MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
A client with acute asthma exacerbation is manifesting inspiratory and expiratory wheezes
and a decreased forced expiratory volume. Which prescribed drug class should the nurse
administer first to the client?
A) Inhaled short acting beta two agonists.
B) Inhaled corticosteroids.
C) Anti-cholinergics.
D) Leukotriene modifiers. - CORRECT ANSWERS B) Inhaled corticosteroids.
The nurse enters a clients room to administer oral medication's and find an unlicensed
assistive personnel providing personal care to the client, whose condition has obviously
deteriorated. The client is lying in a supine position and is weak, pale, and diaphoretic.
Which is the priority nursing action?
A) Determine why the UAP did not notify the nurse of the change in the clients condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients condition.
C) Explain to the UAP that changes in a clients condition should be reported immediately.
D) Ask for UAP to position the client so the oral medication's can be administered. -
CORRECT ANSWERS B) Advised the UAP to stop providing care so the nurse can assess the
clients condition.
The client who was admitted yesterday with severe dehydration is reporting pain where a 24
gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150 mL per hour. Which
intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return. - CORRECT ANSWERS C) Stop the 0.9% sodium chloride
infusion.
Client should the nurse assess frequently because of the risk for overflow incontinence?
,MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
A) a client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections. - CORRECT ANSWERS C) A
client who is confused and frequently forgets to go to the bathroom.
After a spider bite on the lower extremity, a client is admitted for treatment of an infection
that is spreading up the leg. Which admission assessment findings should the nurse report
to the healthcare provider? SATA.
A) Location of the initial IV site.
B) Swollen lymph nodes in the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature. - CORRECT ANSWERS B) Swollen lymph nodes in the groin.
D) White blood cell count.
E) Core body temperature.
When preparing to administer a prescribed medication to a homeless client at a community
psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the
dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or not the
client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare team
meeting. - CORRECT ANSWERS B) Withhold the medication until the dosage can be
confirmed.
,MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
The charge nurse is making assignments for one practical nurse and three registered nurses
who are caring for neurologically compromised clients. Which client with which change in
status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - CORRECT ANSWERS B)
Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - CORRECT ANSWERS A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note to a
teacher at school. On the second day of hospitalization, the nurse asked the client to meet
with the treatment team. After the team meeting, the client leaves in tears and goes to their
room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - CORRECT ANSWERS D) Go to the
clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a
day for a client who weighs 154 pounds. The medication is available and 25,000 units per
milliliter vial. How many milliliters should the nurse administer? (Enter numerical value only.
If rounding is required, round to the nearest 10th.) - CORRECT ANSWERS 0.6
, MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and
chest congestion for four days. He came to the emergency department last night when he
was having more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for
20 years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - CORRECT ANSWERS B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a
peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium
chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the nurse collects from the
supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - CORRECT ANSWERS D) Nasal cannula.
E) Flow meter.
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
A client with acute asthma exacerbation is manifesting inspiratory and expiratory wheezes
and a decreased forced expiratory volume. Which prescribed drug class should the nurse
administer first to the client?
A) Inhaled short acting beta two agonists.
B) Inhaled corticosteroids.
C) Anti-cholinergics.
D) Leukotriene modifiers. - CORRECT ANSWERS B) Inhaled corticosteroids.
The nurse enters a clients room to administer oral medication's and find an unlicensed
assistive personnel providing personal care to the client, whose condition has obviously
deteriorated. The client is lying in a supine position and is weak, pale, and diaphoretic.
Which is the priority nursing action?
A) Determine why the UAP did not notify the nurse of the change in the clients condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients condition.
C) Explain to the UAP that changes in a clients condition should be reported immediately.
D) Ask for UAP to position the client so the oral medication's can be administered. -
CORRECT ANSWERS B) Advised the UAP to stop providing care so the nurse can assess the
clients condition.
The client who was admitted yesterday with severe dehydration is reporting pain where a 24
gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150 mL per hour. Which
intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return. - CORRECT ANSWERS C) Stop the 0.9% sodium chloride
infusion.
Client should the nurse assess frequently because of the risk for overflow incontinence?
,MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
A) a client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections. - CORRECT ANSWERS C) A
client who is confused and frequently forgets to go to the bathroom.
After a spider bite on the lower extremity, a client is admitted for treatment of an infection
that is spreading up the leg. Which admission assessment findings should the nurse report
to the healthcare provider? SATA.
A) Location of the initial IV site.
B) Swollen lymph nodes in the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature. - CORRECT ANSWERS B) Swollen lymph nodes in the groin.
D) White blood cell count.
E) Core body temperature.
When preparing to administer a prescribed medication to a homeless client at a community
psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the
dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or not the
client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare team
meeting. - CORRECT ANSWERS B) Withhold the medication until the dosage can be
confirmed.
,MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
The charge nurse is making assignments for one practical nurse and three registered nurses
who are caring for neurologically compromised clients. Which client with which change in
status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - CORRECT ANSWERS B)
Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - CORRECT ANSWERS A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note to a
teacher at school. On the second day of hospitalization, the nurse asked the client to meet
with the treatment team. After the team meeting, the client leaves in tears and goes to their
room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - CORRECT ANSWERS D) Go to the
clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a
day for a client who weighs 154 pounds. The medication is available and 25,000 units per
milliliter vial. How many milliliters should the nurse administer? (Enter numerical value only.
If rounding is required, round to the nearest 10th.) - CORRECT ANSWERS 0.6
, MINE NGN HESI RN 2024 EXIT EXAM QUESTIONS AND ANSWERS
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT GRADED A+ FOR
SUCCESS
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and
chest congestion for four days. He came to the emergency department last night when he
was having more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for
20 years. He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO. - CORRECT ANSWERS B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a
peripheral IV infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium
chloride IV infusion at 150 mL per hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items should the nurse collects from the
supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - CORRECT ANSWERS D) Nasal cannula.
E) Flow meter.
