2024 NGN HESI PN EXIT V3 EXAM WITH 75
LATEST QUESTIONS AND ANSWERS UPDATED
(VERIFIED BY EXPERT)
1. A mother runs into the emergency room with a toddler and tells the nurse that the
child has some type of chemical on their clothes. After assessing airway is patent,
what it the next intervention the nurse should take?
a. Assess for altered mental senosorium
b. Determine the type of chemical exposure
c. Obtain equipment for lavage
d. Call poision control - ANSWER b. Determine the type of chemical exposure
1. A patient was admitted for treatment of bipolar into the mental health unit. He
exhibited signs and symptoms of slightly slurred speech patterns. Which of the
following would be crucial to report to the HCP?
a. Lithium level of 1.6
b. Only 6 hours of sleep in the past 72 hrs
c. Weight loss of 15lb in the last two months
d. Blood alcohol level of 0.10 - ANSWER a. Lithium level of 1.6
1. A patient was admitted with the diagnosis of urolithiasis. Which finding is
significant to report to the HCP?
a. Voiding more than 300ml with each void
b. Elevating potassium
c. Relief of flank pain in the groin area
d. Hematuria beginning to turn pinkish - ANSWER B. Elevating potassium
1. The nurse is planning care for a patient with JIA. The care plan includes activities
that include to strengthen and mobilize the joints and surrounding muscle. Which is
the appropriate physical therapy regimen?
a. Passive range of motion twice a day
b. Exercise in a swimming pool
c. Slint affect joints during movement
d. Begin a lifting weights and running - ANSWER b. Exercise in a swimming pool
1. A patient is immediately administered thrombolytic therapy following an MI. The
client has a bowel movement during this time. What is intervention that the nurse
should do?
a. Observe stool for clay appearance
b. Obtain a culture for sensitivity analysis
c. Send sampel for guaiac test
d. Assess for fatty yellow streaks - ANSWER c. Send sampel for guaiac test
1. A patient is admitted into the ICU with a R. chest tube attached to Thora-Seal
drainage system. The nurse assses the patients and find them tachypenic with
,absent breath sounds in the right lung fields. What additional s/s might the nurse
find?
a. Continuous bubbling in the water-seal chamber
b. Tracheal deviation toward the left lung
c. Decreased bright red bloody drainage
d. Tachypeana with difficulty breathing - ANSWER b. Tracheal deviation toward
the left lung
1. What conditions are mostly likely to respoind to treatment with antihistamines?
(Select all that apply)
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ANSWER b. Allergic rhinitis
d. Contact dermatitis
1. An older clients daughter call the home health nurse that her mother has become
forgetful 3 days ago and it has gotten worse. Which actions should the nurse take
(Select all that apply)
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein and foods
c. Instruct the daughter to check her mothers temperature
d. Review the clients current food and medication allergies
e. Determine if the mother has recently fallen - ANSWER a. Ask if the mother is
experiencing any pain with urination
c. Instruct the daughter to check her mothers temperature
e. Determine if the mother has recently fallen
1. The nurse is assessing a male patient with a history of Addisons disease. The
patient has flu like symptoms and is extremely weak when he awake this morning.
The patient is febrile and tachcardic. Which of the following will the PCP prescribe?
a. Hypotonic saline solution at 100ml/hr until edema disappears
b. Hydrocortisone 100mg IV every 6 hours until systolic bp reaches 100.
c. Potassium chloride 20mEq IV to infue over two hours until confusion resolves
d. Regular insulin drip to keep BG around 100. - ANSWER b. Hydrocortisone
100mg IV every 6 hours until systolic bp reaches 100.
1. A male patient with a history of mitral valve prolapse is admitted with a fever and
dyspnea on exertion. The nurse observes multiple areas of petechia on the client's
skin. What interventions should the nurse expect to implement? (select all that apply)
a. Monitor cardiac rhythm via tele
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmition precautions - ANSWER a. Monitor cardiac rhythm via
tele
b. Report changes in pre-existing murmurs
e. Initiate contact transmition precautions
,1. The nurse is planning an educational session for new parents on ways to prevent
sudden infant death syndrome. Which information is important to include?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles during naps and bedtime - ANSWER c. Position the infant in
a supine position while sleeping
1. The nurse notes that an older adult client has a moist cough and increase in
severity after eating. What intervention will the nurse implement?
