HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
Ax3-year-
oldxboyxwasxsuccessfullyxtoiletxtrainedxpriorxtoxhisxadmissionxtoxthexhospitalxforxinjuriesxsust
ainedxfromxaxfall.xHisxparentsxarexveryxconcernedxthatxthexchildxhasxregressedxinxhisxtoiletin
gxbehaviors.xWhichxinformationxshouldxthexnursexprovidextoxthexparents?
A.xAxretrainingxprogramxwillxneedxtoxbexinitiatedxwhenxthexchildxreturnsxhome.x
B.xDiaperingxwillxbexprovidedxsincexhospitalizationxisxstressfulxtoxpreschoolers
C.xAxpottyxchairxshouldxbexbroughtxfromxhomexsoxhexcanxmaintainxhisxtoiletingxskills
D.xChildrenxusuallyxresumextheirxtoiletingxbehaviorsxwhenxtheyxleavexthexhospitalx-
xansD.xChildrenxusuallyxresumextheirxtoiletingxbehaviorsxwhenxtheyxleavexthexhospital
Ax7-
yearxoldxisxadmittedxtoxthexhospitalxwithxpersistentxvomiting,xandxaxnasogastricxtubexattach
edxtoxlowxintermittentxsuctionxisxapplied.xWhichxfindingxisxmostximportantxforxthexnursextoxre
portxtoxthexhealthcarexprovider?
A.xShiftxintakexofx640mLxIVxfluidsxplusx30mLxPOxicexchipsx
B.xSerumxpHxofx7.45
C.xGastricxoutputxofx100xmLxinxthexlastx8xhours
D.xSerumxpotassiumxofx3.0xmg/dLx-xansD.xSerumxpotassiumxofx3.0xmg/dL
Axchildxnewlyxdiagnosedxwithxsicklexcellxanemiax(SCA)xisxbeingxdischargedxfromxthexhospit
al.xWhichxinformationxisxmostximportantxforxthexnursextoxprovidexthexparentsxpriorxtoxdischar
ge?
A.xInstructionsxaboutxhowxmuchxfluidxthexchildxshouldxdrinkxdaily.
B.xSignsxofxaddictionxtoxopioidxpainxmedications
C.xInformationxaboutxnon-pharmaceuticalxpainxreliefxmeasures
D.xReferralxforxsocialxservicesxforxthexchildxandxfamilyx-
xansA.xInstructionsxaboutxhowxmuchxfluidxthexchildxshouldxdrinkxdaily
Axclientxasksxthexnursexforxinformationxaboutxhowxtoxreducexriskxfactorsxforxbenignxprostatic
xhyperplasiax(BPH).xWhichxinformationxshouldxthexnursexprovide?
A.xConsumexaxhighxproteinxdiet
B.xIncreasexphysicalxactivity
C.xTakexvitaminxsupplements
D.xObtainxaxprostate-specificxantigenxbloodxlevelxtestx-xansB.xIncreasexphysicalxactivity
Axclientxatx12xweeksxgestationxisxadmittedxtoxthexantepartumxunitxwithxaxdiagnosisxofxhyper
emesisxgravidarum.xWhichxactionxisxmostximportantxforxthexnursextoximplement?
A.xObtainxthexclient'sx24-hourxdietaryxrecall
B.xDocumentxmucosalxmembranexstatus
C.xSchedulexaxconsultxwithxaxnutritionist
D.xInitiatexprescribedxintravenousxfluidsx-xansD.xInitiatexprescribedxintravenousxfluids
Axclientxdiagnosedxwithxcalciumxkidneyxstonesxhasxaxhistoryxofxgout.xAxnewxprescriptionxforx
aluminumxhydroxidexisxscheduledxtoxbeginxatx0730.xWhichxclientxmedicationxshouldxthexnu
rsexbringxtoxthexhealthcarexprovider'sxattention?
A.xEsinaprilx
,HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
B.xAllopurinol
C.xFurosemide
D.xAspirin,xlowxdosex-xansB.xAllopurinol
Axclientxfellxinxthexbathroomxwhenxleftxunattendedxbyxthexunlicensedxassistivexpersonnelx(U
AP).xWhichxinformationxshouldxthexnursexincludexinxthexclient'sxhealthxrecord?
