NGN) HESI RN EXIT EXAM LATEST
N N N N N N
VERSION 2023 WITH QUESTIONS N N N N
&ANSWERS HIGHLIHTED N
GUARATEED PASS N
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATEST
N N N N N N N N N
UPDATE GRADED A N N
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
N N N N N N N N N N N N N
he will drink plenty of dairy products, such as milk, to help coat and protect his ul
N N N N N N N N N N N N N N N N
cer. What is the best follow-up action by the nurse?
N N N N N N N N N
a. Remind the client that it is also important to switch to decaffeinated coffee and
N N N N N N N N N N N N N N
tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
N N N N N N N N N N N N N
c. Review with the client the need to avoid foods that are rich in milk and cream.
N N N N N N N N N N N N N N N
,d. Reinforce this teaching by asking the client to list a dairy food that he might
N N N N N N N N N N N N N N
select.
N
(ANS-
NReview with the client the need to avoid foods that are rich in milk andcream
N N N N N N N N N N N N N N N
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
N N N N N N N N N N N N N
be avoided.
N
A male client with hypertension, who received new antihypertensive prescriptions
N N N N N N N N N N
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
N N N N N N N N N N N N N N N N
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
N N N N N N N N N N N N N N N N
medication because the drugs make him "feel bad". In explaining the need for hyp
N N N N N N N N N N N N N
ertension control, the nurse should stress that an elevated BP places the client at ri
N N N N N N N N N N N N N N
sk for which pathophysiological condition?
N N N N
a. Blindness secondary to cataracts N N N
b. Acute kidney injury due to glomerular damage
N N N N N N
c. Stroke secondary to hemorrhage
N N N
d. Heart block due to myocardial damage
N N N N N N
(ANS- Stroke secondary to hemorrhage
N N N N
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
N N N N N N N N N N N
hypertension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
N N N N N N N N N N N
admitted client who has a seizure disorder. The client is supine and the UAP is pl
N N N N N N N N N N N N N N N
acing soft pillows along the side rails. What action should the nurse implement?
N N N N N N N N N N N N
a. Ensure that the UAP has placed the pillows effectively to protect the client.
N N N N N N N N N N N N
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
N N N N N N N N N N N N N N
pillows.
N
c. Assume responsibility for placing the pillows while the UAP completes another
N N N N N N N N N N N
task.
d. Ask the UAP to use some of the pillows to prop the client in a side lyin
N N N N N N N N N N N N N N N N
gposition.
N
(ANS-
NInstruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows
N N N N N N N N N N N N N N N
,Rationale: The nurse should instruct the UAP to pad the side rails with soft blank
N N N N N N N N N N N N N N
est because the use of pillows could result in suffocation and would need tobe rem
N N N N N N N N N N N N N N N
oved at the onset of the seizure. The nurse can delegate paddling the side rails to t
N N N N N N N N N N N N N N N N
he UAP N
An adolescent with major depressive disorder has been taking duloxetine (Cy
N N N N N N N N N N
mbalta) for the past 12 days. Which assessment finding requires immediatefoll
N N N N N N N N N N N
ow-up
a. Describes life without purpose N N N
b. Complains of nausea and loss of appetite N N N N N N
c. States is often fatigued and drowsy
N N N N N
d. Exhibits an increase in sweating. ( N N N N N
ANS- Describes life without purpose
N N N N
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
N N N N N N N N N
that is known to increase the risk of suicidal thinking in adolescents and young ad
N N N N N N N N N N N N N N N
ults with major depressive disorder. B, C and D are side effects
N N N N N N N N N N N
A 60-year-
N
old female client with a positive family history of ovarian cancer has developed a
N N N N N N N N N N N N N
n abdominal mass and is being evaluated for possible ovarian cancer.Her Papanic
N N N N N N N N N N N N
olau (Pap) smear results are negative. What information should the nurse include i
N N N N N N N N N N N N
n the client's teaching plan
N N N N
a. Further evaluation involving surgery may be needed
N N N N N N
b. A pelvic exam is also needed before cancer is ruled out
N N N N N N N N N N
c. Pap smear evaluation should be continued every six month
N N N N N N N N
d. One additional negative pap smear in six months is needed.
N N N N N N N N N N
(ANS- Further evaluation involving surgery may be needed
N N N N N N N
Rationale: An abdominal mass in a client with a family history for ovarian cancers
N N N N N N N N N N N N N N
hould be evaluated carefully
N N N
A client who recently underwent a tracheostomy is being prepared for discharge to
N N N N N N N N N N N N N
home. Which instructions is most important for the nurse to include in the dischar
N N N N N N N N N N N N N
ge plan?N
a. Explain how to use communication tools.
