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HESI RN EXIT NGN TEST EXAM|| ACCURATE AND FREQUENTLY TESTED
QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES||
LATEST AND COMPLETE UPDATE WITH EXPERT VERIFIED SOLUTIONS
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture,
start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin
0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO
every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. ANSWER:D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has decreased breath
sounds in the left lower low. His mucus membranes are dry. He has a productive cough
with thick, yellow secretions. His capillary refill is four seconds. Vital signs, temperature
100.2. Heart rate 101 bpm, respiratory rate 28 breaths per minute, blood pressure
145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates hypoxia)
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Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm, productive
cough. ANSWER:Cardiovascular: capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
NGN: The client is a 49-year-old male who reports flu like symptoms including fever
and chest congestion for four days. He came to the emergency department last night
when he was having more difficulty breathing he has a history of 1/2 pack a day
cigarette smoking for 20 years. He has no significant medical or surgical history.
The nurse should place the client in a position to promote
. ANSWER:Semi-Fowler , lung expansion.
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a PIV, start oxygen 3L via nasal cannula, normal saline 150 ML per hour,
acetaminophen 350mg PO every six hours for temp greater than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater than
94%.
(mark whether the statements by the new grad nurse indicate understanding or no
understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
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-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%.
-The mask should cover only the mouth and leave the nose open for expiration.
-I should place the mask first over the nose and then cover the mouth. ANSWER:- I
should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING ????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration. (NOT
UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am
feeling extremely anxious right now. The client has decreased breath sounds in the
left lower lobe. His mucus membranes are dry. He has a productive cough with thick,
yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM, oxygen
saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No improvement in oxygen saturation
on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
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C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
E) The client will report pain less than 3/10. ANSWER:B) The client will have quit
smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
The nurse has completed the diet teaching of a client who is being discharged following
treatment of a leg wound. A high-protein diet is encouraged to promote wound healing.
Which lunch toys by the client indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. ANSWER:C) A tuna fish
sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is admitted
with a suspected MRSA. Which nursing intervention should the nurse include in the plan
of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
HESI RN EXIT NGN TEST EXAM|| ACCURATE AND FREQUENTLY TESTED
QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES||
LATEST AND COMPLETE UPDATE WITH EXPERT VERIFIED SOLUTIONS
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture,
start a peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin
0.9% sodium chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO
every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B) Suction canister.
C) Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. ANSWER:D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has decreased breath
sounds in the left lower low. His mucus membranes are dry. He has a productive cough
with thick, yellow secretions. His capillary refill is four seconds. Vital signs, temperature
100.2. Heart rate 101 bpm, respiratory rate 28 breaths per minute, blood pressure
145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates hypoxia)
,2|Page
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm, productive
cough. ANSWER:Cardiovascular: capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
NGN: The client is a 49-year-old male who reports flu like symptoms including fever
and chest congestion for four days. He came to the emergency department last night
when he was having more difficulty breathing he has a history of 1/2 pack a day
cigarette smoking for 20 years. He has no significant medical or surgical history.
The nurse should place the client in a position to promote
. ANSWER:Semi-Fowler , lung expansion.
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a PIV, start oxygen 3L via nasal cannula, normal saline 150 ML per hour,
acetaminophen 350mg PO every six hours for temp greater than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater than
94%.
(mark whether the statements by the new grad nurse indicate understanding or no
understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
,3|Page
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%.
-The mask should cover only the mouth and leave the nose open for expiration.
-I should place the mask first over the nose and then cover the mouth. ANSWER:- I
should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING ????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration. (NOT
UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth.
(UNDERSTANDING)
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am
feeling extremely anxious right now. The client has decreased breath sounds in the
left lower lobe. His mucus membranes are dry. He has a productive cough with thick,
yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM, oxygen
saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory rate 28 BPM.
0500: Placedthe client in semi-Fowlers position. No improvement in oxygen saturation
on 3L nasal cannula...
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
, 4|Page
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
E) The client will report pain less than 3/10. ANSWER:B) The client will have quit
smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
The nurse has completed the diet teaching of a client who is being discharged following
treatment of a leg wound. A high-protein diet is encouraged to promote wound healing.
Which lunch toys by the client indicates that the teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. ANSWER:C) A tuna fish
sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is admitted
with a suspected MRSA. Which nursing intervention should the nurse include in the plan
of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
