100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.2 TrustPilot
logo-home
Exam (elaborations)

HESI RN Exit Exam with Next Generation NCLEX (NGN) – Comprehensive Practice Questions and Clinical Judgment Case Studies

Rating
-
Sold
-
Pages
111
Grade
A+
Uploaded on
01-05-2025
Written in
2024/2025

This document provides extensive practice material for the HESI RN Exit Exam, updated to reflect the Next Generation NCLEX (NGN) format. It includes a wide range of question types such as multiple response, matrix, and clinical judgment case studies, all designed to assess readiness for the NCLEX-RN. Detailed rationales for each answer help reinforce critical thinking and nursing knowledge. Ideal for final exam preparation and improving performance on NGN-style questions.

Show more Read less











Whoops! We can’t load your doc right now. Try again or contact support.

Document information

Uploaded on
May 1, 2025
Number of pages
111
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Content preview

//




HESI Exit RN with NGN  Share this
We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the
latest features, improvements, and component updates, please switch to the new system as soon
as possible.


Visit Latest Version


Answer and Explanation
Question 1: Report an Issue


Report Wrong Answer
Choice A:

Offering supplemental formula feedings is
A client who is one day postpartum not the first-line action for inverted nipples
reports to the nurse that her baby as it does not address the issue and may
cannot latch onto the breast. The lead to nipple confusion, potentially
nurse observes that the client's complicating future breastfeeding
nipples are inverted. Which action attempts.
should the nurse implement?

A. Offer supplemental formula Choice B:
feedings. 3%  Teaching about the use of a breast pump
B. Teach about the use of a breast is beneficial for milk expression but does
pump. 8%  not directly assist with the immediate
concern of latching issues due to inverted
C. Recommend using a breast
nipples.
shield. 81% Most selected 

D. Encourage the use of ice on the Choice C:
areola. 7% 
Using a breast shield can be helpful for
mothers with inverted nipples. It can
temporarily draw out the nipple, allowing
the baby to latch on more easily. This tool
acts as a bridge between the breast and
the baby's mouth, facilitating
breastfeeding while the mother works on
long-term solutions for her inverted
nipples.

, Choice D:

Encouraging the use of ice on the areola
may temporarily stiffen the nipple, but it is
not a recommended practice for
addressing inverted nipples as it can
cause discomfort and may not be effective
in promoting a successful latch.



Discussion Section


M Share insights... 

0 Pulse Checks
No comments




Answer and Explanation
Question 2: Report an Issue


Report Wrong Answer
Choice A:

Offering supplemental formula feedings
A client who is one day postpartum may not be the best initial approach for
reports that her baby cannot latch inverted nipples as it could lead to nipple
onto the breast. The nurse observes confusion and interfere with breastfeeding.
that the client's nipples are
inverted. Which action should the Choice B:
nurse implement?
While teaching about the use of a breast
A. Offer supplemental formula pump is helpful for expressing milk, it does
feedings. 2% 

,B. Teach about the use of a breast not directly address the issue of latching
pump. 2%  with inverted nipples.

C. Recommend using a breast
shield. 93% Most selected  Choice C:

D. Encourage the use of ice on the A breast shield can be beneficial for
areola. 1%  mothers with inverted nipples as it can
help draw out the nipple, allowing the baby
to latch on more effectively.


Choice D:

Using ice on the areola is not a
recommended practice for addressing
inverted nipples as it can cause discomfort
and is not a reliable method for improving
latch.



Discussion Section


M Share insights... 

0 Pulse Checks

No comments




Answer and Explanation
Question 3: Report an Issue


Report Wrong Answer Choice A:

Eating high-protein foods to achieve ideal
A nurse is caring for a client who body weight is generally a healthy
underwent an appendectomy 2 practice, but it is not directly related to the
days ago and now reports sudden, management of the client's current
unbearable pain in the left great condition involving pain in the toe.
toe. The client has a medical
history of type 2 diabetes mellitus, Choice B:
gouty arthritis, and
gastroesophageal reflux disease Patients with gouty arthritis should avoid
(GERD). Which instruction should acetylsalicylic acid (aspirin) as it can lead
the nurse include in the discharge to an increase in uric acid levels,
teaching? potentially exacerbating gout attacks.
Instead, medications that do not affect uric
A. Eat high-protein foods to achieve acid levels should be used for pain relief.
ideal body weight. 3% 

Choice C:

, B. Avoid acetylsalicylic acid- Wrapping joints with an elastic bandage
containing medications. 72% can provide support and reduce swelling,
Most selected  but it is not the primary intervention for
sudden pain in the toe following an
C. Wrap joints with an elastic
appendectomy, especially when the
bandage when swollen. 4% 
patient has a history of gouty arthritis.
D. Support joints in an extended
position while resting. 19%  Choice D:

Supporting joints in an extended position
while resting can provide comfort and may
prevent stiffness, but it does not address
the acute management of gouty arthritis
or diabetic complications that could be
causing toe pain.



Discussion Section


M Share insights... 

0 Pulse Checks
No comments




Answer and Explanation
Question 4: Report an Issue


Report Wrong Answer
Choice A:

Decreased bowel sounds may indicate
A client with cirrhosis of the liver gastrointestinal issues but are not directly
reports a 5 lb (2.3 kg) weight gain related to weight gain associated with fluid
within the last week during a accumulation in cirrhosis.
physical assessment. Which
assessment finding correlates with Choice B:
the client's report?
An increased respiratory rate can be a sign
A. Decreased bowel sounds. 0%  of many conditions, including respiratory
B. Increased respiratory rate. 1%  distress, but it does not correlate
specifically with weight gain due to fluid
C. Increased abdominal girth. 92%
retention in cirrhosis.
Most selected 
D. Decreased level of Choice C:
consciousness. 5% 
Increased abdominal girth is a common
finding in cirrhosis due to ascites, which is
the accumulation of fluid in the peritoneal

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
ACESpecials Rasmussen College
View profile
Follow You need to be logged in order to follow users or courses
Sold
49
Member since
4 year
Number of followers
37
Documents
826
Last sold
3 weeks ago
ACESpecials Educational Materials

PS: Boost your exam performance with my comprehensive study package Deals {CHECK OUT DISCOUNTS ON MY BUNDLES, I ASLO OFFER PACKAGE DEALS TO ALL MY STUDY MATERIAL} I have developed a range of study materials that cover all aspects of Courses, from the basics to advanced topics. My materials are designed to provide clear and concise explanations of complex concepts, with plenty of helpful examples and practice problems to reinforce your learning. I've received multiple academic awards during my time at university and have been recognized for my excellence in teaching. Download my materials today and start acing your exams! “Thank you in advance for your purchase! If you find my documents to be helpful, write a review! Refer other learners so that they can also benefit from my study materials."

Read more Read less
3.5

6 reviews

5
1
4
3
3
1
2
0
1
1

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions