NGN Exit hesi exam 2023 questions and answers 100%
verified
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first?
Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication?
Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still
is taking hours to fall asleep at night. Which action should the nurse implement?
Ask the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the
nurse include when providing discharge teaching to the pt and spouse? SATA
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective?
pt who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is
most important in designing this program?
participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after
the injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement?
use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site. What
action should the nurse implement?
Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment
is most important for the nurse to obtain?
upper body muscle strength
, While the nurse is assessing an older pt fall risk, the pt reports living at home
alone and never falling. Which action should the nurse take?
Continue to obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia.
The pt is weak and begins coughing while attempting to drink through a straw.
Which intervention should the nurse implement?
Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education?
Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement?
initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position?
Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the pt for the
procedure, which intervention has the highest priority?
Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the provider, the nurse
should review which of the pt lab values?
culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for
ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon
snack, which dietary choice should the nurse provide?
Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions?
Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the med. Which
side effect should the nurse report to the healthcare provider?
Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow up by the
nurse?
take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level
is 6.2 mEq/?
verified
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first?
Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication?
Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still
is taking hours to fall asleep at night. Which action should the nurse implement?
Ask the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the
nurse include when providing discharge teaching to the pt and spouse? SATA
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective?
pt who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is
most important in designing this program?
participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after
the injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement?
use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site. What
action should the nurse implement?
Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment
is most important for the nurse to obtain?
upper body muscle strength
, While the nurse is assessing an older pt fall risk, the pt reports living at home
alone and never falling. Which action should the nurse take?
Continue to obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia.
The pt is weak and begins coughing while attempting to drink through a straw.
Which intervention should the nurse implement?
Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education?
Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement?
initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position?
Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the pt for the
procedure, which intervention has the highest priority?
Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the provider, the nurse
should review which of the pt lab values?
culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for
ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon
snack, which dietary choice should the nurse provide?
Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions?
Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the med. Which
side effect should the nurse report to the healthcare provider?
Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow up by the
nurse?
take metformin for type 2 diabetes
The nurse should withhold which medication if the client's serum potassium level
is 6.2 mEq/?
