2024/25 NGN RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs& As Included - Guaranteed Pass A+!!! (All Brand NewQ&A Pics Included)

2024/25 NGN RN HESI EXIT EXAM -
Version 1 (V1) All 160 Qs& As Included
- Guaranteed Pass A+!!! (All Brand
NewQ&A Pics Included)


The nurse is reviewing medical prescriptions for newly admitted clients. It would be
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a priority for the nurse to follow up with the physician if a client with
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(a) a potassium level of 4.5mEq/Lhas Kayexalate (sodium polystyrene) prescribed
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(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
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sensitivitytoAspirin(acetylsalicylicacid)isprescribedTylenol(acetaminophen)
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(d)sensitivityto Penicillin is prescribed Zithromax (azithromycin)
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2. The nurse from the postpartum unit has been temporarily assigned to the medical
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surgical unit. It would be most appropriate to assign this nurse to the client who*
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(a) has returned from right total hip replacement surgery four hours ago
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(b) is being observed for increased intracranial pressure
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(c) had surgery two hours ago to remove the appendix
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(d) is two weeks post partum being maintained on a mechanical ventilator for
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respiratory failure
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3. The nurse should intervene if the nurse notes a staff member
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(a) obtaining a clients consent prior to their operative procedure after receivingAtivan
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(lorazepam)
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(b) placing a client on the affected side following surgical repair of a retinal
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detachmentjl




(c) handling a wet cast with the palms of the hands jl jl jl jl jl jl jl jl jl




(d) using a broad base of support while transferring a client
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4. The community health nurse is caring for the following clients. It would be a
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priority for the nurse to initiate a multidisciplinary conference for the client who is
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1

,(a) 12 years old withAutism who is starting a new school and recently had a
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URI (upper respiratory tract infection)
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(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
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Hemoglobin A1c of 13%
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(c) 52 years old, with Myasthenia Gravis, recentlyprescribed Mestinon
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(pyridostigmine) and employed as a mail carrier
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(d) 70 years old, has schizophrenia, lives alone and reports hearing non threatening
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voices.
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2

,5. The nurse in a well baby clinic has assessed several children today. It would be a
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priority for the nurse to suggest follow up for the child who is (a) 2 months old with a
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positive babinski refl ex
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(b) 5 months old and does not hold their own bottle
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(c) 10 months old who cries around strangers
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(d) 18 months old who needs support while ambulating
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6. The nurse is caring for a mechanically ventilated client who was declared brain
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dead. An Advance Directive is not documented on the medical record. It would be
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most appropriate to obtain consent for organ donation from the
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(a) client‘s primary care provider jl jl jl




(b) client‘s nurse manager jl jl




(c) closest living family member jl jl jl




(d) hospital‘s ethics committee jl jl




7. The nurse has received report on four clients. The nurse should fi rst assess the
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client who has*
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(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of
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90%
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(b) Parkinson‘s Disease and is demanding to leave the hospital against medical advice jl jl jl jl jl jl jl jl jl jl jl




(AMA)
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(c) been admitted with suspected Guillian-Barre´ Syndrome and has begun
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plasmapheresis therapy
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(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) jl jl jl jl jl jl jl jl jl jl




8. It would be appropriate to assign which of these tasks to the CNA?
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(a) Feeding a client who is experiencing dysphagia jl jl jl jl jl jl




(b) One-on-one client observation for safety jl jl jl jl




(c) Removal of an indwelling catheter jl jl jl jl




(d) Performing a simple dressing change jl jl jl jl




9. The nurse should intervene if a staff member is observed
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(a) discussing a client‘s diagnosis with visiting family members jl jl jl jl jl jl jl




(b) collaborating with another nurse to review a prescription for blood transfusion jl jl jl jl jl jl jl jl jl jl




(c) interrupting other staff members discussing a client in the cafeteria jl jl jl jl jl jl jl jl jl




(d) reviewing a clients lab values with the nutritionist jl jl jl jl jl jl jl




3

, 10. The nurse is preparing a staff presentation on legal and ethical issues in nursing.
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The nurse would be correct to include which of the following examples?
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(a) Putting a client in a geriatric chair with the lap tray in front of the client in the day
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room to watch television is false imprisonment
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(b) Telling a client that you will put in a feeding tube if the client does not eat is an
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example of battery
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(c) Telling a client with bipolar disorder who is suicidal that theyhave a right to refuse to
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take their medications is an example of malpractice
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(d) Placing hands on a client who says ―do not touch me‖ is an example of assault
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11. The nurse from the pediatric unit has been temporarily assigned to the Emergency
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Department. It would be most appropriate to assign that nurse to the client who*
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(a) reports epigastric pain that ―feels like indigestion‖ jl jl jl jl jl jl




(b) has back pain and a pulsating abdominal mass
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(c) is HIV+ reporting vomiting and diarrhea
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(d) presents with lower abdominal pain and is six weeks pregnant jl jl jl jl jl jl jl jl jl




12. Four clients recently returned to the unit following invasive diagnostic testing. The
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nurse should immediately intervene if one of the clients
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(a) reports blood tinged sputum following a bronchoscopy jl jl jl jl jl jl




(b) has decreased abdominal girth following paracentesis
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(c) reports a headache following a lumbar puncture jl jl jl jl jl jl




(d) is observed flexing and extending the legs two hours after cardiac catheterization
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13. The nurse is made aware of the following situations. The nurse should fi rst check
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the client who
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(a) had a transurethral prostatectomy (TURP) and is reporting urinary dribbling two
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hours after the indwelling catheter is removed
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(b) has cervical traction and is moving the legs by fl exing and extending the feet
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(c) hasAlzheimer‘s disease (stage 1) and was returned to the room after being found
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wandering in the hallway
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(d) has a history of partial seizures and is sitting in the bed picking at the clothing and
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smacking the lips
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14. The nurse in a community health clinic is talking with the parent of a child with
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Celiac Disease. Which of the following statements would require follow-up by the
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4