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HESI RN EXIT EXAM QUESTIONS AND VERIFIED ANSWERS
Inrhplanningrhcarerhforrharh 6 rhmonth- oldrhinfant,rhwhatrhmustrhtherhnurserhproviderhtorhassistrhinrhtherhdevelopmentrhofrh trust? A)rhFood B)rhWarmth C)rhSecurity D)rhComfortrh-rhanswersC)rhSecurity Arhnurserhhasrhjustrhreceivedrharhmedicationrhorderrhwhichrhisrhnotrhlegible.rhWhichr hstatementrhbestrhreflectsrhassertiverhcommunication? A)rh"Irhcannotrhgiverhthisrhmedicationrhasrhitrhisrhwritten.rhIrhhaverhnorhidearhofrhwh atrhyourhmean." B)rh"WouldrhyourhpleaserhclarifyrhwhatrhyourhhaverhwrittenrhsorhIrhamrhsurerhIrhamr hreadingrhit correctly?" C)rh"Irhamrhhavingrhdifficultyrhreadingrhyourrhhandwriting.rhItrhwouldrhsaverhmerhtime rhifrhyourhwouldrhberhmorerhcareful." D)rh"PleaserhprintrhinrhtherhfuturerhsorhIrhdorhnotrhhaverhtorhspendrhextrarhtimerhatt emptingrhtorhreadrhyourrhwriting."rh- rhanswersB)rh"WouldrhyourhpleaserhclarifyrhwhatrhyourhhaverhwrittenrhsorhIrhamrhsur erhIrhamrhreadingrhit correctly?" Whatrhisrhtherhmostrhimportantrhconsiderationrhwhenrhteachingrhparentsrhhowrhtorhr educerhrisksrhinrhtherhhome? A)rhAgerhandrhknowledgerhlevelrhofrhtherhparents
B)rhProximityrhtorhemergencyrhservices C)rhNumberrhofrhchildrenrhinrhtherhhome D)rhAgerhofrhchildrenrhinrhtherhhomerh- rhanswersD)rhAgerhofrhchildrenrhinrhtherhhome Arh 35 rhyear- oldrhclientrhwithrhsicklerhcellrhcrisisrhisrhtalkingrhonrhtherhtelephonerhbutrhstopsrhasrh therhnurserhentersrhtherhroomrhtorhrequestrhsomethingrhforrhpain.rhTherhnurserhshoul d A)rhAdministerrharhplacebo B)rhEncouragerhincreasedrhfluidrhintake C)rhAdministerrhtherhprescribedrhanalgesia D)rhRecommendrhrelaxationrhexercisesrhforrhpainrhcontrolrh- rhanswersC)rhAdministerrhtherhprescribedrhanalgesia Whilerhcaringrhforrharhtoddlerrhwithrhcroup,rhwhichrhinitialrhsignrhofrhcrouprhrequiresr htherhnurse'srhimmediaterhattention? A)rhRespiratoryrhraterhofrh 42 B)rhLethargyrhforrhtherhpastrhhour C)rhApicalrhpulserhofrh 54 D)rhCoughingrhuprhcopiousrhsecretionsrh-rhanswersA)rhRespiratoryrhraterhofrh 42 ArhclientrhisrhadmittedrhwithrhlowrhT3rhandrhT4rhlevelsrhandrhanrhelevatedrhTSHrhlev el.rhOnrhinitialrhassessment,rhtherhnurserhwouldrhanticipaterhwhichrhofrhtherhfollowing rhassessmentrhfindings? A)rhLethargy B)rhHeatrhintolerance C)rhDiarrhea D)rhSkinrheruptionsrh-rhanswersA)rhLethargy