a. Collect sputum culture immediately
b. Request a consultation to confirm dysphagia
c. Offer the client additional clear liquids frequently
d. Encourage client to do deep breathing exercises daily - ANSWER b. Request a
consultation to confirm dysphagia
1. A multiparous client who delivered her infant three hours ago asks to nurse to take
warm shower. What intervention should the nurse look to implement?
a. Use an analgesic spray to the perineal area to reduce pain
b. Apply an ice pack to the perinium for the first 24 hours
c. Teach the client how to practice Kegal exercises
d. Review the use of sitz bath equipment with the client - ANSWER d. Review the
use of sitz bath equipment with the client
1. When the parents of a 6 year old boy with a brain tumor are told of his condition,
the mother yells at the father," if this would have been found sooner he could've
been cured!" Which intervention is the best for the nurse to implement?
a. Refer the parents to the chaplain to provide grief counseling
b. Assure the parents that a terminal diagnosis was inevitable
c. Tell the parents that blaming each other will not change the situation
d. Explain to the parents that anger is a common response to grief - ANSWER b.
Assure the parents that a terminal diagnosis was inevitable
1. A wife of a newly diagnosed client with Parkinson's disease asks the nurse if
alternative or complimentary medical therapies can cure the disease? What should
be the nurse's response?
a. Compile a list of alternative medications that are effective in curing Parkinson's
disease
b. Explain that there are no known conventional, alternative, or complimentary
therapies that cure Parkinson's.
c. Encourage the wife to ventilate her feelings about having a husband with
Parkinsons disease
d. Tell the wife that her husband's neurologist would know more about alternative
treatments to cure Parkinsons. - ANSWER d. Tell the wife that her husband's
neurologist would know more about alternative treatments to cure Parkinsons.
1. A female has been taking high does of NSAID comes to the hospital complaining
of stomach pain and bloody stool. The PCP discontinues the NSAIDS and orders
esomeprazole. Which education is important to include in the nursing teaching plan?
a. Once the pain goes away, stop the NSAID medication
, b. Continue to consume milk, cream, and bland foods
c. Notify PCP if black stool occurs
d. Call your PCP if you experience diarrhea and a headache - ANSWER c. Notify
PCP if black stool occurs
When administering PO zolpidem to an elderly patient, which outcome shows the
medication is working?
a. sleeps through the whole night
b. less frequency of incontinence
c. fewer emotional outbursts
d. ability to concentrate improves - ANSWER a. sleeps through the whole night
A female with an fungal toenail infection reports that she has been applying over the
counter antibiotic ointment to the site daily for about two weeks with no improvement.
What should the nurse do next?
a. instruct the patient to obtain oral terbinafine
b. suggest the Pt go from once a day to twice a daily with application of ointment
c. tell the Pt that the fungal infection takes about two weeks for resolve
d. advice the Pt to obtain a prescription-strength version of the ointment - ANSWER
a. instruct the patient to obtain oral terbinafine
A PT with an NGT has to take sucralfate. The liquid form of the medication is not
available and tablets are the only thing on the unit. What should the nurse do?
a. crush the tablet and mix it with water apart from other medications
b. crush the tablet and mix with other crushed tablets in diluted water
c. withhold medication until liquid version is available
d. crush the tablet and mix with other liquid medications - ANSWER a. crush the
tablet and mix it with water apart from other medications
5. A Pt with chronic asthma receives a prescription for montelukast. Which statement
by the PT indicates and understanding on how to properly take this medication?
a. I will only take this medication when I am having an active asthma attack
b. I will take the tablet every evening
c. This pill will stop an asthma attack immediately
d. I will not need my inhalers ever again once I start this pill - ANSWER b. I will
take the tablet every evening
6. A nurse is giving an antiulcer GI medication, sucralfate to a Pt with peptic ulcer
disease. Which action should the nurse include in the plan of care?
a. assess for candida infection
b. give medication once a day, at bedtime
c. give medication on an empty stomach
d. monitor possible electrolyte imbalance - ANSWER b. give medication once a
day, at bedtime
7. Which assessment finding requires nursing intervention prior to administration of
digoxin?
