NGN HESI Exit Exam 3 Questions and Correct
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A+ TEST BANK 1
, NGN HESI Exit Exam
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because of my
weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
C.
Determine the frequency of sexual intercourse.
D.
Ask the client to talk about specific concerns. –
Correct Answer :D
Rationale: Option D provides an opportunity for the client to verbalize concerns and provides the
nurse with more assessment data. Options A and B may not be related to the current concern,
assume that obesity is the problem, and are communication blocks. Option C may be appropriate after
discussing the stated concerns.
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the mother, "What is your
child playing with now?" Which response indicates to the nurse that further teaching is needed?
(Select all that apply.)
A.
"We color together using jumbo crayons."
B.
"Finger paints in the kitchen are a favorite pastime."
C.
"A marble run race track is set up in the playroom."
D.
"When outside, the wagon filled with soccer balls is the preferred toy."
E.
A+ TEST BANK 2
, NGN HESI Exit Exam
"We got a golf set because my other children play golf." –
Correct Answer :C, E
Rationale: Avoid small objects that can be a choking hazard during the toddler stage. The remaining
play toys are appropriate for toddlers.
The nurse is orienting a new graduate to the reporting regulations often seen in the emergency
department. Which clients will the nurse need to report to the nurse manager/supervisor to alert the
proper authorities? (Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on the back
in various stages of healing.
B.
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days are long
and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I was shot in
the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was no
longer welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never liked that
family. It is just that way." –
Correct Answer :A, C, E
Rationale: Nurses are mandatory reporters and must notify in the event of child and elder abuse,
domestic violence, animal bites, gun shot and stab wounds, assault, and homicides
A+ TEST BANK 3
, NGN HESI Exit Exam
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What can I do
for your other patients?" The nurse says to the LPN, "Go ahead and start that blood on the client in
434B. It is primed and ready to go. You have seen me do it a million times. You can do it." What is the
LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale: The LPN needs to remain professional, and stating "No way ...." is an unprofessional
response. Telling the manager may be appropriate, but it does nothing to help the situation of
needing to start blood and resuscitate a client. Blood administration is the responsibility of the RN.
The LPN can perform compressions.
The nurse is preparing an older client for discharge. Which method is best for the nurse to use when
evaluating the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
A+ TEST BANK 4