NGN HESI RN 2024 EXIT EXAM ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED 100%) ALREADY GRADED A
1.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.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
D) Reposition the infant every two hours.
2. 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.
B) Finish the procedure.
3. 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 client’s denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation.
A) Maintain a quiet, non-stimulating environment.
4. 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 client’s 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.
B) Ask the client to describe the pain.
5.NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her father
is worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about
the crash. She informed that exercising right after work helps her get better sleep and to relax.
She feels that she is "jumpy" after the accident, especially when she is in the car. She also stated,
"I feel so sad that I can't seem to feel anything at all". In addition to her father, the client has a
large family and friend support system. She denies alcohol or drug use.
(highlight areas in the above paragraph that the nurse should...)
-she only gets 2 to 3 hours of sleep due to nightmares about the crash.
-She feels that she is "jumpy" after the accident, especially when she is in the car.
- "I feel so sad that I can't seem to feel anything at all"
6. 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.
C) Had a cold and ear infection for the past two days.
7. When is it most important for the nurse to assess a pregnant client’s deep tendon reflexes?
A) Within the first trimester of pregnancy.
B) When the client has ankle edema.
C) During admission to labor and delivery.
D) If the client has an elevated blood pressure.
D) If the client has an elevated b”ood ’ressure.
8. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the crash.
She is seeking care for depression.
,The client is exhibiting symptoms of ________________________ related to ______________
and ___________________.
Post traumatic stress disorder, experiencing a life-threatening event, losing a loved one.
9. NGN: Orders, diagnosis, depression and posttraumatic stress disorder. Diphenhydramine 12.5
mg PO every night at sleep. Buspirone Hydrochloride 7.5 mg PO twice a day.
(how can the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
B) the nurse can be open, honest and sincere.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
10. NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her father
is worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about
the crash. She informed that exercising right after work helps her get better sleep and to relax.
She feels that she is "jumpy" after the accident, especially when she is in the car. She also stated,
"I feel so sad that I can't seem to feel anything at all". In addition to her father, the client has a
large family and friend support system. She denies alcohol or drug use. The client states, "I don't
want to kill myself, but sometimes I wish I had died in the crash."
The statement by the client presents _______________ and should be followed up with
_____________.
Suicidal ideation, assessment of respecters for suicide.
11. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the crash.
She is seeking care for depression.
(what would be some affective strategies that the nurse could use to decrease the client’s risk of
suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
, E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
12. 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.
B) Withhold the medication until the dosage can be confirmed.
13. 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.
B) Viral meningitis whose temperature change from 101 S to 102F.
14. 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.
A) Maintain strict intake and output.
15. 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
DETAILED ANSWERS (VERIFIED 100%) ALREADY GRADED A
1.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.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
D) Reposition the infant every two hours.
2. 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.
B) Finish the procedure.
3. 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 client’s denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation.
A) Maintain a quiet, non-stimulating environment.
4. 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 client’s 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.
B) Ask the client to describe the pain.
5.NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her father
is worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about
the crash. She informed that exercising right after work helps her get better sleep and to relax.
She feels that she is "jumpy" after the accident, especially when she is in the car. She also stated,
"I feel so sad that I can't seem to feel anything at all". In addition to her father, the client has a
large family and friend support system. She denies alcohol or drug use.
(highlight areas in the above paragraph that the nurse should...)
-she only gets 2 to 3 hours of sleep due to nightmares about the crash.
-She feels that she is "jumpy" after the accident, especially when she is in the car.
- "I feel so sad that I can't seem to feel anything at all"
6. 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.
C) Had a cold and ear infection for the past two days.
7. When is it most important for the nurse to assess a pregnant client’s deep tendon reflexes?
A) Within the first trimester of pregnancy.
B) When the client has ankle edema.
C) During admission to labor and delivery.
D) If the client has an elevated blood pressure.
D) If the client has an elevated b”ood ’ressure.
8. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the crash.
She is seeking care for depression.
,The client is exhibiting symptoms of ________________________ related to ______________
and ___________________.
Post traumatic stress disorder, experiencing a life-threatening event, losing a loved one.
9. NGN: Orders, diagnosis, depression and posttraumatic stress disorder. Diphenhydramine 12.5
mg PO every night at sleep. Buspirone Hydrochloride 7.5 mg PO twice a day.
(how can the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
B) the nurse can be open, honest and sincere.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
10. NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her father
is worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about
the crash. She informed that exercising right after work helps her get better sleep and to relax.
She feels that she is "jumpy" after the accident, especially when she is in the car. She also stated,
"I feel so sad that I can't seem to feel anything at all". In addition to her father, the client has a
large family and friend support system. She denies alcohol or drug use. The client states, "I don't
want to kill myself, but sometimes I wish I had died in the crash."
The statement by the client presents _______________ and should be followed up with
_____________.
Suicidal ideation, assessment of respecters for suicide.
11. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the crash.
She is seeking care for depression.
(what would be some affective strategies that the nurse could use to decrease the client’s risk of
suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
, E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
12. 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.
B) Withhold the medication until the dosage can be confirmed.
13. 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.
B) Viral meningitis whose temperature change from 101 S to 102F.
14. 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.
A) Maintain strict intake and output.
15. 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