a. apical pulse beat at the pulmonic site
b. presence of a systolic heart murmur
c. apical pulse rate of 50 beats/min
LATEST QUESTIONS AND ANSWERS UPDATED
(VERIFIED BY EXPERT)
1. A mother runs into the emergency room with a toddler and tells the nurse that the
child has some type of chemical on their clothes. After assessing airway is patent,
what it the next intervention the nurse should take?
a. Assess for altered mental senosorium
b. Determine the type of chemical exposure
c. Obtain equipment for lavage
d. Call poision control - ANSWER b. Determine the type of chemical exposure
1. A patient was admitted for treatment of bipolar into the mental health unit. He
exhibited signs and symptoms of slightly slurred speech patterns. Which of the
following would be crucial to report to the HCP?
a. Lithium level of 1.6
b. Only 6 hours of sleep in the past 72 hrs
c. Weight loss of 15lb in the last two months
d. Blood alcohol level of 0.10 - ANSWER a. Lithium level of 1.6
1. A patient was admitted with the diagnosis of urolithiasis. Which finding is
significant to report to the HCP?
a. Voiding more than 300ml with each void
b. Elevating potassium
c. Relief of flank pain in the groin area
d. Hematuria beginning to turn pinkish - ANSWER B. Elevating potassium
1. The nurse is planning care for a patient with JIA. The care plan includes activities
that include to strengthen and mobilize the joints and surrounding muscle. Which is
the appropriate physical therapy regimen?
a. Passive range of motion twice a day
b. Exercise in a swimming pool
c. Slint affect joints during movement
d. Begin a lifting weights and running - ANSWER b. Exercise in a swimming pool
1. A patient is immediately administered thrombolytic therapy following an MI. The
client has a bowel movement during this time. What is intervention that the nurse
should do?
a. Observe stool for clay appearance
b. Obtain a culture for sensitivity analysis
c. Send sampel for guaiac test
d. Assess for fatty yellow streaks - ANSWER c. Send sampel for guaiac test
1. A patient is admitted into the ICU with a R. chest tube attached to Thora-Seal
drainage system. The nurse assses the patients and find them tachypenic with
,absent breath sounds in the right lung fields. What additional s/s might the nurse
find?
a. Continuous bubbling in the water-seal chamber
b. Tracheal deviation toward the left lung
c. Decreased bright red bloody drainage
d. Tachypeana with difficulty breathing - ANSWER b. Tracheal deviation toward
the left lung
1. What conditions are mostly likely to respoind to treatment with antihistamines?
(Select all that apply)
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ANSWER b. Allergic rhinitis
d. Contact dermatitis
1. An older clients daughter call the home health nurse that her mother has become
forgetful 3 days ago and it has gotten worse. Which actions should the nurse take
(Select all that apply)
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein and foods
c. Instruct the daughter to check her mothers temperature
d. Review the clients current food and medication allergies
e. Determine if the mother has recently fallen - ANSWER a. Ask if the mother is
experiencing any pain with urination
c. Instruct the daughter to check her mothers temperature
e. Determine if the mother has recently fallen
1. The nurse is assessing a male patient with a history of Addisons disease. The
patient has flu like symptoms and is extremely weak when he awake this morning.
The patient is febrile and tachcardic. Which of the following will the PCP prescribe?
a. Hypotonic saline solution at 100ml/hr until edema disappears
b. Hydrocortisone 100mg IV every 6 hours until systolic bp reaches 100.
c. Potassium chloride 20mEq IV to infue over two hours until confusion resolves
d. Regular insulin drip to keep BG around 100. - ANSWER b. Hydrocortisone
100mg IV every 6 hours until systolic bp reaches 100.
1. A male patient with a history of mitral valve prolapse is admitted with a fever and
dyspnea on exertion. The nurse observes multiple areas of petechia on the client's
skin. What interventions should the nurse expect to implement? (select all that apply)
a. Monitor cardiac rhythm via tele
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmition precautions - ANSWER a. Monitor cardiac rhythm via
tele
b. Report changes in pre-existing murmurs
e. Initiate contact transmition precautions
,1. The nurse is planning an educational session for new parents on ways to prevent
sudden infant death syndrome. Which information is important to include?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles during naps and bedtime - ANSWER c. Position the infant in
a supine position while sleeping
1. The nurse notes that an older adult client has a moist cough and increase in
severity after eating. What intervention will the nurse implement?
