HESI RN EXIT EXAM WITH NGN LATEST VERSION B /HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS

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HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2024-2025/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS
AND CORRECT DETAILED ANSWERS




The nurse is completing the admission assessment of a 3-
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year old who is admitted with bacterial meningitis and hydrocephalus. Which
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assessment finding is evidence that the child is experiencing increased intracra
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nial pressure (ICP)?
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A. Tachycardia and tachypnea
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B. Sluggish and unequal pupillary responses
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C. Increased head circumference and bulging fontanels
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D. Blood pressure fluctuations and syncope -
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answerB. Sluggish and unequal pupillary responses
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A client with acute pancreatitis is admitted with severe, piercing abdominal pa
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in and an elevated serum amylase. Which additional information is the client
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most likely to report to the nurse?
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A. Abdominal pain decreases when lying supine
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B. Pain lasts an hour and leaves the abdomen tender
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C. Right upper quadrant pain refers to right scapula
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D. Drinks alcohol until intoxicated at least twice weekly. -
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answerA. Abdominal pain decreases when lying supine
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A child newly diagnosed with sickle cell anemia (SCA) is being discharged fro
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m the hospital. Which information is most important for the nurse to provide
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the parents prior to discharge?
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A. Instructions about how much fluid the child should drink daily.
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B. Signs of addiction to opioid pain medications
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C. Information about non-pharmaceutical pain relief measures
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D. Referral for social services for the child and family -
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answerA. Instructions about how much fluid the child should drink daily
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To auscultate for a carotid bruit, the nurse places the stethoscope at what loca
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tion. (Select the location on the image with a red dot). -
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answerI placed the red dot on the base of the neck on the right side
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After receiving report on an inpatient acute care unit, which client should the
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nurse assess first?
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A. The client with an obstruction of the large intestine who is experiencing ab
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dominal distention b




B. The client who had surgery yesterday and is experiencing a paralytic ileus wi
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th absent bowel sounds
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C. The client with a small bowel obstruction who has a nasogastric tube that is
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draining greenish fluid b b

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D. The client with a bowel obstruction due to a volvulus who is experiencing a
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bdominal rigidity - b b




answerD. The client with a bowel obstruction due to a volvulus who is experi
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encing abdominal rigidity
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A teenager presents to the emergency department with palpitations after vapi
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ng at a party. The client is anxious, fearful, and hyperventilating. The nurse ant
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icipates the client developing which acid base imbalance?
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A. Respiratory acidosis
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B. Metabolic alkalosis
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C. Metabolic acidosis
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D. Respiratory alkalosis - answerD. Respiratory alkalosis
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A client with dyspnea is being admitted to the medical unit. To best prepare fo
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r the client's arrival, the nurse should ensure that the client's bed is in which po
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sition?