NGN HESI RN Exit Exam sept2025
With 300+QUESTIONS WITH CORRECT ANSWERS GRADED A+
Which food choices should a nurse encourage for an overweight client with
heart failure during discharge teaching?
Plain, air-popped popcorn and natural whole almonds.
When assessing a client exhibiting signs of fluid volume overload during IV
therapy, where should the nurse assess first?
The clamp on the IV tubing.
What behaviors indicate a client understands how to maintain balance safely
while preparing a meal in a rehabilitation facility?
Widen stance while working near the sink and bring a heavy can close to the body
before lifting.
What stance should be adopted while working near the sink?
Widen stance.
What should a nurse assess to evaluate the effectiveness of methylamine in a
client?
Bowel patterns.
What medication is used to reduce inflammation in ulcerative colitis?
Methylamine.
What should the nurse do first when a client reports chest pain and difficulty
breathing after femur surgery?
Provide supplemental oxygen.
What is the most important action for a nurse to take when identifying an
electrolyte imbalance in a client with chronic kidney disease?
Auscultate for a regular heart rate.
What intervention is most important for ensuring compliance in an older adult
client with hearing difficulties after cataract surgery?
Ensure that someone will stay with the client for 24 hours.
What should a nurse implement for a young adult client with asthma who is
wheezing and using pursed lip breathing?
,Administer a nebulizer treatment.
What non-pharmacological intervention should a nurse use for a client with
Alzheimer's disease who is confused?
Use distraction and therapeutic communication skills.
What action should a nurse take if a client with a scopolamine patch reports
nausea and vomiting four hours after surgery?
Notify the client's healthcare provider of the vomiting.
What should the nurse instruct the adult child of an older adult client with
Parkinson's disease who reports confusion?
Instruct the adult child to check the client's temperature.
What additional assessment should the nurse determine for a confused client
with Parkinson's disease?
Determine if the client has recently experienced a fall.
What should the nurse do if a client reports a different usual dosage than what
is prescribed?
Withhold the medication until the dosage can be confirmed.
Which client change in status is best to assign to a practical nurse?
Viral meningitis whose temperature changed from 101°F to 102°F.
What is the most important intervention for a client with pneumonia
developing septic shock?
Maintain strict intake and output.
What is the best nursing intervention for an adolescent client who left a
treatment team meeting in tears?
Go to the client's room and ask what happened.
How many milliliters of dalteparin should be administered to a client weighing
154 pounds?
200 units per kilogram subcutaneously once a day.
What are the first two orders the nurse should complete for a client with flu-
like symptoms and difficulty breathing?
Start oxygen 3 L per minute via nasal cannula and place the client on a cardio
respiratory monitor.
What items should the nurse collect to start a client on oxygen as ordered?
Humidifier bottle, nasal cannula, flow meter.
, What does a client experiencing anxiety and decreased breath sounds
indicate?
Potential respiratory distress requiring immediate assessment and intervention.
What is the significance of a capillary refill time of four seconds in a client?
It indicates possible poor perfusion or dehydration.
What is the prescribed dosage of acetaminophen for temperature control?
350 mg PO every six hours.
What is the appropriate action when a client refuses medication?
Document whether or not the client takes it.
What should the nurse do if a client with a subdural hematoma shows a
significant blood pressure change?
This client should be prioritized for assessment due to potential worsening condition.
What is a common symptom of pneumonia that may lead to septic shock?
Fever and chest congestion.
What is the purpose of a sputum culture in a client with respiratory
symptoms?
To identify any infectious organisms causing the symptoms.
What does a Glasgow coma scale score change from 10 to 7 indicate?
A significant decrease in consciousness level.
What is the role of a peripheral IV in treating a client with respiratory distress?
To administer fluids and medications as needed.
What does NPO stand for and when is it used?
Nothing by mouth; used when a client cannot eat or drink.
What is the importance of monitoring blood glucose levels in a client with
septic shock?
To manage potential hyperglycemia due to stress response.
What does the term 'myxedema' refer to in a clinical context?
A severe form of hypothyroidism that can lead to critical health issues.
What is the purpose of keeping the head of the bed raised for a client in
respiratory distress?
To facilitate easier breathing and improve oxygenation.
What are the signs of septic shock in a client with pneumonia?
Initial signs include fever, increased heart rate, and altered mental status.
What is the significance of thick, yellow secretions in a productive cough?
