end NGN hesi THEORY
EXAM 2024/ 2025**
**A pt presses the call bell and requests pain medication for a severe headache. To assess the
quality of the pt. Pain, which approach should the nurse use? - ANSWERS-Ask the patient to
describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the
room, which PPE should be removed first? - ANSWERS-Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANSWERS-Increasing confusion of the pt.
**
A pt tells the nurse about working out with a personal trainer and swimming three times a week
in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep
at night. Which action should the nurse implement? - ANSWERS-Ask the pt for a description of
the exercise schedule that is being followed
//2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering
from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA - ANSWERS--review safe transfer
strategies
-develop a nutritional plan
, -help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic.
Which outcome indicates that the program was effective? - ANSWERS-pt who develop disease
complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African American
women who are at risk for developing breast cancer. Which resource is most important in
designing this program? - ANSWERS-participation of community leaders in planning the
program
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? - ANSWERS-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? -
ANSWERS-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? - ANSWERS-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? - ANSWERS-Continue to obtain pt data needed to
complete the fall risk survey
EXAM 2024/ 2025**
**A pt presses the call bell and requests pain medication for a severe headache. To assess the
quality of the pt. Pain, which approach should the nurse use? - ANSWERS-Ask the patient to
describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting the
room, which PPE should be removed first? - ANSWERS-Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the client's
prescriptions. Which information should the nurse provide first when reporting to the
healthcare provider using SBAR communication? - ANSWERS-Increasing confusion of the pt.
**
A pt tells the nurse about working out with a personal trainer and swimming three times a week
in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep
at night. Which action should the nurse implement? - ANSWERS-Ask the pt for a description of
the exercise schedule that is being followed
//2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering
from Guillain-Barre syndrome about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA - ANSWERS--review safe transfer
strategies
-develop a nutritional plan
, -help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic.
Which outcome indicates that the program was effective? - ANSWERS-pt who develop disease
complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African American
women who are at risk for developing breast cancer. Which resource is most important in
designing this program? - ANSWERS-participation of community leaders in planning the
program
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? - ANSWERS-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? -
ANSWERS-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? - ANSWERS-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? - ANSWERS-Continue to obtain pt data needed to
complete the fall risk survey
