NGN HESI RN 2024 EXIT EXAM
(QUESTIONS AND COMPLETE
ANSWERS )RATED A+
An emergency department nurse is caring for a 5-year-old child who was just
brought in by ambulance with par:al-thickness (second-degree) and full-
thickness (third-degree) burns to their face, neck, and chest. The client is
awake and alert. Vital signs: temperature, 97.2°f (36.2°c); heart rate, 148
beats/min; blood pressure, 68/39 mm hg; respiratory rate, 32 breaths/min;
oxygen satura:on, 90% on 2 liters by nasal cannula.
Apply oxygen to maintain oxygen satura:ons 95% or greater.
Administer 100 mcg/kg morphine via intravenous push (ivp) for pain prn q4
hour.
The nurse receives prescrip:ons for the client. Click to highlight the
prescrip:on(s) that requires immediate implementa:on.
Ini:ate fluid resuscita:on per lund and browder chart using parkland formula
with 0.9% saline.
Apply oxygen to maintain oxygen satura:ons 95% or greater.
Administer 100 mcg/kg morphine via intravenous push (ivp) for pain prn q4
hour.
Ini:ate fluid resuscita:on per lund and browder chart using parkland formula
with 0.9% saline.
A school nurse is called to the school cafeteria aVer a 13-year-old child is
reported to have sudden difficulty breathing. The child has a history of asthma
,and allergies to peanuts. The focused nursing assessment reveals difficulty
breathing, inspiratory and expiratory wheezing, swelling of lips, and a rash on
the face. The child reports feeling nauseated, having chest :ghtness, and
feeling faint.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first address the child's....then.....
Wheezing then lip swelling
A nurse on the neurology unit is monitoring an 8-year-old child admi\ed with
seizures. The child experiences a prolonged tonic-clonic seizure.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first...then.....
Ensure proper oxygena:on then administer intravenous (iv) or intramuscular
(im) benzodiazepine
The nurse is caring for a 6-year-old male child who was brought to the
pediatrician's office by the parent for a fever for the past few days.
Click to highlight the findings that will require follow-up.
Assessment reveals the client has also been experiencing increased urinary
frequency , dysuria , and costovertebral pain . Vital signs: temperature, 101.2°f
(38.4°c) ; heart rate, 110 beats/min ; blood pressure, 88/48 mm hg; respiratory
rate, 22 breaths/min ; oxygen satura:on, 98% room air. Laboratory results:
urinalysis, posi:ve for leukocytes; white blood cell (wbc) count, 12 × 103/mm3
(12 × 109/l)
Increased urinary frequency, dysuria, and costovertebral pain. 101.2 temp. Rr
of 22/min. Laboratory results: urinalysis, posi:ve for leukocytes; white blood
cell (wbc) count, 12 × 103/mm3 (12 × 109/l)
,A nurse on a pediatric unit finds a 3-year-old child unconscious. The child does
not respond to s:muli. The nurse calls a code and starts to perform
cardiopulmonary resuscita:on (cpr).
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first address the child's....then....then....
Airway, breathing, perfusion
A nurse is caring for a newborn with down syndrome. The nurse educates the
parents regarding poten:al complica:ons that their newborn is at higher risk
for developing such as .... , .... , and .....
Autoimmune disorder, endocrine disorders and spinal problems
The parent of a newborn diagnosed with turner syndrome asks the nurse about
the treatment that will be required for their newborn.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should educate the parents on the primary treatments used in the
treatment of turner syndrome, which includes ... , .....
Growth hormones, estrogen therapy
A nurse is caring for a 4-year-old male child brought to the emergency
department (ed) for symptoms of influenza. The parents state the child has
"had high fevers for the past 3 days even though we have been giving our child
acetaminophen and they do not really want to eat or drink anything and has
been very sleepy." client opens eyes to voice, follows simple commands, and
skin is very warm, ruddy, and dry. Vital signs: 101.5°f (38.6°c); heart rate, 138
beats/min; oxygen satura:on, 95% on room air. Laboratory values: white blood
, cell (wbc) count, 43 × 103 cells/mm3 (43 × 109/l); hemoglobin, 10 mg/dl (100
g/l); hematocrit, 32% (0.32); platelets, 20,000/ml (20 × 109/l); neutrophil
bands, 48/mcl (0.05 × 109/l); lymphoblasts, 33 (na).
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first address .... , .....
Bleeding/perfusion risk, nonrebreather mask
A 9-year-old female child was brought to the emergency department aVer
experiencing wheezing and shortness of breath while playing soccer. The
parents administered two puffs of albuterol metered dose inhaler (mdi) with
li\le effect, and 911 was no:fied. Paramedics applied oxygen 2 liters by nasal
cannula for oxygen satura:on of 90% on room air, and administered an
albuterol nebulizer treatment. Audible wheezing was heard, and a 20-gauge
intravenous (iv) catheter was inserted. Vital signs upon arrival at the
emergency room: temperature, 98.8°f (37.1°c); heart rate, 125 beats/min;
blood pressure, 88/50 mm hg; respiratory rate, 32 breaths/min; oxygen
satura:on, 92% on simple face mask. Child appears anxious.
Complete the following sentence(s) by choosing from the lists of op:ons.
The emergency room nurse should first ... , .....
Assess airway, give iv methylprednisolone
A nurse on the neurology unit is monitoring an 8-year-old child admi\ed with
seizures. The child experiences a prolonged tonic-clonic seizure.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first .... , .....
