2023 [NGN] HESI Exit
A female client has been taking a high dose of prednisone, a corticosteroid, for
several months. After stopping the medication
... [Show More] abruptly, the client reports feeling
“very tired”. Which nursing intervention is most important for the nurse to implement?
A. Measure vital signs
1.
B. Auscultate breath sounds
C. Palpate the abdomen
D. Observe the skin for bruising
2. A male client reports the onset of numbness and tingling in his fingers and around his mouth. Which lab is important for the nurse to review before contacting the health care provider?
A. capillary glucose
B. urine specific gravity
C. Serum calcium
D. white blood cell count
3. What explanation is best for the nurse to provide a client who asks the purpose of using the log-rolling technique for turning?
A. working together can decrease the risk for back injury
B. The technique is intended to maintain straight spinal alignment.
C. Using two or three people increases client safety.
D. turning instead of pulling reduces the likelihood of skin damage
4. A client receiving chemotherapy has severe neutropenia. Which snack is best for the nurse to recommend to the client?
A. Baked apples topped with dried raisins
5. Which action should the school nurse take first when conducting a screening for scoliosis?
A. Inspect for symmetrical shoulder height.
6. An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports to the charge nurse that a client has a weak pulse with a rate of 44 beat/ minutes. What action should the charge nurse implement?
A. Assign a practical nurse (LPN) to determine if an apical radial deficit is present
7. After a sudden loss of consciousness, a female client is taken to the ED and initial assessment indicate that her blood glucose level is critically low. Once her glucose level is stabilized, the client reports that was recently diagnosed with anorexia nervosa and is being treated at an outpatient clinic. Which intervention is more important to include in this client’s discharge plan?
A. Encourage a low-carbohydrate and high-protein diet
8. A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?
A. Observe the antecubital fossa for inflammation.
9. The nurse administers an antibiotic to a client with respiratory tract infection. To evaluate the medication’s effectiveness, which laboratory values should the nurse monitor? Select
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all that apply
A. White blood cell (WBC) count
B. Sputum culture and sensitivity
10. AA client is admitted to isolation with the diagnosis of active tuberculosis.Which infection control measures should the nurse implement?
A. Negative pressure environment
B. contact precautions
C. droplet precautions
D. protective environment
11. A school nurse is called to the soccer field because a child has a nose bleed (epistaxis). In what position should the nurse [Show Less]