QUESTIONS & ANSWERS (NGN HESI RN EXIT)-2024 EDITION
Ai3-year-
oldiboyiwasisuccessfullyitoiletitrainediprioritoihisiadmissionitoitheihospitaliforiinjuriesisustain
edifromiaifall.iHisiparentsiareiveryiconcernedithatitheichildihasiregressediinihisitoiletingibeha
viors.iWhichiinformationishoulditheinurseiprovideitoitheiparents?
A.iAiretrainingiprogramiwillineeditoibeiinitiatediwhenitheichildireturnsihome.i
B.iDiaperingiwillibeiprovidedisinceihospitalizationiisistressfulitoipreschoolers
C.iAipottyichairishouldibeibroughtifromihomeisoiheicanimaintainihisitoiletingiskills
D.iChildreniusuallyiresumeitheiritoiletingibehaviorsiwhenitheyileaveitheihospitali–
iansiD.iChildreniusuallyiresumeitheiritoiletingibehaviorsiwhenitheyileaveitheihospital
Ai7-
yearioldiisiadmitteditoitheihospitaliwithipersistentivomiting,iandiainasogastricitubeiattachedit
oilowiintermittentisuctioniisiapplied.iWhichifindingiisimostiimportantiforitheinurseitoireportitoit
heihealthcareiprovider?
A.iShiftiintakeiofi640mLiIVifluidsiplusi30mLiPOiiceichipsi
B.iSerumipHiofi7.45
C.iGastricioutputiofi100imLiinitheilasti8ihours
D.iSerumipotassiumiofi3.0img/dLi–iansiD.iSerumipotassiumiofi3.0img/dL
Aichildinewlyidiagnosediwithisickleicellianemiai(SCA)iisibeingidischargedifromitheihospital.i
Whichiinformationiisimostiimportantiforitheinurseitoiprovideitheiparentsiprioritoidischarge?
A.iInstructionsiaboutihowimuchifluiditheichildishouldidrinkidaily.
B.iSignsiofiaddictionitoiopioidipainimedications
C.iInformationiaboutinon-pharmaceuticalipainireliefimeasures
D.iReferraliforisocialiservicesiforitheichildiandifamilyi–
iansiA.iInstructionsiaboutihowimuchifluiditheichildishouldidrinkidaily
Aiclientiasksitheinurseiforiinformationiaboutihowitoireduceiriskifactorsiforibenigniprostaticihy
perplasiai(BPH).iWhichiinformationishoulditheinurseiprovide?
A.iConsumeiaihighiproteinidiet
B.iIncreaseiphysicaliactivity
C.iTakeivitaminisupplements
D.iObtainiaiprostate-specificiantigenibloodilevelitesti–iansiB.iIncreaseiphysicaliactivity
Aiclientiati12iweeksigestationiisiadmitteditoitheiantepartumiunitiwithiaidiagnosisiofihypereme
sisigravidarum.iWhichiactioniisimostiimportantiforitheinurseitoiimplement?
A.iObtainitheiclient'si24-houridietaryirecall
B.iDocumentimucosalimembraneistatus
C.iScheduleiaiconsultiwithiainutritionist
D.iInitiateiprescribediintravenousifluidsi–iansiD.iInitiateiprescribediintravenousifluids
Aiclientidiagnosediwithicalciumikidneyistonesihasiaihistoryiofigout.iAinewiprescriptioniforialu
minumihydroxideiisischeduleditoibeginiati0730.iWhichiclientimedicationishoulditheinurseibri
ngitoitheihealthcareiprovider'siattention?
,A.iEsinaprili
B.iAllopurinol
C.iFurosemide
D.iAspirin,ilowidosei–iansiB.iAllopurinol
Aiclientifelliinitheibathroomiwhenileftiunattendedibyitheiunlicensediassistiveipersonneli(UAP
).iWhichiinformationishoulditheinurseiincludeiinitheiclient'sihealthirecord?
A.iTheiUAPileftitheiclientitoiassistianothericlient
B.iTheilastitimeiclientiwasiassisteditoitheibathroom
C.iTheiunitiwasiunderstaffediwhenitheiclientifell
D.iTheiclientifellisustainingiaifractureitoitheileftihipi–
iansiD.iTheiclientifellisustainingiaifractureitoitheileftihip
Aiclientiinitheiemergencyicenteridemonstratesirapidispeech,iflightiofiideas,iandireportsislee
pingionlyithreeihoursiduringitheipasti48ihours.iBasedionitheseifindings,iitiisimostiimportantifo
ritheinurseitoireviewitheilaboratoryivalueiforiwhichimedication?
