NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATEST UPDATE GRADED A

HESI RN EXIT EXAM C C C




A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
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Which of the following findings should the nurse report to the provider?
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a. WBC count 8,000 C C



b. platelets 150,000 C



c. aspartate aminotransferase 10 units dC C C C



. erythrocyte sedimentation rate 75mm(
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ANS- d C




A nurse is caring for a client who has generalized petechiae and ecchymoses. Thenur
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se should expect a prescription for which of the following laboratory tests?
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a. platelet count C



b. potassium level C



c. creatine clearance C



d. prealbumin C



(ANS- a C




A nurse is caring for a client following application of a cast. Which of thefollowin
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g actions should the nurse take first?
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a. place an ice pack over the cast
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b. palpate the pulse distal to the cast
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c. teach the client to keep the cast clean and dry
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d. position the casted extremity on a pillow
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(ANS- b C

,A nurse is caring for a client who has vision loss. Which of the following actionssho
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uld the nurse take? SATA
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a. keep objects in the clients room in the same place.
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b. ensure there is high-wattage lighting in the clients room.
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c. approach the client from the side C C C C C



d. allow extra time for the client to perform tasks
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e. touch the client gently to announce presence
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(ANS- a, b, d C C C




A nurse is caring for a client who is newly diagnosed with pancreatic cancer and ha
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s questions about the disease. To research the nurse should identify that which ofthe
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following electronic database has the most comprehensive collection nursing articl
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es?
a. medline
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b. C inahl
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c. ProQuest
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d. health source
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(ANS- b C




A nurse in the emergency department is assessing newly admitted client who isexper
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iencing drooling and hoarseness following a brain injury. Which of the following act
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ions should the nurse take first?
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a. obtain a baseline EKG C C C



b. Obtain a blood specimen for ABG analysis
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c. insert an 18 gauge IV catheter
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d. Administer 100% humidified oxygen C C C C



(ANS- d C

,A nurse is planning care for a client who has unilateral paralysis and dysphagia fo
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llowing a right hemispheric stroke. Which of the following interventions shouldth
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e nurse include in the plan?
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a. Place food on the left side of the client's mouth when he is ready to eat.
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b. Provide total care in performing the client's ADLs.
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c. Maintain the client on bed rest. C C C C C



d. Place the client's left arm on a pillow while he is sitting.
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(ANS- d C




A nurse is caring for a client who is in a seclusion room following violent behavio
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r. The client continues to display aggressive behavior. Which of thefollowing actio
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ns should the nurse take?
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a. Confront the client about this behavior.
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b. Express sympathy for the client's situation.
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c. Speak assertively to the client.
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d. Stand within 30 cm (1 ft) of the client when speaking with them.
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(ANS- a C




A nurse is caring for a client who is receiving brachytherapy for treatment of
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prostate cancer. Which of the following actions should the nurse take?
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a. Cleanse equipment before removal from the client's room.b.
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Limit the client's visitors to 30 min per day.
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c. Discard the client's linens in a double bag.
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d. Discard the radioactive source in a biohazard bag
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(ANS- b C

, A nurse is caring for a client who has severe preeclampsia and is receiving magne
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sium sulfate intravenously. The nurse discontinues the magnesium sulfate after th
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e client displaces toxicity. Which of the following actions should the nursetake?
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a. Position the client supine C C C



b. Prepare an IV bolus of dextrose 5% in water
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c. Administer methylergonovine IM C C C



d. Administer calcium gluconate IV
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(ANS- d C




A charge nurse is teaching new staff members about factors that increase a client's
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risk to become violent. Which of the following risk factors should the nurse includ
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e as the best predictor of future violence?
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a. Experiencing delusions C



b. Male gender C



c. Pervious violent behavior C C



d. A history of being in prison
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(ANS- c C




A nurse is preparing to perform a sterile dressing change. Which of the followingacti
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ons should the nurse take when setting up the sterile field?
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a. Place the cap from the solution sterile side up on clean surface
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b. Open the outermost flap of the sterile kit toward the body→ flap AWAY from
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the body's first
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c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field →
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2.5 cm (1-
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inch) border around any sterile drape or wrap that is consideredcontamina
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ted.