(NGN) HESI PN EXIT EXAM Latest Update
Questions with Excellent solutions
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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
-develop a nutritional plan
-help identify community support
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
A client fell in the bathroom when left unattended by the UAP. Which information should the nurse
include in the pt health record? - Answer -The pt fell sustaining a fracture to the left hip
A client presents to the emergency dept with muscle aches, headache, fever, and describes a recent loss
of taste and smell. The nurse obtains a swab for COVID -19 testing. Which action is most important for
the nurse to take? - Answer -place the nasal swab specimen for COVID 19 directly in a biohazard
bag.
A client with urge incontinence was treated with onabotulinumtoxinA injections and is now experiencing
urinary retention. Which action should the nurse include in the client's plan of care? - Answer -
Remind the pt to practice pelvic floor exercises regularly.
A male client approaches the nurse with an angry expression on his face and raises his voice, saying, "My
roommate is the most selfish, self-centered, angry person I have ever met If he loses his temper one
more time with me, I am going to punch him." The nurse recognizes that the pt is using which defense
mechanism? - Answer -Projection
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot
baths at night with no relief of his discomfort. Which action should the nurse take? - Answer -
Encourage the pt to use cooler water and apply calamine lotion after soaking.
A new nurse preparing to irrigate an IV catheter is attaching a 24 gauge needle. Which action should the
charge nurse implement? - Answer -Suggest the nurse use 20g needle
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
, A nurse who is working in the emergency department triage area is presented with four clients at the
same time. The client presenting with which symptoms require the most immediate intervention by the
nurse? - Answer -Chest discomfort one hour after consuming a large spicy meal.
A nurse working on an Endocrine Unit should see which client first? - Answer -A pt taking
corticosteroids who has become disoriented in the last two hours.
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
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan,
the nurse should teach the parents to report which sign of overdose? - Answer -Bradycardia
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near
drowning incident. While providing care to the child, the nurse begins with the brother who rescued the
child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the nurse take? - Answer -Ask
the older brother how he felt during the incident.
A pt diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention? - Answer -Allopurinol
A pt in the third trimester of pregnancy reports that she feels some lumpy places in her breasts and that
her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in
two weeks. What actions should the nurse take? - Answer -Explain that this is normal recreation
and can be assessed at the next visit.
A pt is admitted with a dx of urolithiasis. Which finding is most important for the nurse to report to the
healthcare provider? - Answer -Hematuria that is beginning to turn pink
A pt is dx with Meniere's disease. Which problem should the nurse identify as most important in the plan
of care? - Answer -Risk for injury related to vertigo
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects of the
medication, which serum laboratory value most important for the nurse to monitor - Answer -
platelet count
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
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
Questions with Excellent solutions
Guaranteed Pass
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
-develop a nutritional plan
-help identify community support
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
A client fell in the bathroom when left unattended by the UAP. Which information should the nurse
include in the pt health record? - Answer -The pt fell sustaining a fracture to the left hip
A client presents to the emergency dept with muscle aches, headache, fever, and describes a recent loss
of taste and smell. The nurse obtains a swab for COVID -19 testing. Which action is most important for
the nurse to take? - Answer -place the nasal swab specimen for COVID 19 directly in a biohazard
bag.
A client with urge incontinence was treated with onabotulinumtoxinA injections and is now experiencing
urinary retention. Which action should the nurse include in the client's plan of care? - Answer -
Remind the pt to practice pelvic floor exercises regularly.
A male client approaches the nurse with an angry expression on his face and raises his voice, saying, "My
roommate is the most selfish, self-centered, angry person I have ever met If he loses his temper one
more time with me, I am going to punch him." The nurse recognizes that the pt is using which defense
mechanism? - Answer -Projection
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot
baths at night with no relief of his discomfort. Which action should the nurse take? - Answer -
Encourage the pt to use cooler water and apply calamine lotion after soaking.
A new nurse preparing to irrigate an IV catheter is attaching a 24 gauge needle. Which action should the
charge nurse implement? - Answer -Suggest the nurse use 20g needle
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
, A nurse who is working in the emergency department triage area is presented with four clients at the
same time. The client presenting with which symptoms require the most immediate intervention by the
nurse? - Answer -Chest discomfort one hour after consuming a large spicy meal.
A nurse working on an Endocrine Unit should see which client first? - Answer -A pt taking
corticosteroids who has become disoriented in the last two hours.
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
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan,
the nurse should teach the parents to report which sign of overdose? - Answer -Bradycardia
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near
drowning incident. While providing care to the child, the nurse begins with the brother who rescued the
child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes
withdrawn when asked about what happened. Which action should the nurse take? - Answer -Ask
the older brother how he felt during the incident.
A pt diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention? - Answer -Allopurinol
A pt in the third trimester of pregnancy reports that she feels some lumpy places in her breasts and that
her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in
two weeks. What actions should the nurse take? - Answer -Explain that this is normal recreation
and can be assessed at the next visit.
A pt is admitted with a dx of urolithiasis. Which finding is most important for the nurse to report to the
healthcare provider? - Answer -Hematuria that is beginning to turn pink
A pt is dx with Meniere's disease. Which problem should the nurse identify as most important in the plan
of care? - Answer -Risk for injury related to vertigo
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for adverse effects of the
medication, which serum laboratory value most important for the nurse to monitor - Answer -
platelet count
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
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
