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(NGN) HESI RN EXIT EXAM NEXT
GENERATION VERSION B EXAM QUESTIONS
AND 100% CORRECT ANSWERS
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light -- ANSWER--B. Minimize the amount
of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted
to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch -- ANSWER--C. Had a cold and ear infection for the past two
days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action should
the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
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C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status -- ANSWER--C. The
client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan -- ANSWER--B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation.
Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure -- ANSWER--A.
Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
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E. Wash the stump with soap and water -- ANSWER--B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers -- ANSWER--Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the client's admission assessment is relevant to the nurse's plan for
taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling -- ANSWER--A. Frequent syncope
C. Flat affect
D. Blurred vision
The nurse is completing the admission assessment of a 3-year old who is admitted with
bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child
is experiencing increased intracranial pressure (ICP)?
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A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope -- ANSWER--B. Sluggish and unequal
pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report to
the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -- ANSWER--A. Abdominal
pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family -- ANSWER--A. Instructions
about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
location on the image with a red dot). -- ANSWER--I placed the red dot on the base of the
neck on the right side
(NGN) HESI RN EXIT EXAM NEXT
GENERATION VERSION B EXAM QUESTIONS
AND 100% CORRECT ANSWERS
Which intervention should the nurse include in the plan of care for a child with tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light -- ANSWER--B. Minimize the amount
of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted
to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch -- ANSWER--C. Had a cold and ear infection for the past two
days
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action should
the nurse implement?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
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C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status -- ANSWER--C. The
client's need for pain medication should be determined
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan -- ANSWER--B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation.
Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure -- ANSWER--A.
Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
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E. Wash the stump with soap and water -- ANSWER--B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers -- ANSWER--Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the client's admission assessment is relevant to the nurse's plan for
taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling -- ANSWER--A. Frequent syncope
C. Flat affect
D. Blurred vision
The nurse is completing the admission assessment of a 3-year old who is admitted with
bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child
is experiencing increased intracranial pressure (ICP)?
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A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope -- ANSWER--B. Sluggish and unequal
pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report to
the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -- ANSWER--A. Abdominal
pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family -- ANSWER--A. Instructions
about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the
location on the image with a red dot). -- ANSWER--I placed the red dot on the base of the
neck on the right side
