequency and type of client abuse.
D) Discussed treatment options for abusive partners. - Correct Answer :B) Explore client's
readiness to discuss the situation.
When conducting an admission assessment, the nurse notes that an adult female client has
developed new allergies since her last admission. The client describes herself as lactose
intolerant and states that she is unable to eat eggs. Which intervention should the nurse
implement? SATA.
A) Ask the client to describe her reaction to milk and eggs.
B) Add egg allergy to clients identification armband.
C) Eliminate the chicken selections from the clients menu.
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D) Notify the dietary department of the clients egg intolerance.
E) Enter new allergy information in the clients electronic medical record. - Correct Answer :B)
Add egg allergy to clients identification armband.
D) Notify the dietary department of the clients egg intolerance.
E) Enter new allergy information in the clients electronic medical record.
The blood pressure readings obtained by a unlicensed assistive personnel (UAP) are
consistently different from those obtained by other staff members. What action should
the charge nurse take first?
1. Counsel the UAP about the inaccurate blood pressure readings.
2. Observe the UAP performing blood pressure measurements.
3. Make staff members aware of the possible errors in blood pressure readings.
4. Ask the education department to provide additional training for the UAP.
- Correct Answer :2. Observe the UAP performing blood pressure measurements.
Which assessment is most important for the nurse to implement when performing a
comprehensive assessment for an older adult?
1. Chronic illnesses.
2. Functional abilities.
3. Immunologic function.
4. Physical signs of aging.
- Correct Answer :2. Functional abilities.
When preparing to insert an indwelling urinary catheter, the nurse applies sterile gloves
and then tests the catheter balloon for patency. What action should the nurse implement
next?
1. Place a sterile drape under the client's buttocks.
2. Instruct the client to inhale and then exhale slowly.
3. Discard the gloves and apply new sterile gloves.
4. Apply a sterile lubricant to the end of the catheter.
- Correct Answer :4. Apply a sterile
lubricant to the end of the catheter.
A client is receiving an intramuscular injection at the ventrogluteal site. At what angle
should the nurse insert the needle? (Enter numeric value only.)
- Correct Answer :90
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The nurse asks an older female client with cognitive impairment who has been
hospitalized for three days how her previous evening was. The client replies, "I had the
best time. My husband took me out to dinner and then to a concert. The music was
wonderful." Which term should the nurse document to best describe the client's
response?
1. Delusions.
2. Confabulation.
3. Concretization.
4. Circumstantiality.
- Correct Answer :2. Confabulation.
A client has a precipitous delivery attended only by the nurse. What nursing intervention
has the highest priority?
1. Ensure an adequate airway in the newborn.
2. Massage the uterine fundus until it is firm.
3. Clamp and cut the umbilical cord.
4. Assess for signs of placental detachment.
- Correct Answer :1. Ensure an adequate airway in
the newborn.
Which action should the nurse take first when performing tracheostomy care?
1. Cleanse around the stoma.
2. Suction the tracheostomy.
3. Oxygenate with 100% oxygen.
4. Secure the new neck strap.
- Correct Answer :3. Oxygenate with 100% oxygen.
A client at 13-weeks gestation is scheduled for an amniocentesis in one week. The
nurse knows that the primary reason for conducting this procedure is to obtain what
information?
1. Level of fetal lung maturity.
2. Presence of genetic disorders.
3. Quantification of alpha-fetoprotein levels.
4. Determination of gestational age.
- Correct Answer :2. Presence of genetic disorders.
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