HESI EXIT NGN, HESI RN Exit Exam full
GRADED A+/GUARANTEED PASS
1. The nurse is wearing personal protective equipment while caring for a
pt. When exiting the room, which PPE should be removed first? -
ANSWER-Gloves
2. An older pt is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The daughter, who has
power of attorney, has brought the client's prescriptions. Which
information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANSWER-Increasing
confusion of the pt.
3. A pt presses the call bell and requests pain medication for a severe
headache. To assess the quality of the pt. Pain, which approach should
the nurse use? - ANSWER-Ask the patient to describe the pain
4. A pt tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall asleep at night.
Which action should the nurse implement? - ANSWER-Ask the pt for a
description of the exercise schedule that is being followed
5. 2 days prior to discharge from the rehab facility, the nurse is teaching
a pt who is recovering from Guillain-Barre syndrome about home.
Which actions should the nurse include when providing discharge
teaching to the pt and spouse? SATA - ANSWER--review safe transfer
strategies
6. -develop a nutritional plan
7. -help identify community support
,8. The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective? - ANSWER-pt who develop disease
complications promptly received rehabilitation
9. The nurse has received funding to design a health promotion project
for African American women who are at risk for developing breast
cancer. Which resource is most important in designing this program? -
ANSWER-participation of community leaders in planning the program
10. A pt with multiple injuries is being treated in the burn trauma
unit just hours after the injuries occurred. The healthcare provider
instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the nurse
to implement? - ANSWER-use gown, mask, and gloves with dressing
changes
11. A pt is recovering in the critical care unit following a cardiac
cath. IV nitro and heparin are infusing. The pt is sedated but responds
to instructions. After changing positions, the pt complains of pain at
the right groin insertion site. What action should the nurse implement?
- ANSWER-Stimulate the pt to take deep breaths
12. Prior to obtaining a trapeze bar for a pt with limited mobility,
which pt assessment is most important for the nurse to obtain? -
ANSWER-upper body muscle strength
13. While the nurse is assessing an older pt fall risk, the pt reports
living at home alone and never falling. Which action should the nurse
take? - ANSWER-Continue to obtain pt data needed to complete the
fall risk survey
14. The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The pt is weak and begins coughing while
, attempting to drink through a straw. Which intervention should the
nurse implement? - ANSWER-Teach coughing and deep breathing
exercises
15. The nurse is teaching the pt about home care after surgery for
an ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education? - ANSWER-Empty the pouch when it is half full.
16. A 12 week gestation is admitted to the antepartum unit with a
dx of hyperemesis gravidarum. Which action is most important for the
nurse to implement? - ANSWER-initiate prescribed IV fluids
17. A pt with dyspnea is being admitted to the medical unit. To best
prepare for the pt arrival, the nurse should ensure that the pt bed is in
which position? - ANSWER-Picture with the bed sitting up
18. A pt who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the pt for the procedure, which intervention
has the highest priority? - ANSWER-Instruct pt to write down questions
19. While caring for a pt post operative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
provider, the nurse should review which of the pt lab values? -
ANSWER-culture for sensitive organisms
20. A pt with a lower respiratory tract infection receives a
prescription for ciprofloxacin 500mg PO every 12hrs. When the client
requests an afternoon snack, which dietary choice should the nurse
provide? - ANSWER-Cinnamon apple sauce
, 21. An older male reporting abd pain is admitted from a facility. It
has been 7 days since his last BM and his abd is distended, and he
just vomited 150ml of dark brown emesis. In what order should the
nurse implement these interventions? - ANSWER-Send emesis to lab
22. Elevate HOB
23. complete focused assessment
24. offers PRN pain meds
25. A patient who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects since
taking the med. Which side effect should the nurse report to the
healthcare provider? - ANSWER-Somnambulism
26. A pt is scheduled for a spiral CT scan with contrast to evaluate
for pulmonary embolism. Which information in the client's history
requires follow up by the nurse? - ANSWER-take metformin for type 2
diabetes
27. The nurse should withhold which medication if the client's serum
potassium level is 6.2 mEq/? - ANSWER-Spironolactone
28. A nurse receives a report on a pt who is four hours post-total
abdominal hysterectomy. The previous nurse reports that it was
necessary to change the client's perineal pad hourly and that it is
again saturated. The previous nurse also reports that the client's
urinary output has decreased. Which action should the nurse
implement first? - ANSWER-Assess for weakness or dizziness
29. A pt who is admitted for primary hypothyroidism has early signs
of myxedema coma. In assessing the pt, in which sequence should the
nurse complete these actions? - ANSWER--Observe breathing patterns
30. -assess blood pressure
31. -measure body temp
32. -palpate for pedal edema
GRADED A+/GUARANTEED PASS
1. The nurse is wearing personal protective equipment while caring for a
pt. When exiting the room, which PPE should be removed first? -
ANSWER-Gloves
2. An older pt is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The daughter, who has
power of attorney, has brought the client's prescriptions. Which
information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANSWER-Increasing
confusion of the pt.
