HESI EXIT NGN ACTUAL EXAM TEST
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A pt presses the call bell and Ask the patient to describe the pain
requests pain medication for a
severe headache. To assess the
quality of the pt. Pain, which
approach should the nurse use?
The nurse is wearing personal Gloves
protective equipment while
caring for a pt. When exiting the
room, which PPE should be
removed first?
An older pt is brought to the ED Increasing confusion of the pt.
with a sudden onset of
confusion that occurred after
experiencing a fall at home. The
daughter, who has power of
attorney, has brought the client's
prescriptions. Which information
should the nurse provide first
when reporting to the
healthcare provider using SBAR
communication?
,A pt tells the nurse about Ask the pt for a description of the exercise schedule that is being
working out with a personal followed
trainer and swimming three
times a week in an effort to lose
weight and sleep better. The pt
states that it still is taking hours
to fall asleep at night. Which
action should the nurse
implement?
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2 days prior to discharge from -review safe transfer strategies
the rehab facility, the nurse is -develop a nutritional plan
teaching a pt who is recovering -help identify community support
from Guillain-Barre syndrome
about home. Which actions
should the nurse include when
providing discharge teaching to
the pt and spouse? SATA
The nurse implements a tertiary pt who develop disease complications promptly received
prevention program for type 2 rehabilitation
diabetes in a rural health clinic.
Which outcome indicates that
the program was effective?
The nurse has received funding participation of community leaders in planning the program
to design a health promotion
project for African American
women who are at risk for
developing breast cancer.
Which resource is most
important in designing this
program?
A pt with multiple injuries is use gown, mask, and gloves with dressing changes
being treated in the burn trauma
unit just hours after the injuries
occurred. The healthcare
provider instructs the nurse to
avoid auto contamination when
performing dressing changes.
Which intervention is most
important for the nurse to
implement?
A pt is recovering in the critical Stimulate the pt to take deep breaths
care unit following a cardiac
cath. IV nitro and heparin are
infusing. The pt is sedated but
responds to instructions. After
changing positions, the pt
complains of pain at the right
groin insertion site. What action
should the nurse implement?
, Prior to obtaining a trapeze bar upper body muscle strength
for a pt with limited mobility,
which pt assessment is most
important for the nurse to
obtain?
While the nurse is assessing an Continue to obtain pt data needed to complete the fall risk
older pt fall risk, the pt reports survey
living at home alone and never
falling. Which action should the
nurse take?
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The nurse is feeding an older Teach coughing and deep breathing exercises
adult who was admitted with
aspiration pneumonia. The pt is
weak and begins coughing while
attempting to drink through a
straw. Which intervention should
the nurse implement?
The nurse is teaching the pt Empty the pouch when it is half full.
about home care after surgery
for an ileal conduit placement.
When reviewing the information,
which statement should the
nurse recognize as needing
additional education?
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A 12 week gestation is admitted initiate prescribed IV fluids
to the antepartum unit with a dx
of hyperemesis gravidarum.
Which action is most important
for the nurse to implement?
A pt with dyspnea is being Picture with the bed sitting up
admitted to the medical unit. To
best prepare for the pt arrival,
the nurse should ensure that the
pt bed is in which position?
A pt who is scheduled for a Instruct pt to write down questions
bronchoscopy in the morning is
anxious and asking the nurse
numerous questions about the
procedure. In preparing the pt
for the procedure, which
intervention has the highest
priority?