NGN ATI HESI Exit RN Exam
Questions&Answers Rationale 100%
CORRECT/VERIFIED New 2023/2024
latest
1. A client who received multiple antihypertensive medications experiences
syncope due to a drop in blood pressure to 70/40. What is the rationale for
the nurse’s decision to hold the client’s scheduled antihypertensive
medication?
increased urinary clearance of the multiple medications has produced
diuresis and lowered the blood pressure
the antagonistic interaction among the various blood pressure
medications has reduced their effectiveness
The additive effect of multiple medications has caused the blood
pressure to drop too low
the synergistic effect of the multiple medications has resulted in drug toxicity
and
resulting hypotension
2. Which client is at the greatest risk for developing delirium?
An adult client who cannot sleep due to constant pain.
an older client who attempted 1 month ago
a young adult who takes antipsychotic medications twice a day
a middle-aged woman who uses a tank for supplemental oxygen
3. Which intervention should the nurse include in a long-term plan of care for
a client with Chronic Obstructive Pulmonary Disease (COPD)?
Reduce risks factors for infection
Administer high flow oxygen during sleep
Limit fluid intake to reduce secretions
Use diaphragmatic breathing to achieve better exhalation
,4. Which location should the nurse choose as the best for beginning a
screening program for hypothyroidism?
A business and professional women's group.
An African-American senior citizens center
A daycare center in a Hispanic neighborhood
An after-school center for Native-American teens
5. A female client has been taking a high dose of prednisone, a
corticosteroid, for several months. After stopping the medication abruptly,
the client reports feeling “very tired”. Which nursing intervention is most
important for the nurse to implement?
Measure vital signs
Auscultate breath sounds
Palpate the abdomen
Observe the skin for bruising
6. A male client reports the onset of numbness and tingling in his fingers and
around his mouth. Which lab is important for the nurse to review before
contacting the health care provider?
capillary glucose
urine specific gravity
Serum calcium
white blood cell count
7. What explanation is best for the nurse to provide a client who asks the
purpose of using the log-rolling technique for turning?
working together can decrease the risk for back injury
The technique is intended to maintain straight spinal alignment.
Using two or three people increases client safety.
turning instead of pulling reduces the likelihood of skin damage
8. A client receiving chemotherapy has severe neutropenia. Which snack
is best for the nurse to recommend to the client?
Baked apples topped with dried raisins
,9. Which action should the school nurse take first when conducting a
screening for scoliosis?
Inspect for symmetrical shoulder height.
10. An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports
to
, the charge nurse that a client has a weak pulse with a rate of 44 beat/
minutes. What action should the charge nurse implement?
Assign a practical nurse (LPN) to determine if an apical radial deficit is present
11.After a sudden loss of consciousness, a female client is taken to the ED and
initial assessment indicate that her blood glucose level is critically low.
Once her glucose level is stabilized, the client reports that was recently
diagnosed with anorexia nervosa and is being treated at an outpatient
clinic. Which intervention is more important to include in this client’s
discharge plan?
Encourage a low-carbohydrate and high-protein diet
12.A client with a peripherally inserted central catheter (PICC) line has a
fever. What client assessment is most important for the nurse to perform?
Observe the antecubital fossa for inflammation.
13.The nurse administers an antibiotic to a client with respiratory tract
infection. To evaluate the medication’s effectiveness, which laboratory
values should the nurse monitor? Select all that apply
White blood cell (WBC) count
Sputum culture and sensitivity
14.A client is admitted to isolation with the diagnosis of active tuberculosis.
Which infection control measures should the nurse implement?
Negative pressure environment
contact precautions
droplet precautions
protective environment
15.A school nurse is called to the soccer field because a child has a nose bleed
(epistaxis). In what position should the nurse place the child?
