NGN HESI Exit Exam
NGN HESI Exit Exam 5 Questions and Correct
Verified Answers / HESI EXIT NGN Exam Prep
Correctly Answered Questions and 100% Correct
Answers With Rationales (New!)|GRADED A+|
(EXAM READY)
(Solved) SCORE A
Which contextual factors are considered external environmental influences in the framework for
occupational health programs and services? (Select all that apply.)
A+ TEST BANK 1
, NGN HESI Exit Exam
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation. - Correct Answer :1. Economics.
3. Technology.
6. Legislation/regulation.
Economics affects the health of the company and its workforce productivity, in termsof profitability,
growth, and expansion. Technology adds to an industry's capacity to develop and implement new or
improved work processes. Legislation/regulation in the workplace, such as the blood-borne pathogen
standard, affects the workforce in terms of requirements, administration, and control strategies.
Occupational safety programs are built around the workforce to strive for maximum internal
productivity. Interventions are internal environmental influences of an occupational health and safety
program. Socio-economic status is a demographic variable commonly used in epidemiology.
The nurse is analyzing the waveforms of a client's electrocardiogram. What finding indicates a
disturbance in electrical conduction in the ventricles?
1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second. - Correct Answer :4. QRS interval of 0.14 second.
The normal duration of the QRS is 0.04 to 0.12 second, so a prolonged QRS indicates an electrical
anomaly in the ventricles. The T wave is normally 0.16 seconds. The PR interval range is 0.12 to 0.20
second. The QT interval should be 0.31 to 0.38 second.
The nurse is assigned a client with numerous treatments and decides it is not possible to complete all
the needed treatments in the time scheduled for this shift. Which process should the nurse use?
A+ TEST BANK 2
, NGN HESI Exit Exam
1. Delegate tasks to competent team members.
2. Prioritize tasks with the most crucial needs first.
3. Report the incomplete treatments to next shift nurse.
4. Start with the easiest treatment first. - Correct Answer :2. Prioritize tasks with the most crucial
needs first.
Planning care for a client with numerous treatments should be prioritized with the most crucial client
needs first to the least. Delegating to others or reporting displace the nurse's responsibility to provide
care. Starting with easiest is an inefficient utilization of time in meeting critical client needs.
A male client is on contact precautions due to an infected draining wound and is being discharged
home. The client lives at home with his wife and their adolescent daughter. What discharge instruction
should the nurse include for the client?
1. Use disposable plates and utensils.
2. Stay in a room with the door closed.
3. Dispose of soiled dressings in plastic bags that are securely closed.
4. Others who are in the same room with the client should wear a mask. - Correct Answer :3. Dispose
of soiled dressings in plastic bags that are securely closed.
Contact precautions require the use of a barrier that prevents contact with wound secretions on
soiled dressings, which are best disposed of in tightly closed plastic bags. Disposable dishes is not
necessary with contact precautions. Isolating themself to one room or wearing masks should be
implemented for airborne, droplet precautions, or protective environments.
When assessing a client's interior eye structures with an ophthalmoscope, which action should the
nurse use?
1. Use a red-free filter.
2. Adjust the diopters.
3. Direct a wide-beam light.
4. Dilate the client's pupils. - Correct Answer :2. Adjust the diopters.
A+ TEST BANK 3
, NGN HESI Exit Exam
The diopter corresponds to the magnification power of the ophthalmoscope's lens, which is adjusted
to bring the retina into focus when a client's error of refraction, such as myopia or hyperopia, causes a
change in the eyeball shape. Using a red-free filter produces a green beam for examination of the
optic disc for pallor and recognition of retinal hemorrhages. The direct wide-beam light is used to
examine the anterior eye. The application of an ophthalmic mydriatic should be instilled prior to
extended fundoscopic visualization.
The nurse administers dopamine (Intropin) IV infusion at 3 mcg/kg/min to a critically ill, hypotensive
client. What is the intended effect of this treatment? To increase
1. blood pressure to 140/80.
2. urine output to 55 ml/hr.
3. pulse to 132 beats/min.
4. respirations to 24 breaths/min. - Correct Answer :2. urine output to 55 ml/hr.
The expected outcome of this treatment is an increase in urine output due to increased renal
perfusion. Dopamine, a catecholamine, provides renal and mesenteric vasodilation at a low dosage
level, such as the 3 mcg/kg/minute infusion that was prescribed for this client. A higher dose of
dopamine is indicated in a critically ill client who is hypotensive.
During an admission assessment interview, a client states, "I do not use many drugs." How should the
nurse respond?
1. "Tell me about the drugs you use now."
2. "Explain what you mean by many drugs."
3. "Do you mean legal drugs or illegal ones?"
4. "What kind of drugs are you talking about?" - Correct Answer :1. "Tell me about the drugs you use
now."
Open-ended questioning allows the client provide specific information without probing. Asking the
person to explain what drugs they are taking is critical of the client's descriptors and does not
encourage further dialog. Asking about legal vs. illegal drugs or "kind of drugs" both are close-ended
questions that require one word responses, and stop further exploration with the client.