A.iLorazepam
B.iFluoxetine
C.iDivalproex
D.iOlanzapinei–iansiC.iDivalproex
Aiclientiinitheithirditrimesteriofipregnancyireportsithatisheifellsisomei"lumpyiplaces"iiniheribre
astsiandithatiherinipplesisometimesileakiaiyellowishifluid.iSheihasianiappointmentiwithiherih
ealthcareiprovideriinitwoiweeks.iWhatiactionishoulditheinurseitake?
A.iTellitheiclientitoibegininippleistimulationitoiprepareiforibreastifeeding.i
B.iRescheduleitheiclient'siprenataliappointmentiforitheifollowingiday
C.iExplainithatithisinormalisecretionicanibeiassessediatitheinextivisit
D.iRecommendithatitheiclientistartiwearingiaisupportiveibrassierei–
iansiC.iExplainithatithisinormalisecretionicanibeiassessediatitheinextivisit
Aiclientiisiadmittediwithiaidiagnosisiofiurolithiasis.iWhichifindingiisimostiimportantiforitheinur
seitoireportitoitheihealthcareiprovider?
A.iVolumeiofieachivoidingiisimoreithani300mL
B.iSerumipotassiumithatiisielevated
C.iReliefiofiflankipainithatiradiatediintoitheigroin
D.iHematuriaithatiisibeginningitoiturnipinki–iansiD.iHematuriaithatiisibeginningitoiturnipink
AiclientiisidiagnosediwithiMeniere'sidisease.iWhichiproblemishoulditheinurseiidentifyiasimo
stiimportantiinitheiplanioficare?i
A.iRiskiforiineffectiveiself-healthimanagementirelateditoideficientiknowledge
B.iIneffectiveicopingirelateditoipersonalivulnerabilityi
C.iRiskiforiinjuryirelateditoivertigoi
D.iAnxietyirelateditoidisruptioniofilifestylei–iansiC.iRiskiforiinjuryirelateditoivertigo.
Aiclientiisireceivingienoxaparini30mgisubcutaneouslyitwiceiaiday.iIniassessingiforiadverseie
ffectsiofitheimedication,iwhichiserumilaboratoryivalueiisimostiimportantiforitheinurseitoimonit
or?i
A.iGlucosei
B.iCalcium
,C.iPlateleticount
D.iWhiteibloodicellicounti-iansC.iPlateleticount
Aiclientiisirecoveringiinitheicriticalicareiunitifollowingiaicardiacicatheterization.iIVinitroglyceri
niandihepariniareiinfusing.iTheiclientiisisedatedibutirespondsitoiverbaliinstructions.iAftericha
ngingipositions,itheiclienticomplainsiofipainiatitheirightigroiniinsertionisite.iWhatiactionishoul
ditheinurseiimplement?i
A.iCheckifemoralisiteiforihematomaiformation
B.iStimulateitheiclientitoitakeideepibreaths
C.iEvaluateitheiintegrityiofitheiIViinsertionisite
D.iAssessidistaliloweriextremityicapillaryirefilli-
iansB.iStimulateitheiclientitoitakeideepibreaths
Aiclientiisischedulediforiaispiralicomputeditomographyi(CT)iscaniwithicontrastitoievaluateifor
ipulmonaryiembolism.iWhichiinformationiinitheiclient'sihistoryirequiresifollow-
upibyitheinurse?
A.iCTiscanithatiwasiperformedi6imonthsiearlier
B.iMetalihipiprosthesisiwasiplacedi20iyearsiago
C.iReportioficlient'sisobrietyiforitheilasti5iyears
D.iTakesimetforminiforitypei2idiabetesimellitusi-
iansD.iTakesimetforminiforitypei2idiabetesimellitus
Aiclientipresentsitoitheiemergencyidepartmentiwithimuscleiaches,iheadache,ifever,iandides
cribesiairecentilossiofitasteiandismell.iTheinurseiobtainsiainasaliswabiforiCOVID-19itesting.i
Whichiactioniisimostiimportantiforitheinurseitoitake?i
A.iPlaceitheinasaliswabispecimeniforiCOVID-19idirectlyiintoiaibiohazardibag
B.iMoveitheiclientitoiaiprivateiroom,ikeepitheidooriclosed,iandiinitiateidropletiprecautions.i
C.iTeachitheiclientitoiweariaimask,ihandiwash,iandisocialidistanceitoipreventispreadingitheiv
irusi
D.iExplainitoitheiclientitoiinformiothersithatitheyimayihaveibeenipotentiallyiexposediinitheilast
i14idays.i-iansA.iPlaceitheinasaliswabispecimeniforiCOVID-19idirectlyiintoiaibiohazardibag
Aiclientipresentsitoitheilaboriandideliveryiunitiwithiaireportiofileakingifluidithatiisigreenish-
brownivaginalidischarge.iWhichiactionishoulditheinurseitakeifirst?