N N N N N
b. Teach tracheal suctioning techniques
N N N
c. Encourage self-care and independence. N N N
, d. Demonstrate how to clean tracheostomy site. N N N N N N
(ANS- Teach tracheal suctioning techniques
N N N N
Rationale: Suctioning helps to clear secretions and maintain an open airway, which
N N N N N N N N N N N N
is critical.
N
In assessing an adult client with a partial rebreather mask, the nurse notes that the
N N N N N N N N N N N N N N N
oxygen reservoir bag does not deflate completely during inspiration and the client's
N N N N N N N N N N N N
respiratory rate is 14 breaths / minute. What action should the nurse implement
N N N N N N N N N N N N
a. Encourage the client to take deep breaths N N N N N N
b. Remove the mask to deflate the bagN N N N N N
c. Increase the liter flow of oxygen N N N N N
d. Document the assessment data (A N N N N
NS- Document the assessment data
N N N N
Rational: reservoir bag should not deflate completely during inspiration and th
N N N N N N N N N N
eclient's respiratory rate is within normal limits.
N N N N N N N
During shift report, the central electrocardiogram (EKG) monitoring systemal
N N N N N N N N N
arms. Which client alarm should the nurse investigate first?
N N N N N N N N
a. Respiratory apnea of 30 seconds N N N N
b. Oxygen saturation rate of 88% N N N N
c. Eight premature ventricular beats every minute
N N N N N
d. Disconnected monitor signal for the last 6 minutes. N N N N N N N N
(ANS- Respiratory apnea of 30 seconds
N N N N N
Rationale: The priority is the client whose alarm indicating respiratory apnea thats
N N N N N N N N N N N N
hould be assessed first.
N N N
During a home visit, the nurse observed an elderly client with diabetes slip and
N N N N N N N N N N N N N N
fall. What action should the nurse take first?
N N N N N N N
a. Give the client 4 ounces of orange juice
N N N N N N N
b. Call 911 to summon emergency assistance
N N N N N
c. Check the client for lacerations or fractures
N N N N N N
d. Asses clients blood sugar level
N N N N
(ANS- Check the client for lacerations or fractures
N N N N N N N
N N N N N N
VERSION 2023 WITH QUESTIONS N N N N
&ANSWERS HIGHLIHTED N
GUARATEED PASS N
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATEST
N N N N N N N N N
UPDATE GRADED A N N
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
N N N N N N N N N N N N N
he will drink plenty of dairy products, such as milk, to help coat and protect his ul
N N N N N N N N N N N N N N N N
cer. What is the best follow-up action by the nurse?
N N N N N N N N N
a. Remind the client that it is also important to switch to decaffeinated coffee and
N N N N N N N N N N N N N N
tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
N N N N N N N N N N N N N
c. Review with the client the need to avoid foods that are rich in milk and cream.
N N N N N N N N N N N N N N N
,d. Reinforce this teaching by asking the client to list a dairy food that he might
N N N N N N N N N N N N N N
select.
N
(ANS-
NReview with the client the need to avoid foods that are rich in milk andcream
N N N N N N N N N N N N N N N
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
N N N N N N N N N N N N N
be avoided.
N
A male client with hypertension, who received new antihypertensive prescriptions
N N N N N N N N N N
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
N N N N N N N N N N N N N N N N
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
N N N N N N N N N N N N N N N N
medication because the drugs make him "feel bad". In explaining the need for hyp
N N N N N N N N N N N N N
ertension control, the nurse should stress that an elevated BP places the client at ri
N N N N N N N N N N N N N N
sk for which pathophysiological condition?
N N N N
a. Blindness secondary to cataracts N N N
b. Acute kidney injury due to glomerular damage
N N N N N N
c. Stroke secondary to hemorrhage
N N N
d. Heart block due to myocardial damage
N N N N N N
(ANS- Stroke secondary to hemorrhage
N N N N
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
N N N N N N N N N N N
hypertension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
N N N N N N N N N N N
admitted client who has a seizure disorder. The client is supine and the UAP is pl
N N N N N N N N N N N N N N N
acing soft pillows along the side rails. What action should the nurse implement?
N N N N N N N N N N N N
a. Ensure that the UAP has placed the pillows effectively to protect the client.
N N N N N N N N N N N N
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
N N N N N N N N N N N N N N
pillows.
