2024 HESI EXIT RN EXAM Version 1 (V1) – Next Gen (NGN) Questions and Answers |
100% Verified 160 Qs & Ans
The nurse is completing the admission assessment of a 3-year old who is admitted withbacterial
meningitis and hydrocephalus. Which assessment finding is evidence that thechild is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - answer B. Sluggish and unequal pupillary
responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated
serum amylase. Which additional information is the client most likely to reportto the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tenderC.
Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - answer A. Abdominal paindecreases
when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents priorto discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
,D. Referral for social services for the child and family - answer A. Instructions about howmuch
fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
location on the image with a red dot). - answer I placed the red dot on thebase of the neck on the
right side
After receiving report on an inpatient acute care unit, which client should the nurseassess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal
distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus withabsent
bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draininggreenish
fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominalrigidity
- answer
E. . The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity
,A teenager presents to the emergency department with palpitations after vaping at a party. The
client is anxious, fearful, and hyperventilating. The nurse anticipates the clientdeveloping which
acid base imbalance?
A. Respiratory acidosisB.
Metabolic alkalosis C.
Metabolic acidosis
D. Respiratory alkalosis - answer D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best prepare for theclient's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head C.
supine; head elevated higher than feet
D. Fowlers - answer Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the client's admission assessment is relevant to thenurse's plan for taking the
blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - answer A. Frequent syncopeC.
Flat affect
D. Blurred vision
, While caring for a client's postoperative dressing, the nurse observes purulent drainageat the
wound. Before reporting this finding to the healthcare provider, the nurse should review which
of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organismsC.
Serum blood glucose level
D. Creatinine level - answer B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful resuscitationfrom a
near-drowning incident. While providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when asked about what happened. Which
action should the nurse take?
A. Develop a water safety teaching plan for the family B.
Ask the older brother how he felt during the incidentC. Tell
the older brother that he seems depressed
D. Commend the older brother for his heroic actions - answer B. Ask the older brotherhow he
felt during the incident
100% Verified 160 Qs & Ans
The nurse is completing the admission assessment of a 3-year old who is admitted withbacterial
meningitis and hydrocephalus. Which assessment finding is evidence that thechild is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - answer B. Sluggish and unequal pupillary
responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated
serum amylase. Which additional information is the client most likely to reportto the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tenderC.
Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - answer A. Abdominal paindecreases
when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents priorto discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
,D. Referral for social services for the child and family - answer A. Instructions about howmuch
fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
location on the image with a red dot). - answer I placed the red dot on thebase of the neck on the
right side
After receiving report on an inpatient acute care unit, which client should the nurseassess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal
distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus withabsent
bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draininggreenish
fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominalrigidity
- answer
E. . The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity
,A teenager presents to the emergency department with palpitations after vaping at a party. The
client is anxious, fearful, and hyperventilating. The nurse anticipates the clientdeveloping which
acid base imbalance?
A. Respiratory acidosisB.
Metabolic alkalosis C.
Metabolic acidosis
D. Respiratory alkalosis - answer D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To best prepare for theclient's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head C.
supine; head elevated higher than feet
D. Fowlers - answer Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the client's admission assessment is relevant to thenurse's plan for taking the
blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling - answer A. Frequent syncopeC.
Flat affect
D. Blurred vision
, While caring for a client's postoperative dressing, the nurse observes purulent drainageat the
wound. Before reporting this finding to the healthcare provider, the nurse should review which
of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organismsC.
Serum blood glucose level
D. Creatinine level - answer B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful resuscitationfrom a
near-drowning incident. While providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when asked about what happened. Which
action should the nurse take?
A. Develop a water safety teaching plan for the family B.
Ask the older brother how he felt during the incidentC. Tell
the older brother that he seems depressed
D. Commend the older brother for his heroic actions - answer B. Ask the older brotherhow he
felt during the incident
