Health Education Systems Exit Exam Compilation with responses compiled from 2019 - 2021

Health Education Systems Exit Exam Compilation with responses compiled from 2019 - 2021:The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old ...

Health Education Systems Exit Exam Compilation with responses compiled from 2019 - 2021:The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the four year old naps on the sofa." D) "I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen while I make supper." The correct answer is D: "I have the four year-old hold and help feed the four month-old a bottle in the kitchen Upon completing the admission documents, the nurse learns that the 87 year-old client does not have an advance directive. What action should the nurse take? A) Record the information on the chart B) Give information about advance directives C) Assume that this client wishes a full code D) Refer this issue to the unit secretary The correct answer is B: Give information about advance directives A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the immunization was given, the client complains of itchy and watery eyes, increased anxiety, and difficulty breathing. The nurse expects that the first action in the sequence of care for this client will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock D) Administer diphenhydramine as ordered The correct answer is B: Administer epinephrine 1:1000 as ordered . Which of these children at the site of a disaster at a child day care center would the triage nurse put in the "treat last" category? A) An infant with intermittent bulging anterior fontanel between crying episodes The nurse is presenting information about fetal development to a group of parents with…when discussing cephalocaudal fetal development, which information should the nurse givesthe parents? A school-aged child was recently diagnosed with celiac disease. Which instruction should the nurse give the classroom teacher? The child should avoid eating homemade cookies and cupcakes during parties A set order in fetal development is expected Growth normally occurs within one organ at a time Development progress from head to rump Organ formation is directed by brain development A client has a prescription for lorazepam 2mg for alcohol withdrawalsymptoms. Which finding… the client? Blood pressure 149/101 Irregular pulse rate of 80 Oral temperature is 98.9 F (37.1 C) Pain rated 7 on scale 1-10 A client with end-stage liver failure is declared brain dead. The family wants to discontinue feeding and donate any viable organs. Which action should the nurse take? Contactthe regional organ procurement agency A male client who was hit by a car while dodging through traffic is admitted to the emergency department with intracranial pressure (ICP). A computerized tomography (CT) scan reveals an intracranial bleed. After evacuation of hematoma, postoperative prescription include: intubation with controlled mechanical ventilation to PaCO2…what is the pathophysiological basis for this ventilator settings? Hypocapnea reduces ICP During a cardiopulmonary resuscitation of an intubated client, the nurse detects a palpable pulse throughout the two minutes cycle chest compression and absent breath sounds over the left lung. What action should the nurse implement? Prepare for the endotracheal tube to be repositioned A male client is admitted with burns to his face and neck. Which position should the nurse place the client to prevent contract? Hyperextended with neck supported by a rolled towel. A male client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions? Turkey salad sandwich. Clam chowder Macaroni and cheese Bacon, lettuce, and tomato sandwich The nurse prepares an intravenous solution and tubing for a client with a saline lock, as seen in the video. Which nurse takes next Open the roller clamp on the tubing. The healthcare provider prescribes heparin protocol at18 units/kg/hr for a client with a possible pulmonary embolism. This client weighs 144 pounds. The available solution islabeled, heparin sodium 25,000 units in 5% dextrose 250 ml. the nurse should program the pump to deliver how many ml/hr? (Enter numeric value only. If rounding is require round to the nearest whole number.) Answer 12 Rationale: 144/2.2= 65kg 18units/kg/hr 65 kg x 18units/kg/hr= 1170 units/hr 25000 units heparin/250 ml of D5W = 100 units heparin per ml of solution Formula D/H x A = X A client is admitted with a wound on the right hand and associated cellulitis. In assessing the client’s hand, which finding required most immediate follow-up by the nurse? Cyanotic nailbeds Localized tenderness Diffuse erythema Skin hot to touch The nurse is arranging home care for an older client who has a new colostomy following a large bowel resection three day. The clients plan to live with a family member. Which action should the nurse implement? Select all that apply Assess the client for self-care ability Provide pain medication instructions Teach care of ostomy to care provider A female client with chronic urinary retention explains double voiding technique to the nurse by stating she voids partially, hold the remaining urine in her bladder for three minutes, then voids again to empty her bladder fully. How should the nurse respond? Advise the client to empty her bladder fully when she first voids When conducting diet teaching for a client who was diagnosed with hypoparathyroidism, which foods should the nurse encourage the client to eat? Yogurt. Processed cheese. Nuts Fresh turkey Fresh chicken The nurse is assessing a middle-aged adult who is diagnosed with osteoarthritis. Which factor in this client’s history is a contributor to the osteoarthritis? Long distance runner since high school. Lactose intolerant since childhood Photosensitive to a drug currently taking Recently treated for deep vein thrombosis When assessing a male client, the nurse notes that he has unequal lung expansion. What conclusion regarding this finding is most likely to be accurate? The client has A collapsed lung A history of COPD A chronic lung infection Normally functioning lungs The nurse manager is conducting an in-services education program on the fire evacuation of the newborn recovery. What intervention should the nurse manager disseminate to the staff? Evacuate each infant with mother via wheelchair An adult man reports that he recently experienced an episode of chest pressure and breathlessness when he was jogging in the neighborhood. He expresses concern because both of his deceased parents had heart disease and his father was a diabetic. He lives with his male partner, is a vegetarian, and takes atenolol which maintain his