NUR 448 SPRING 2023 HESI NGN EXIT EXAM \NEWEST
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS\UPDATED VERSION FOR 2026-2027
EXAM PREP University of Miami
While caring for a toddler receiving oxygen via face mask, the
nurse observes that the child's lips and nares are dry and cracked.
Which
intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips.
A Use a water soluble lubricant on affected oral and nasal mucosa.
,When assessing a multigravida on the first postpartum day, the nurse
finds a moderate amount of lochia rubra, with the uterus firm, and
three
fingerbreadths above the umbilicus. What action should the nurse
implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder.
D Check for a distended bladder.
The nurse is caring for a client on the first day postoperative for a
descending aortic aneurysm repair. Which assessment finding
should the nurse prioritize reporting to the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).
B Electrocardiogram ST segment elevation.
C Urine output 30 mL/hour.
D Blood pressure 130/80.
B Electrocardiogram ST segment elevation.
,The healthcare provider prescribes a low-fiber diet for a client
with ulcerative colitis. Which food selection indicate to the nurse
that the client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots.
C Roasted turkey, canned vegetables.
D Pancakes, whole-grain cereals.
C Roasted turkey, canned vegetables.
The psychiatric nurse is caring for clients in an adolescent unit.
Which client requires the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being
yelled at by other clients.
B A 17-year-old client diagnosed with bipolar disorder who is
pacing around the lobby.
C A 16-year-old client diagnosed with major depression who
refuses to participate in a group.
D A 14-year-old client with anorexia nervosa who is refusing to eat
the evening snack.
A An 18-year-old client with antisocial behavior who is being
yelled at by other clients.
, A client recovering from pneumonia who has a history of severe
chronic obstructive pulmonary disease (COPD) and peripheral
vascular disease (PVD) is being discharged from a skilled nursing
facility. Which action is most important for the nurse to
implement?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed instructions for healthy diet selection
D Reinforce need for adequate hydration.
C Provide typed instructions for healthy diet selection
A 6-week-old infant with pyloric stenosis is scheduled for a
pyloromyotomy. Which pre-operative nursing action has the highest
priority?
A Instruct parents regarding care of the incisional area.
B Mark an outline of the "olive-Shaped" mass in the right epigastric
area.
C Initiate a continuous infusion of IV fluids per prescription.
D Monitor amount of intake and infant's response to feedings.
C Initiate a continuous infusion of IV fluids per prescription.
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS\UPDATED VERSION FOR 2026-2027
EXAM PREP University of Miami
While caring for a toddler receiving oxygen via face mask, the
nurse observes that the child's lips and nares are dry and cracked.
Which
intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips.
A Use a water soluble lubricant on affected oral and nasal mucosa.
,When assessing a multigravida on the first postpartum day, the nurse
finds a moderate amount of lochia rubra, with the uterus firm, and
three
fingerbreadths above the umbilicus. What action should the nurse
implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder.
D Check for a distended bladder.
The nurse is caring for a client on the first day postoperative for a
descending aortic aneurysm repair. Which assessment finding
should the nurse prioritize reporting to the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).
B Electrocardiogram ST segment elevation.
C Urine output 30 mL/hour.
D Blood pressure 130/80.
B Electrocardiogram ST segment elevation.
,The healthcare provider prescribes a low-fiber diet for a client
with ulcerative colitis. Which food selection indicate to the nurse
that the client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots.
C Roasted turkey, canned vegetables.
D Pancakes, whole-grain cereals.
C Roasted turkey, canned vegetables.
The psychiatric nurse is caring for clients in an adolescent unit.
Which client requires the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being
yelled at by other clients.
B A 17-year-old client diagnosed with bipolar disorder who is
pacing around the lobby.
C A 16-year-old client diagnosed with major depression who
refuses to participate in a group.
D A 14-year-old client with anorexia nervosa who is refusing to eat
the evening snack.
A An 18-year-old client with antisocial behavior who is being
yelled at by other clients.
, A client recovering from pneumonia who has a history of severe
chronic obstructive pulmonary disease (COPD) and peripheral
vascular disease (PVD) is being discharged from a skilled nursing
facility. Which action is most important for the nurse to
implement?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed instructions for healthy diet selection
D Reinforce need for adequate hydration.
C Provide typed instructions for healthy diet selection
A 6-week-old infant with pyloric stenosis is scheduled for a
pyloromyotomy. Which pre-operative nursing action has the highest
priority?
A Instruct parents regarding care of the incisional area.
B Mark an outline of the "olive-Shaped" mass in the right epigastric
area.
C Initiate a continuous infusion of IV fluids per prescription.
D Monitor amount of intake and infant's response to feedings.
C Initiate a continuous infusion of IV fluids per prescription.
