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• HESI ONLINE NCLX RN PRE-TEST QUESTIONS • NURS 4020WINTER CLINICAL

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• HESI ONLINE NCLX RN PRE-TEST QUESTIONS • NURS 4020WINTER CLINICAL 2. A nurse is evaluating outcomes for a client with Guillain-Barré syndrome. Which of the following outcomes does the ... nurse recognize as optimal respiratory outcomes for the client? Select all that apply. A. Normal deep tendon reflexes B. Improved skeletal muscle tone C. Absence of paresthesias in the lower extremities D. Clear sounds in the lower lung fields bilaterally E. pO2 of 85 mm Hg and Pco2 of 40 mm Hg 3. A nurse provides information to the mother of a child with diarrhea about signs and symptoms that indicate the need to call the physician. Which statement by the mother indicates the need for further instruction? A. “I’ll call the doctor if she gets dizzy and acts sick.” B. “I’ll call the doctor if she has severe stomach cramps.” C. “I’ll call the doctor if her temperature is 102°F (38.9°C) or higher.” D. “I’ll call the physician if she goes longer than 6 hours without urinating.” 4. A nurse is monitoring the neurological status of a client who underwent craniotomy 3 days ago. Which of the following signs or symptoms would prompt the nurse to notify the surgeon immediately? A. Disorientation to date B. Pupils equal and reactive at 4 mm C. Mild headache relieved by codeine sulfate D. Pain with forward flexion of the neck onto the chest 5. A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. The first action on the part of the nurse is: A. Calling the physician [Show More]

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