lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
1. Which information is a priority for the RN to reinforce to an older patient
after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health
care provider if it should decrease.
ANS is D: Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
2. A patient has altered renal function and is being treated at home. The nurse
recognizes
that the most accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
ANS is D: weekly weight
3. A patient has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the patient ?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas
or in the upper part of the small intestine (duodenum)
, lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and,
if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual
areas of the stomach or intestine
ANS is B: It is critical to report promptly to your health care provider any findings
of peptic ulcers.
4. A prim gravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the patient ’s blood pressure is increasing. Which action
should the nurse take first?
A) Check the protein level in urine
B) Have the patient turn to the left side
C) Take the temperature
D) Monitor the urine output
ANS is B: Have the patient turn to the left side
5. The nurse is caring for a patient in atrial fibrillation. The atrial heart rate
is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause
for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A freezing, pale lower leg
D) Tachypnea
ANS is C: A freezing, pale lower leg
6. The patient with infective endocarditis must be assessed frequently by the
home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
ANS is B: Fever of 103 degrees F (39.5 degrees C)
, lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
7. A patient who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which of these points is most important to be
reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn’t
contain sperm, continue to use another form of contraception.
B) This procedure doesn’t impede the production of male hormones or the
production of
sperm in the testicles. The sperm can no longer enter your semen and no sperm
are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48
hours. If
your work doesn’t involve hard physical labor; you can return to your job as soon
as you feel up to it. The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic
supporter or over-the-counter pain medication to relieve any discomfort.
ANS is A: Until the health care provider has determined that your ejaculate
doesn’t contain sperm, continue to use another form of contraception.
8. A patient who is to have antineoplastic chemotherapy tells the nurses of a fear
of being
sick all the time and wishes to try acupuncture. Which of these beliefs stated
by the patient would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they’re placed in
the body
and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of
life 4 known as qi or chi 4 are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve
clusters in your body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to allow the
body’s natural healing mechanisms to take over.
ANS is C: The flow of life is believed to flow through major pathways or nerve
clusters in your body.
9. The nurse is discussing with a group of students the illness Kawasaki. What
statement made by a student about Kawasaki illness is incorrect?
, lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the illness, findings include peeling of the skin on
the hands
and feet with joint and abdominal pain
C) Kawasaki illness occurs most often in boys, children younger than age 5
and children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to2 weeks
ANS is C: Kawasaki illness occurs most often in boys, children younger
than age 5 and children of Hispanic descent
10. A patient has viral pneumonia affecting 2/3 of the right lung. What would be
the best
position to teach the patient to lie in every other hour during first 12 hours after
admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right will the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
ANS is A: Side-lying on the left with the head elevated 10 degrees
11. A patient has an indwelling catheter with continuous bladder irrigation after
undergoing a trans urethral resection of the prostate (TURP) 12 hours ago. Which
finding at this time should be reported to the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter
ANS is C: minimal drainage into the urinary collection bag
12. A nurse is performing CPR on an adult who went into cardiopulmonary
arrest.
Another nurse enters the room in response to the call. After checking the patient
’s pulse
and respirations, what should be the
function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
1. Which information is a priority for the RN to reinforce to an older patient
after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health
care provider if it should decrease.
ANS is D: Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
2. A patient has altered renal function and is being treated at home. The nurse
recognizes
that the most accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
ANS is D: weekly weight
3. A patient has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the patient ?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas
or in the upper part of the small intestine (duodenum)
, lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and,
if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual
areas of the stomach or intestine
ANS is B: It is critical to report promptly to your health care provider any findings
of peptic ulcers.
4. A prim gravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the patient ’s blood pressure is increasing. Which action
should the nurse take first?
A) Check the protein level in urine
B) Have the patient turn to the left side
C) Take the temperature
D) Monitor the urine output
ANS is B: Have the patient turn to the left side
5. The nurse is caring for a patient in atrial fibrillation. The atrial heart rate
is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause
for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A freezing, pale lower leg
D) Tachypnea
ANS is C: A freezing, pale lower leg
6. The patient with infective endocarditis must be assessed frequently by the
home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
ANS is B: Fever of 103 degrees F (39.5 degrees C)
, lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
7. A patient who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which of these points is most important to be
reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn’t
contain sperm, continue to use another form of contraception.
B) This procedure doesn’t impede the production of male hormones or the
production of
sperm in the testicles. The sperm can no longer enter your semen and no sperm
are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48
hours. If
your work doesn’t involve hard physical labor; you can return to your job as soon
as you feel up to it. The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic
supporter or over-the-counter pain medication to relieve any discomfort.
ANS is A: Until the health care provider has determined that your ejaculate
doesn’t contain sperm, continue to use another form of contraception.
8. A patient who is to have antineoplastic chemotherapy tells the nurses of a fear
of being
sick all the time and wishes to try acupuncture. Which of these beliefs stated
by the patient would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they’re placed in
the body
and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of
life 4 known as qi or chi 4 are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve
clusters in your body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will rebalance to allow the
body’s natural healing mechanisms to take over.
ANS is C: The flow of life is believed to flow through major pathways or nerve
clusters in your body.
9. The nurse is discussing with a group of students the illness Kawasaki. What
statement made by a student about Kawasaki illness is incorrect?
, lOMoARcPSD| 27435123
NGN HESI EXIT EXAM RN V1 FINAL EXAM STUDY GUIDE AND REVIEW WITH 160 QUESTIONS
& 100% CORRECT ANSWERS GRADED A+. (GUARANTEED SUCCESS), LATEST UPDATE.
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the illness, findings include peeling of the skin on
the hands
and feet with joint and abdominal pain
C) Kawasaki illness occurs most often in boys, children younger than age 5
and children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to2 weeks
ANS is C: Kawasaki illness occurs most often in boys, children younger
than age 5 and children of Hispanic descent
10. A patient has viral pneumonia affecting 2/3 of the right lung. What would be
the best
position to teach the patient to lie in every other hour during first 12 hours after
admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right will the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
ANS is A: Side-lying on the left with the head elevated 10 degrees
11. A patient has an indwelling catheter with continuous bladder irrigation after
undergoing a trans urethral resection of the prostate (TURP) 12 hours ago. Which
finding at this time should be reported to the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter
ANS is C: minimal drainage into the urinary collection bag
12. A nurse is performing CPR on an adult who went into cardiopulmonary
arrest.
Another nurse enters the room in response to the call. After checking the patient
’s pulse
and respirations, what should be the
function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
