NGN HESI RN 2024 EXIT EXAM
QUESTIONS AND ANSWERS
When preparing to administer a prescribed medication to a homeless client at a community
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psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the dose the
M M M M M M M M M M M M M M M M M M
nurse is giving. Which action should the nurse take?
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A) Inform the client that he may refuse the medication and document whether or not the client takes
M M M M M M M M M M M M M M M M M
it.
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B) Withhold the medication until the dosage can be confirmed.
M M M M M M M M M M
C) Explain to the client that the dosage has been changed.
M M M M M M M M M M M
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting.
M M M M M M M M M M M M M M M M M
- Correct Answer - B) Withhold the medication until the dosage can be confirmed.
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The charge nurse is making assignments for one practical nurse and three registered nurses who are
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caring for neurologically compromised clients. Which client with which change in status is best to
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assign to the PN?
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A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
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B) Viral meningitis whose temperature change from 101 S to 102F.
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C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
M M M M M M M M M M M M M M M
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - Correct Answer - B) Viral
M M M M M M M M M M M MM M M M
meningitis whose temperature change from 101 S to 102F.
M M M M M M M M M
The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and
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multi organ failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most
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important for the nurse to include in the plan of care?
M M M M M M M M M M M M
A) Maintain strict intake and output.
M M M M M M
B) Keep head of bed raised 45°.
M M M M M M M
C) Excess warmth of extremities.
M M M M M
,D) Monitor blood glucose level. - Correct Answer - A) Maintain strict intake and output.
M M M M M M MM M M M M M M M
And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at
M M M M M M M M M M M M M M M M M
school. On the second day of hospitalization, the nurse asked the client to meet with the treatment
M M M M M M M M M M M M M M M M M
team. After the team meeting, the client leaves in tears and goes to their room. Which nursing
M M M M M M M M M M M M M M M M M
intervention is best?
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A) Let the client rest quietly in their room for a while.
M M M M M M M M M M M M
B) Explore the clients goals and desire for treatment.
M M M M M M M M M
C) Ask the treatment team about the clients behavior.
M M M M M M M M M
D) Go to the clients room and ask what happened. - Correct Answer - D) Go to the clients room and
M M M M M M M M M M M MM M M M M M M M M
ask what happened.
M M M
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a
M M M M M M M M M M M M M M
client who weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How
M M M M M M M M M M M M M M M M
many milliliters should the nurse administer? (Enter numerical value only. If rounding is required,
M M M M M M M M M M M M M M
round to the nearest 10th.) - Correct Answer - 0.6
M M M M M M M MM M M
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest
M M M M M M M M M M M M M M M
congestion for four days. He came to the emergency department last night when he was having
M M M M M M M M M M M M M M M M
more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no
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significant medical or surgical history.
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Which two orders should the nurse complete first?
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A) Sputum culture.
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B) Start oxygen 3 L per minute via nasal cannula.
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C) Place the client on a cardio respiratory monitor.
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D) Chest x-ray.
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E) Acetominophen 350 mg PO every six hours for temperature control.
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F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
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G) Start peripheral IV.
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H) NPO. - Correct Answer - B) Start oxygen 3 L per minute via nasal cannula.
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,C) Place the client on a cardio respiratory monitor.
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NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral
M M M M M M M M M M M M M M M
IV infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at
M M M M M M M M M M M M M M M M M M
150 mL per hour, acetaminophen 350 mg PO every six hours for temperature.
M M M M M M M M M M M M M
To start the client on oxygen as ordered which items should the nurse collects from the supply room?
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SATA
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A) humidifier bottle.
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B)Suction canister. M M
C)Sterile water. M M
D) Nasal cannula.
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E) Flow meter.
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F) Lambs wool.
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G) Tape. - Correct Answer - D) Nasal cannula.
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E) Flow meter.
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NGN: states, I am feeling extremely anxious right now. The client has decreased breath sounds in the
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left lower low. His mucus membranes are dry. He has a productive cough with thick, yellow
M M M M M M M M M M M M M M M M
secretions. His capillary refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm,
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respiratory rate 28 breaths per minute, blood pressure 145/89, oxygen saturation 90% on room air.
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(for each body system click to specify the assessment findings that indicates hypoxia)
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Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89.
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Neurological: anxious, awake and alert, restless.
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Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm, productive cough. - Correct
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Answer - Cardiovascular: capillary refill for seconds, blood pressure 145/89.
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Neurological: anxious, restless. M M
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
M M M M M M M M M M
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest
M M M M M M M M M M M M M M M
congestion for four days. He came to the emergency department last night when he was having
M M M M M M M M M M M M M M M M
, M more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no
M M M M M M M M M M M M M M M M M M M
M significant medical or surgical history.
