NGN) HESI RN EXIT EXAM LATESTV p p p p p p
ERSION 2023 WITH QUESTIONS & p p p p
ANSWERS HIGHLIHTED p
GUARATEED PASS p
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATESTU
p p p p p p p p p
PDATE GRADED A p p
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
p p p p p p p p p p p p p p
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
p p p p p p p p p p p p p p p p
What is the best follow-up action by the nurse?
p p p p p p p p
a. Remind the client that it is also important to switch to decaffeinated coffee andte
p p p p p p p p p p p p p p
a.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
p p p p p p p p p p p p p
c. Review with the client the need to avoid foods that are rich in milk and cream.
p p p p p p p p p p p p p p p
,d. Reinforce this teaching by asking the client to list a dairy food that he mightsel
p p p p p p p p p p p p p p p
ect.
(ANS-
Review with the client the need to avoid foods that are rich in milk andcream
p p p p p p p p p p p p p p p p
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and shouldbe
p p p p p p p p p p p p p
avoided.
p
A male client with hypertension, who received new antihypertensive prescriptionsat
p p p p p p p p p p p
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
p p p p p p p p p p p p p p p p
His BP is 158/106 and he admits that he has not been taking the prescribed medicati
p p p p p p p p p p p p p p p
on because the drugs make him "feel bad". In explaining the need for hypertension c
p p p p p p p p p p p p p p
ontrol, the nurse should stress that an elevated BP places the client at risk for which p
p p p p p p p p p p p p p p p p
athophysiological condition? p
a. Blindness secondary to cataracts p p p
b. Acute kidney injury due to glomerular damage
p p p p p p
c. Stroke secondary to hemorrhage
p p p
d. Heart block due to myocardial damage(
p p p p p p
ANS- Stroke secondary to hemorrhage
p p p p
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolledh
p p p p p p p p p p p
ypertension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
p p p p p p p p p p p
mitted client who has a seizure disorder. The client is supine and the UAP is placing
p p p p p p p p p p p p p p p p
soft pillows along the side rails. What action should the nurse implement?
p p p p p p p p p p p
a. Ensure that the UAP has placed the pillows effectively to protect the client.
p p p p p p p p p p p p
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpil
p p p p p p p p p p p p p p p
lows.
c. Assume responsibility for placing the pillows while the UAP completes anotherta
p p p p p p p p p p p
sk.
d. Ask the UAP to use some of the pillows to prop the client in a side lyingpo
p p p p p p p p p p p p p p p p p
sition.
(ANS-
pInstruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows
p p p p p p p p p p p p p p p
,Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
p p p p p p p p p p p p p p p
because the use of pillows could result in suffocation and would need tobe removed
p p p p p p p p p p p p p p p
at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
p p p p p p p p p p p p p p p p
An adolescent with major depressive disorder has been taking duloxetine (Cymb
p p p p p p p p p p
alta) for the past 12 days. Which assessment finding requires immediatefollow-
p p p p p p p p p p p
up
a. Describes life without purpose p p p
b. Complains of nausea and loss of appetite p p p p p p
c. States is often fatigued and drowsy
p p p p p
d. Exhibits an increase in sweating. (A p p p p p
NS- Describes life without purpose
p p p p
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitort
p p p p p p p p p p
hat is known to increase the risk of suicidal thinking in adolescents and young adults
p p p p p p p p p p p p p p
with major depressive disorder. B, C and D are side effects
p p p p p p p p p p p
A 60-year-
p
old female client with a positive family history of ovarian cancer has developed an a
p p p p p p p p p p p p p p
bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
p p p p p p p p p p p p
Pap) smear results are negative. What information should the nurse include in the cli
p p p p p p p p p p p p p
ent's teaching plan
p p
a. Further evaluation involving surgery may be needed
p p p p p p
b. A pelvic exam is also needed before cancer is ruled out
p p p p p p p p p p
c. Pap smear evaluation should be continued every six month
p p p p p p p p
d. One additional negative pap smear in six months is needed.(
p p p p p p p p p p
ANS- Further evaluation involving surgery may be needed
p p p p p p p
Rationale: An abdominal mass in a client with a family history for ovarian cancersho
p p p p p p p p p p p p p p
uld be evaluated carefully
p p p
A client who recently underwent a tracheostomy is being prepared for discharge toho
p p p p p p p p p p p p p
me. Which instructions is most important for the nurse to include in the discharge pla
p p p p p p p p p p p p p p
n?