Whichrhofrhtheserhclientsrhwhorharerhallrhinrhtherhterminalrhstagerhofrhcancerrhisrhlea strhappropriaterhtorhsuggestrhtherhuserhofrhpatientrhcontrolledrhanalgesiarh(PCA)rhwith rharhpump? A)rhArhyoungrhadultrhwithrharhhistoryrhofrhDown'srhsyndrome B)rhArhteenagerrhwhorhreadsrhatrharh4thrhgraderhlevel C)rhAnrhelderlyrhclientrhwithrhnumerousrharthriticrhnodulesrhonrhtherhhands D)rhArhpreschoolerrhwithrhintermittentrhepisodesrhofrhalertnessrh- rhanswersD)rhArhpreschoolerrhwithrhintermittentrhepisodesrhofrhalertness Therhnurserhisrhaboutrhtorhassessrharh 6 rhmonth-oldrhchildrhwithrhnonorganicrhfailure- torhthriverh(NOFTT).rhUponrhenteringrhtherhroom,rhtherhnurserhwouldrhexpectrhtherhb abyrhtorhbe A)rhIrritablerhandrh"colicky"rhwithrhnorhattemptsrhtorhpullrhtorhstanding B)rhAlert,rhlaughingrhandrhplayingrhwithrharhrattle,rhsittingrhwithrhsupport C)rhSkinrhcolorrhduskyrhwithrhpoorrhskinrhturgorrhoverrhabdomen D)rhPale,rhthinrharmsrhandrhlegs,rhuninterestedrhinrhsurroundingsrh- rhanswersD)rhPale,rhthinrharmsrhandrhlegs,rhuninterestedrhinrhsurroundings Asrhtherhnurserhisrhspeakingrhwithrharhgrouprhofrhteensrhwhichrhofrhtheserhsiderheffe ctsrhofrhchemotherapyrhforrhcancerrhwouldrhtherhnurserhexpectrhthisrhgrouprhtorhber hmorerhinterestedrhinrhduringrhtherhdiscussion?rh A)rhMouthrhsores B)rhFatigue C)rhDiarrhea D)rhHairrhlossrh-rhanswersD)rhHairrhloss Whilerhcaringrhforrharhclientrhwhorhwasrhadmittedrhwithrhmyocardialrhinfarctionrh(MI)r h 2 rhdaysrhago,rhtherhnurserhnotesrhtoday'srhtemperaturerhisrh101.1rhdegreesrhFahrenh eitrh(38.5rhdegreesCelsius).rhTherhappropriaterhnursingrhinterventionrhisrhto A)rhCallrhtherhhealthrhcarerhproviderrhimmediately
B)rhAdministerrhacetaminophenrhasrhorderedrhasrhthisrhisrhnormalrhatrhthisrhtime C)rhSendrhblood,rhurinerhandrhsputumrhforrhculturerh D)rhIncreaserhtherhclient'srhfluidrhintakerh- rhanswersB)rhAdministerrhacetaminophenrhasrhorderedrhasrhthisrhisrhnormalrhatrhthisr htime Arhclientrhisrhadmittedrhforrhfirstrhandrhsecondrhdegreerhburnsrhonrhtherhface,rhneck,r hanteriorrhchestrhandrhhands.rhTherhnurse'srhpriorityrhshouldrhbe A)rhCoverrhtherhareasrhwithrhdryrhsterilerhdressings B)rhAssessrhforrhdyspnearhorrhstridor C)rhInitiaterhintravenousrhtherapyrh D)rhAdministerrhpainrhmedicationrh-rhanswersB)rhAssessrhforrhdyspnearhorrhstridor Whichrhofrhtheserhclientsrhwhorhcallrhtherhcommunityrhhealthrhclinicrhwouldrhtherhnu rserhaskrhtorhcomerhinrhthatrhdayrhtorhberhseenrhbyrhtherhhealthrhcarerhprovider? A)rhIrhstartedrhmyrhperiodrhandrhnowrhmyrhurinerhhasrhturnedrhbrightrhred. B)rhIrhamrhanrhdiabeticrhandrhtodayrhIrhhaverhbeenrhgoingrhtorhtherhbathroomrhevery rhhour. C)rhIrhwasrhstartedrhonrhmedicinerhyesterdayrhforrharhurinerhinfection.rhNowrhmyrhlo werrhbellyrhhurtsrhwhenrhIrhgorhtorhtherhbathroom. D)rhIrhwentrhtorhtherhbathroomrhandrhmyrhurinerhlookedrhveryrhredrhandrhitrhdidn'tr