N
c. Assume responsibility for placing the pillows while the UAP completes another
N N N N N N N N N N N
task.
d. Ask the UAP to use some of the pillows to prop the client in a side lyin
N N N N N N N N N N N N N N N N
gposition.
N
(ANS-
NInstruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows
N N N N N N N N N N N N N N N
,Rationale: The nurse should instruct the UAP to pad the side rails with soft blank
N N N N N N N N N N N N N N
est because the use of pillows could result in suffocation and would need tobe rem
N N N N N N N N N N N N N N N
oved at the onset of the seizure. The nurse can delegate paddling the side rails to t
N N N N N N N N N N N N N N N N
he UAP N
An adolescent with major depressive disorder has been taking duloxetine (Cy
N N N N N N N N N N
mbalta) for the past 12 days. Which assessment finding requires immediatefoll
N N N N N N N N N N N
ow-up
a. Describes life without purpose N N N
b. Complains of nausea and loss of appetite N N N N N N
c. States is often fatigued and drowsy
N N N N N
d. Exhibits an increase in sweating. ( N N N N N
ANS- Describes life without purpose
N N N N
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
N N N N N N N N N
that is known to increase the risk of suicidal thinking in adolescents and young ad
N N N N N N N N N N N N N N N
ults with major depressive disorder. B, C and D are side effects
N N N N N N N N N N N
A 60-year-
N
old female client with a positive family history of ovarian cancer has developed a
N N N N N N N N N N N N N
n abdominal mass and is being evaluated for possible ovarian cancer.Her Papanic
N N N N N N N N N N N N
olau (Pap) smear results are negative. What information should the nurse include i
N N N N N N N N N N N N
n the client's teaching plan
N N N N
a. Further evaluation involving surgery may be needed
N N N N N N
b. A pelvic exam is also needed before cancer is ruled out
N N N N N N N N N N
c. Pap smear evaluation should be continued every six month
N N N N N N N N
d. One additional negative pap smear in six months is needed.
N N N N N N N N N N
(ANS- Further evaluation involving surgery may be needed
N N N N N N N
Rationale: An abdominal mass in a client with a family history for ovarian cancers
N N N N N N N N N N N N N N
hould be evaluated carefully
N N N
A client who recently underwent a tracheostomy is being prepared for discharge to
N N N N N N N N N N N N N
home. Which instructions is most important for the nurse to include in the dischar
N N N N N N N N N N N N N
ge plan?N
a. Explain how to use communication tools.
N N N N N
b. Teach tracheal suctioning techniques
N N N
c. Encourage self-care and independence. N N N
, d. Demonstrate how to clean tracheostomy site. N N N N N N
(ANS- Teach tracheal suctioning techniques
N N N N
Rationale: Suctioning helps to clear secretions and maintain an open airway, which
N N N N N N N N N N N N
is critical.
N
In assessing an adult client with a partial rebreather mask, the nurse notes that the
N N N N N N N N N N N N N N N
oxygen reservoir bag does not deflate completely during inspiration and the client's
N N N N N N N N N N N N
respiratory rate is 14 breaths / minute. What action should the nurse implement
N N N N N N N N N N N N
a. Encourage the client to take deep breaths N N N N N N
b. Remove the mask to deflate the bagN N N N N N
c. Increase the liter flow of oxygen N N N N N
d. Document the assessment data (A N N N N
NS- Document the assessment data
N N N N
Rational: reservoir bag should not deflate completely during inspiration and th
N N N N N N N N N N
eclient's respiratory rate is within normal limits.
N N N N N N N
During shift report, the central electrocardiogram (EKG) monitoring systemal
N N N N N N N N N
arms. Which client alarm should the nurse investigate first?
N N N N N N N N
a. Respiratory apnea of 30 seconds N N N N
b. Oxygen saturation rate of 88% N N N N
c. Eight premature ventricular beats every minute
N N N N N
d. Disconnected monitor signal for the last 6 minutes. N N N N N N N N
(ANS- Respiratory apnea of 30 seconds
N N N N N
Rationale: The priority is the client whose alarm indicating respiratory apnea thats
N N N N N N N N N N N N
hould be assessed first.
N N N
During a home visit, the nurse observed an elderly client with diabetes slip and
N N N N N N N N N N N N N N
fall. What action should the nurse take first?
N N N N N N N
a. Give the client 4 ounces of orange juice
N N N N N N N
b. Call 911 to summon emergency assistance
N N N N N
c. Check the client for lacerations or fractures
N N N N N N
d. Asses clients blood sugar level
N N N N
(ANS- Check the client for lacerations or fractures
N N N N N N N