A.xThexUAPxleftxthexclientxtoxassistxanotherxclient
B.xThexlastxtimexclientxwasxassistedxtoxthexbathroom
C.xThexunitxwasxunderstaffedxwhenxthexclientxfell
D.xThexclientxfellxsustainingxaxfracturextoxthexleftxhipx-
xansD.xThexclientxfellxsustainingxaxfracturextoxthexleftxhip
Axclientxinxthexemergencyxcenterxdemonstratesxrapidxspeech,xflightxofxideas,xandxreportsxsl
eepingxonlyxthreexhoursxduringxthexpastx48xhours.xBasedxonxthesexfindings,xitxisxmostximpor
tantxforxthexnursextoxreviewxthexlaboratoryxvaluexforxwhichxmedication?
A.xLorazepam
B.xFluoxetine
C.xDivalproex
D.xOlanzapinex-xansC.xDivalproex
Axclientxinxthexthirdxtrimesterxofxpregnancyxreportsxthatxshexfellsxsomex"lumpyxplaces"xinxher
xbreastsxandxthatxherxnipplesxsometimesxleakxaxyellowishxfluid.xShexhasxanxappointmentxwit
hxherxhealthcarexproviderxinxtwoxweeks.xWhatxactionxshouldxthexnursextake?
A.xTellxthexclientxtoxbeginxnipplexstimulationxtoxpreparexforxbreastxfeeding.x
B.xReschedulexthexclient'sxprenatalxappointmentxforxthexfollowingxday
C.xExplainxthatxthisxnormalxsecretionxcanxbexassessedxatxthexnextxvisit
D.xRecommendxthatxthexclientxstartxwearingxaxsupportivexbrassierex-
xansC.xExplainxthatxthisxnormalxsecretionxcanxbexassessedxatxthexnextxvisit
Axclientxisxadmittedxwithxaxdiagnosisxofxurolithiasis.xWhichxfindingxisxmostximportantxforxthex
nursextoxreportxtoxthexhealthcarexprovider?
A.xVolumexofxeachxvoidingxisxmorexthanx300mL
B.xSerumxpotassiumxthatxisxelevated
C.xReliefxofxflankxpainxthatxradiatedxintoxthexgroin
D.xHematuriaxthatxisxbeginningxtoxturnxpinkx-xansD.xHematuriaxthatxisxbeginningxtoxturnxpink
AxclientxisxdiagnosedxwithxMeniere'sxdisease.xWhichxproblemxshouldxthexnursexidentifyxasx
mostximportantxinxthexplanxofxcare?x
A.xRiskxforxineffectivexself-healthxmanagementxrelatedxtoxdeficientxknowledge
B.xIneffectivexcopingxrelatedxtoxpersonalxvulnerabilityx
C.xRiskxforxinjuryxrelatedxtoxvertigox
D.xAnxietyxrelatedxtoxdisruptionxofxlifestylex-xansC.xRiskxforxinjuryxrelatedxtoxvertigo.
Axclientxisxreceivingxenoxaparinx30mgxsubcutaneouslyxtwicexaxday.xInxassessingxforxadver
sexeffectsxofxthexmedication,xwhichxserumxlaboratoryxvaluexisxmostximportantxforxthexnursex
toxmonitor?x
,HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
A.xGlucosex
B.xCalcium
C.xPlateletxcount
D.xWhitexbloodxcellxcountx-xansC.xPlateletxcount
Axclientxisxrecoveringxinxthexcriticalxcarexunitxfollowingxaxcardiacxcatheterization.xIVxnitroglyc
erinxandxheparinxarexinfusing.xThexclientxisxsedatedxbutxrespondsxtoxverbalxinstructions.xAft
erxchangingxpositions,xthexclientxcomplainsxofxpainxatxthexrightxgroinxinsertionxsite.xWhatxact
ionxshouldxthexnurseximplement?x
A.xCheckxfemoralxsitexforxhematomaxformation
B.xStimulatexthexclientxtoxtakexdeepxbreaths
C.xEvaluatexthexintegrityxofxthexIVxinsertionxsite
D.xAssessxdistalxlowerxextremityxcapillaryxrefillx-
xansB.xStimulatexthexclientxtoxtakexdeepxbreaths
Axclientxisxscheduledxforxaxspiralxcomputedxtomographyx(CT)xscanxwithxcontrastxtoxevaluat
exforxpulmonaryxembolism.xWhichxinformationxinxthexclient'sxhistoryxrequiresxfollow-
upxbyxthexnurse?