hhurtrhwhenrhIrhwent.rh- rhanswersD)rhIrhwentrhtorhtherhbathroomrhandrhmyrhurinerhlookedrhveryrhredrhandrhi trhdidn'trhhurtrhwhenrhIrhwent. Whichrhofrhtheserhparents'rhcommentrhforrharhnewbornrhwouldrhmostrhlikelyrhrevealr hanrhinitialrhfindingrhofrharhsuspectedrhpyloricrhstenosis? A)rhIrhnoticedrharhlittlerhlumprharhlittlerhaboverhtherhbellyrhbutton. B)rhTherhbabyrhseemsrhhungryrhallrhtherhtime. C)rhMildrhvomitingrhthatrhprogressedrhtorhvomitingrhshootingrhacrossrhtherhroom.rh
ArhHispanicrhclientrhinrhtherhpostpartumrhperiodrhrefusesrhtherhhospitalrhfoodrhbecaus erhitrhis "cold."rhTherhbestrhinitialrhactionrhbyrhtherhnurserhisrhto A)rh1Haverhtherhunlicensedrhassistiverhpersonnelrh(UAP)rhreheatrhtherhfoodrhifrhtherhc lientrhwishes B)rhAskrhtherhclientrhwhatrhfoodsrharerhacceptablerhorrhbad C)rhEncouragerhherrhtorheatrhforrhhealingrhandrhstrength D)rhSchedulerhtherhdietitianrhtorhmeetrhwithrhtherhclientrhasrhsoonrhasrhpossiblerh- rhanswersB)rhAskrhtherhclientrhwhatrhfoodsrharerhacceptablerhorrhbad Therhfatherrhofrhanrh 8 rhmonth- oldrhinfantrhasksrhtherhnurserhifrhhisrhinfant'srhvocalizationsrhare normalrhforrhhisrhage.rhWhichrhofrhtherhfollowingrhwouldrhtherhnurserhexpectrhatrhthi srhage?rh A)rhCooing B)rhImitationrhofrhsounds C)rhThroatyrhsounds D)rhLaughterrh-rhanswersB)rhImitationrhofrhsounds Therhnurserhshouldrhrecognizerhthatrhphysicalrhdependencerhisrhaccompaniedrhbyrhwh at findingsrhwhenrhalcoholrhconsumptionrhisrhfirstrhreducedrhorrhended?rh A)rhSeizures B)rhWithdrawal C)rhCraving D)rhMarkedrhtolerancerh-rhanswersB)rhWithdrawal Immediatelyrhfollowingrhanrhacuterhbatteringrhincidentrhinrharhviolentrhrelationship,rht he battererrhmayrhrespondrhtorhtherhpartner'srhinjuriesrhby
A)rhSeekingrhmedicalrhhelprhforrhtherhvictim'srhinjuries B)rhMinimizingrhtherhepisoderhandrhunderestimatingrhtherhvictim'srhinjuriesrh C)rhContactingrharhcloserhfriendrhandrhaskingrhforrhhelp D)rhBeingrhveryrhremorsefulrhandrhassistingrhtherhvictimrhwithrhmedicalrhcarerh- rhanswersB)rhMinimizingrhtherhepisoderhandrhunderestimatingrhtherhvictim'srhinjuries Arhclientrhwithrhpneumococcalrhpneumoniarhhadrhbeenrhstartedrhonrhantibioticsrh 16 rh hoursrhago.Duringrhtherhnurse'srhinitialrheveningrhroundsrhtherhnurserhnoticesrharhfoul rhsmellrhinrhtherhroom.rhTherhclientrhmakesrhallrhofrhtheserhstatementsrhduringrhtheir rhconversation.rhWhichrhstatementrhwouldrhalertrhtherhnurserhtorharhcomplication? A)rh"IrhhaverharhsharprhpainrhinrhmyrhchestrhwhenrhIrhtakerharhbreath. "B)rh"Irhhaverhbeenrhcoughingrhuprhfoul-tasting,rhbrown,rhthickrhsputum. "rhC)rh"Irhhaverhbeenrhsweatingrhallrhday. "D)rh"Irhfeelrhhotrhoffrhandrhon."rh-rhanswers"B)rh"Irhhaverhbeenrhcoughingrhuprhfoul- tasting,rhbrown,rhthickrhsputum. Therhnurserhisrhperformingrhanrhassessmentrhonrharhclientrhinrhcongestiverhheartrhfail