With 300+QUESTIONS WITH CORRECT ANSWERS GRADED A+
Which food choices should a nurse encourage for an overweight client with
heart failure during discharge teaching?
Plain, air-popped popcorn and natural whole almonds.
When assessing a client exhibiting signs of fluid volume overload during IV
therapy, where should the nurse assess first?
The clamp on the IV tubing.
What behaviors indicate a client understands how to maintain balance safely
while preparing a meal in a rehabilitation facility?
Widen stance while working near the sink and bring a heavy can close to the body
before lifting.
What stance should be adopted while working near the sink?
Widen stance.
What should a nurse assess to evaluate the effectiveness of methylamine in a
client?
Bowel patterns.
What medication is used to reduce inflammation in ulcerative colitis?
Methylamine.
What should the nurse do first when a client reports chest pain and difficulty
breathing after femur surgery?
Provide supplemental oxygen.
What is the most important action for a nurse to take when identifying an
electrolyte imbalance in a client with chronic kidney disease?
Auscultate for a regular heart rate.
What intervention is most important for ensuring compliance in an older adult
client with hearing difficulties after cataract surgery?
Ensure that someone will stay with the client for 24 hours.
What should a nurse implement for a young adult client with asthma who is
wheezing and using pursed lip breathing?
,Administer a nebulizer treatment.
What non-pharmacological intervention should a nurse use for a client with
Alzheimer's disease who is confused?
Use distraction and therapeutic communication skills.
What action should a nurse take if a client with a scopolamine patch reports
nausea and vomiting four hours after surgery?
Notify the client's healthcare provider of the vomiting.
What should the nurse instruct the adult child of an older adult client with
Parkinson's disease who reports confusion?
Instruct the adult child to check the client's temperature.
What additional assessment should the nurse determine for a confused client
with Parkinson's disease?
Determine if the client has recently experienced a fall.
What should the nurse do if a client reports a different usual dosage than what
is prescribed?
Withhold the medication until the dosage can be confirmed.
Which client change in status is best to assign to a practical nurse?
Viral meningitis whose temperature changed from 101°F to 102°F.
What is the most important intervention for a client with pneumonia
developing septic shock?
Maintain strict intake and output.
What is the best nursing intervention for an adolescent client who left a
treatment team meeting in tears?
Go to the client's room and ask what happened.
How many milliliters of dalteparin should be administered to a client weighing
154 pounds?
200 units per kilogram subcutaneously once a day.
What are the first two orders the nurse should complete for a client with flu-
like symptoms and difficulty breathing?
Start oxygen 3 L per minute via nasal cannula and place the client on a cardio
respiratory monitor.
What items should the nurse collect to start a client on oxygen as ordered?
Humidifier bottle, nasal cannula, flow meter.
, What does a client experiencing anxiety and decreased breath sounds
indicate?
Potential respiratory distress requiring immediate assessment and intervention.
What is the significance of a capillary refill time of four seconds in a client?
It indicates possible poor perfusion or dehydration.
What is the prescribed dosage of acetaminophen for temperature control?
350 mg PO every six hours.
What is the appropriate action when a client refuses medication?
Document whether or not the client takes it.
What should the nurse do if a client with a subdural hematoma shows a
significant blood pressure change?
This client should be prioritized for assessment due to potential worsening condition.
What is a common symptom of pneumonia that may lead to septic shock?
Fever and chest congestion.
What is the purpose of a sputum culture in a client with respiratory
symptoms?
To identify any infectious organisms causing the symptoms.
What does a Glasgow coma scale score change from 10 to 7 indicate?
A significant decrease in consciousness level.
What is the role of a peripheral IV in treating a client with respiratory distress?
To administer fluids and medications as needed.
What does NPO stand for and when is it used?
Nothing by mouth; used when a client cannot eat or drink.
What is the importance of monitoring blood glucose levels in a client with
septic shock?
To manage potential hyperglycemia due to stress response.
What does the term 'myxedema' refer to in a clinical context?
A severe form of hypothyroidism that can lead to critical health issues.
What is the purpose of keeping the head of the bed raised for a client in
respiratory distress?
To facilitate easier breathing and improve oxygenation.
What are the signs of septic shock in a client with pneumonia?
Initial signs include fever, increased heart rate, and altered mental status.
What is the significance of thick, yellow secretions in a productive cough?