A.xCTxscanxthatxwasxperformedx6xmonthsxearlier
B.xMetalxhipxprosthesisxwasxplacedx20xyearsxago
C.xReportxofxclient'sxsobrietyxforxthexlastx5xyears
D.xTakesxmetforminxforxtypex2xdiabetesxmellitusx-
xansD.xTakesxmetforminxforxtypex2xdiabetesxmellitus
Axclientxpresentsxtoxthexemergencyxdepartmentxwithxmusclexaches,xheadache,xfever,xandx
describesxaxrecentxlossxofxtastexandxsmell.xThexnursexobtainsxaxnasalxswabxforxCOVID-
19xtesting.xWhichxactionxisxmostximportantxforxthexnursextoxtake?x
A.xPlacexthexnasalxswabxspecimenxforxCOVID-19xdirectlyxintoxaxbiohazardxbag
B.xMovexthexclientxtoxaxprivatexroom,xkeepxthexdoorxclosed,xandxinitiatexdropletxprecautions.
x
C.xTeachxthexclientxtoxwearxaxmask,xhandxwash,xandxsocialxdistancextoxpreventxspreadingxt
hexvirusx
D.xExplainxtoxthexclientxtoxinformxothersxthatxtheyxmayxhavexbeenxpotentiallyxexposedxinxthe
xlastx14xdays.x-xansA.xPlacexthexnasalxswabxspecimenxforxCOVID-
19xdirectlyxintoxaxbiohazardxbag
Axclientxpresentsxtoxthexlaborxandxdeliveryxunitxwithxaxreportxofxleakingxfluidxthatxisxgreenish-
brownxvaginalxdischarge.xWhichxactionxshouldxthexnursextakexfirst?
A.xStartxanxintravenousxinfusionx
B.xAdministerxoxygenxviaxfacemask
C.xPerformxaxvaginalxexam
D.xBeginxcontinuousxfetalxmonitoringx-xansD.xBeginxcontinuousxfetalxmonitoring
Axclientxpressesxthexcallxbellxandxrequestsxpainxmedicationxforxaxseverexheadache.xToxasse
ssxthexqualityxofxthexclient'sxpain,xwhichxapproachxshouldxthexnursexuse?
A.xAskxthexclientxtoxdescribexthexpain
B.xObservexbodyxlanguagexandxmovementx
, HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
C.xIdentifyxeffectivexpainxreliefxmeasures
D.xProvidexaxnumericxpainxscalex-xansA.xAskxthexclientxtoxdescribexthexpain
Axclientxtakingxclopidogrelxreportsxthexonsetxofxdiarrhea.xWhichxnursingxactionxshouldxthexn
urseximplementxfirst?
A.xObservexthexappearancexofxthexstool
B.xAssessxthexelasticityxofxthexclient'sxskin
C.xReviewxthexclient'sxlaboratoryxvalues
D.xAuscultatexthexclient'sxbowelxsoundsx-xansA.xObservexthexappearancexofxthexstool
Axclientxtellsxthexnursexaboutxworkingxoutxwithxaxpersonalxtrainerxandxswimmingxthreextimes
xaxweekxinxanxeffortxtoxlosexweightxandxsleepxbetter.xThexclientxstatesxthatxitxstillxisxtakingxho
ursxtoxfallxasleepxatxnight.xWhichxactionxshouldxthexnurseximplement?
