2024 HESI PN MATERNITY EXIT EXAM
WITH NGN ALL QUESTIONS AND
CORRECT VERIFIED ANSWERS
A 65-year-old Hispanic-Latino client with prostate cancer rates his
pain as a 6 on a 0- to-10 scale. The client refuses all pain
medication other than Motrin, which does not relieve his pain. The
next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes - ANS-A) Ask the client
about the refusal of certain pain medications
What nursing assessment of a paralyzed client would indicate the
probable presence of a fecal impaction?
A) Presence of blood in stools
B) Oozing liquid stool
C) Continuous rumbling flatulence
D) Absence of bowel movements - ANS-B) Oozing liquid stool
A client in a long term care facility complains of pain. The nurse
collects data about the client's pain. The first step in pain
assessment is for the nurse to
A) Have the client identify coping methods
B) Get the description of the location and intensity of the pain
C) Accept the client's report of pain
D) Determine the client's status of pain - ANS-C) Accept the client's
report of pain
,An 85 year-old client complains of generalized muscle aches and
pains. The first action by the nurse should be
A) Assess the severity and location of the pain
B) Obtain an order for an analgesic
C) Reassure him that this is not unusual for his age
D) Encourage him to increase his activity - ANS-A) Assess the
severity and location of the pain
In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - ANS-C) Security
A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of
what you mean."
B) "Would you please clarify what you have written so I am sure I am
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me
time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing." - ANS-B) "Would you please clarify
what you have written so I am sure I am reading it
correctly?"
What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
,C) Number of children in the home
D) Age of children in the home - ANS-D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone
but stops as the nurse enters the room to request something for
pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - ANS-C)
Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - ANS-A) Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH
level. On initial assessment, the nurse would anticipate which of
the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - ANS-A) Lethargy
The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first
occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
, C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - ANS-B) "The
seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - ANS-A) Risk for injury
Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160 - ANS-B) Pale mucosa of the
eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive
care unit. The priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses - ANS-D) Pupil responses
Which of these clients who are all in the terminal stage of cancer is
least appropriate to suggest the use of patient controlled analgesia
(PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
WITH NGN ALL QUESTIONS AND
CORRECT VERIFIED ANSWERS
A 65-year-old Hispanic-Latino client with prostate cancer rates his
pain as a 6 on a 0- to-10 scale. The client refuses all pain
medication other than Motrin, which does not relieve his pain. The
next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes - ANS-A) Ask the client
about the refusal of certain pain medications
What nursing assessment of a paralyzed client would indicate the
probable presence of a fecal impaction?
A) Presence of blood in stools
B) Oozing liquid stool
C) Continuous rumbling flatulence
D) Absence of bowel movements - ANS-B) Oozing liquid stool
A client in a long term care facility complains of pain. The nurse
collects data about the client's pain. The first step in pain
assessment is for the nurse to
A) Have the client identify coping methods
B) Get the description of the location and intensity of the pain
C) Accept the client's report of pain
D) Determine the client's status of pain - ANS-C) Accept the client's
report of pain
,An 85 year-old client complains of generalized muscle aches and
pains. The first action by the nurse should be
A) Assess the severity and location of the pain
B) Obtain an order for an analgesic
C) Reassure him that this is not unusual for his age
D) Encourage him to increase his activity - ANS-A) Assess the
severity and location of the pain
In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - ANS-C) Security
A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of
what you mean."
B) "Would you please clarify what you have written so I am sure I am
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me
time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing." - ANS-B) "Would you please clarify
what you have written so I am sure I am reading it
correctly?"
What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
,C) Number of children in the home
D) Age of children in the home - ANS-D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone
but stops as the nurse enters the room to request something for
pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - ANS-C)
Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - ANS-A) Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH
level. On initial assessment, the nurse would anticipate which of
the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - ANS-A) Lethargy
The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first
occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
, C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - ANS-B) "The
seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - ANS-A) Risk for injury
Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160 - ANS-B) Pale mucosa of the
eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive
care unit. The priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses - ANS-D) Pupil responses
Which of these clients who are all in the terminal stage of cancer is
least appropriate to suggest the use of patient controlled analgesia
(PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