a. Collect sputum culture immediately
b. Request a consultation to confirm dysphagia
c. Offer the client additional clear liquids frequently
d. Encourage client to do deep breathing exercises daily - ANSWER b. Request a
consultation to confirm dysphagia
1. A multiparous client who delivered her infant three hours ago asks to nurse to take
warm shower. What intervention should the nurse look to implement?
a. Use an analgesic spray to the perineal area to reduce pain
b. Apply an ice pack to the perinium for the first 24 hours
c. Teach the client how to practice Kegal exercises
d. Review the use of sitz bath equipment with the client - ANSWER d. Review the
use of sitz bath equipment with the client
1. When the parents of a 6 year old boy with a brain tumor are told of his condition,
the mother yells at the father," if this would have been found sooner he could've
been cured!" Which intervention is the best for the nurse to implement?
a. Refer the parents to the chaplain to provide grief counseling
b. Assure the parents that a terminal diagnosis was inevitable
c. Tell the parents that blaming each other will not change the situation
d. Explain to the parents that anger is a common response to grief - ANSWER b.
Assure the parents that a terminal diagnosis was inevitable
1. A wife of a newly diagnosed client with Parkinson's disease asks the nurse if
alternative or complimentary medical therapies can cure the disease? What should
be the nurse's response?
a. Compile a list of alternative medications that are effective in curing Parkinson's
disease
b. Explain that there are no known conventional, alternative, or complimentary
therapies that cure Parkinson's.
c. Encourage the wife to ventilate her feelings about having a husband with
Parkinsons disease
d. Tell the wife that her husband's neurologist would know more about alternative
treatments to cure Parkinsons. - ANSWER d. Tell the wife that her husband's
neurologist would know more about alternative treatments to cure Parkinsons.
1. A female has been taking high does of NSAID comes to the hospital complaining
of stomach pain and bloody stool. The PCP discontinues the NSAIDS and orders
esomeprazole. Which education is important to include in the nursing teaching plan?
a. Once the pain goes away, stop the NSAID medication
, b. Continue to consume milk, cream, and bland foods
c. Notify PCP if black stool occurs
d. Call your PCP if you experience diarrhea and a headache - ANSWER c. Notify
PCP if black stool occurs
When administering PO zolpidem to an elderly patient, which outcome shows the
medication is working?
a. sleeps through the whole night
b. less frequency of incontinence
c. fewer emotional outbursts
d. ability to concentrate improves - ANSWER a. sleeps through the whole night
A female with an fungal toenail infection reports that she has been applying over the
counter antibiotic ointment to the site daily for about two weeks with no improvement.
What should the nurse do next?
a. instruct the patient to obtain oral terbinafine
b. suggest the Pt go from once a day to twice a daily with application of ointment
c. tell the Pt that the fungal infection takes about two weeks for resolve
d. advice the Pt to obtain a prescription-strength version of the ointment - ANSWER
a. instruct the patient to obtain oral terbinafine
A PT with an NGT has to take sucralfate. The liquid form of the medication is not
available and tablets are the only thing on the unit. What should the nurse do?
a. crush the tablet and mix it with water apart from other medications
b. crush the tablet and mix with other crushed tablets in diluted water
c. withhold medication until liquid version is available
d. crush the tablet and mix with other liquid medications - ANSWER a. crush the
tablet and mix it with water apart from other medications
5. A Pt with chronic asthma receives a prescription for montelukast. Which statement
by the PT indicates and understanding on how to properly take this medication?
a. I will only take this medication when I am having an active asthma attack
b. I will take the tablet every evening
c. This pill will stop an asthma attack immediately
d. I will not need my inhalers ever again once I start this pill - ANSWER b. I will
take the tablet every evening
6. A nurse is giving an antiulcer GI medication, sucralfate to a Pt with peptic ulcer
disease. Which action should the nurse include in the plan of care?
a. assess for candida infection
b. give medication once a day, at bedtime
c. give medication on an empty stomach
d. monitor possible electrolyte imbalance - ANSWER b. give medication once a
day, at bedtime
7. Which assessment finding requires nursing intervention prior to administration of
digoxin?
a. apical pulse beat at the pulmonic site
b. presence of a systolic heart murmur
c. apical pulse rate of 50 beats/min