a. Explain how to use communication tools. p p p p p
b. Teach tracheal suctioning techniques
p p p
c. Encourage self-care and independence. p p p
, d. Demonstrate how to clean tracheostomy site.( p p p p p p
ANS- Teach tracheal suctioning techniques
p p p p
Rationale: Suctioning helps to clear secretions and maintain an open airway, whichis
p p p p p p p p p p p p p
critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
p p p p p p p p p p p p p p p
gen reservoir bag does not deflate completely during inspiration and the client'srespir
p p p p p p p p p p p p
atory rate is 14 breaths / minute. What action should the nurse implement
p p p p p p p p p p p p
a. Encourage the client to take deep breaths p p p p p p
b. Remove the mask to deflate the bag p p p p p p
c. Increase the liter flow of oxygen p p p p p
d. Document the assessment data (AN p p p p
S- Document the assessment data
p p p p
Rational: reservoir bag should not deflate completely during inspiration and thecl
p p p p p p p p p p p
ient's respiratory rate is within normal limits.
p p p p p p
During shift report, the central electrocardiogram (EKG) monitoring systemalar
p p p p p p p p p
ms. Which client alarm should the nurse investigate first?
p p p p p p p p
a. Respiratory apnea of 30 seconds p p p p
b. Oxygen saturation rate of 88% p p p p
c. Eight premature ventricular beats every minute
p p p p p
d. Disconnected monitor signal for the last 6 minutes.( p p p p p p p p
ANS- Respiratory apnea of 30 seconds
p p p p p
Rationale: The priority is the client whose alarm indicating respiratory apnea thatsho
p p p p p p p p p p p p
uld be assessed first.
p p p
During a home visit, the nurse observed an elderly client with diabetes slip andfall
p p p p p p p p p p p p p p
. What action should the nurse take first?
p p p p p p p
a. Give the client 4 ounces of orange juice
p p p p p p p
b. Call 911 to summon emergency assistance
p p p p p
c. Check the client for lacerations or fractures
p p p p p p
d. Asses clients blood sugar level
p p p p
(ANS- Check the client for lacerations or fractures
p p p p p p p
ERSION 2023 WITH QUESTIONS & p p p p
ANSWERS HIGHLIHTED p
GUARATEED PASS p
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATESTU
p p p p p p p p p
PDATE GRADED A p p
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
p p p p p p p p p p p p p p
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
p p p p p p p p p p p p p p p p
What is the best follow-up action by the nurse?
p p p p p p p p
a. Remind the client that it is also important to switch to decaffeinated coffee andte
p p p p p p p p p p p p p p
a.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
p p p p p p p p p p p p p
c. Review with the client the need to avoid foods that are rich in milk and cream.
p p p p p p p p p p p p p p p
,d. Reinforce this teaching by asking the client to list a dairy food that he mightsel
p p p p p p p p p p p p p p p
ect.
(ANS-
Review with the client the need to avoid foods that are rich in milk andcream
p p p p p p p p p p p p p p p p
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and shouldbe
p p p p p p p p p p p p p
avoided.
p
A male client with hypertension, who received new antihypertensive prescriptionsat
p p p p p p p p p p p
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
p p p p p p p p p p p p p p p p
His BP is 158/106 and he admits that he has not been taking the prescribed medicati
p p p p p p p p p p p p p p p
on because the drugs make him "feel bad". In explaining the need for hypertension c
p p p p p p p p p p p p p p
ontrol, the nurse should stress that an elevated BP places the client at risk for which p
p p p p p p p p p p p p p p p p
athophysiological condition? p
a. Blindness secondary to cataracts p p p
b. Acute kidney injury due to glomerular damage
p p p p p p
c. Stroke secondary to hemorrhage
p p p
d. Heart block due to myocardial damage(
p p p p p p
ANS- Stroke secondary to hemorrhage
p p p p
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolledh
p p p p p p p p p p p
ypertension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
p p p p p p p p p p p
mitted client who has a seizure disorder. The client is supine and the UAP is placing
p p p p p p p p p p p p p p p p
soft pillows along the side rails. What action should the nurse implement?
p p p p p p p p p p p
a. Ensure that the UAP has placed the pillows effectively to protect the client.
p p p p p p p p p p p p
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpil
p p p p p p p p p p p p p p p
lows.
c. Assume responsibility for placing the pillows while the UAP completes anotherta
p p p p p p p p p p p
sk.
d. Ask the UAP to use some of the pillows to prop the client in a side lyingpo
p p p p p p p p p p p p p p p p p
sition.