A.xAdvisexthexclientxthatxlifestylexchangesxoftenxtakexseveralxweeksxtoxbexeffective
B.xEncouragexthexclientxtoxexercisexeverydayxtoxeliminatexbedtimexwakefulness
C.xAskxthexclientxforxaxdescriptionxofxthexexercisexschedulexthatxisxbeingxfollowed
D.xDeterminexthexamountxofxweightxthexclientxhasxlostxsincexincreasingxactivityx-
xansC.xAskxthexclientxforxaxdescriptionxofxthexexercisexschedulexthatxisxbeingxfollowed
Axclientxwhoxexperiencedxaxcerebrovascularxaccidentx(CVA)xisxaphasicxandxhasxleftxsidedx
paralysis.xWhichxnursexshouldxbexresponsiblexforxcoordinatingxthexprogressionxofxthisxclien
t'sxcare?x
A.xNursexcasexmanager
B.xAdultxnursexpractitioner
C.xNeurologyxunitxsupervisorx
D.xRiskxmanagementxnursex-xansB.xAdultxnursexpractitioner
Axclientxwhoxgavexbirthx48xhoursxagoxhasxdecidedxtoxbottlexfeedxthexinfant.xDuringxthexasse
ssment,xthexnursexobservesxthatxbothxbreastsxarexswollen,xwarm,xandxtenderxonxpalpation.x
Whichxinstructionxshouldxthexnursexprovide?
A.xApplyxicextoxthexbreastsxforxcomfort
B.xWearxaxloose-fittingxbraxduringxthexdayxtoxpreventxnipplexirritation
C.xRunxwarmxwaterxoverxbreasts
D.xExpressxsmallxamountsxofxmilkxfromxthexbreastsxtoxrelievexpressurex-
xansA.xApplyxicextoxthexbreastsxforxcomfort
Axclientxwhoxisxadmittedxforxprimaryxhypothyroidismxhasxearlyxsignsxofxmyxedemaxcoma.xIn
xassessingxthexclient,xinxwhichxsequencexshouldxthexnursexcompletexthesexactions?x(desce
ndingxorder)x-xans1.xObservexbreathingxpatterns
2.xAssessxbloodxpressure
3.xMeasurexbodyxtemperature
4.xPalpatexforxpedalxedema
Axclientxwhoxisxadmittedxwithxcomplicationsxrelatedxtoxhypopituitarismxisxdiaphoreticxandxhy
potensive.xWhichxassessmentxfindingxwarrantsximmediatexinterventionxbyxthexnurse?x-
xansLethargy
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
Ax3-year-
oldxboyxwasxsuccessfullyxtoiletxtrainedxpriorxtoxhisxadmissionxtoxthexhospitalxforxinjuriesxsust
ainedxfromxaxfall.xHisxparentsxarexveryxconcernedxthatxthexchildxhasxregressedxinxhisxtoiletin
gxbehaviors.xWhichxinformationxshouldxthexnursexprovidextoxthexparents?
A.xAxretrainingxprogramxwillxneedxtoxbexinitiatedxwhenxthexchildxreturnsxhome.x
B.xDiaperingxwillxbexprovidedxsincexhospitalizationxisxstressfulxtoxpreschoolers
C.xAxpottyxchairxshouldxbexbroughtxfromxhomexsoxhexcanxmaintainxhisxtoiletingxskills
D.xChildrenxusuallyxresumextheirxtoiletingxbehaviorsxwhenxtheyxleavexthexhospitalx-
xansD.xChildrenxusuallyxresumextheirxtoiletingxbehaviorsxwhenxtheyxleavexthexhospital
Ax7-
yearxoldxisxadmittedxtoxthexhospitalxwithxpersistentxvomiting,xandxaxnasogastricxtubexattach
edxtoxlowxintermittentxsuctionxisxapplied.xWhichxfindingxisxmostximportantxforxthexnursextoxre
portxtoxthexhealthcarexprovider?
A.xShiftxintakexofx640mLxIVxfluidsxplusx30mLxPOxicexchipsx
B.xSerumxpHxofx7.45
C.xGastricxoutputxofx100xmLxinxthexlastx8xhours
D.xSerumxpotassiumxofx3.0xmg/dLx-xansD.xSerumxpotassiumxofx3.0xmg/dL
Axchildxnewlyxdiagnosedxwithxsicklexcellxanemiax(SCA)xisxbeingxdischargedxfromxthexhospit
al.xWhichxinformationxisxmostximportantxforxthexnursextoxprovidexthexparentsxpriorxtoxdischar
ge?
A.xInstructionsxaboutxhowxmuchxfluidxthexchildxshouldxdrinkxdaily.
