NGN HESI RN 2024 EXIT EXAM
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1. When preparing to administer a prescribed medica- B) Withhold the medica-
tion to a homeless client at a community psychiatric tion until the dosage can
clinic. The client tells the nurse that the usual dosage be confirmed.
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.
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 101 S to 102F.
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 A) Maintain strict intake
now develops initial signs of septic shock and multi and output.
, NGN HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_gvoui2
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- D) Go to the clients room
cause of writing a suicide note to a teacher at school. and ask what happened.
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 0.6
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 B) Start oxygen 3 L per
flu like symptoms including fever and chest conges- 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.
, NGN HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_gvoui2
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.
, NGN HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_gvoui2
8. NGN: states, I am feeling extremely anxious right now. Cardiovascular: capillary
The client has decreased breath sounds in the left refill for seconds, blood
lower low. His mucus membranes are dry. He has a pressure 145/89.
productive cough with thick, yellow secretions. His 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. respiratory rate 28 bpm.
(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 Semi-Fowler , lung expan-
flu like symptoms including fever and chest conges- sion.
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- -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
Study online at https://quizlet.com/_gvoui2
1. When preparing to administer a prescribed medica- B) Withhold the medica-
tion to a homeless client at a community psychiatric tion until the dosage can
clinic. The client tells the nurse that the usual dosage be confirmed.
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.
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 101 S to 102F.
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 A) Maintain strict intake
now develops initial signs of septic shock and multi and output.
, NGN HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_gvoui2
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- D) Go to the clients room
cause of writing a suicide note to a teacher at school. and ask what happened.
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 0.6
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 B) Start oxygen 3 L per
flu like symptoms including fever and chest conges- 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.
, NGN HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_gvoui2
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.
, NGN HESI RN 2024 EXIT EXAM
Study online at https://quizlet.com/_gvoui2
8. NGN: states, I am feeling extremely anxious right now. Cardiovascular: capillary
The client has decreased breath sounds in the left refill for seconds, blood
lower low. His mucus membranes are dry. He has a pressure 145/89.
productive cough with thick, yellow secretions. His 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. respiratory rate 28 bpm.
(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 Semi-Fowler , lung expan-
flu like symptoms including fever and chest conges- sion.
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- -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