M M M M M
The nurse should place the client in a _______________ position to promote _____________. -
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Correct Answer - Semi-Fowler , lung expansion.
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NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a PIV,
M M M M M M M M M M M M M M M M
start oxygen 3L via nasal cannula, normal saline 150 ML per hour, acetaminophen 350mg PO every
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six hours for temp greater than 101F, chest x-ray.
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0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater than 94%.
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(mark whether the statements by the new grad nurse indicate understanding or no understanding of
M M M M M M M M M M M M M M
Mthe use of facemask in the care of this client)
M M M M M M M M M
-I should clean the facemask once per shift.
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-The client should take a 1 to 2 minute break from the facemask each hour.
M M M M M M M M M M M M M M
-I should put gauze under the elastic straps over the ears.
M M M M M M M M M M
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than
M M M M M M M M M M M M M M M M M
M94%.
-The mask should cover only the mouth and leave the nose open for expiration.
M M M M M M M M M M M M M
-I should place the mask first over the nose and then cover the mouth. - Correct Answer - -I should
M M M M M M M M M M M M M M M MM M M M
Mclean the facemask once per shift. (UNDERSTANDING)
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-The client should take a 1 to 2 minute break from the facemask each hour. (NOT UNDERSTANDING)
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-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING ????)
M M M M M M M M M M M M M
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than
M M M M M M M M M M M M M M M M M
M94%. (UNDERSTANDING)
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-The mask should cover only the mouth and leave the nose open for expiration. (NOT
M M M M M M M M M M M M M M
MUNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth. (UNDERSTANDING)
M M M M M M M M M M M M M M
QUESTIONS AND ANSWERS
When preparing to administer a prescribed medication to a homeless client at a community
M M M M M M M M M M M M M
psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the dose the
M M M M M M M M M M M M M M M M M M
nurse is giving. Which action should the nurse take?
M M M M M M M M M M
A) Inform the client that he may refuse the medication and document whether or not the client takes
M M M M M M M M M M M M M M M M M
it.
M M
B) Withhold the medication until the dosage can be confirmed.
M M M M M M M M M M
C) Explain to the client that the dosage has been changed.
M M M M M M M M M M M
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting.
M M M M M M M M M M M M M M M M M
- Correct Answer - B) Withhold the medication until the dosage can be confirmed.
M M MM M M M M M M M M M M M
The charge nurse is making assignments for one practical nurse and three registered nurses who are
M M M M M M M M M M M M M M M
caring for neurologically compromised clients. Which client with which change in status is best to
M M M M M M M M M M M M M M M
assign to the PN?
M M M M M
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
M M M M M M M M M M
B) Viral meningitis whose temperature change from 101 S to 102F.
M M M M M M M M M M M
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
M M M M M M M M M M M M M M M
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - Correct Answer - B) Viral
M M M M M M M M M M M MM M M M
meningitis whose temperature change from 101 S to 102F.
M M M M M M M M M
The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and
M M M M M M M M M M M M M M M M M
multi organ failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most
M M M M M M M M M M M M M M
important for the nurse to include in the plan of care?
M M M M M M M M M M M M
A) Maintain strict intake and output.
M M M M M M
B) Keep head of bed raised 45°.
M M M M M M M
C) Excess warmth of extremities.
M M M M M
,D) Monitor blood glucose level. - Correct Answer - A) Maintain strict intake and output.
M M M M M M MM M M M M M M M
And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at
M M M M M M M M M M M M M M M M M
school. On the second day of hospitalization, the nurse asked the client to meet with the treatment
M M M M M M M M M M M M M M M M M
team. After the team meeting, the client leaves in tears and goes to their room. Which nursing
M M M M M M M M M M M M M M M M M
intervention is best?
M M M M
A) Let the client rest quietly in their room for a while.
M M M M M M M M M M M M
B) Explore the clients goals and desire for treatment.
M M M M M M M M M
C) Ask the treatment team about the clients behavior.
M M M M M M M M M
D) Go to the clients room and ask what happened. - Correct Answer - D) Go to the clients room and
M M M M M M M M M M M MM M M M M M M M M
ask what happened.
M M M
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a
M M M M M M M M M M M M M M
client who weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How
M M M M M M M M M M M M M M M M
many milliliters should the nurse administer? (Enter numerical value only. If rounding is required,
M M M M M M M M M M M M M M
round to the nearest 10th.) - Correct Answer - 0.6
M M M M M M M MM M M
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest
M M M M M M M M M M M M M M M
congestion for four days. He came to the emergency department last night when he was having
M M M M M M M M M M M M M M M M
more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no
M M M M M M M M M M M M M M M M M M M M
significant medical or surgical history.
