Ngn Hesi Rn Exit Exam Latest Update.

NGN HESI RN EXIT EXAM LATEST UPDATE. 1. When preparing to administer a prescribed medica- tion 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 medica- tion until the dosage can be confirmed. 2. The charge nurse is making assignments for one prac- B) Viral meningitis whose tical nurse and three registered nurses who are caring temperature change from 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. 3. The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi 101 S to 102F. A) Maintain strict intake and output. 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. 4. And adolescent client is admitted to the hospital be- cause 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. 5. 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 numer- ical value only. If rounding is required, round to the nearest 10th.) 6. NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest conges- D) Go to the clients room and ask what happened. 0.6 B) Start oxygen 3 L per minute via nasal cannula. tion for four days. He came to the emergency depart- C) Place the client on a ment last night when he was having more difficulty cardio respiratory monitor. 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 tem- perature control. F) Run 0.9% sodium chloride IV infusion at 150 mL per hour. G) Start peripheral IV. H) NPO. 7. NGN: 0330: place the client on a cardio respiratory D) Nasal cannula. monitor, NPO, sputum culture, start a peripheral IV in- E) Flow meter. fusion, 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. 8. NGN: states, I am feeling extremely anxious right now. Cardiovascular: capillary 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 refill for seconds, blood pressure 145/89. Neurological: anxious, capillary refill is four seconds. Vital signs, temperature restless. 100.2. Heart rate 101 bpm, respiratory rate 28 breaths Respiratory: oxygen satu- per minute, blood pressure 145/89, oxygen saturation ration 90% on room air, 90% on room air. (for each body system click to specify the assessment findings that indicates hypoxia) Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89. Neurological: anxious, awake and alert, restless. Respiratory: oxygen saturation 90% on room air, res- piratory rate 28 bpm, productive cough. 9. NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest conges- tion for four days. He came to the emergency depart- ment 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. The nurse should place the client in a position to promote . 10. NGN: Orders: 0330: place the client on a cardio respi- respiratory rate 28 bpm. Semi-Fowler , lung expan- sion. -I should clean the face- ratory monitor, NPO, sputum culture, start a PIV, start mask once per shift. (UN- oxygen 3L via nasal cannula, normal saline 150 ML per DERSTANDING) hour, acetaminophen 350mg PO every six hours for -The client should take a 1