ure.rhAuscultationrhofrhtherhheartrhisrhmostrhlikelyrhtorhreveal A)rhS3rhventricularrhgallop B)rhApicalrhclick C)rhSystolicrhmurmurrh D)rhSplitrhS2rh-rhanswersA)rhS3rhventricularrhgallop Whichrhofrhtheserhobservationsrhmaderhbyrhtherhnurserhduringrhanrhexcretoryrhurogra mrhindicaterharhcomplicaton? A)rhTherhclientrhcomplainsrhofrharhsaltyrhtasterhinrhtherhmouthrhwhenrhtherhdyerhisrh injected B)rhTherhclient'srhentirerhbodyrhturnsrharhbrightrhredrhcolor C)rhTherhclientrhstatesrh"Irhhaverharhfeelingrhofrhgettingrhwarm."rh D)rhTherhclientrhgagsrhandrhcomplainsrh"rhIrhamrhgettingrhsick."rh- rhanswersB)rhTherhclient'srhentirerhbodyrhturnsrharhbrightrhredrhcolor
C)rhPulserhoximetryrhofrh 88 D)rhClientrhisrhunablerhtorhspeakrh-rhanswersC)rhPulserhoximetryrhofrh 88 Arhnurserhchecksrharhclientrhwhorhisrhonrharhvolume- cycledrhventilator.rhWhichrhfindingrhindicatesrhthatrhtherhclientrhmayrhneedrhsuctioning ?A)rhDrowsiness B)rhComplaintrhofrhnausearh C)rhPulserhraterhofrh 92 D)rhRestlessnessrh-rhanswersD)rhRestlessness Duringrhtherhevaluationrhphaserhforrharhclient,rhtherhnurserhshouldrhfocusrhon A)rhAllrhfindingrhofrhphysicalrhandrhpsychosocialrhstressorsrhofrhtherhclientrhandrhinrht herhfamily B)rhTherhclient'srhstatus,rhprogressrhtowardrhgoalrhachievement,rhandrhongoingrhre- evaluation C)rhSettingrhshortrhandrhlong- termrhgoalsrhtorhinsurerhcontinuityrhofrhcarerhfromrhhospitalrhtorhhome rhD)rhSelectrhinterventionsrhthatrharerhmeasurablerhandrhachievablerhwithinrhselectedr htimeframesrh- rhanswersB)rhTherhclient'srhstatus,rhprogressrhtowardrhgoalrhachievement,rhandrhongoi ngrhre-evaluation TherhschoolrhnurserhsuspectsrhthatrharhthirdrhgraderhchildrhmightrhhaverhAttentionrhD eficitrhHyperactivityrhDisorder.rhPriorrhtorhreferringrhtherhchildrhforrhfurtherrhevaluatio n,rhtherhnurserhshould A)rhObserverhtherhchild'srhbehaviorrhonrhatrhleastrh 2 rhoccasions B)rhConsultrhwithrhtherhteacherrhaboutrhhowrhtorhcontrolrhimpulsivity C)rhCompilerharhhistoryrhofrhbehaviorrhpatternsrhandrhdevelopmentalrhaccomplishment srh D)rhComparerhtherhchild'srhbehaviorrhwithrhclassicrhsignsrhandrhsymptomsrh- rhanswersC)rhCompilerharhhistoryrhofrhbehaviorrhpatternsrhandrhdevelopmentalrhaccom plishments