blood pressure at 138/74. Which risk factors should the nurse explore further with the client? Select all that apply A client reports feeling numbness and tingling in extremities. What action should the PN implement? review the clients serum electrolyte levels 69. Immediately after birth, which nursing intervention has the highest priority for the newborn infant? preventing heat loss and neonatal cold stress 70. A 0800 a clients apical pulse rate is 98 beats/minute> Four hours later the apical pulse rate is 54 beats/minute. What action should the PN take next? determine the level of consciousness 71. which client information is most important for the PN to consider when providing instructions to the UAP about providing morning care to a postoperative client? urinary output of 50 mL/hour 72. After report, the PN receives the laboratory values for four clients. Which client requires the PNs immediate intervention? a client who is trembling and has a glucose level of 50 73. Based on the nursing diagnosis of "risk for infection" which intervention should the PN implement when providing care for an elderly client with urinary incontinenece maintain standard precautions 74. During recovery after the delivery of a normal infant a client is receiving...ringers 1000 mL with oxytocin 20 units. The PN should evaluate the client for which therapeutic response? stimulation of uterine contractions 75. A 5-year old child is admitted with full thickness burns over 30% of the total body surface areas (TBSA). After fluid replacement therapy is initiated, which finding should the PN use to evaluate the effectiveness of the therapy? urine output 76. The PN enters the room of a client who is disoriented and has a wrist restraint secured as seen in the picture what action should the PN take? photo is of hospital bed and restraint Is on the bed frame in a bow tie use a full knot to secure the restraint line 77. A new mother asks the pn about an area of swelling on her baby head that lies across the suture line near the posterior fontanel. How should the PN respond? caput succedaneum will be absorbed and causes no problem 78. The PN obtains a finger stick glucose for a client with type 1 diabetes mellitus who is conscious and demonstrating hand tremors and shaking. The PN reports the clients result of 55 mg/dL to the nurse. What action should the PN implement next? provide the client with a glass of milk and crackers 79. A client who is primigravida at term comes to the prenatal clinic and tells the PN that she is having contractions every 5 minutes. The PN monitors the client for 1 hour using a external fetal monitor and determines that the clients contractions are 7 to 15 minutes apart lasting 20-30 seconds with mild intensity by palpation. What action should the PN take? send the client home and instruct her to call the clinic when her contractions are 5 minutes apart for one hour 80. the PN plans to evaluate an adults response to a prescription for colchicine. Last week the client was seen in the clinic for pain in the great left toe, which was the result of an acute attack of gout. which data should the PN obtain to evaluate the therapeutic effectiveness of this medication? pain scale level during walking 81. The PN is caring for a client who was recently diagnosed with hepatitis B virus (HBV). The PN observes that the clients urine is the color of dark tea. What action should the PN take? encourage increased oral fluid intake 82. A client develops generalized edema associated with chronic kidney disease (CKD). The PN understands the formation of the edema is the result of which physiological process? plasma protein losses resulting in decreased oncotic pressure within the vessels 83. The PN and UAP are providing care for a client who exhibits signs of neglect syndrome following a stroke affecting the right hemisphere. What action should the PN implement? demonstrate to the UAP how to approach the client from the clients leftside 84. when assessing an adult male who present at the community health clinic with a history of hypertension the nurse notes that he has 2+ pitting edema in both ankles. he also has a history of gastroesophogeal reflux disease and depression. which interventions is most important for the PN to implement? review the clients use of over the counter (OTC) medications 85. A client with Alzheimers disease (AD) is receiving trazadone (Desyrel) a recently prescribed atypical antidepressant. The caregiver tells the home health nurse that the clients mood and sleep patterns are improved but there is no change in cognitive ability. How should the nurse respond to this information? confirm that the desired effect of the medication has been achieved? 86. A client on bed rest refuses to wear the prescribed pneumatic compression device after surgery, what action should the PN implement in response to the clients refusal ? emphasize the importance of active foot flexion 87. A client recovering from a stroke is learning how to use a cane. How should it be placed? on the stronger side of the body 88. A client with schizophrenia is withdrawn isolates himself in the day room and answers questions with one or two word responses which intervention is most important ? measure appropriate vital signs 89. While performing the apical pulse of an adult male client the PN notes that the point of maximal impulse is located at the 4th intercostals space medial to the midclavicular line what is the assessment for? expected finding 90. A client with type 2 diabetes becomes unresponsive and says I'm not feeling right which action should the PN take? give 4 ounces of apple juice 91. A client with irritable bowel syndrome is receiving dicyclomine an anticholinergic drug? provide oral care 92. The PN is caring for a client in bucks tract what is the priority goal for the client in traction? maintain straight body alignment 93. Client with Hungtingtons disease starts jerking around while the family is there what should the PN do? offer emotional support to the family 94. Client voiding small amounts every 24 hours the catherterized volume determines the need to reinsert the indwelling catheter 95. A client with small bowel obstruction is experiencing frequent vomiting which instructions are most important for the PN to provide to the UAP who is completing morning care for this client? measure all emeisies accurately 96. Single mother of a child with head injury comes crying to the clinic what should the PN tell her? this mustseem overwhelming to you right now 97. on admission to the medical unit a client who is homeless and has a history of HIV with persistent cough? erythema and indurations of 5mm at site