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2024 NGN HESI PN EXIT V3 EXAM WITH LATEST QUESTIONS AND ANSWERS UPDATED ||COMPLETE A+ GUIDE
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2024 NGN HESI PN EXIT V3 EXAM WITH LATEST QUESTIONS AND ANSWERS UPDATED ||COMPLETE A+ GUIDE
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2024 NGN HESI PN EXIT V3 EXAM WITH LATESTQUESTIONS AND ANSWERS UPDATED ||COMPLETE
A+ GUIDE
• An older male client is admitted with the medical diagnosis of possible
cerebral vascular accident (CVA). He has facial paralysis and cannot move his
left side. When entering the room, the nurse finds the client’s wife tearful and
trying unsuccessfully to give him a drink ofwater. What action should the
nurse take?
• Ask the wife to stop and assess the client’s swallowing reflex
• An adult male client is admitted to the emergency room following an
automobile collision inwhich he sustained a head injury. What assessment
data would provide the earliest that the client is experiencing increased
intracranial pressure (ICP)?
• Lethargy
• Decorticate posturing
• Fixed dilated pupil
• Clear drainage from the ear.
• Rationale: Lethargy is the earliest sign of ICP along with slowing of
speech and response to verbal commands. The most important
indicator of increase ICP is theclient’s level or responsiveness or
consciousness. B and C are very
late signs of ICP.
,• In preparing a diabetes education program, which goal should the
nurse identify as theprimary emphasis for a class on diabetes self-
management?
• Prepare the client to independently treat their disease process
• Reduce healthcare costs related to diabetic complications
• Enable clients to become active participating in controlling the
diseaseprocess
• Increase client’s knowledge of the diabetic disease process and
treatment options.
, • Rationale: The primary goal of diabetic self- management
education is to enablethe client to become an active participant in
the care and control of disease process, matching levels of self-
management to the abilities of the
individual client. The goal is to place the client in a cooperative or
collaborative role with healthcare professional rather than (A)
• To reduce staff nurse role ambiguity, which strategy should the nurse
manager implemented?
• Confirm that all the staff nurses are being assigned to equal number of
clients.
• Review the staff nurse job description to ensure that it is clear,
accurate, andrecurrent.
• Assign each staff nurse a turn unit charge nurse on a regular, rotating
basis.
• Analyze the amount of overtime needed by the
nursing staff to completeassignments.
• Rationale: Role ambiguity occurs when there is inadequate
explanation of job descriptions and assigned tasks, as well as the
rapid technological changes that produce uncertainty and
frustration. A and D may be implemented if the
nurse manager is concerned about role overload, which is the inability
to accomplish thetasks related to one’s role. C is not related to
ambiguity.
• The nurse is assisting a new mother with infant feeding. Which information
should the nurseprovide that is most likely to result in a decrease milk supply
for the mother who is breastfeeding?
• Supplemental feedings with formula
• Maternal diet high in protein
, • Maternal intake of increased oral fluid
• Breastfeeding every 2 or 3 hours.
• Rationale: Infant sucking at the breast increases prolactin release
and proceeds a feedback mechanism for the production of milk, the
nurse should explain that supplemental bottle formula feeding
minimizes the infant’s time
at the breast anddecreases milk supply. B promotes milk
production and healing after delivery. Csupport milk production. C
is recommended routine for breast feeding that promote adequate
milk supply.
• A client diagnosed with calcium kidney stones has a history of gout. A new
prescription foraluminum hydroxide (Amphogel) is scheduled to begin at
0730. Which client medication should the nurse bring to the healthcare
provider’s attention?
• Allopurinol (Zyloprim)
• Aspirin, low dose
• Furosemide (lasix)
• Enalapril (vasote)
• A male client’s laboratory results include a platelet count of 105,000/
mm3 Based on thisfinding the nurse should include which action in the
client’s plan of care?
• Cluster care to conserve energy
• Initiate contact isolation
• Encourage him to use an electric razor
• Asses him for adventitious lung sounds
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