2024 V1 TO V5 EXAM COMBINED
LATEST 5 EXAM VERSIONS 2026
2027 VERIFIED QUESTIONS AND
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NGN) HESI RN EXIT EXAM LATEST VERS
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ION 2023 WITH QUESTIONS &ANSWE
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RS HIGHLIHTED
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GUARATEED PASS g
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATEST UPD
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ATE GRADED A
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Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
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will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
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What is the best follow-up action by the nurse?
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a. Remind the client that it is also important to switch to decaffeinated coffee and te a.
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b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
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c. Review with the client the need to avoid foods that are rich in milk and cream.
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d. Reinforce this teaching by asking the client to list a dairy food that he might se lect.
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(ANS- Review with the client the need to avoid foods that are rich in milk and cream
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Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be
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avoided.
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A male client with hypertension, who received new antihypertensive prescriptions at
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his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
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His BP is 158/106 and he admits that he has not been taking the prescribed medicati
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on because the drugs make him "feel bad". In explaining the need for hypertension c
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ontrol, the nurse should stress that an elevated BP places the client at risk for which p
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athophysiological condition? g
a. Blindness secondary to cataracts g g g
b. Acute kidney injury due to glomerular damage
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c. Stroke secondary to hemorrhage g g g
d. Heart block due to myocardial damage (ANS- Stroke secondary to hemorrhage
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Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hyper
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tension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
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mitted client who has a seizure disorder. The client is supine and the UAP is placing
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soft pillows along the side rails. What action should the nurse implement?
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a. Ensure that the UAP has placed the pillows effectively to protect the client.
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b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pi
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llows.
c. Assume responsibility for placing the pillows while the UAP completes another t
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ask.
d. Ask the UAP to use some of the pillows to prop the client in a side lying po sition.
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(ANS-
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
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Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
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because the use of pillows could result in suffocation and would need to be removed
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at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
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An adolescent with major depressive disorder has been taking duloxetine (Cymb
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alta) for the past 12 days. Which assessment finding requires immediate followup
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a. Describes life without purpose g g g
b. Complains of nausea and loss of appetite g g g g g g
c. States is often fatigued and drowsy g g g g g
d. Exhibits an increase in sweating. (A NS- Describes life without purpose
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Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor th
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at is known to increase the risk of suicidal thinking in adolescents and young adults
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with major depressive disorder. B, C and D are side effects
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A 60-
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yearold female client with a positive family history of ovarian cancer has developed a
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na
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bdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (
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Pap) smear results are negative. What information should the nurse include in the cli
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ent's teaching plan g g
a. Further evaluation involving surgery may be needed
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b. A pelvic exam is also needed before cancer is ruled out
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c. Pap smear evaluation should be continued every six month
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d. One additional negative pap smear in six months is needed. ( ANS-
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Further evaluation involving surgery may be needed
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Rationale: An abdominal mass in a client with a family history for ovarian cancer sh
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ould be evaluated carefully
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A client who recently underwent a tracheostomy is being prepared for discharge to h
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ome. Which instructions is most important for the nurse to include in the discharge p
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lan?
a. Explain how to use communication tools. g g g g g
b. Teach tracheal suctioning techniques g g g
c. Encourage self-care and independence. g g g
d. Demonstrate how to clean tracheostomy site. ( ANS- g g g g g g
Teach tracheal suctioning techniques
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