REAL EXIT EXAM WITH NGN UPDATED
LATEST SOLUTIONS
A client with a history of schizophrenia is admitted with
diabetic ketoacidosis (DKA). Which nursing interventions should
the nurse implement during the admission process for this
client?
A. Obtain psychiatric and medical admission records
B. Hold psychotropic medications until glucose is regulated
C. Interview client about reason for admission to hospital
D. Prepare the client for involuntary commitment admission
E. Review the list of home medications and dosages - ANSWER-
A. Obtain psychiatric and medical admissions records
C. Interview client about reason for admission to hospital
E. Review the list of home medications and dosages
,The laboratory findings for a client with chronic kidney disease
(CKD) include elevated blood urea nitrogen (BUN) and serum
creatinine levels. The client reports feeling fatigued and is
unable to concentrate during the morning assessments. Based
on these findings, which action should the nurse implement?
A. Provide high protein snacks
B. Administer PRN oxygen
C. Schedule frequent rest periods
D. Monitor glucose levels q4 hours. - ANSWER-A. Provide high
protein snacks
A client is receiving a nitroglycerin infusion at 20 mcg/min. The
pharmacy dispenses an IV solution of nitroglycerin 75 mg in 250
D5W. The nurse should program the infusion pump to deliver
how many mL/hr? - ANSWER-pump rate is mL/hr (so we have
to convert min to hr)
Dose received = 20mcg/min= 1200mcg/hr = 1.2mg/hr
to know how much mL in 1.2 mg, we use the fixed solution 75
mg in 250 mL as a reference.
75mg --- 250mL
,1.2mg -- X mL
X = 1.2 x 250/75 = 4 mL/hr
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 prior to
discharge?
A. Signs of addiction to opioid pain medication
B. Information about non-pharmaceutical pain relief measures
C. Referral for social services for the child and family
D. Instructions about how much fluid the child should drink -
ANSWER-D. Instructions about how much fluid the child should
drink
When conducting diet teaching for a client who was diagnosed
with hypertension, which foods should the nurse encourage the
client to eat?
A. Fruits without sauce
B. Canned soup
C. Fresh or frozen vegetables without sauce
, D. Cottage cheese
E. Pickled olives - ANSWER-A. Fruits without sauce
C. Fresh or frozen vegetables without sauce
D. Cottage cheese
The nurse assumes care of a postoperative adult client with
type 2 diabetes mellitus and learns that the client has a current
blood glucose level of 720 mg/dL. When assessing the client,
what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - ANSWER-A. Assess for
signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may
have a stomach ulcer, because he is experiencing heartburn