NGN ATI PN HESI EXIT EXAM 2024 ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS/NEW! NEW! /DOWNLOAD TO SCORE
A+ GRADE
Four hours following surgical repair of a compound fracture of the right
ulna, the nurse is unable to palpate the client's right radial pulse. Which
action should the nurse take first
(Ans - Elevate the client's right hand on one or two pillows
After placing a 36- week- gestation newborn in an isolette and drying
theinfant with several blankets, what should the nurse implement
next? (Ans - Remove the wet blankets and linen from the isolette
A client in the third trimester of pregnancy complains of frequent nasal
stiffness and occasional nosebleeds. Her chest circumference has
increased by 5 cm during the pregnancy, and she uses thoracic
breathing.Her diaphragm is elevated and she has an increased costal
angle. Which intervention should the nurse implement?
(Ans - Record the respiratory finding in the clients chart as normal
A terminally ill male hospice client who is at home is showing decreased
awareness of his surroundings. His appetite is poor and he often refuses
oral intake of solids and liquids. For the past several days he has been
unable to get out of bed. Which action should the hospice nurse
implement?
(Ans - Instruct family to offer client only soft bland foods
A woman was admitted yesterday afternoon with severe abdominal pain.
Her pregnancy test and ultrasound were negative, so an exploratory
laparotomy was completed during the night. When coffee ground
materialsis observed in the drainage from the nasogastric tube (NGT),
which intervention should the nurse implement?
(Ans - Verify correct placement of the nasogastric tube
,The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports of the abdominal pain is not as severe as it was
onadmission. Which laboratory test should the nurse review to evaluate
the clients clinical recovery?
(Ans - Lipase
While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the
nasogastric tube in the last hour. Which action should the nurse take
first?
(Ans - take vital signs
The nurse is reviewing the recommended preventative care for clients with
asthma, chronic bronchitis, and emphysema. Which health care measure
ismost important for the nurse to recommend to these clients?
(Ans - Avoid large crowded areas during the colder months of the year
The mother of a one-moth-old infant calls the clinic to report that the
backof her infant's head is flat. How should the nurse respond?
(Ans - Position the infant on the stomach occasionally when awake
andactive
A woman is brought to the labor and delivery unti after delivering a
term infant and the placenta in the hospital parking lot 10 minutes
ago. Whichaction should the nurse perform first?
(Ans - Perform a fundal massage
A client has a new prescription for the maximum recommended dosage
of pipercillin/tazobactam for nosocomial pneumonia. The nurse should
report which laboratory finding to the healthcare provider before
administering theprescribed dose?
(Ans - Decrease serum creatine
A client who is admitted with diabetic ketoacidosis (DKA) is
demonstratingKussmaul breathing and has a severe headache along
,with nausea. Her arterial blood gases (ABG) are: pH 7.50; PaCO2 30
mmHg; HCO3 24 mEq/L (24mmol/L). Which assessment finding
warrants immediate intervention by the nurse?
(Ans - Fruity breath
When performing postural drainage on a client with Chronic
ObstructivePulmonary disease (COPD), which approach should the
nurse use? (Ans - Explain that the client may be placed in five
positions
A young male client with testicular cancer has a living will that describes
hisdesire that no extraordinary measures be taken to save his life. The
healthcare provider knows the client has a good prognosis and refuses to
write a "do not resuscitate" (DNR) prescription. Which action should the
nurse take?
(Ans - Initiate an ethics committee review
In observing a clients face, which assessment finding requires the most
immediate intervention by the nurse?
(Ans - Oral mucosa is cyanotic Blue lips
The nurse is assessing a client with cirrhosis and notes that the client has
apositive Babinski reflex. Which action should the nurse take in response
to the finding?
(Ans - Complete a thorough neurological assessment
Which action should the nurse take first after obtaining a urine specimen
forculture and sensitivity from an indwelling urinary catheter?
(Ans - Ensure continued sterility of the specimen container
The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support while rising
to a standingposition. Which action should the nurse take?
(Ans - Hold the walker securely to prevent slipping while the client raises
, A client with cancer complains of fever, chills, malaise, and headache
following administration of a colony-stimulating factor. Which nursing
intervention is most beneficial in helping to reduce the flu like symptoms?
(Ans - Monitor lab values for an increase in WBCs
Which laboratory value should the nurse review prior to administering the
initial dose of a statin medication?
(Ans - Serum liver enzymes
Following a lumbar puncture, a client voices several concerns. Which
concern indicates to the nurse that the client is experiencing a
complicationof the procedure?
(Ans - I have a headache that gets worse when I sit up
The nurse is caring for a client withdrawing from a fentanyl citrate
addiction. The client receives a prescription for clonidine 0.2 mg PO taken
twice daily.Which action should the nurse take?
(Ans - Advise to sit up slowly from a reclining position
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health history form the child's mother,
therecent occurrence of what illness is most significant?
(Ans - Sore throat
Following discharge teaching, a client with a duodenal ulcer tells the
nurseof plans to eat plenty of dairy products, such as milk, to help coat
and protect their ulcer. Which is the best follow-up action by the nurse?