WhichrhofrhtherhactionsrhsuggestedrhtorhtherhRNrhbyrhtherhPNrhduringrharhplanningrh conferencerhforrharh 10 rhmonth- oldrhinfantrhadmittedrh 2 rhhoursrhagorhwithrhbacterialrhmeningitisrhwouldrhberhaccepta blerhtorhaddrhtorhtherhplanrhofrhcare? A)rhMeasurerhheadrhcircumference B)rhPlacerhinrhairbornerhisolation C)rhProviderhpassiverhrangerhofrhmotion D)rhProviderhanrhover-the-cribrhprotectiverhtoprh- rhanswersA)rhMeasurerhheadrhcircumference ArhclientrhisrhadmittedrhwithrharhdiagnosisrhofrhhepatitisrhB.rhInrhreviewingrhtherhiniti alrhlaboratory results,rhtherhnurserhwouldrhexpectrhtorhfindrhelevationrhinrhwhichrhofrhtherhfollowing rhvalues? rhA)rhBloodrhurearhnitrogen B)rhAcidrhphosphatase C)rhBilirubin D)rhSedimentationrhRaterh-rhanswersC)rhBilirubin Therhnurserhisrhdiscussingrhnutritionalrhrequirementsrhwithrhtherhparentsrhofrhanrh 18 r hmonth-old child.rhWhichrhofrhtheserhstatementsrhaboutrhmilkrhconsumptionrhisrhcorrect?rh A)rhMayrhdrinkrhasrhmuchrhmilkrhasrhdesired B)rhCanrhhaverhmilkrhmixedrhwithrhotherrhfoods C)rhWillrhbenefitrhfromrhfat-freerhcow'srhmilk D)rhShouldrhberhlimitedrhtorh 3 - 4 rhcupsrhofrhmilkrhdailyrh- rhanswersD)rhShouldrhberhlimitedrhtorh 3 - 4 rhcupsrhofrhmilkrhdaily
rhD)rhMixrhtherhmedicationrhwithrhicerhcreamrhorrhapplesaucerh- rhanswersA)rhLeaverhtherhroomrhandrhreturnrhfiverhminutesrhlaterrhandrhgiverhtherhm edicine Arhnurserhisrhdoingrhprerhconceptualrhcounselingrhwithrharhwomanrhwhorhisrhplanning rharhpregnancy.rhWhichrhofrhtherhfollowingrhstatementsrhsuggestsrhthatrhtherhclientrh understandsrhtherhconnectionrhbetweenrhalcoholrhconsumptionrhandrhfetalrhalcoholrhs yndrome? A)rh"Irhunderstandrhthatrharhglassrhofrhwinerhwithrhdinnerrhisrhhealthy. "B)rh"Beerrhisrhnotrhreallyrhhardrhalcohol,rhsorhIrhguessrhIrhcanrhdrinkrhsome. "C)rh"IfrhIrhdrink,rhmyrhbabyrhmayrhberhharmedrhbeforerhIrhknowrhIrhamrhpregnant. "rhD)rh"Drinkingrhwithrhmealsrhreducesrhtherheffectsrhofrhalcohol."rh- rhanswers"C)rh"IfrhIrhdrink,rhmyrhbabyrhmayrhberhharmedrhbeforerhIrhknowrhIrhamrhp regnant. Arhclientrhhasrhreturnedrhfromrharhcardiacrhcatheterization.rhWhichrhonerhofrhtherhfoll owingrhassessmentsrhwouldrhindicaterhtherhclientrhisrhexperiencingrharhcomplicationrhf romrhtherhprocedure? A)rhIncreasedrhbloodrhpressure B)rhIncreasedrhheartrhrate C)rhLossrhofrhpulserhinrhtherhextremityrh D)rhDecreasedrhurinerhoutputrh-rhanswersC)rhLossrhofrhpulserhinrhtherhextremity Arh 60 rhyear- oldrhmalerhclientrhhadrharhherniarhrepairrhinrhanrhoutpatientrhsurgeryrhclinic.rhHerhisr hawakerhandrhalert,rhbutrhhasrhnotrhbeenrhablerhtorhvoidrhsincerhherhreturnedrhfrom rhsurgeryrh 6 rhhoursrhago.Herhreceivedrh 1000 rhmLrhofrhIVrhfluid.rhWhichrhactionrhwoul drhberhmostrhlikelyrhtorhhelprhhimrhvoid? A)rhHaverhhimrhdrinkrhseveralrhglassesrhofrhwater B)rhCrede'rhtherhbladderrhfromrhtherhbottomrhtorhtherhtop C)rhAssistrhhimrhtorhstandrhbyrhtherhsiderhofrhtherhbedrhtorhvoidrh
