NGN Exit hesi
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? - ANSAsk the patient to
describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the
room, which PPE should be removed first? - ANSGloves
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? - ANSIncreasing confusion of the pt.
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? - ANSAsk the pt for a
description of the exercise schedule that is being followed
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 - ANS-review safe transfer
strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - ANSpt who develop
disease complications promptly received rehabilitation
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? - ANSparticipation of community leaders in planning the program
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? - ANSuse gown, mask, and gloves with dressing changes
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? -
ANSStimulate the pt to take deep breaths
, Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most
important for the nurse to obtain? - ANSupper body muscle strength
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? - ANSContinue to obtain pt data needed
to complete the fall risk survey
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? - ANSTeach coughing and deep breathing exercises
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? - ANSEmpty the pouch when it is half full.
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? - ANSinitiate prescribed IV fluids
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? - ANSPicture with the bed sitting up
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? - ANSInstruct pt to write down questions
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? - ANSculture for sensitive organisms
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? - ANSCinnamon apple sauce
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? - ANSSend emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
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? - ANSSomnambulism
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? - ANStake
metformin for type 2 diabetes
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? - ANSAsk the patient to
describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the
room, which PPE should be removed first? - ANSGloves
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? - ANSIncreasing confusion of the pt.
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? - ANSAsk the pt for a
description of the exercise schedule that is being followed
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 - ANS-review safe transfer
strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - ANSpt who develop
disease complications promptly received rehabilitation
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? - ANSparticipation of community leaders in planning the program
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? - ANSuse gown, mask, and gloves with dressing changes
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? -
ANSStimulate the pt to take deep breaths
, Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most
important for the nurse to obtain? - ANSupper body muscle strength
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? - ANSContinue to obtain pt data needed
to complete the fall risk survey
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? - ANSTeach coughing and deep breathing exercises
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? - ANSEmpty the pouch when it is half full.
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? - ANSinitiate prescribed IV fluids
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? - ANSPicture with the bed sitting up
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? - ANSInstruct pt to write down questions
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? - ANSculture for sensitive organisms
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? - ANSCinnamon apple sauce
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? - ANSSend emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
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? - ANSSomnambulism
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? - ANStake
metformin for type 2 diabetes