B.xSignsxofxaddictionxtoxopioidxpainxmedications
C.xInformationxaboutxnon-pharmaceuticalxpainxreliefxmeasures
D.xReferralxforxsocialxservicesxforxthexchildxandxfamilyx-
xansA.xInstructionsxaboutxhowxmuchxfluidxthexchildxshouldxdrinkxdaily
Axclientxasksxthexnursexforxinformationxaboutxhowxtoxreducexriskxfactorsxforxbenignxprostatic
xhyperplasiax(BPH).xWhichxinformationxshouldxthexnursexprovide?
A.xConsumexaxhighxproteinxdiet
B.xIncreasexphysicalxactivity
C.xTakexvitaminxsupplements
D.xObtainxaxprostate-specificxantigenxbloodxlevelxtestx-xansB.xIncreasexphysicalxactivity
Axclientxatx12xweeksxgestationxisxadmittedxtoxthexantepartumxunitxwithxaxdiagnosisxofxhyper
emesisxgravidarum.xWhichxactionxisxmostximportantxforxthexnursextoximplement?
A.xObtainxthexclient'sx24-hourxdietaryxrecall
B.xDocumentxmucosalxmembranexstatus
C.xSchedulexaxconsultxwithxaxnutritionist
D.xInitiatexprescribedxintravenousxfluidsx-xansD.xInitiatexprescribedxintravenousxfluids
Axclientxdiagnosedxwithxcalciumxkidneyxstonesxhasxaxhistoryxofxgout.xAxnewxprescriptionxforx
aluminumxhydroxidexisxscheduledxtoxbeginxatx0730.xWhichxclientxmedicationxshouldxthexnu
rsexbringxtoxthexhealthcarexprovider'sxattention?
A.xEsinaprilx
,HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
B.xAllopurinol
C.xFurosemide
D.xAspirin,xlowxdosex-xansB.xAllopurinol
Axclientxfellxinxthexbathroomxwhenxleftxunattendedxbyxthexunlicensedxassistivexpersonnelx(U
AP).xWhichxinformationxshouldxthexnursexincludexinxthexclient'sxhealthxrecord?
A.xThexUAPxleftxthexclientxtoxassistxanotherxclient
B.xThexlastxtimexclientxwasxassistedxtoxthexbathroom
C.xThexunitxwasxunderstaffedxwhenxthexclientxfell
D.xThexclientxfellxsustainingxaxfracturextoxthexleftxhipx-
xansD.xThexclientxfellxsustainingxaxfracturextoxthexleftxhip
Axclientxinxthexemergencyxcenterxdemonstratesxrapidxspeech,xflightxofxideas,xandxreportsxsl
eepingxonlyxthreexhoursxduringxthexpastx48xhours.xBasedxonxthesexfindings,xitxisxmostximpor
tantxforxthexnursextoxreviewxthexlaboratoryxvaluexforxwhichxmedication?
A.xLorazepam
B.xFluoxetine
C.xDivalproex
D.xOlanzapinex-xansC.xDivalproex
Axclientxinxthexthirdxtrimesterxofxpregnancyxreportsxthatxshexfellsxsomex"lumpyxplaces"xinxher
xbreastsxandxthatxherxnipplesxsometimesxleakxaxyellowishxfluid.xShexhasxanxappointmentxwit
hxherxhealthcarexproviderxinxtwoxweeks.xWhatxactionxshouldxthexnursextake?
A.xTellxthexclientxtoxbeginxnipplexstimulationxtoxpreparexforxbreastxfeeding.x
B.xReschedulexthexclient'sxprenatalxappointmentxforxthexfollowingxday
C.xExplainxthatxthisxnormalxsecretionxcanxbexassessedxatxthexnextxvisit
D.xRecommendxthatxthexclientxstartxwearingxaxsupportivexbrassierex-
xansC.xExplainxthatxthisxnormalxsecretionxcanxbexassessedxatxthexnextxvisit
Axclientxisxadmittedxwithxaxdiagnosisxofxurolithiasis.xWhichxfindingxisxmostximportantxforxthex
nursextoxreportxtoxthexhealthcarexprovider?
