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NGN HESI EXIT EXAM RN V1 FINAL EXAM
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STUDY GUIDE AND REVIEW WITH 160
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QUESTIONS & 100% CORRECT i i i
ANSWERS GRADED A+. (GUARANTEED
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SUCCESS), LATEST 2025 UPDATE.
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1. Whichi informationi isi ai priorityi fori thei RNi toi reinforcei toi ani olderi patienti afteri
intravenousi pylegraphy?
A) Eati ai lighti dieti fori thei resti ofi thei day
B) Resti fori thei nexti 24i hoursi sincei thei preparationi andi thei testi isi tiring.
C) Duringi wakingi hoursi drinki ati leasti 1i 8-ouncei glassi ofi fluidi everyi houri fori thei
nexti 2i days
D) Measurei thei urinei outputi fori thei nexti dayi andi immediatelyi notifyi thei healthi
carei provideri ifi iti shouldi decrease.
ANSi isi D:i Measurei thei urinei outputi fori thei nexti dayi andi immediatelyi notifyi thei healthi
carei provideri ifi iti shouldi decrease.
2. Ai patienti hasi alteredi renali functioni andi isi beingi treatedi ati home.i Thei nursei
recognizes
thati thei mosti accuratei indicatori ofi fluidi balancei duringi thei weeklyi visitsi is
A) differencei ini thei intakei andi output
B) changesi ini thei mucousi membranes
C) skini turgor
D) weeklyiweight
ANSi isi D:i weeklyi weight
3. Ai patienti hasi beeni diagnosedi withi Zollinger-Ellisoni syndrome.Whichi
informationi isi mosti importanti fori thei nursei toi reinforcei withi thei patienti ?
A) Iti isi ai conditioni ini whichi onei ori morei tumorsi calledi gastrinomasi formi ini thei
pancreas
oriini thei upperi parti ofi thei smalli intestinei (duodenum)
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B) Iti isi criticali toi reporti promptlyi toi youri healthi carei provideri anyi findingsi ofi
peptici ulcers
c)Treatmenti consistsi ofimedicationsi toi reducei acidi andi heali anyipepticiulcersi and,i if
possible,isurgeryi toi removei anyi tumors
D)Withi thei averagei agei ati diagnosisi ati 50i yearsi thei peptici ulcersi mayi occuri
ati unusual
areasi ofi thei stomachi ori intestine
ANSi isi B:i Iti isi criticali toi reporti promptlyi toi youri healthi carei provideri anyi findingsi ofi
peptici ulcers.
4. Ai primi gravidai ini thei thirdi trimesteri isi hospitalizedi fori preeclampsia.i Thei nursei
determinesi thati thei patienti ’si bloodi pressurei isi increasing.i Whichi actioni
shouldi thei nursei takei first?
A) Checki thei proteini leveli ini urine
B) Havei thei patienti turni toi thei lefti side
C) Takei thei temperature
D) Monitori thei urinei output
ANSi isi B:i Havei thei patienti turni toi thei lefti side
5. Thei nursei isi caringi fori ai patienti ini atriali fibrillation.i Thei atriali hearti
ratei isi 250i andi the
ventriculari ratei isi controlledi ati 75.i Whichi ofi thei followingi findingsi isi causei fori
thei mosti concern?
A) Diminishedibowelisounds
B) Lossi ofi appetite
C) Ai freezing,i palei loweri leg
D) Tachypnea
ANSi isi C:i Ai freezing,i palei loweri leg
6. Thei patienti withi infectivei endocarditisi musti bei assessedi frequentlyi byi thei homei
health
nurse.iWhichi findingi suggestsi thatiantibioticitherapyi isinoti effective,iandi mustibei
reportedi byi thei nursei immediatelyi toi thei healthcarei provider?
A) Nauseai andi vomiting
B) Feveriofi 103i degreesi Fahrenheiti (39.5i degreesi Celsius)
C) Diffuseimacularirash
D) Muscleitenderness
ANSi isi B:i Feveri ofi 103i degreesi Fi (39.5i degreesi C)
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7. Ai patienti whoi hadi ai vasectomyi isi ini thei posti recoveryi uniti ati ani
outpatienti clinic.i Whichi ofi thesei pointsi isi mosti importanti toi bei
reinforcedi byi thei nurse?
A) Untili thei healthi carei provideri hasi determinedi thati youri ejaculatei doesn’ti
containi sperm,i continuei toi usei anotheri formi ofi contraception.
B) Thisi procedurei doesn’ti impedei thei productioni ofi malei hormonesi ori
thei productioni of
spermi ini thei testicles.i Thei spermi cani noi longeri enteri youri semeni andi noi spermi arei
ini youri ejaculate.