A+ TEST BANK 4
NGN HESI Exit Exam 5 Questions and Correct
Verified Answers / HESI EXIT NGN Exam Prep
Correctly Answered Questions and 100% Correct
Answers With Rationales (New!)|GRADED A+|
(EXAM READY)
(Solved) SCORE A
Which contextual factors are considered external environmental influences in the framework for
occupational health programs and services? (Select all that apply.)
A+ TEST BANK 1
, NGN HESI Exit Exam
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation. - Correct Answer :1. Economics.
3. Technology.
6. Legislation/regulation.
Economics affects the health of the company and its workforce productivity, in termsof profitability,
growth, and expansion. Technology adds to an industry's capacity to develop and implement new or
improved work processes. Legislation/regulation in the workplace, such as the blood-borne pathogen
standard, affects the workforce in terms of requirements, administration, and control strategies.
Occupational safety programs are built around the workforce to strive for maximum internal
productivity. Interventions are internal environmental influences of an occupational health and safety
program. Socio-economic status is a demographic variable commonly used in epidemiology.
The nurse is analyzing the waveforms of a client's electrocardiogram. What finding indicates a
disturbance in electrical conduction in the ventricles?
1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second. - Correct Answer :4. QRS interval of 0.14 second.
The normal duration of the QRS is 0.04 to 0.12 second, so a prolonged QRS indicates an electrical
anomaly in the ventricles. The T wave is normally 0.16 seconds. The PR interval range is 0.12 to 0.20
second. The QT interval should be 0.31 to 0.38 second.
The nurse is assigned a client with numerous treatments and decides it is not possible to complete all
the needed treatments in the time scheduled for this shift. Which process should the nurse use?
A+ TEST BANK 2
, NGN HESI Exit Exam
1. Delegate tasks to competent team members.
2. Prioritize tasks with the most crucial needs first.
3. Report the incomplete treatments to next shift nurse.
4. Start with the easiest treatment first. - Correct Answer :2. Prioritize tasks with the most crucial
needs first.
Planning care for a client with numerous treatments should be prioritized with the most crucial client
needs first to the least. Delegating to others or reporting displace the nurse's responsibility to provide
care. Starting with easiest is an inefficient utilization of time in meeting critical client needs.
A male client is on contact precautions due to an infected draining wound and is being discharged
home. The client lives at home with his wife and their adolescent daughter. What discharge instruction
should the nurse include for the client?
1. Use disposable plates and utensils.
2. Stay in a room with the door closed.
3. Dispose of soiled dressings in plastic bags that are securely closed.
4. Others who are in the same room with the client should wear a mask. - Correct Answer :3. Dispose
of soiled dressings in plastic bags that are securely closed.
Contact precautions require the use of a barrier that prevents contact with wound secretions on
soiled dressings, which are best disposed of in tightly closed plastic bags. Disposable dishes is not
necessary with contact precautions. Isolating themself to one room or wearing masks should be
implemented for airborne, droplet precautions, or protective environments.
When assessing a client's interior eye structures with an ophthalmoscope, which action should the
nurse use?
1. Use a red-free filter.
2. Adjust the diopters.
3. Direct a wide-beam light.
4. Dilate the client's pupils. - Correct Answer :2. Adjust the diopters.
A+ TEST BANK 3
, NGN HESI Exit Exam
The diopter corresponds to the magnification power of the ophthalmoscope's lens, which is adjusted
to bring the retina into focus when a client's error of refraction, such as myopia or hyperopia, causes a
change in the eyeball shape. Using a red-free filter produces a green beam for examination of the
optic disc for pallor and recognition of retinal hemorrhages. The direct wide-beam light is used to
examine the anterior eye. The application of an ophthalmic mydriatic should be instilled prior to
extended fundoscopic visualization.
The nurse administers dopamine (Intropin) IV infusion at 3 mcg/kg/min to a critically ill, hypotensive
client. What is the intended effect of this treatment? To increase
1. blood pressure to 140/80.
2. urine output to 55 ml/hr.
3. pulse to 132 beats/min.
4. respirations to 24 breaths/min. - Correct Answer :2. urine output to 55 ml/hr.
The expected outcome of this treatment is an increase in urine output due to increased renal
perfusion. Dopamine, a catecholamine, provides renal and mesenteric vasodilation at a low dosage
level, such as the 3 mcg/kg/minute infusion that was prescribed for this client. A higher dose of
dopamine is indicated in a critically ill client who is hypotensive.
During an admission assessment interview, a client states, "I do not use many drugs." How should the
nurse respond?
1. "Tell me about the drugs you use now."
2. "Explain what you mean by many drugs."
3. "Do you mean legal drugs or illegal ones?"
4. "What kind of drugs are you talking about?" - Correct Answer :1. "Tell me about the drugs you use
now."
Open-ended questioning allows the client provide specific information without probing. Asking the
person to explain what drugs they are taking is critical of the client's descriptors and does not
encourage further dialog. Asking about legal vs. illegal drugs or "kind of drugs" both are close-ended
questions that require one word responses, and stop further exploration with the client.
A+ TEST BANK 4
