HESI EXIT NEXT GENERATION (NGN) ACTUAL 2025
UPDATE A+ EXAM. 100% GENUINE 2025 UPDATE.
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from
guillain-barre syndrome about home. Which actions should the nurse include when providing
discharge teaching to the pt and spouse? Sata - correct answer- -review safe transfer strategies
-develop a nutritional plan
-help identify community support
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which
action is most important for the nurse to implement? - correct answer- initiate prescribed iv fluids
A client fell in the bathroom when left unattended by the uap. Which information should the nurse
include in the pt health record? - correct answer- the pt fell sustaining a fracture to the left hip
A client presents to the emergency dept with muscle aches, headache, fever, and describes a recent
loss of taste and smell. The nurse obtains a swab for covid -19 testing. Which action is most
important for the nurse to take? - correct answer- place the nasal swab specimen for covid 19 directly
in a biohazard bag.
A client with urge incontinence was treated with onabotulinumtoxina injections and is now
experiencing urinary retention. Which action should the nurse include in the client's plan of care? -
correct answer- remind the pt to practice pelvic floor exercises regularly.
A male client approaches the nurse with an angry expression on his face and raises his voice, saying,
"my roommate is the most selfish, self-centered, angry person i have ever met if he loses his temper
one more time with me, i am going to punch him." the nurse recognizes that the pt is using which
defense mechanism? - correct answer- projection
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in
hot baths at night with no relief of his discomfort. Which action should the nurse take? - correct
answer- encourage the pt to use cooler water and apply calamine lotion after soaking.
A new nurse preparing to irrigate an iv catheter is attaching a 24-gauge needle. Which action should
the charge nurse implement? - correct answer- suggest the nurse use 20g needle
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The previous
nurse reports that it was necessary to change the client's perineal pad hourly and that it is again
saturated. The previous nurse also reports that the client's urinary output has decreased. Which
action should the nurse implement first? - correct answer- assess for weakness or dizziness
A nurse who is working in the emergency department triage area is presented with four clients at the
same time. The client presenting with which symptoms require the most immediate intervention by
the nurse? - correct answer- chest discomfort one hour after consuming a large spicy meal.
A nurse working on an endocrine unit should see which client first? - correct answer- a pt taking
corticosteroids who has become disoriented in the last two hours.
A patient who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the med. Which side effect should the nurse report to
the healthcare provider? - correct answer- somnambulism
, A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching
plan, the nurse should teach the parents to report which sign of overdose? - correct answer-
bradycardia
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near
drowning incident. While providing care to the child, the nurse begins with the brother who rescued
the child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when asked about what happened. Which
action should the nurse take? - correct answer- ask the older brother how he felt during the incident.
A pt diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention? - correct answer- allopurinol
A pt in the third trimester of pregnancy reports that she feels some lumpy places in her breasts and
that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare
provider in two weeks. What actions should the nurse take? - correct answer- explain that this is
normal recreation and can be assessed at the next visit.
A pt is admitted with a dx of urolithiasis. Which finding is most important for the nurse to report to
the healthcare provider? - correct answer- hematuria that is beginning to turn pink
A pt is dx with meniere's disease. Which problem should the nurse identify as most important in the
plan of care? - correct answer- risk for injury related to vertigo
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects of
the medication, which serum laboratory value most important for the nurse to monitor - correct
answer- platelet count
A pt is recovering in the critical 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? - correct answer- stimulate
the pt to take deep breaths
A pt is scheduled for a spiral ct scan with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow up by the nurse? - correct answer- take metformin
for type 2 diabetes
A pt presents to the labor and delivery unit with a report of leaking fluid that is greenish- brown
vaginal discharge. Which action should the nurse take first? - correct answer- begin continuous fetal
monitoring
A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of
the pt. Pain, which approach should the nurse use? - correct answer- ask the patient to describe the
pain
A pt taking clopidogrel reports the onset of diarrhea. Which nursing action should the nurse
implement first? - correct answer- observe the appearance of the stool
UPDATE A+ EXAM. 100% GENUINE 2025 UPDATE.