Sitting up and leaning forward
16.A young adult who is hit with a baseball bat on the temporal area of the
left skull is conscious when admitted to the ED and is transferred to the
Questions&Answers Rationale 100%
CORRECT/VERIFIED New 2023/2024
latest
1. A client who received multiple antihypertensive medications experiences
syncope due to a drop in blood pressure to 70/40. What is the rationale for
the nurse’s decision to hold the client’s scheduled antihypertensive
medication?
increased urinary clearance of the multiple medications has produced
diuresis and lowered the blood pressure
the antagonistic interaction among the various blood pressure
medications has reduced their effectiveness
The additive effect of multiple medications has caused the blood
pressure to drop too low
the synergistic effect of the multiple medications has resulted in drug toxicity
and
resulting hypotension
2. Which client is at the greatest risk for developing delirium?
An adult client who cannot sleep due to constant pain.
an older client who attempted 1 month ago
a young adult who takes antipsychotic medications twice a day
a middle-aged woman who uses a tank for supplemental oxygen
3. Which intervention should the nurse include in a long-term plan of care for
a client with Chronic Obstructive Pulmonary Disease (COPD)?
Reduce risks factors for infection
Administer high flow oxygen during sleep
Limit fluid intake to reduce secretions
Use diaphragmatic breathing to achieve better exhalation
,4. Which location should the nurse choose as the best for beginning a
screening program for hypothyroidism?
A business and professional women's group.
An African-American senior citizens center
A daycare center in a Hispanic neighborhood
An after-school center for Native-American teens
5. A female client has been taking a high dose of prednisone, a
corticosteroid, for several months. After stopping the medication abruptly,
the client reports feeling “very tired”. Which nursing intervention is most
important for the nurse to implement?
Measure vital signs
Auscultate breath sounds
Palpate the abdomen
Observe the skin for bruising
6. A male client reports the onset of numbness and tingling in his fingers and
around his mouth. Which lab is important for the nurse to review before
contacting the health care provider?
capillary glucose
urine specific gravity
Serum calcium
white blood cell count
7. What explanation is best for the nurse to provide a client who asks the
purpose of using the log-rolling technique for turning?
working together can decrease the risk for back injury
The technique is intended to maintain straight spinal alignment.
Using two or three people increases client safety.
turning instead of pulling reduces the likelihood of skin damage
8. A client receiving chemotherapy has severe neutropenia. Which snack
is best for the nurse to recommend to the client?
Baked apples topped with dried raisins
,9. Which action should the school nurse take first when conducting a
screening for scoliosis?
Inspect for symmetrical shoulder height.
10. An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports
to
, the charge nurse that a client has a weak pulse with a rate of 44 beat/
minutes. What action should the charge nurse implement?
Assign a practical nurse (LPN) to determine if an apical radial deficit is present
11.After a sudden loss of consciousness, a female client is taken to the ED and
initial assessment indicate that her blood glucose level is critically low.
Once her glucose level is stabilized, the client reports that was recently
diagnosed with anorexia nervosa and is being treated at an outpatient
clinic. Which intervention is more important to include in this client’s
discharge plan?
Encourage a low-carbohydrate and high-protein diet
12.A client with a peripherally inserted central catheter (PICC) line has a
fever. What client assessment is most important for the nurse to perform?
Observe the antecubital fossa for inflammation.
13.The nurse administers an antibiotic to a client with respiratory tract
infection. To evaluate the medication’s effectiveness, which laboratory
values should the nurse monitor? Select all that apply
White blood cell (WBC) count
Sputum culture and sensitivity
14.A client is admitted to isolation with the diagnosis of active tuberculosis.
Which infection control measures should the nurse implement?
Negative pressure environment
contact precautions
droplet precautions
protective environment
15.A school nurse is called to the soccer field because a child has a nose bleed
(epistaxis). In what position should the nurse place the child?
Sitting up and leaning forward
16.A young adult who is hit with a baseball bat on the temporal area of the
left skull is conscious when admitted to the ED and is transferred to the