A.xVolumexofxeachxvoidingxisxmorexthanx300mL
B.xSerumxpotassiumxthatxisxelevated
C.xReliefxofxflankxpainxthatxradiatedxintoxthexgroin
D.xHematuriaxthatxisxbeginningxtoxturnxpinkx-xansD.xHematuriaxthatxisxbeginningxtoxturnxpink
AxclientxisxdiagnosedxwithxMeniere'sxdisease.xWhichxproblemxshouldxthexnursexidentifyxasx
mostximportantxinxthexplanxofxcare?x
A.xRiskxforxineffectivexself-healthxmanagementxrelatedxtoxdeficientxknowledge
B.xIneffectivexcopingxrelatedxtoxpersonalxvulnerabilityx
C.xRiskxforxinjuryxrelatedxtoxvertigox
D.xAnxietyxrelatedxtoxdisruptionxofxlifestylex-xansC.xRiskxforxinjuryxrelatedxtoxvertigo.
Axclientxisxreceivingxenoxaparinx30mgxsubcutaneouslyxtwicexaxday.xInxassessingxforxadver
sexeffectsxofxthexmedication,xwhichxserumxlaboratoryxvaluexisxmostximportantxforxthexnursex
toxmonitor?x
,HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
A.xGlucosex
B.xCalcium
C.xPlateletxcount
D.xWhitexbloodxcellxcountx-xansC.xPlateletxcount
Axclientxisxrecoveringxinxthexcriticalxcarexunitxfollowingxaxcardiacxcatheterization.xIVxnitroglyc
erinxandxheparinxarexinfusing.xThexclientxisxsedatedxbutxrespondsxtoxverbalxinstructions.xAft
erxchangingxpositions,xthexclientxcomplainsxofxpainxatxthexrightxgroinxinsertionxsite.xWhatxact
ionxshouldxthexnurseximplement?x
A.xCheckxfemoralxsitexforxhematomaxformation
B.xStimulatexthexclientxtoxtakexdeepxbreaths
C.xEvaluatexthexintegrityxofxthexIVxinsertionxsite
D.xAssessxdistalxlowerxextremityxcapillaryxrefillx-
xansB.xStimulatexthexclientxtoxtakexdeepxbreaths
Axclientxisxscheduledxforxaxspiralxcomputedxtomographyx(CT)xscanxwithxcontrastxtoxevaluat
exforxpulmonaryxembolism.xWhichxinformationxinxthexclient'sxhistoryxrequiresxfollow-
upxbyxthexnurse?
A.xCTxscanxthatxwasxperformedx6xmonthsxearlier
B.xMetalxhipxprosthesisxwasxplacedx20xyearsxago
C.xReportxofxclient'sxsobrietyxforxthexlastx5xyears
D.xTakesxmetforminxforxtypex2xdiabetesxmellitusx-
xansD.xTakesxmetforminxforxtypex2xdiabetesxmellitus
Axclientxpresentsxtoxthexemergencyxdepartmentxwithxmusclexaches,xheadache,xfever,xandx
describesxaxrecentxlossxofxtastexandxsmell.xThexnursexobtainsxaxnasalxswabxforxCOVID-
19xtesting.xWhichxactionxisxmostximportantxforxthexnursextoxtake?x
A.xPlacexthexnasalxswabxspecimenxforxCOVID-19xdirectlyxintoxaxbiohazardxbag
B.xMovexthexclientxtoxaxprivatexroom,xkeepxthexdoorxclosed,xandxinitiatexdropletxprecautions.
x
C.xTeachxthexclientxtoxwearxaxmask,xhandxwash,xandxsocialxdistancextoxpreventxspreadingxt
hexvirusx
D.xExplainxtoxthexclientxtoxinformxothersxthatxtheyxmayxhavexbeenxpotentiallyxexposedxinxthe
xlastx14xdays.x-xansA.xPlacexthexnasalxswabxspecimenxforxCOVID-
19xdirectlyxintoxaxbiohazardxbag
Axclientxpresentsxtoxthexlaborxandxdeliveryxunitxwithxaxreportxofxleakingxfluidxthatxisxgreenish-
brownxvaginalxdischarge.xWhichxactionxshouldxthexnursextakexfirst?
