NEW HESI RN EXIT EXAM NG
130 QUESTIONS AND ANSWERS
BEST FOR 2023 1
2. A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse verify with the provider?
c. medication dose
3-A nurse is teaching a group of staff nurses about the use of essential oils for aromatherapy. The nurse should include in the teaching that this therapy might be contraindicated for which of the following clients?
d. a client who has asthma
4-A nurse is admitting a client who has rubella. Which of the following types of transmission based precautions should the nurse initiate?
a. droplet
5-A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which
of the following actions should the nurse take?
a. gently shake the container of medication prior to administration
6-A nurse is performing a peripheral vascular assessment for a client. When placing the bell of
the stethoscope on the client's neck, she hears the following sound. This sound indicates which
of the following? (Click on the audio button to listen to the clip.)
A)Narrowed arterial lumen
7-A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take?
B)Withhold the blood transfusion.
8-A nurse in an acute care facility is preparing a discharge summary for a client who is transferring
to a long-term care facility. Which of the following documentation should the nurse include?
c. current medications
9-A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention? A) Erythema on pressure points
10.
11. A very serious incident recently occurred in the hospital in which you work. An RN working triage in the emergency department was attacked with a knife and critically wounded by a patient the nurse was attempting to assess. Over the past few years, nurses employed in this emergency department have
continually expressed concerns about safety and security with little response from the hospital’s administration. Now the hospital administrator is listening and has agreed to commit resources to form a task force whose charge will be to develop a plan to enhance safety and security throughout the hospital. You have been asked to serve on this task force to represent your nursing unit.
Questions
A.How can the employees’ very real concerns for their personal safety be immediately addressed while the task force is developing its safety and security plan? Do not assess patient until he is stable,
Share experience with supervisor and other colleagues about the incident and how to minimize the risk of similar events occurring in the future, engage unit council to promote actions to prevent and address violence in the workplace and ensure an appropriate workplace violence program is implemented
B.What information and resources are available from professional organizations, governmental agencies, and community groups to help the task force better understand the issue of violence in the
workplace and to develop an effective plan? Dhhs (department of health and human services. National institute for occupation safety and health,
C.What are the key components of an effective safety plan? Management engagement, workplace reviews, being proactive, and training.
D.If you had been a nurse in the emergency department and could go back 12 months before this alarming incident occurred, what steps might you have taken to strongly advocate for a safer and more secure environment for the nurses and other staff members? I would inquire about safety protocol, educate in orientation of all new hires about being aware of signs of “danger” and request that incidents such as this Extreme violence be incorporated into your required module training.
12. The doctor has ordered oral administration of lactulose (Chronulac) for a client with esophageal bleeding from esophageal varices. The nurse knows that the reason for administration of this drug is to:
4. Promote excretion of ammonia.‐
13. When admitting a client with a diagnosis of cirrhosis, the nurse assesses the medications ordered. She should question the administration of which of the following?
4. Acetaminophen (Tylenol)‐
14 A client with cirrhosis of the liver and esophageal varices suddenly begins vomiting copious amount of dark colored blood. The sign/symptom that is least expected would be which of the following: ‐
2. Pain.‐
15. A client on the unit with hepatitis B suddenly develops anorexia, vomiting, abdominal pain, progressive jaundice, lethargy, and disorientation. The nurse knows that these indicate which of the following?
2. Fulminant hepatitis‐
16. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postoperative
recovery progressed without complications, and she is ready for discharge. Client education in