M M M M M M
Which two orders should the nurse complete first?
M M M M M M M M
A) Sputum culture.
M M M
B) Start oxygen 3 L per minute via nasal cannula.
M M M M M M M M M M
C) Place the client on a cardio respiratory monitor.
M M M M M M M M M
D) Chest x-ray.
M M M
E) Acetominophen 350 mg PO every six hours for temperature control.
M M M M M M M M M M M
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
M M M M M M M M M M M M
G) Start peripheral IV.
M M M M
H) NPO. - Correct Answer - B) Start oxygen 3 L per minute via nasal cannula.
M M M MM M M M M M M M M M M M M
,C) Place the client on a cardio respiratory monitor.
M M M M M M M M
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral
M M M M M M M M M M M M M M M
IV infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at
M M M M M M M M M M M M M M M M M M
150 mL per hour, acetaminophen 350 mg PO every six hours for temperature.
M M M M M M M M M M M M M
To start the client on oxygen as ordered which items should the nurse collects from the supply room?
M M M M M M M M M M M M M M M M M
SATA
M M
A) humidifier bottle.
M M M
B)Suction canister. M M
C)Sterile water. M M
D) Nasal cannula.
M M M
E) Flow meter.
M M M
F) Lambs wool.
M M M
G) Tape. - Correct Answer - D) Nasal cannula.
M M M MM M M M M M
E) Flow meter.
M M
NGN: states, I am feeling extremely anxious right now. The client has decreased breath sounds in the
M M M M M M M M M M M M M M M M
left lower low. His mucus membranes are dry. He has a productive cough with thick, yellow
M M M M M M M M M M M M M M M M
secretions. His capillary refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm,
M M M M M M M M M M M M M M M
respiratory rate 28 breaths per minute, blood pressure 145/89, oxygen saturation 90% on room air.
M M M M M M M M M M M M M M M
(for each body system click to specify the assessment findings that indicates hypoxia)
M M M M M M M M M M M M
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89.
M M M M M M M M M M M
Neurological: anxious, awake and alert, restless.
M M M M M
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm, productive cough. - Correct
M M M M M M M M M M M M M M M
Answer - Cardiovascular: capillary refill for seconds, blood pressure 145/89.
M M M M M M M M M M
Neurological: anxious, restless. M M
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
M M M M M M M M M M
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest
M M M M M M M M M M M M M M M
congestion for four days. He came to the emergency department last night when he was having
M M M M M M M M M M M M M M M M
, M more difficulty breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no
M M M M M M M M M M M M M M M M M M M
M significant medical or surgical history.
M M M M M
The nurse should place the client in a _______________ position to promote _____________. -
M M M M M M M M M M M M M
Correct Answer - Semi-Fowler , lung expansion.
M MM M M M M M
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a PIV,
M M M M M M M M M M M M M M M M
start oxygen 3L via nasal cannula, normal saline 150 ML per hour, acetaminophen 350mg PO every
M M M M M M M M M M M M M M M M
six hours for temp greater than 101F, chest x-ray.
M M M M M M M M M
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation greater than 94%.
M M M M M M M M M M M M
(mark whether the statements by the new grad nurse indicate understanding or no understanding of
M M M M M M M M M M M M M M
Mthe use of facemask in the care of this client)
M M M M M M M M M
-I should clean the facemask once per shift.
M M M M M M M
-The client should take a 1 to 2 minute break from the facemask each hour.
M M M M M M M M M M M M M M
-I should put gauze under the elastic straps over the ears.
M M M M M M M M M M
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than
M M M M M M M M M M M M M M M M M
M94%.
-The mask should cover only the mouth and leave the nose open for expiration.
M M M M M M M M M M M M M
-I should place the mask first over the nose and then cover the mouth. - Correct Answer - -I should
M M M M M M M M M M M M M M M MM M M M
Mclean the facemask once per shift. (UNDERSTANDING)
M M M M M M
-The client should take a 1 to 2 minute break from the facemask each hour. (NOT UNDERSTANDING)
M M M M M M M M M M M M M M M M
-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING ????)
M M M M M M M M M M M M M
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than
M M M M M M M M M M M M M M M M M
M94%. (UNDERSTANDING)
M
-The mask should cover only the mouth and leave the nose open for expiration. (NOT
M M M M M M M M M M M M M M
MUNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth. (UNDERSTANDING)
M M M M M M M M M M M M M M
