NGN HESI RN 2024 EXIT EXAM/ COMPLETE 130
ACTUAL EXAM QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS/ GRADED A+
An adult client who is admitted to the mental health unit for treatment of bipolar
disorder has a slightly slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to report to the healthcare
provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6. - Correct Answer - D) Serum lithium level of 1.6.
When conducting diet teaching for a client who is on a post operative full liquid
diet, which foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail. - Correct Answer - A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for
discharge from the hospital. When teaching the parents about home photo
therapy, which instruction should the nurse include in the discharge teaching
plan?
A) Cover with a receiving blanket.
pg. 1
,B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - Correct Answer - D) Reposition the infant
every two hours.
The nurse initiate the procedure to remove a clients peripherally inserted central
catheter when a code blue is called for another client in the unit who collapse in
the hallway while ambulating with the unlicensed assistive personnel. Which
action should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant. - Correct Answer - B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan
of care for a client with alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the clients denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation. - Correct Answer - A) Maintain a
quiet, non-stimulating environment.
A client arrives at the emergency department describing chest pain that began
three hours earlier which has not subsided. To assess the quality of the clients
chest pain. Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - Correct Answer - B) Ask the client to
describe the pain.
pg. 2
,An adolescent who was diagnosed with type one diabetes Molite us at the age of
nine, is admitted to the hospital in diabetic keto acidosis. Which occurrence is the
most likely cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school. - Correct Answer - C) Had a cold and ear
infection for the past two days.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether or not the
client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare
team meeting. - Correct Answer - B) Withhold the medication until the dosage can be
confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - Correct Answer - B)
Viral meningitis whose temperature change from 101 S to 102F.
pg. 3
, The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - Correct Answer - A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, the nurse asked
the client to meet with the treatment team. After the team meeting, the client
leaves in tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - Correct Answer - D) Go to the
clients room and ask what happened.
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency department
last night when he was having more difficulty breathing he has a history of 1/2
pack a day cigarette smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
pg. 4
ACTUAL EXAM QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS/ GRADED A+
An adult client who is admitted to the mental health unit for treatment of bipolar
disorder has a slightly slurred speech pattern and an unsteady gait. Which
assessment finding is most important for the nurse to report to the healthcare
provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6. - Correct Answer - D) Serum lithium level of 1.6.
When conducting diet teaching for a client who is on a post operative full liquid
diet, which foods should the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail. - Correct Answer - A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for
discharge from the hospital. When teaching the parents about home photo
therapy, which instruction should the nurse include in the discharge teaching
plan?
A) Cover with a receiving blanket.
pg. 1
,B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - Correct Answer - D) Reposition the infant
every two hours.
The nurse initiate the procedure to remove a clients peripherally inserted central
catheter when a code blue is called for another client in the unit who collapse in
the hallway while ambulating with the unlicensed assistive personnel. Which
action should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant. - Correct Answer - B) Finish the procedure.
Which nursing intervention is most important for the nurse to include in the plan
of care for a client with alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the clients denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation. - Correct Answer - A) Maintain a
quiet, non-stimulating environment.
A client arrives at the emergency department describing chest pain that began
three hours earlier which has not subsided. To assess the quality of the clients
chest pain. Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - Correct Answer - B) Ask the client to
describe the pain.
pg. 2
,An adolescent who was diagnosed with type one diabetes Molite us at the age of
nine, is admitted to the hospital in diabetic keto acidosis. Which occurrence is the
most likely cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school. - Correct Answer - C) Had a cold and ear
infection for the past two days.
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage
taken is different from the dose the nurse is giving. Which action should the
nurse take?
A) Inform the client that he may refuse the medication and document whether or not the
client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare
team meeting. - Correct Answer - B) Withhold the medication until the dosage can be
confirmed.
The charge nurse is making assignments for one practical nurse and three
registered nurses who are caring for neurologically compromised clients. Which
client with which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - Correct Answer - B)
Viral meningitis whose temperature change from 101 S to 102F.
pg. 3
, The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan
of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - Correct Answer - A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide
note to a teacher at school. On the second day of hospitalization, the nurse asked
the client to meet with the treatment team. After the team meeting, the client
leaves in tears and goes to their room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - Correct Answer - D) Go to the
clients room and ask what happened.
NGN: The client is a 49-year-old male who reports flu like symptoms including
fever and chest congestion for four days. He came to the emergency department
last night when he was having more difficulty breathing he has a history of 1/2
pack a day cigarette smoking for 20 years. He has no significant medical or
surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
pg. 4