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from
guillain-barre syndrome about home. Which actions should the nurse include when providing
discharge teaching to the pt and spouse? Sata - correct answer- -review safe transfer strategies
-develop a nutritional plan
-help identify community support
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which
action is most important for the nurse to implement? - correct answer- initiate prescribed iv fluids
A client fell in the bathroom when left unattended by the uap. Which information should the nurse
include in the pt health record? - correct answer- the pt fell sustaining a fracture to the left hip
A client presents to the emergency dept with muscle aches, headache, fever, and describes a recent
loss of taste and smell. The nurse obtains a swab for covid -19 testing. Which action is most
important for the nurse to take? - correct answer- place the nasal swab specimen for covid 19 directly
in a biohazard bag.
A client with urge incontinence was treated with onabotulinumtoxina injections and is now
experiencing urinary retention. Which action should the nurse include in the client's plan of care? -
correct answer- remind the pt to practice pelvic floor exercises regularly.
A male client approaches the nurse with an angry expression on his face and raises his voice, saying,
"my roommate is the most selfish, self-centered, angry person i have ever met if he loses his temper
one more time with me, i am going to punch him." the nurse recognizes that the pt is using which
defense mechanism? - correct answer- projection
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in
hot baths at night with no relief of his discomfort. Which action should the nurse take? - correct
answer- encourage the pt to use cooler water and apply calamine lotion after soaking.
A new nurse preparing to irrigate an iv catheter is attaching a 24-gauge needle. Which action should
the charge nurse implement? - correct answer- suggest the nurse use 20g needle
A nurse receives a report on a pt who is four hours post-total abdominal hysterectomy. The previous
nurse reports that it was necessary to change the client's perineal pad hourly and that it is again
saturated. The previous nurse also reports that the client's urinary output has decreased. Which
action should the nurse implement first? - correct answer- assess for weakness or dizziness
A nurse who is working in the emergency department triage area is presented with four clients at the
same time. The client presenting with which symptoms require the most immediate intervention by
the nurse? - correct answer- chest discomfort one hour after consuming a large spicy meal.
A nurse working on an endocrine unit should see which client first? - correct answer- a pt taking
corticosteroids who has become disoriented in the last two hours.
A patient who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the med. Which side effect should the nurse report to
the healthcare provider? - correct answer- somnambulism
, A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching
plan, the nurse should teach the parents to report which sign of overdose? - correct answer-
bradycardia
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near
drowning incident. While providing care to the child, the nurse begins with the brother who rescued
the child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when asked about what happened. Which
action should the nurse take? - correct answer- ask the older brother how he felt during the incident.
A pt diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention? - correct answer- allopurinol
A pt in the third trimester of pregnancy reports that she feels some lumpy places in her breasts and
that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare
provider in two weeks. What actions should the nurse take? - correct answer- explain that this is
normal recreation and can be assessed at the next visit.
A pt is admitted with a dx of urolithiasis. Which finding is most important for the nurse to report to
the healthcare provider? - correct answer- hematuria that is beginning to turn pink
A pt is dx with meniere's disease. Which problem should the nurse identify as most important in the
plan of care? - correct answer- risk for injury related to vertigo
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects of
the medication, which serum laboratory value most important for the nurse to monitor - correct
answer- platelet count
A pt is recovering in the critical 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? - correct answer- stimulate
the pt to take deep breaths
A pt is scheduled for a spiral ct scan with contrast to evaluate for pulmonary embolism. Which
information in the client's history requires follow up by the nurse? - correct answer- take metformin
for type 2 diabetes
A pt presents to the labor and delivery unit with a report of leaking fluid that is greenish- brown
vaginal discharge. Which action should the nurse take first? - correct answer- begin continuous fetal
monitoring
A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of
the pt. Pain, which approach should the nurse use? - correct answer- ask the patient to describe the
pain
A pt taking clopidogrel reports the onset of diarrhea. Which nursing action should the nurse
implement first? - correct answer- observe the appearance of the stool
