HESI NGN RN EXIT REAL EXAM
QUESTIONS AND ANSWERS TESTED AND
APPROVED NEW MODIFIED EXAM!!!
The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for
a client with type two diabetes. Which information provides the best indicator
of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. -- ANSWER--D) Hemoglobin
A1c readings less than 7%.
After receiving report on an inpatient acute care unit which client should the
nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that
is draining greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing
abdominal distention.
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,D) The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity. -- ANSWER--D) The client with a bowel obstruction due to
a volvulus who is experiencing abdominal rigidity.
Client presents at the emergency department reporting a raspy voice, cold
intolerance, and fatigue. Laboratory tests indicate an elevated thyroid
stimulating hormone and a low T3 and T4 levels. After the client is admitted to
the telemetary unit, which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. -- ANSWER--A) administer
prescribed dose of level thyroxine.
While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but without
drainage. Which is the most important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
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,D) Request a culture and sensitivity of the wound. -- ANSWER--D) Request
a culture and sensitivity of the wound.
The school nurse is screening students for scoliosis and notes that one student
has lordosis.
Which finding should the nurse document in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs. -- ANSWER--
C) Excessive concave curvature of the lumbar spine.
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.
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, D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. -- ANSWER--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. --
ANSWER--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. -- ANSWER--A) Maintain strict intake and
output.
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QUESTIONS AND ANSWERS TESTED AND
APPROVED NEW MODIFIED EXAM!!!
The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for
a client with type two diabetes. Which information provides the best indicator
of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. -- ANSWER--D) Hemoglobin
A1c readings less than 7%.
After receiving report on an inpatient acute care unit which client should the
nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that
is draining greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing
abdominal distention.
Page 1 of 115
,D) The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity. -- ANSWER--D) The client with a bowel obstruction due to
a volvulus who is experiencing abdominal rigidity.
Client presents at the emergency department reporting a raspy voice, cold
intolerance, and fatigue. Laboratory tests indicate an elevated thyroid
stimulating hormone and a low T3 and T4 levels. After the client is admitted to
the telemetary unit, which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. -- ANSWER--A) administer
prescribed dose of level thyroxine.
While caring for a client post operative dressing, the nurse observes purulent
wound drainage. Previously, the wound was inflamed and tender but without
drainage. Which is the most important action for the nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
Page 2 of 115
,D) Request a culture and sensitivity of the wound. -- ANSWER--D) Request
a culture and sensitivity of the wound.
The school nurse is screening students for scoliosis and notes that one student
has lordosis.
Which finding should the nurse document in the student screening record?
A) Lateral curvature that creates a symmetry of the shoulders.
B) Posterior curvature that is convex in the thoracic area.
C) Excessive concave curvature of the lumbar spine.
D) Rounded spine from head to hips without concave curbs. -- ANSWER--
C) Excessive concave curvature of the lumbar spine.
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.
Page 3 of 115
, D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. -- ANSWER--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. --
ANSWER--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. -- ANSWER--A) Maintain strict intake and
output.
Page 4 of 115
