HESI Exit V1 Exam with NGN Questions and Answers
(Verified by Expert)
1. 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 thenurse use
ANS Ask the patient to describe the pain
2. The nurse is wearing personal protective equipment while caring for a pt.When
exiting the room, which PPE should be removed first
ANS Gloves
3. 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 thenurse provide first
when reporting to the healthcare provider using SBAR communication
ANS Increasing confusion of the pt.
4. A pt tells the nurse about working out with a personal trainer and swimmingthree
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 nurseimplement
,ANS 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 ptwho is
recovering from Guillain-Barre syndrome about home. Which actionsshould 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
6. The nurse implements a tertiary prevention program for type 2 diabetes in arural
health clinic. Which outcome indicates that the program was effective?-
ANS: pt who develop disease complications promptly received rehabilitation
7. The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Whichresource is
most important in designing this program
ANS participation of com- munity leaders in planning the program
8. A pt with multiple injuries is being treated in the burn trauma unit just hoursafter
the injuries occurred. The healthcare provider instructs the nurse to avoidauto
contamination when performing dressing changes. Which intervention ismost
important for the nurse to implement
,ANS use gown, mask, and gloves with dressing changes
9. 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. Afterchanging
positions, the pt complains of pain at the right groin insertion site.What action
should the nurse implement
ANS Stimulate the pt to take deep breaths
, 10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain
ANS upper body musclestrength
11. 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
ANS Continueto obtain pt data needed to complete the fall risk survey
12. The nurse is feeding an older adult who was admitted with aspiration pneu-
monia. The pt is weak and begins coughing while attempting to drink through a
straw. Which intervention should the nurse implement
ANS Teach coughing anddeep breathing exercises
13. The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement shouldthe nurse
recognize as needing additional education
ANS Empty the pouch whenit is half full.
(Verified by Expert)
1. 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 thenurse use
ANS Ask the patient to describe the pain
2. The nurse is wearing personal protective equipment while caring for a pt.When
exiting the room, which PPE should be removed first
ANS Gloves
3. 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 thenurse provide first
when reporting to the healthcare provider using SBAR communication
ANS Increasing confusion of the pt.
4. A pt tells the nurse about working out with a personal trainer and swimmingthree
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 nurseimplement
,ANS 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 ptwho is
recovering from Guillain-Barre syndrome about home. Which actionsshould 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
6. The nurse implements a tertiary prevention program for type 2 diabetes in arural
health clinic. Which outcome indicates that the program was effective?-
ANS: pt who develop disease complications promptly received rehabilitation
7. The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Whichresource is
most important in designing this program
ANS participation of com- munity leaders in planning the program
8. A pt with multiple injuries is being treated in the burn trauma unit just hoursafter
the injuries occurred. The healthcare provider instructs the nurse to avoidauto
contamination when performing dressing changes. Which intervention ismost
important for the nurse to implement
,ANS use gown, mask, and gloves with dressing changes
9. 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. Afterchanging
positions, the pt complains of pain at the right groin insertion site.What action
should the nurse implement
ANS Stimulate the pt to take deep breaths
, 10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain
ANS upper body musclestrength
11. 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
ANS Continueto obtain pt data needed to complete the fall risk survey
12. The nurse is feeding an older adult who was admitted with aspiration pneu-
monia. The pt is weak and begins coughing while attempting to drink through a
straw. Which intervention should the nurse implement
ANS Teach coughing anddeep breathing exercises
13. The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement shouldthe nurse
recognize as needing additional education
ANS Empty the pouch whenit is half full.
