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Exam Review

Rn HESI Management NGN

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Total Questions : 48

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Question 1:

The nurse manager is encouraging the hospital nursing administrators to seek Magnet status for an acute care hospital. Which rationale should the nurse use to describe the greatest advantage of obtaining Magnet status?

Answer and Explanation

A
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Question 2:

Following a six-week refresher course, a female nurse who has been out of the workforce for 10 years is assigned to a medical unit for orientation. After the first week of orientation, the charge nurse notes that the orientee is overwhelmed by her daily assignments, which are less than one-half the assignments of the regular staff, and the assignments are incomplete at the end of each day. The following week, which action is best for the charge nurse to take?

Answer and Explanation

A
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Question 3:

A client who fell at home and experienced a brief loss of consciousness becomes increasingly confused after admission to the medical unit. The family presents the client's signed power of attorney and a home medication list. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

Answer and Explanation

A
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Question 4:

After an interdisciplinary team meeting regarding the client's request to die a natural death, the primary healthcare provider refuses to write the do-not-resuscitate instructions. Which action should the nurse take?

Answer and Explanation

A
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Question 5:

A charge nurse agrees to cover another nurse's assignment during a lunch break. Based on the status report provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse?

Reference Range:

Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]

Answer and Explanation

A
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Question 6:

A postoperative client's respiratory rate decreased from 14 breaths/minute to 6 breaths/minute after administration of an opioid analgesic. Thirty minutes later, the client's respiratory rate decreases to 4 breaths/minute, and the nurse caring for the client notifies the healthcare provider and administers a dose of IV naloxone. The charge nurse should counsel the nurse regarding which intervention?

Answer and Explanation

A
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Question 7:

It is most important to assign which client to a registered nurse rather than a practical nurse (PN)?

Answer and Explanation

A
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Question 8:

The nurse determines that an intravenous (IV) vesicant chemotherapy infusion is infiltrated. In responding to this finding, which task can the nurse delegate to the unlicensed assistive personnel (UAP)?

Answer and Explanation

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Question 9:

The registered nurse (RN) is gathering supplies to assist a healthcare provider with a bedside thoracentesis when the emergency department (ED) use as to report on a client with unstable angina that must be admitted immediately. A practical nurse (PN) and unlicensed assistive personnel (UAP) as the RN. How should the RN assign the necessary nursing actions?

Answer and Explanation

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Question 10:

A client with life threatening injuries from a gunshot wound to the abdomen is mechanically ventilated and sedated. The client has a large family present who are asking multiple and repetitive questions. Which intervention should the nurse implement first?

Answer and Explanation

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