D)rhWaitrh 2 rhhoursrhandrhhaverhhimrhtryrhtorhvoidrhagainrh- rhanswersC)rhAssistrhhimrhtorhstandrhbyrhtherhsiderhofrhtherhbedrhtorhvoid Therhnurserhisrhcaringrhforrharhclientrhwhorhrequiresrharhmechanicalrhventilatorrhforrh breathing.Therhhighrhpressurerhalarmrhgoesrhoffrhonrhtherhventilator.rhWhatrhisrhtherhf irstrhactionrhtherhnurserhshouldrhperform? A)rhDisconnectrhtherhclientrhfromrhtherhventilatorrhandrhuserharhmanualrhresuscitation rhbag B)rhPerformrharhquickrhassessmentrhofrhtherhclient'srhcondition C)rhCallrhtherhrespiratoryrhtherapistrhforrhhelp D)rhPressrhtherhalarmrhre-setrhbuttonrhonrhtherhventilatorrh- rhanswersB)rhPerformrharhquickrhassessmentrhofrhtherhclient'srhcondition Therhnurserhisrhpreparingrharhclientrhwhorhwillrhundergorharhmyelogram.rhWhichrhofr htherhfollowingrhstatementsrhbyrhtherhclientrhindicatesrharhcontraindicationrhforrhthisr htest? A)rh"Irhcan'trhlierhinrh 1 rhpositionrhforrhmorerhthanrhthirtyrhminutes. "B)rh"Irhamrhallergicrhtorhshrimp." C)rh"Irhsufferrhfromrhclaustrophobia. "D)rh"Irhdevelopedrharhsevererhheadacherhafterrharhspinalrhtap."rh- rhanswers"B)rh"Irhamrhallergicrhtorhshrimp." Therhhealthrhcarerhproviderrhorderrhreadsrh"aspiraterhnasogastricrhfeedingrh(NG)rhtube rrheveryrh 4 rhhoursrhandrhcheckrhpHrhofrhaspirate."rhTherhpHrhofrhtherhaspiraterhisrh 1 0.rhWhichrhactionrhshouldrhtherhnurserhtake? A)rhHoldrhtherhtuberhfeedingrhandrhnotifyrhtherhproviderrh B)rhAdministerrhtherhtuberhfeedingrhasrhscheduled C)rhIrrigaterhtherhtuberhwithrhdietrhcolarhsoda D)rhApplyrhintermittentrhsuctionrhtorhtherhfeedingrhtuberh- rhanswersA)rhHoldrhtherhtuberhfeedingrhandrhnotifyrhtherhprovider
C)rhImprovedrhrespiratoryrhstatusrhandrhincreasedrhurinaryrhoutputrhD)rhDecreasedrhch estrhpainrhandrhdecreasedrhbloodrhpressurerh- rhanswersC)rhImprovedrhrespiratoryrhstatusrhandrhincreasedrhurinaryrhoutput Whilerhprovidingrhhomerhcarerhtorharhclientrhwithrhcongestiverhheartrhfailure,rhtherhn urserhisrhaskedrhhowrhlongrhdiureticsrhmustrhberhtaken.rhWhatrhisrhtherhnurse'srhbest rhresponse? A)rh"Asrhyourhurinaterhmore,rhyourhwillrhneedrhlessrhmedicationrhtorhcontrolrhfluid. "B)rh"Yourhwillrhhaverhtorhtakerhthisrhmedicationrhforrhaboutrharhyear." C)rh"Therhmedicationrhmustrhberhcontinuedrhsorhtherhfluidrhproblemrhisrhcontrolled. "D)rh"Pleaserhtalkrhtorhyourrhhealthrhcarerhproviderrhaboutrhmedicationsrhandrhtreatm ents."rh- rhanswersC)rh"Therhmedicationrhmustrhberhcontinuedrhsorhtherhfluidrhproblemrhisrhco