1
NGN HESI RN 2025 Exit Exam | 100%
Verified Questions with Correct Answers
& Rationales | Comprehensive Nursing
Review
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.
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.
,2
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.
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.
ANSWER: D) Go to the clients room and ask what happened.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
,3
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.
ANSWER: 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.
ANSWER: D) Nasal cannula.
E) Flow meter.
, 4
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
E) The client will report pain less than 3/10.
ANSWER: B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high-protein diet is encouraged to
promote wound healing. Which lunch toys by the client indicates that the
teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.
ANSWER: C) A tuna fish sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is
admitted with a suspected MRSA. Which nursing intervention should the
nurse include in the plan of care? SATA.
NGN HESI RN 2025 Exit Exam | 100%
Verified Questions with Correct Answers
& Rationales | Comprehensive Nursing
Review
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.
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.
,2
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.
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.
ANSWER: D) Go to the clients room and ask what happened.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
,3
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.
ANSWER: 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.
ANSWER: D) Nasal cannula.
E) Flow meter.
, 4
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
D) The client will maintain oxygen saturation of 96% without supplemental
oxygen.
E) The client will report pain less than 3/10.
ANSWER: B) The client will have quit smoking.
C) The client will be afebrile for 24 hours.
E) The client will report pain less than 3/10.
The nurse has completed the diet teaching of a client who is being discharged
following treatment of a leg wound. A high-protein diet is encouraged to
promote wound healing. Which lunch toys by the client indicates that the
teaching was effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit.
ANSWER: C) A tuna fish sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is
admitted with a suspected MRSA. Which nursing intervention should the
nurse include in the plan of care? SATA.