(Ans - Review with the client the need to avoid foods that are rich in milk
and cream
The nurse is caring for an adolescent client with an intestinal obstruction
who presents with severe, colicky abdominal pain, nauseas, vomiting,
DETAILED VERIFIED SOLUTIONS/NEW! NEW! /DOWNLOAD TO SCORE
A+ GRADE
Four hours following surgical repair of a compound fracture of the right
ulna, the nurse is unable to palpate the client's right radial pulse. Which
action should the nurse take first
(Ans - Elevate the client's right hand on one or two pillows
After placing a 36- week- gestation newborn in an isolette and drying
theinfant with several blankets, what should the nurse implement
next? (Ans - Remove the wet blankets and linen from the isolette
A client in the third trimester of pregnancy complains of frequent nasal
stiffness and occasional nosebleeds. Her chest circumference has
increased by 5 cm during the pregnancy, and she uses thoracic
breathing.Her diaphragm is elevated and she has an increased costal
angle. Which intervention should the nurse implement?
(Ans - Record the respiratory finding in the clients chart as normal
A terminally ill male hospice client who is at home is showing decreased
awareness of his surroundings. His appetite is poor and he often refuses
oral intake of solids and liquids. For the past several days he has been
unable to get out of bed. Which action should the hospice nurse
implement?
(Ans - Instruct family to offer client only soft bland foods
A woman was admitted yesterday afternoon with severe abdominal pain.
Her pregnancy test and ultrasound were negative, so an exploratory
laparotomy was completed during the night. When coffee ground
materialsis observed in the drainage from the nasogastric tube (NGT),
which intervention should the nurse implement?
(Ans - Verify correct placement of the nasogastric tube
,The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports of the abdominal pain is not as severe as it was
onadmission. Which laboratory test should the nurse review to evaluate
the clients clinical recovery?
(Ans - Lipase
While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the
nasogastric tube in the last hour. Which action should the nurse take
first?
(Ans - take vital signs
The nurse is reviewing the recommended preventative care for clients with
asthma, chronic bronchitis, and emphysema. Which health care measure
ismost important for the nurse to recommend to these clients?
(Ans - Avoid large crowded areas during the colder months of the year
The mother of a one-moth-old infant calls the clinic to report that the
backof her infant's head is flat. How should the nurse respond?
(Ans - Position the infant on the stomach occasionally when awake
andactive
A woman is brought to the labor and delivery unti after delivering a
term infant and the placenta in the hospital parking lot 10 minutes
ago. Whichaction should the nurse perform first?
(Ans - Perform a fundal massage
A client has a new prescription for the maximum recommended dosage
of pipercillin/tazobactam for nosocomial pneumonia. The nurse should
report which laboratory finding to the healthcare provider before
administering theprescribed dose?
(Ans - Decrease serum creatine
A client who is admitted with diabetic ketoacidosis (DKA) is
demonstratingKussmaul breathing and has a severe headache along
,with nausea. Her arterial blood gases (ABG) are: pH 7.50; PaCO2 30
mmHg; HCO3 24 mEq/L (24mmol/L). Which assessment finding
warrants immediate intervention by the nurse?
(Ans - Fruity breath
When performing postural drainage on a client with Chronic
ObstructivePulmonary disease (COPD), which approach should the
nurse use? (Ans - Explain that the client may be placed in five
positions
A young male client with testicular cancer has a living will that describes
hisdesire that no extraordinary measures be taken to save his life. The
healthcare provider knows the client has a good prognosis and refuses to
write a "do not resuscitate" (DNR) prescription. Which action should the
nurse take?
(Ans - Initiate an ethics committee review
In observing a clients face, which assessment finding requires the most
immediate intervention by the nurse?
(Ans - Oral mucosa is cyanotic Blue lips
The nurse is assessing a client with cirrhosis and notes that the client has
apositive Babinski reflex. Which action should the nurse take in response
to the finding?
(Ans - Complete a thorough neurological assessment
Which action should the nurse take first after obtaining a urine specimen
forculture and sensitivity from an indwelling urinary catheter?
(Ans - Ensure continued sterility of the specimen container
The home health nurse observes an older client with unilateral
weakness place the walker in front of the chair for support while rising
to a standingposition. Which action should the nurse take?
(Ans - Hold the walker securely to prevent slipping while the client raises
, A client with cancer complains of fever, chills, malaise, and headache
following administration of a colony-stimulating factor. Which nursing
intervention is most beneficial in helping to reduce the flu like symptoms?
(Ans - Monitor lab values for an increase in WBCs
Which laboratory value should the nurse review prior to administering the
initial dose of a statin medication?
(Ans - Serum liver enzymes
Following a lumbar puncture, a client voices several concerns. Which
concern indicates to the nurse that the client is experiencing a
complicationof the procedure?
(Ans - I have a headache that gets worse when I sit up
The nurse is caring for a client withdrawing from a fentanyl citrate
addiction. The client receives a prescription for clonidine 0.2 mg PO taken
twice daily.Which action should the nurse take?
(Ans - Advise to sit up slowly from a reclining position
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health history form the child's mother,
therecent occurrence of what illness is most significant?
(Ans - Sore throat
Following discharge teaching, a client with a duodenal ulcer tells the
nurseof plans to eat plenty of dairy products, such as milk, to help coat
and protect their ulcer. Which is the best follow-up action by the nurse?
(Ans - Review with the client the need to avoid foods that are rich in milk
and cream
The nurse is caring for an adolescent client with an intestinal obstruction
who presents with severe, colicky abdominal pain, nauseas, vomiting,
