NGN HESI RN 2025 EXIT EXAM 2025 COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS/SOLUTIONS |MULTIPLE
CHOICES |solved!!
Client with leukemia who is receiving a myelosuppressive chemotherapy has a
platelet count of 25,000. Which intervention is most important for the nurse to
include in the clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance.
B) Assess urine and stool for occult blood.
A client with diabetes insipidus has an average urinary output of 500 ML of
dilute urine every hour for the past four hours. Which laboratory test is most
important for the nurse to monitor?
A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count.
C) Serum sodium.
The nurse is managing the care of a client with Cushing syndrome. Which
intervention should the nurse delegate to be unlicensed assistive personnel?
SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
C) Assess the client for weakness and fatigue.
,D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a prescription for an
electronic stimulator tens unit. After the nurse applies the electrodes and turns
on the power, the client reports feeling a tingling sensation. How should the
nurse respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.
C) Remove electrodes and observe for skin redness.
D) Determine if the sensation feels uncomfortable.
D) Determine if the sensation feels uncomfortable
When preparing to administer a prescribed medication to a homeless client at
a community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
B) Withhold the medication until the dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
,to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
B) Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs
of septic shock and multi organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important for the nurse to include
in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, the nurse
asked the client to meet with the treatment team. After the team meeting, the
client leaves in tears and goes to their room. Which nursing intervention is
best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The medication
is available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round
to the nearest 10th.)
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
, medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects
from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are dry.
He has a productive cough with thick, yellow secretions. His capillary refill is
four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory
rate 28 breaths per minute, blood pressure 145/89, oxygen saturation 90% on
room air.
QUESTIONS AND VERIFIED ANSWERS/SOLUTIONS |MULTIPLE
CHOICES |solved!!
Client with leukemia who is receiving a myelosuppressive chemotherapy has a
platelet count of 25,000. Which intervention is most important for the nurse to
include in the clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance.
B) Assess urine and stool for occult blood.
A client with diabetes insipidus has an average urinary output of 500 ML of
dilute urine every hour for the past four hours. Which laboratory test is most
important for the nurse to monitor?
A) Urine specific gravity.
B) Capillary glucose.
C) Serum sodium.
D) White blood count.
C) Serum sodium.
The nurse is managing the care of a client with Cushing syndrome. Which
intervention should the nurse delegate to be unlicensed assistive personnel?
SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
C) Assess the client for weakness and fatigue.
,D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a prescription for an
electronic stimulator tens unit. After the nurse applies the electrodes and turns
on the power, the client reports feeling a tingling sensation. How should the
nurse respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.
C) Remove electrodes and observe for skin redness.
D) Determine if the sensation feels uncomfortable.
D) Determine if the sensation feels uncomfortable
When preparing to administer a prescribed medication to a homeless client at
a community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
B) Withhold the medication until the dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients.
Which client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
,to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
B) Viral meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs
of septic shock and multi organ failure. The healthcare provider prescribes a
sepsis protocol. Which intervention is most important for the nurse to include
in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, the nurse
asked the client to meet with the treatment team. After the team meeting, the
client leaves in tears and goes to their room. Which nursing intervention is
best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The medication
is available and 25,000 units per milliliter vial. How many milliliters should the
nurse administer? (Enter numerical value only. If rounding is required, round
to the nearest 10th.)
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency
department last night when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years. He has no significant
, medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects
from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are dry.
He has a productive cough with thick, yellow secretions. His capillary refill is
four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory
rate 28 breaths per minute, blood pressure 145/89, oxygen saturation 90% on
room air.