(ANS-
pInstruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows
p p p p p p p p p p p p p p p
,Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
p p p p p p p p p p p p p p p
because the use of pillows could result in suffocation and would need tobe removed
p p p p p p p p p p p p p p p
at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
p p p p p p p p p p p p p p p p
An adolescent with major depressive disorder has been taking duloxetine (Cymb
p p p p p p p p p p
alta) for the past 12 days. Which assessment finding requires immediatefollow-
p p p p p p p p p p p
up
a. Describes life without purpose p p p
b. Complains of nausea and loss of appetite p p p p p p
c. States is often fatigued and drowsy
p p p p p
d. Exhibits an increase in sweating. (A p p p p p
NS- Describes life without purpose
p p p p
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitort
p p p p p p p p p p
hat is known to increase the risk of suicidal thinking in adolescents and young adults
p p p p p p p p p p p p p p
with major depressive disorder. B, C and D are side effects
p p p p p p p p p p p
A 60-year-
p
old female client with a positive family history of ovarian cancer has developed an a
p p p p p p p p p p p p p p
bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
p p p p p p p p p p p p
Pap) smear results are negative. What information should the nurse include in the cli
p p p p p p p p p p p p p
ent's teaching plan
p p
a. Further evaluation involving surgery may be needed
p p p p p p
b. A pelvic exam is also needed before cancer is ruled out
p p p p p p p p p p
c. Pap smear evaluation should be continued every six month
p p p p p p p p
d. One additional negative pap smear in six months is needed.(
p p p p p p p p p p
ANS- Further evaluation involving surgery may be needed
p p p p p p p
Rationale: An abdominal mass in a client with a family history for ovarian cancersho
p p p p p p p p p p p p p p
uld be evaluated carefully
p p p
A client who recently underwent a tracheostomy is being prepared for discharge toho
p p p p p p p p p p p p p
me. Which instructions is most important for the nurse to include in the discharge pla
p p p p p p p p p p p p p p
n?
a. Explain how to use communication tools. p p p p p
b. Teach tracheal suctioning techniques
p p p
c. Encourage self-care and independence. p p p
, d. Demonstrate how to clean tracheostomy site.( p p p p p p
ANS- Teach tracheal suctioning techniques
p p p p
Rationale: Suctioning helps to clear secretions and maintain an open airway, whichis
p p p p p p p p p p p p p
critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
p p p p p p p p p p p p p p p
gen reservoir bag does not deflate completely during inspiration and the client'srespir
p p p p p p p p p p p p
atory rate is 14 breaths / minute. What action should the nurse implement
p p p p p p p p p p p p
a. Encourage the client to take deep breaths p p p p p p
b. Remove the mask to deflate the bag p p p p p p
c. Increase the liter flow of oxygen p p p p p
d. Document the assessment data (AN p p p p
S- Document the assessment data
p p p p
Rational: reservoir bag should not deflate completely during inspiration and thecl
p p p p p p p p p p p
ient's respiratory rate is within normal limits.
p p p p p p
During shift report, the central electrocardiogram (EKG) monitoring systemalar
p p p p p p p p p
ms. Which client alarm should the nurse investigate first?
p p p p p p p p
a. Respiratory apnea of 30 seconds p p p p
b. Oxygen saturation rate of 88% p p p p
c. Eight premature ventricular beats every minute
p p p p p
d. Disconnected monitor signal for the last 6 minutes.( p p p p p p p p
ANS- Respiratory apnea of 30 seconds
p p p p p
Rationale: The priority is the client whose alarm indicating respiratory apnea thatsho
p p p p p p p p p p p p
uld be assessed first.
p p p
During a home visit, the nurse observed an elderly client with diabetes slip andfall
p p p p p p p p p p p p p p
. What action should the nurse take first?
p p p p p p p
a. Give the client 4 ounces of orange juice
p p p p p p p
b. Call 911 to summon emergency assistance
p p p p p
c. Check the client for lacerations or fractures
p p p p p p
d. Asses clients blood sugar level
p p p p
(ANS- Check the client for lacerations or fractures
p p p p p p p
