Updated Latest NGNF Exit HESI Nursing Questions and Answers Comprehensive Study Guide With Verified Rationales Advanced NCLEX Style Practice Exams Critical Thinking Prioritization Delegation Pharmacology Leadership Med Surg Mental Health Pediatrics Matern

NGN 2024 NURSING MORSELS OF EXIT HESI QUESTIONS
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AND ANSWERS 2023/2024 BEST EXAM SOLUTION TOP
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1. ID: 9476788675
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Enalapril maleate is prescribed for a
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hospitalized!!client.!!Which!!assessment!!doesthe!!nurse!!perform!!as!!a!!priority!!
before!!administering!!the!!medication?
A. ! ! Checking!!the!!client's!!blood!!pressure! ! Correct
B. ! ! Checking!!the client's peripheral pulses F F F




C. Checking the most recent potassium level F F F F F




D. Checking the client's intake-and-output record for the last
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24hours Incorrect F



Rationale: Enalapri maleate is an angiotensin-converting enzyme (ACE) inhibitor
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used to treat hypertension. One common side effect is postura hypotension. F


Therefore the nurse would check the client’s blood pressure immediately before
administering each dose. Checking the client’s periphera pulses, the results of the F


most recent potassium level, and the intake and output for the previous 24 hours
are not specifically associated with this mediation.
Test-Taking Strategy: Focus on the name of the medication and recal that F


medications that end in the letters “pril” are ACE inhibitors and that these
medications are used to treat hypertension. This wil direct you to the correct F


option. Review the action of enalapri maleate if you had difficulty with this F


question.
Reference: Lehne, R. (2013). Pharmacology for nursing care (8th ed., p. 513). St.
Louis: Saunders.
Cognitive Ability: Analyzing
Client Needs: Physiologica Integrity F


Integrated Process: Nursing Process/Assessment
Content Area: Pharmacology
Giddens Concepts: Care Coordination, Safety
HESI Concepts:Collaboration/Managing Care, Safety




Awarded 0.0 points out of 1.0 possible points.
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2. ID: 9476754035
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A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
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nurse provides instructions to the client about the test. Which statement by
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theclient indicates a need for further instruction?
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A. F "The test will take about 30 minutes."
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B. F "I need to fast for 8 hours before the test." Incorrect
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C. "I need to drink citrate of magnesia the night before the test
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, andgive myself a Fleet enema on the morning of the test." Correct
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D.
"I need to take a laxative after the test is completed, because the
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liquid that I’ll have to drink for the test can be constipating."
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Rationale:
series, the An upper
client GI series involves
is prescribed visualization
a laxative to hasten of the esophagus,
elimination duodenum,
of the barium.
and upper
Barium thatjejunum
remainsby in means of the
the colon mayuse of a contrast
become hard andmedium.
difficult It
to involves
expel, leading
swallowing
to a contrast medium (usually barium), which is administered in a
feca impaction. F


flavored milkshake.
Test-Taking Strategy:Films
Use are
the taken
processat of
intervals duringNote
elimination. the the
test,strategic
which takes
words
about for
"need 30 minutes. No specia preparation
further instruction." These words is necessary
indicate a before
negative a GI series,
event except
query and F


that need
the NPO tostatus must
select thebeincorrect
maintained forstatement.
client 8 hours before the test.
Focusing on theAfter
word an"upper"
upper GI
in
the name of the test wil direct you to the correct option. Review preprocedure F


care for an upper GI series if you had difficulty with this question.
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-
surgica nursing: Assessment and management of clinica problems (9th ed., p. 879).
F F


St. Louis: Mosby.
Cognitive Ability: Evaluating
Client Needs: Physiologica Integrity F


Integrated Process: Teaching and Learning
Content Area: Adult Health/Gastrointestinal
Giddens Concepts: Client Education, Clinica Judgment F


HESI Concepts:Clinica Decision Making/Clinica Judgment, Teaching and F F


Learning/Patient Education
Awarded 0.0 points out of 1.0 possible points.
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3. ID: 9476790957
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A nurse on the evening shift checks a health care provider's prescriptions
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and notes that the dose of a prescribed medication is higher than the normal
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dose. The nurse calls the health care provider's answering service and is told
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that the health care provider is off for the night and will be available in the
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morning. Thenurse should: F F




A. F Call the nursing supervisor
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B. Ask the answering service to contact the on-cal health care F



provider Correct F




C. Withhold the medication until the health care provider can F F F F F F F F F



bereached in the morning F F F




D.
Administer the medication but consult the health care provider
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when he becomes available F F F


Rationale: The nurse has a duty to protect the client from harm. A nurse who
believes that a health care provider’s prescription may be in error is responsible
for clarifying the prescription before carrying it out. Therefore the nurse would
not administer the medication; instead, the nurse would withhold the medication
unti the dose can be clarified. The nurse would not wait unti the next morning to
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obtain clarification. It is premature to cal the nursing supervisor. F


Test-Taking Strategy: Use the process of elimination and your knowledge of the
lega responsibilities of the nurse in regard to medication administration and
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health care provider’s prescriptions. Eliminate the options that are comparable or
alike in that they avoid clarification of the prescription (administering the
medication and holding the medication). To select from the remaining options,
note that it is premature to cal the nursing supervisor. Also note that the correct F


option is the only one that clarifies the prescription. Review lega responsibilities F


in regard to medication prescriptions if you had difficulty with this question.
Reference: Potter, P., Perry, A. G., Stockert, P. A., & Hall, A. M.
(2013). Fundamentals of nursing. (8th ed., p.585). St. Louis: Mosby.

,Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Leadership and Management
Giddens Concepts: Clinica Judgment, Leadership F


HESI Concepts:Collaboration/Managing Care, Clinica Decision Making/Clinica F F


Judgment
Awarded 1.0 points out of 1.0 possible points.
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4. ID: 9476788615
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An emergency department (ED) nurse is monitoring a client with suspected
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acutemyocardial infarction (MI) who is awaiting transfer to the coronary
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intensive care unit. The nurse notes the sudden onset of premature
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ventricular contractions (PVCs) on the monitor, checks the client's carotid
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pulse, and determines that the PVCs are not resulting in perfusion. The
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appropriate action by the nurse is: F F F F F




A. F Documenting the findings F F




B. F Asking the ED health care provider to check the client Correct
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C. Continuing to monitor the client's cardiac status F F F F F F




D.Informing the client that PVCs are expected after an MI
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Rationale: PVCs are a result of increased irritability of ventricular cells. Periphera F


pulses may be absent or diminished with the PVCs themselves because the
decreased stroke volume of the premature beats may in turn decrease periphera F


perfusion. Because other rhythms also cause widened QRS complexes, it is
essentia that the nurse determine whether the premature beats are resulting in
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perfusion of the extremities. This is done by palpating the carotid, brachial, or
femora artery while observing the monitor for widened complexes or by
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auscultating for apica heart sounds. In the situation of acute MI, PVCs may be F


considered warning dysrhythmias, possibly heralding the onset of ventricular
tachycardia or ventricular fibrillation. Therefore the nurse would not tel the client F


that the PVCs are expected. Although the nurse wil continue to monitor the F


client and document the findings, these are not the most appropriate actions of
those provided. The most appropriate action would be to ask the ED health care
provider to check the client.
Test-Taking Strategy: Use the process of elimination. Recalling the significance of
PVCs after acute MI and noting the strategic words "not perfusing" wil direct you F


to the correct option. Review the significance of PVCs after acute MI if you had
difficulty with this question.
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-
surgica nursing: Assessment and management of clinica problems (9th ed., p. 799).
F F


St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Physiologica Integrity F



Integrated Process: Nursing Process/Implementation
Content Area: Critica Care F


Giddens Concepts: Clinica Judgment, Perfusion F



HESI Concepts: Clinica Decision Making/Clinica Judgment, Perfusion F F



Awarded 1.0 points out of 1.0 possible points.
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5. ID: 9476763527
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NPO status is imposed 8 hours before the procedure on a client scheduled to
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undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
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, procedure, the nurse checks the client's record and notes that the client
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routinelytakes an oral antihypertensive medication each morning. The nurse should:
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A. Administer the antihypertensive with a smal sip of water F Correct
B. F Withhold the antihypertensive and administer it at bedtime
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C. Administer the medication by way of the intravenous (IV) F F F F F F F F F



route Incorrect F




D.Hold the antihypertensive and resume its administration on the
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dayafter the ECT F F



Rationale: Genera anesthesia is required for ECT, so NPO status is imposed for 6
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to 8 hours before treatment to help prevent aspiration. Exceptions include clients
who routinely receive cardiac medications, antihypertensive agents, or histamine
(H2) blockers, which should be administered severa hours before treatment with a F



smal sip of water. Withholding the antihypertensive and administering it at
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bedtime and withholding the antihypertensive and resuming administration on
the day after the ECT are incorrect actions, because antihypertensives must be
administered on time; otherwise, the risk for rebound hypertension exists. The
nurse would not administer a medication by way of a route that has not been
prescribed.
Test-Taking Strategy: Use the process of elimination. Use your knowledge of the
principles of medication administration to help eliminate the option that involves
administering the medication by way of a route other than the prescribed one.
Recalling that antihypertensives must be administered on a regular schedule wil F


assist you in eliminating the options that involve withholding the medication.
Review preprocedure care for the client scheduled for ECT if you had difficulty
with this question.
Reference: Stuart, G. (2013). Principles & practice of psychiatric
nursing (10th ed.,p. 597). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Physiologica Integrity F


Integrated Process: Nursing Process/Implementation
Content Area: Menta Health F



Giddens Concepts: Clinica Judgment, Safety F


HESI Concepts: Clinica Decision Making/Clinica Judgment, Safety F F




Awarded 0.0 points out of 1.0 possible points.
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6. ID: 9476755914
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A client who recently underwent coronary artery bypass graft surgery comes to
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the health care provider's office for a follow-up visit. On assessment, the
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clienttells the nurse that he is feeling depressed. Which response by the
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nurse is therapeutic?
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A. "Tel me more about what you’re feeling." Correct
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B. F "That’s a normal response after this type of surgery."
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C. "It will take time, but, I promise you, you will get over
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thisdepression."
D. F "Every client who has this surgery feels the same way for about a
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