ntrolled. Arhclientrhisrhbeingrhdischargedrhwithrharhprescriptionrhforrhchlorpromazinerh(Thorazin e).Beforerhleavingrhforrhhome,rhwhichrhofrhtheserhfindingsrhshouldrhtherhnurserhteachr htherhclientrhtorhreport?rhA)rhChangerhinrhlibido,rhbreastrhenlargement B)rhSorerhthroat,rhfever C)rhAbdominalrhpain,rhnausea,rhdiarrhea D)rhDsypnea,rhnasalrhcongestionrh-rhanswersB)rhSorerhthroat,rhfever Arhmotherrhbringsrhherrh 6 - year- oldrhchild,rhwhorhhasrhjustrhsteppedrhonrharhrustyrhnail,rhtorhtherhpediatrician'srhoffic e.rhUponrhinspection,rhtherhnurserhnotesrhthatrhtherhnailrhwentrhthroughrhtherhshoer handrhpiercedrhtherhbottomrhofrhtherhchild'srhfoot.rhWhichrhactionrhshouldrhtherhnurs erhimplementrhfirst? A.rhCleanserhtherhfootrhwithrhsoaprhandrhwaterrhandrhapplyrhanrhantibioticrhointment B.rhProviderhteachingrhaboutrhtherhneedrhforrharhtetanusrhboosterrhwithinrhtherhnextr h 72 rhhours.rh C.rhhaverhtherhmotherrhcheckrhtherhchild'srhtemperaturerhq4hrhforrhtherhnextrh 24 rhh ours
D.rhtransferrhtherhchildrhtorhtherhemergencyrhdepartmentrhtorhreceiverharhgammarhgl obulin injectionrh- rhanswersA.rhCleanserhtherhfootrhwithrhsoaprhandrhwaterrhandrhapplyrhanrhantibioticr hointment Arh 26 - year- oldrhfemalerhclientrhisrhadmittedrhtorhtherhhospitalrhforrhtreatmentrhofrharhsimplerhg oiter,rhandrhlevothyroxinerhsodiumrh(Synthroid)rhisrhprescribed.rhWhichrhsymptomsrhin dicaterhtorhtherhnurserhthatrhtherhprescribedrhdosagerhisrhtoorhhighrhforrhthisrhclient? rhTherhclientrhexperiences: A.rhBradycardiarhandrhconstipation B.rhLethargyrhandrhlackrhofrhappetite C.rhMusclerhcrampingrhandrhdry,rhflushedrhskin D.rhPalpitationsrhandrhshortnessrhofrhbreathrh- rhanswersD.rhPalpitationsrhandrhshortnessrhofrhbreath Arhclientrhwithrharhhistoryrhofrhheartrhfailurerhpresentsrhtorhtherhclinicrhwithrharhnau sea,rhvomiting,rhyellowrhvisionrhandrhpalpitations.rhWhichrhfindingrhisrhmostrhimportan trhforrhtherhnurserhtorhassessrhtorhtherhclient?rh- rhanswersObtainrharhlistrhofrhmedicationsrhtakenrhforrhcardiacrhhistory Therhpathophysiologicalrhmechanismrharerhresponsiblerhforrhascitesrhrelatedrhtorhliverr hfailure?rh(Selectrhallrhthatrhapply)rh- rhanswersA.rhFluidrhshiftsrhfromrhintravascularrhtorhinterstitialrharearhduerhtorhdecreas edrhserum protein B.rhIncreasedrhhydrostaticrhpressurerhinrhportalrhcirculationrhincreases fluidrhshiftsrhintorhabdomen C.rhIncreasedrhcirculatingrhaldosteronerhlevelsrhthatrhincreaserhsodiumrhandrhwater retention
