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(2023) NGN RN HESI EXIT EXAM - Version 1 (V1) All Qs & As Included – Graded A+ (All correct Answers Highlighted)

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(2023) NGN RN HESI EXIT EXAM - Version 1 (V1) All Qs & As Included – Graded A+ (All correct Answers Highlighted) • The nurse has provided health promotion teaching for a group of clients who were recently diagnosed with the Human immunodefi ciency virus (HIV). Which statement, if made by one of the clients, would require further teaching? (a) ―I am glad that I can still clean my parakeet‘s cage.‖ (b) ―I will not go to the parade this weekend.‖ (c) ―I will increase protein in my diet.‖ (d) ―I will miss not being able to work in my garden.‖ • The nurse in the emergency department is caring for clients admitted following a rescue from a burning bus. The nurse should fi rst see the client who (a) has the tibia bone protruding through the skin and is in severe pain (b) has third degree burns of the left foot and is crying (c) is unconscious, pulseless, and has dilated pupils (d) has soot on the face and the nares and is coughing • A nurse is observing a newly-hired nurse provide care for assigned clients. The nurse should follow up if the newly-hired nurse is observed (a) wearing gloves when taking the blood pressure of a client with disseminated varicella zoster (b) cleansing the wound from the outer surface to the inner surface for a client whose wound is infected with a multi-drug resistant organism (c) washing the hands with the fi ngertips pointed downward before providing care for a client on protective precautions (d) removing the gloves before removing the gown when leaving a room of a client who is on contact precautions • The nurse is caring for a client who has been diagnosed with rheumatoid arthritis. The nurse should anticipate that the client will initially be prescribed (a) Disease-modifying rheumatic agents (DMARDs) (b) Nonselective anti-infl ammatory drugs (NSAIDs) (c) Long-term corticosteroids (d) Biologic Response Modifi ers • The nurse is assessing a 2-month-old-infant at a well baby clinic. The nurse should anticipate the infant should (a) roll from prone to back (b) have no head lag (c) smile socially (d) have no tonic neck refl ex • The nurse is teaching a class on infant nutrition. The nurse should instruct parentsto introduce (a) fruit juices at 3 months (b) honey sweetened water at 6 months (c) pureed chicken at 7 months (d) whole milk at 9 months • The nurse is caring for a 7-year-old who has thrombocytopenia and is on protective precautions. Which of the following would be an appropriate toy for the nurse to provide to the client? (a) Finger paints and paper (b) A rubber ball and bat (c) A board game (d) A stuffed toy • The nurse on a pediatric unit has been informed that the following clients are being admitted. The nurse should fi rst plan to assess the client who is* (a) 2 years old, has a temperature of 100.8 F and a blood pressure of 68/44 (b) 4 years old with a history of asthma and has a peak expiratory fl ow rate (PERF) of 81% (c) 5 years old, has a fracture of the tibia and is reporting pain rated 7 on a pain scale of 0 (no pain) to 10 (severe pain) (d) 7 years old with ulcerative colitis and has had 15 blood tinged stools today • The nurse is providing discharge instructions to the parents of an infant who has a cleft lip. The nurse should instruct the parents to (a) place the infant in a prone position after each feeding (b) encourage the parents to provide the infant rest periods during feedings (c) regularly offer the infant a pacifi er to enhance the sucking refl ex (d) elevate the child‘s head forty fi ve degrees during feeding • The nurse is assessing a 3-year-old during a well-child visit. During the visit the boy says to his mother, ―Mommy, I love you. I‘m going to marry you.‖ The nurse should (a) suggest to the mother not to encourage these types of statements (b) explain to the child that he will not be able to marry his mother even though he loves her (c) tell the mother that this statement is appropriate for his stage of development (d) recommend that the mother provide more opportunities for her son to play with other 3-year-old boys

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20 april 2023
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