NGN HESI EXIT EXAM 2 VERSIONS 2024 AND
2025 EACH VERSION WITH QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT) /
A+ GRADE ASSURED/A+ GRADE ASSURED
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? - ANS use 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? - ANS Stimulate 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? - ANS upper 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? - ANS Continue 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? - ANS Teach 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? - ANS Empty 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? - ANS initiate
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? - ANS Picture 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? - ANS Instruct 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? - ANS culture 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? - ANS Cinnamon 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? - ANS Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
2025 EACH VERSION WITH QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT) /
A+ GRADE ASSURED/A+ GRADE ASSURED
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? - ANS use 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? - ANS Stimulate 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? - ANS upper 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? - ANS Continue 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? - ANS Teach 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? - ANS Empty 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? - ANS initiate
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? - ANS Picture 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? - ANS Instruct 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? - ANS culture 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? - ANS Cinnamon 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? - ANS Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