C) Afteri youri vasectomy,i strenuousi activityi needsi toi bei avoidedi fori ati leasti 48i
hours.i If
youri worki doesn’ti involvei hardi physicali labor;i youi cani returni toi youri jobi asi sooni asi
youi feeli upi toi it.i Thei stitchesi generallyi dissolvei ini seveni toi teni days.
D) Thei healthi carei provideri ati thisi clinici recommendsi rest,i ice,i ani
athletici supporteri ori over-the-counteri paini medicationi toi relievei anyi discomfort.
ANSi isi A:i Untili thei healthi carei provideri hasi determinedi thati youri ejaculatei
doesn’ti containi sperm,i continuei toi usei anotheri formi ofi contraception.
8. Ai patienti whoi isi toi havei antineoplastici chemotherapyi tellsi thei nursesi ofi ai feari
ofi being
sicki alli thei timei andi wishesi toi tryi acupuncture.i Whichi ofi thesei beliefsi statedi
byi thei patienti wouldi bei incorrecti abouti acupuncture?
A) Somei needlesi goi asi deepi asi 3i inches,i dependingi oni wherei they’rei placedi ini
thei body
andi whati thei treatmenti isi for.i Thei needlesi usuallyi arei lefti ini fori 15i toi 30i minutes.
B) Ini traditionali Chinesei medicine,i imbalancesi ini thei basici energetici flowi ofi lifei
4i knowni asi qii ori chii 4i arei thoughti toi causei illness.
C) Thei flowi ofi lifei isi believedi toi flowi throughi majori pathwaysi ori nervei clustersi
ini youri body.
D) Byi insertingi extremelyi finei needlesi intoi somei ofi thei overi 400i
acupuncturei pointsi in
variousi combinationsi iti isi believedi thati energyi flowi willi rebalancei toi allowi
thei body’si naturali healingi mechanismsi toi takei over.
ANSi isi C:i Thei flowi ofi lifei isi believedi toi flowi throughi majori pathwaysi ori nervei
clustersi ini youri body.
9. Thei nursei isi discussingi withi ai groupi ofi studentsi thei illnessi Kawasaki.i Whati
statementi madei byi ai studenti abouti Kawasakii illnessi isi incorrect?
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A) Iti alsoi calledi mucocutaneousi lymphi nodei syndromei becausei iti affectsi
thei mucousi membranesi (insidei thei mouth,i throati andi nose),i skini andi lymphi
nodes.
B) Ini thei secondi phasei ofi thei illness,i findingsi includei peelingi ofi thei skini oni
thei hands
andi feeti withi jointi andi abdominali pain
C) Kawasakii illnessi occursi mosti ofteni ini boys,i childreni youngeri thani agei 5i andi
childreni ofi Hispanici descent
D) Initiallyi findingsi arei ai suddeni highi fever,i usuallyi abovei 104i
degreesi Fahrenheit,i whichi lastsi 1i to2i weeks
ANSi isi C:i Kawasakii illnessi occursi mosti ofteni ini boys,i childreni youngeri
thani agei 5i andi childreni ofi Hispanici descent
10. Ai patienti hasi virali pneumoniai affectingi 2/3i ofi thei righti lung.i Whati wouldi bei
thei best
positioni toi teachi thei patienti toi liei ini everyi otheri houri duringi firsti 12i hoursi afteri
admission?
A) Side-lyingi oni thei lefti withi thei headi elevatedi 10i degrees
B) Side-lyingi oni thei lefti withi thei headi elevatedi 35i degrees
C) Side-lyingi oni thei righti willi thei headi elevatedi 10i degrees
D) Side-lyingi oni thei righti withi thei headi elevatedi 35i degrees
ANSi isi A:i Side-lyingi oni thei lefti withi thei headi elevatedi 10i degrees
11. Ai patienti hasi ani indwellingi catheteri withi continuousi bladderi irrigationi afteri
undergoingi ai transi urethrali resectioni ofi thei prostatei (TURP)i 12i hoursi ago.i Whichi
findingi ati thisi timei shouldi bei reportedi toi thei healthi carei provider?
A) Light,i pinki urine
B) occasionalisuprapubicicramping
C) minimalidrainageiintoithei urinaryi collectionibag
D) complaintsi ofi thei feelingi ofi pullingi oni thei urinaryi catheteri
ANSi isi C:i minimali drainagei intoi thei urinaryi collectioni bag
12. Ai nursei isi performingi CPRi oni ani adulti whoi wenti intoi cardiopulmonaryi
arrest.
Anotheri nursei entersi thei roomi ini responsei toi thei call.i Afteri checkingi thei patienti ’si
pulse
andi respirations,i whati shouldi bei thei
functioni ofi thei secondi nurse?
A) Relieveithei nurseiperformingi CPR
B) Goi geti thei codei cart
C) Participateiwithi thei compressionsioribreathing