A.iStartianiintravenousiinfusioni
B.iAdministerioxygeniviaifacemask
C.iPerformiaivaginaliexam
D.iBeginicontinuousifetalimonitoringi-iansD.iBeginicontinuousifetalimonitoring
Aiclientipressesitheicallibelliandirequestsipainimedicationiforiaisevereiheadache.iToiassessit
heiqualityiofitheiclient'sipain,iwhichiapproachishoulditheinurseiuse?
A.iAskitheiclientitoidescribeitheipain
B.iObserveibodyilanguageiandimovementi
C.iIdentifyieffectiveipainireliefimeasures
D.iProvideiainumericipainiscalei-iansA.iAskitheiclientitoidescribeitheipain
Aiclientitakingiclopidogrelireportsitheionsetiofidiarrhea.iWhichinursingiactionishoulditheinurs
eiimplementifirst?
A.iObserveitheiappearanceiofitheistool
, B.iAssessitheielasticityiofitheiclient'siskin
C.iReviewitheiclient'silaboratoryivalues
D.iAuscultateitheiclient'sibowelisoundsi-iansA.iObserveitheiappearanceiofitheistool
Aiclientitellsitheinurseiaboutiworkingioutiwithiaipersonalitraineriandiswimmingithreeitimesiaiw
eekiinianieffortitoiloseiweightiandisleepibetter.iTheiclientistatesithatiitistilliisitakingihoursitoifalli
asleepiatinight.iWhichiactionishoulditheinurseiimplement?
A.iAdviseitheiclientithatilifestyleichangesioftenitakeiseveraliweeksitoibeieffective
B.iEncourageitheiclientitoiexerciseieverydayitoieliminateibedtimeiwakefulness
C.iAskitheiclientiforiaidescriptioniofitheiexerciseischeduleithatiisibeingifollowed
D.iDetermineitheiamountiofiweightitheiclientihasilostisinceiincreasingiactivityi-
iansC.iAskitheiclientiforiaidescriptioniofitheiexerciseischeduleithatiisibeingifollowed
Aiclientiwhoiexperiencediaicerebrovasculariaccidenti(CVA)iisiaphasiciandihasileftisidedipar
alysis.iWhichinurseishouldibeiresponsibleiforicoordinatingitheiprogressioniofithisiclient'sicar
e?i
A.iNurseicaseimanager
B.iAdultinurseipractitioner
C.iNeurologyiunitisupervisori
D.iRiskimanagementinursei-iansB.iAdultinurseipractitioner
Aiclientiwhoigaveibirthi48ihoursiagoihasidecideditoibottleifeeditheiinfant.iDuringitheiassessm
ent,itheinurseiobservesithatibothibreastsiareiswollen,iwarm,ianditenderionipalpation.iWhichii
nstructionishoulditheinurseiprovide?
A.iApplyiiceitoitheibreastsiforicomfort
B.iWeariailoose-fittingibraiduringitheidayitoipreventinippleiirritation
C.iRuniwarmiwaterioveribreasts
D.iExpressismalliamountsiofimilkifromitheibreastsitoirelieveipressurei-
iansA.iApplyiiceitoitheibreastsiforicomfort
Aiclientiwhoiisiadmittediforiprimaryihypothyroidismihasiearlyisignsiofimyxedemaicoma.iInias
sessingitheiclient,iiniwhichisequenceishoulditheinurseicompleteitheseiactions?
i(descendingiorder)i-ians1.iObserveibreathingipatterns
2.iAssessibloodipressure
3.iMeasureibodyitemperature
4.iPalpateiforipedaliedema
Aiclientiwhoiisiadmittediwithicomplicationsirelateditoihypopituitarismiisidiaphoreticiandihypo
tensive.iWhichiassessmentifindingiwarrantsiimmediateiinterventionibyitheinurse?i-
iansLethargy
Aiclientiwhoiisischedulediforiaibronchoscopyiinitheimorningiisianxiousiandiaskingitheinursein
umerousiquestionsiaboutitheiprocedure.iInipreparingitheiclientiforitheiprocedure,iwhichiinter
ventionihasitheihighestipriority?
A.iAllowiclientitoigargleiwithiwarmisaltiwater
B.iAdministeriaisedativeitoialleviateianxiety
C.iInstructiclientitoiwriteidownitheiquestions
D.iDenyiclient'sirequestiforiaimidnightisnacki-
iansC.iInstructiclientitoiwriteidownitheiquestions