Exam 1: NUR256/ NUR 256 (Latest 2023/ 2024 Update) Concepts of
Mental Health Nursing Exam Review| Questions and Verified Answers|
100% Correct| Grade A- Galen
When assessing a recently delivered, multigravida client, the nurse finds that
i p i p i p i p i p i p i p i p i p i p
i p hervaginal bleeding is more than expected. Which factor in this client's history is
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ip related to this finding? ip ip ip
ip ip ip ip ip She received butorphanol 2 mg IVP during labor.
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ip ip ip ipip The second stage of labor lasted 10 minutes.
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ipipipipipipipip She is a gravida 6, para 5. ip ip ip ip ip ip ip
ip ip ipip She is over 35 years of age. ip ip ip ip ip ip
ip ipThat's right! ip
Rationale:
Repeated gravid experiences cause the uterus to lose muscle tone (uterine ip ip ip ip ip ip ip ip ip ip
ip atony)which is the most common cause of excessive bleeding following childbirth.
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An unconscious client is admitted to the intensive care unit and is placed on a
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ip ventilator. The ventilator alarms continuously and the client's oxygen i p i p i p i p i p i p i p i p
NUR 2520 HESI All Exam Questions New Update 2023/2024 (With Attempted Answers And Correct Answers Verified With Rationales)
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, i p saturationlevel is 62%. Which action should the nurse take first? ip ip ip ip ip ip ip ip ip ip
Call respiratory therapy. ip ip
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ipipipipipipipip Begin manual ventilation immediately. ip ip ip
ip ip ip ip ip Monitor oxygen saturation levels every 5 i p i p i p i p i p
i p minutes. ip ip ip ip ipSilence the alarm and call the technician. ip ip ip ip ip ip
That's right! ip
Rationale:
Ventilators provide mechanical respirations. A constant alarm and low oxygen
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ip saturation indicates a malfunction or problem with the respirations being
i p i p i p i p i p i p i p i p i p
i p provided.The first action that must be taken is to begin manual ventilation until the
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problemhas been resolved.
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15s
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points
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The nurse has completed the diet teaching of a client who is being discharged
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ip following treatment of a leg wound. A high protein diet is encouraged to
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promotewound healing. Which lunch choice by the client indicates that the
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ip teaching was effective? ip ip
ip ip ip ip ip A peanut butter sandwich with soda and cookies.
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ipipipipipipipip A tuna fish sandwich with chips and ice cream.
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NUR 2520 HESI All Exam Questions New Update 2023/2024 (With Attempted Answers And Correct Answers Verified With Rationales)
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, ip ip ip ip ip A salad with three kinds of lettuce and fruit.
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Vegetable soup, crackers, and milk.
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ip ip That's right! ip
Rationale:
In a high protein diet, a lunch with fish and dairy contains the highest amount
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ip ofprotein. For instance, four ounces of tuna contains 11 grams of protein, and
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ip ice cream 5 grams of protein per cup.
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points
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The nurse plans to collect a 24-hour urine specimen for a creatinine clearance
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ip test.Which instruction should the nurse provide to the adult male client?
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Cleanse around the meatus, discard first portion of voiding, and
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i p collectthe rest in a sterile bottle.
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Urinate at a specified time, discard this urine, and collect all
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ip subsequenturine during the next 24 hours. ip ip ip ip ip ip
For the next 24 hours, notify nurse when the bladder is full, and the nursewill
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collect catheterized specimens.
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Urinate immediately into a urinal, and the lab will collect the
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specimenevery 6 hours, for the next 24 hours.
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NUR 2520 HESI All Exam Questions New Update 2023/2024 (With Attempted Answers And Correct Answers Verified With Rationales)
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So close! ip
, Rationale:
Voiding, discarding the sample, and beginning the collection are the correct steps
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ip forcollecting a 24-hour urine specimen. Discarding even one voided specimen
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ip during the collection invalidates the test.
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23s
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points
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An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9,
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ip isadmitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
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ip likely cause of the ketoacidosis? ip ip ip ip
Incorrectly administered too much insulin. ip ip ip ip
Skipped eating lunch.
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Ate an extra peanut butter sandwich before gym class.
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Had a cold and ear infection for the past two days.
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So close! ip
Rationale:
Acute infections increase the body's need for insulin to control hyperglycemia and
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NUR 2520 HESI All Exam Questions New Update 2023/2024 (With Attempted Answers And Correct Answers Verified With Rationales)
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