Arh 2 rhyear- oldrhchildrhhasrhjustrhbeenrhdiagnosedrhwithrhcysticrhfibrosis.rhTherhchild'srhfatherrhas ksrhtherhnurserh"Whatrhisrhourrhmajorrhconcernrhnow,rhandrhwhatrhwillrhwerhhaverht orhdealrhwithrhinrhtherhfuture?"rhWhichrhofrhtherhfollowingrhisrhtherhbestrhresponse? A)rh"Thererhisrharhprobabilityrhofrhlife-longrhcomplications." B)rh"Cysticrhfibrosisrhresultsrhinrhnutritionalrhconcernsrhthatrhcanrhberhdealtrhwith." C)rh"Thin,rhtenaciousrhsecretionsrhfromrhtherhlungsrharerharhconstantrhstrugglerhinrhcy sticrhfibrosis." D)rh"Yourhwillrhworkrhwithrharhteamrhofrhexpertsrhandrhalsorhhaverhaccessrhtorharhsu pportrhgrouprhthatrhtherhfamilyrhcanrhattend."rh- rhanswersC)rh"Thin,rhtenaciousrhsecretionsrhfromrhtherhlungsrharerharhconstantrhstrugg lerhinrhcysticrhfibrosis." Whichrhtyperhofrhaccidentalrhpoisoningrhwouldrhtherhnurserhexpectrhtorhoccurrhinrhch ildrenrhunder agerh6? A)rhOralrhingestion B)rhTopicalrhcontactrh C)rhInhalation D)rhEyerhsplashesrh-rhanswersA)rhOralrhingestion Arhclientrhwasrhadmittedrhtorhtherhpsychiatricrhunitrhwithrharhdiagnosisrhofrhbipolarrh disorder.rhHerhconstantlyrhbothersrhotherrhclients,rhtriesrhtorhhelprhtherhhousekeepingr hstaff,rhdemonstratesrhpressuredrhspeechrhandrhdemandsrhconstantrhattentionrhfromrht herhstaff.rhWhichrhactivityrhwouldrhberhbestrhforrhtherhclient? A)rhReadingrh B)rhCheckersrh C)rhCards D)rhPing-pongrh-rhanswersD)rhPing-pong
Therhnurserhisrhcaringrhforrharhclientrhwhorhhasrhdevelopedrhcardiacrhtamponade.rhW hichrhfinding wouldrhtherhnurserhanticipate?rh A)rhWideningrhpulserhpressure B)rhPleuralrhfrictionrhrub C)rhDistendedrhneckrhveins D)rhBradycardiarh-rhanswersC)rhDistendedrhneckrhveins Whichrhnursingrhactionrhisrharhpriorityrhasrhtherhplanrhofrhcarerhisrhdevelopedrhforrha rh 7 rhyear-old childrhhospitalizedrhforrhacuterhglomerulonephritis?rh A)rhAssessrhforrhgeneralizedrhedema B)rhMonitorrhforrhincreasedrhurinaryrhoutput C)rhEncouragerhrestrhduringrhhyperactiverhperiods D)rhNoterhpatternsrhofrhincreasedrhbloodrhpressurerh- rhanswersD)rhNoterhpatternsrhofrhincreasedrhbloodrhpressure Therhnurserhisrhcaringrhforrharhchildrhreceivingrhchestrhphysiotherapyrh(CPT).rhWhichrh ofrhthe followingrhactionsrhbyrhtherhnurserhwouldrhberhappropriate?rh A)rhSchedulerhtherhtherapyrhthirtyrhminutesrhafterrhmeals B)rhTeachrhtherhchildrhnotrhtorhcoughrhduringrhtherhtreatmentrh C)rhConfinerhtherhpercussionrhtorhtherhribrhcagerharea D)rhPlacerhtherhchildrhinrharhpronerhpositionrhforrhtherhtherapyrh- rhanswersC)rhConfinerhtherhpercussionrhtorhtherhribrhcagerharea Whyrhisrhitrhimportantrhforrhtherhnurserhtorhmonitorrhbloodrhpressurerhinrhclientsrhre ceivingrhantipsychoticrhdrugs? A)rhOrthostaticrhhypotensionrhisrharhcommonrhsiderheffect B)rhMostrhantipsychoticrhdrugsrhcauserhelevatedrhbloodrhpressure