Ensure proper oxygena:on, administer intravenous (iv) or intramuscular (im)
benzodiazepine
A parent brings their 4-year-old male child to the pediatrician's office for a
scheduled wellness appointment. The assessment reveals weight loss since the
(QUESTIONS AND COMPLETE
ANSWERS )RATED A+
An emergency department nurse is caring for a 5-year-old child who was just
brought in by ambulance with par:al-thickness (second-degree) and full-
thickness (third-degree) burns to their face, neck, and chest. The client is
awake and alert. Vital signs: temperature, 97.2°f (36.2°c); heart rate, 148
beats/min; blood pressure, 68/39 mm hg; respiratory rate, 32 breaths/min;
oxygen satura:on, 90% on 2 liters by nasal cannula.
Apply oxygen to maintain oxygen satura:ons 95% or greater.
Administer 100 mcg/kg morphine via intravenous push (ivp) for pain prn q4
hour.
The nurse receives prescrip:ons for the client. Click to highlight the
prescrip:on(s) that requires immediate implementa:on.
Ini:ate fluid resuscita:on per lund and browder chart using parkland formula
with 0.9% saline.
Apply oxygen to maintain oxygen satura:ons 95% or greater.
Administer 100 mcg/kg morphine via intravenous push (ivp) for pain prn q4
hour.
Ini:ate fluid resuscita:on per lund and browder chart using parkland formula
with 0.9% saline.
A school nurse is called to the school cafeteria aVer a 13-year-old child is
reported to have sudden difficulty breathing. The child has a history of asthma
,and allergies to peanuts. The focused nursing assessment reveals difficulty
breathing, inspiratory and expiratory wheezing, swelling of lips, and a rash on
the face. The child reports feeling nauseated, having chest :ghtness, and
feeling faint.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first address the child's....then.....
Wheezing then lip swelling
A nurse on the neurology unit is monitoring an 8-year-old child admi\ed with
seizures. The child experiences a prolonged tonic-clonic seizure.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first...then.....
Ensure proper oxygena:on then administer intravenous (iv) or intramuscular
(im) benzodiazepine
The nurse is caring for a 6-year-old male child who was brought to the
pediatrician's office by the parent for a fever for the past few days.
Click to highlight the findings that will require follow-up.
Assessment reveals the client has also been experiencing increased urinary
frequency , dysuria , and costovertebral pain . Vital signs: temperature, 101.2°f
(38.4°c) ; heart rate, 110 beats/min ; blood pressure, 88/48 mm hg; respiratory
rate, 22 breaths/min ; oxygen satura:on, 98% room air. Laboratory results:
urinalysis, posi:ve for leukocytes; white blood cell (wbc) count, 12 × 103/mm3
(12 × 109/l)
Increased urinary frequency, dysuria, and costovertebral pain. 101.2 temp. Rr
of 22/min. Laboratory results: urinalysis, posi:ve for leukocytes; white blood
cell (wbc) count, 12 × 103/mm3 (12 × 109/l)
,A nurse on a pediatric unit finds a 3-year-old child unconscious. The child does
not respond to s:muli. The nurse calls a code and starts to perform
cardiopulmonary resuscita:on (cpr).
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first address the child's....then....then....
Airway, breathing, perfusion
A nurse is caring for a newborn with down syndrome. The nurse educates the
parents regarding poten:al complica:ons that their newborn is at higher risk
for developing such as .... , .... , and .....
Autoimmune disorder, endocrine disorders and spinal problems
The parent of a newborn diagnosed with turner syndrome asks the nurse about
the treatment that will be required for their newborn.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should educate the parents on the primary treatments used in the
treatment of turner syndrome, which includes ... , .....
Growth hormones, estrogen therapy
A nurse is caring for a 4-year-old male child brought to the emergency
department (ed) for symptoms of influenza. The parents state the child has
"had high fevers for the past 3 days even though we have been giving our child
acetaminophen and they do not really want to eat or drink anything and has
been very sleepy." client opens eyes to voice, follows simple commands, and
skin is very warm, ruddy, and dry. Vital signs: 101.5°f (38.6°c); heart rate, 138
beats/min; oxygen satura:on, 95% on room air. Laboratory values: white blood
, cell (wbc) count, 43 × 103 cells/mm3 (43 × 109/l); hemoglobin, 10 mg/dl (100
g/l); hematocrit, 32% (0.32); platelets, 20,000/ml (20 × 109/l); neutrophil
bands, 48/mcl (0.05 × 109/l); lymphoblasts, 33 (na).
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first address .... , .....
Bleeding/perfusion risk, nonrebreather mask
A 9-year-old female child was brought to the emergency department aVer
experiencing wheezing and shortness of breath while playing soccer. The
parents administered two puffs of albuterol metered dose inhaler (mdi) with
li\le effect, and 911 was no:fied. Paramedics applied oxygen 2 liters by nasal
cannula for oxygen satura:on of 90% on room air, and administered an
albuterol nebulizer treatment. Audible wheezing was heard, and a 20-gauge
intravenous (iv) catheter was inserted. Vital signs upon arrival at the
emergency room: temperature, 98.8°f (37.1°c); heart rate, 125 beats/min;
blood pressure, 88/50 mm hg; respiratory rate, 32 breaths/min; oxygen
satura:on, 92% on simple face mask. Child appears anxious.
Complete the following sentence(s) by choosing from the lists of op:ons.
The emergency room nurse should first ... , .....
Assess airway, give iv methylprednisolone
A nurse on the neurology unit is monitoring an 8-year-old child admi\ed with
seizures. The child experiences a prolonged tonic-clonic seizure.
Complete the following sentence(s) by choosing from the lists of op:ons.
The nurse should first .... , .....
Ensure proper oxygena:on, administer intravenous (iv) or intramuscular (im)
benzodiazepine
A parent brings their 4-year-old male child to the pediatrician's office for a
scheduled wellness appointment. The assessment reveals weight loss since the