A.xStartxanxintravenousxinfusionx
B.xAdministerxoxygenxviaxfacemask
C.xPerformxaxvaginalxexam
D.xBeginxcontinuousxfetalxmonitoringx-xansD.xBeginxcontinuousxfetalxmonitoring
Axclientxpressesxthexcallxbellxandxrequestsxpainxmedicationxforxaxseverexheadache.xToxasse
ssxthexqualityxofxthexclient'sxpain,xwhichxapproachxshouldxthexnursexuse?
A.xAskxthexclientxtoxdescribexthexpain
B.xObservexbodyxlanguagexandxmovementx
, HESIxRNxEXITxEXAMxNEXTxGENERATIONx2024xSCREENSHOTS-
QUESTIONSx&xANSWERSx(NGNxHESIxRNxEXIT)
C.xIdentifyxeffectivexpainxreliefxmeasures
D.xProvidexaxnumericxpainxscalex-xansA.xAskxthexclientxtoxdescribexthexpain
Axclientxtakingxclopidogrelxreportsxthexonsetxofxdiarrhea.xWhichxnursingxactionxshouldxthexn
urseximplementxfirst?
A.xObservexthexappearancexofxthexstool
B.xAssessxthexelasticityxofxthexclient'sxskin
C.xReviewxthexclient'sxlaboratoryxvalues
D.xAuscultatexthexclient'sxbowelxsoundsx-xansA.xObservexthexappearancexofxthexstool
Axclientxtellsxthexnursexaboutxworkingxoutxwithxaxpersonalxtrainerxandxswimmingxthreextimes
xaxweekxinxanxeffortxtoxlosexweightxandxsleepxbetter.xThexclientxstatesxthatxitxstillxisxtakingxho
ursxtoxfallxasleepxatxnight.xWhichxactionxshouldxthexnurseximplement?
A.xAdvisexthexclientxthatxlifestylexchangesxoftenxtakexseveralxweeksxtoxbexeffective
B.xEncouragexthexclientxtoxexercisexeverydayxtoxeliminatexbedtimexwakefulness
C.xAskxthexclientxforxaxdescriptionxofxthexexercisexschedulexthatxisxbeingxfollowed
D.xDeterminexthexamountxofxweightxthexclientxhasxlostxsincexincreasingxactivityx-
xansC.xAskxthexclientxforxaxdescriptionxofxthexexercisexschedulexthatxisxbeingxfollowed
Axclientxwhoxexperiencedxaxcerebrovascularxaccidentx(CVA)xisxaphasicxandxhasxleftxsidedx
paralysis.xWhichxnursexshouldxbexresponsiblexforxcoordinatingxthexprogressionxofxthisxclien
t'sxcare?x
A.xNursexcasexmanager
B.xAdultxnursexpractitioner
C.xNeurologyxunitxsupervisorx
D.xRiskxmanagementxnursex-xansB.xAdultxnursexpractitioner
Axclientxwhoxgavexbirthx48xhoursxagoxhasxdecidedxtoxbottlexfeedxthexinfant.xDuringxthexasse
ssment,xthexnursexobservesxthatxbothxbreastsxarexswollen,xwarm,xandxtenderxonxpalpation.x
Whichxinstructionxshouldxthexnursexprovide?
A.xApplyxicextoxthexbreastsxforxcomfort
B.xWearxaxloose-fittingxbraxduringxthexdayxtoxpreventxnipplexirritation
C.xRunxwarmxwaterxoverxbreasts
D.xExpressxsmallxamountsxofxmilkxfromxthexbreastsxtoxrelievexpressurex-
xansA.xApplyxicextoxthexbreastsxforxcomfort
Axclientxwhoxisxadmittedxforxprimaryxhypothyroidismxhasxearlyxsignsxofxmyxedemaxcoma.xIn
xassessingxthexclient,xinxwhichxsequencexshouldxthexnursexcompletexthesexactions?x(desce
ndingxorder)x-xans1.xObservexbreathingxpatterns
2.xAssessxbloodxpressure
3.xMeasurexbodyxtemperature
4.xPalpatexforxpedalxedema
Axclientxwhoxisxadmittedxwithxcomplicationsxrelatedxtoxhypopituitarismxisxdiaphoreticxandxhy
potensive.xWhichxassessmentxfindingxwarrantsximmediatexinterventionxbyxthexnurse?x-
xansLethargy