3. A pt presses the call bell and requests pain medication for a severe
headache. To assess the quality of the pt. Pain, which approach should
the nurse use? - ANSWER-Ask the patient to describe the pain
4. A pt tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall asleep at night.
Which action should the nurse implement? - ANSWER-Ask the pt for a
description of the exercise schedule that is being followed
5. 2 days prior to discharge from the rehab facility, the nurse is teaching
a pt who is recovering from Guillain-Barre syndrome about home.
Which actions should the nurse include when providing discharge
teaching to the pt and spouse? SATA - ANSWER--review safe transfer
strategies
6. -develop a nutritional plan
7. -help identify community support
,8. The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective? - ANSWER-pt who develop disease
complications promptly received rehabilitation
9. The nurse has received funding to design a health promotion project
for African American women who are at risk for developing breast
cancer. Which resource is most important in designing this program? -
ANSWER-participation of community leaders in planning the program
10. A pt with multiple injuries is being treated in the burn trauma
unit just hours after the injuries occurred. The healthcare provider
instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the nurse
to implement? - ANSWER-use gown, mask, and gloves with dressing
changes
11. A pt is recovering in the critical care unit following a cardiac
cath. IV nitro and heparin are infusing. The pt is sedated but responds
to instructions. After changing positions, the pt complains of pain at
the right groin insertion site. What action should the nurse implement?
- ANSWER-Stimulate the pt to take deep breaths
12. Prior to obtaining a trapeze bar for a pt with limited mobility,
which pt assessment is most important for the nurse to obtain? -
ANSWER-upper body muscle strength
13. While the nurse is assessing an older pt fall risk, the pt reports
living at home alone and never falling. Which action should the nurse
take? - ANSWER-Continue to obtain pt data needed to complete the
fall risk survey
14. The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The pt is weak and begins coughing while
, attempting to drink through a straw. Which intervention should the
nurse implement? - ANSWER-Teach coughing and deep breathing
exercises
15. The nurse is teaching the pt about home care after surgery for
an ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education? - ANSWER-Empty the pouch when it is half full.
16. A 12 week gestation is admitted to the antepartum unit with a
dx of hyperemesis gravidarum. Which action is most important for the
nurse to implement? - ANSWER-initiate prescribed IV fluids
17. A pt with dyspnea is being admitted to the medical unit. To best
prepare for the pt arrival, the nurse should ensure that the pt bed is in
which position? - ANSWER-Picture with the bed sitting up
18. A pt who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the pt for the procedure, which intervention
has the highest priority? - ANSWER-Instruct pt to write down questions
19. While caring for a pt post operative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
provider, the nurse should review which of the pt lab values? -
ANSWER-culture for sensitive organisms
20. A pt with a lower respiratory tract infection receives a
prescription for ciprofloxacin 500mg PO every 12hrs. When the client
requests an afternoon snack, which dietary choice should the nurse
provide? - ANSWER-Cinnamon apple sauce
, 21. An older male reporting abd pain is admitted from a facility. It
has been 7 days since his last BM and his abd is distended, and he
just vomited 150ml of dark brown emesis. In what order should the
nurse implement these interventions? - ANSWER-Send emesis to lab
22. Elevate HOB
23. complete focused assessment
24. offers PRN pain meds
25. A patient who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects since
taking the med. Which side effect should the nurse report to the
healthcare provider? - ANSWER-Somnambulism
26. A pt is scheduled for a spiral CT scan with contrast to evaluate
for pulmonary embolism. Which information in the client's history
requires follow up by the nurse? - ANSWER-take metformin for type 2
diabetes
27. The nurse should withhold which medication if the client's serum
potassium level is 6.2 mEq/? - ANSWER-Spironolactone
28. A nurse receives a report on a pt who is four hours post-total
abdominal hysterectomy. The previous nurse reports that it was
necessary to change the client's perineal pad hourly and that it is
again saturated. The previous nurse also reports that the client's
urinary output has decreased. Which action should the nurse
implement first? - ANSWER-Assess for weakness or dizziness
29. A pt who is admitted for primary hypothyroidism has early signs
of myxedema coma. In assessing the pt, in which sequence should the
nurse complete these actions? - ANSWER--Observe breathing patterns
30. -assess blood pressure
31. -measure body temp
32. -palpate for pedal edema
