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Exam (elaborations)

HESI RN EXIT WITH NGN LATEST VERSION 2025; 100% MARKING SCHEME

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Uploaded on
May 28, 2025
Number of pages
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Written in
2024/2025
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HESI RN EXIT WITH NGN LATEST VERSION 2025
A client with acute pancreatitis is admitted with A. Abdominal pain decreases when lying supine
severe, piercing abdominal pain and an
elevated serum amylase. Which additional
information is the client most likely to report to
the nurse?
A. Abdominal pain decreases when lying
supine
B. Pain lasts an hour and leaves the abdomen
tender
C. Right upper quadrant pain refers to right
scapula
D. Drinks alcohol until intoxicated at least twice
weekly.




A child newly diagnosed with sickle cell anemia A. Instructions about how much fluid the child should drink daily
(SCA) is being discharged from the hospital.
Which information is most important for the
nurse to provide the parents prior to
discharge?
A. Instructions about how much fluid the child
should drink daily.
B. Signs of addiction to opioid pain
medications
C. Information about non-pharmaceutical pain
relief measures
D. Referral for social services for the child and
family

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To auscultate for a carotid bruit, the nurse I placed the red dot on the base of the neck on the right side
places the stethoscope at what location.
(Select the location on the image with a red
dot).

,The nurse is taking the blood pressure A. Frequent syncope
measurement of a client with Parkinson's C. Flat affect
disease. Which information in the client's D. Blurred vision
admission assessment is relevant to the nurse's
plan for taking the blood pressure reading?
(Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling

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While caring for a client's postoperative B. Culture for sensitive organisms
dressing, the nurse observes purulent drainage
at the wound. Before reporting this finding to
the healthcare provider, the nurse should
review which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level

A preschool-aged boy is admitted to the B. Ask the older brother how he felt during the incident
pediatric unit following successful resuscitation
from a near-drowning incident. While providing
care to the child, the nurse begins talking with
his preadolescent brother who rescued the
child from the swimming pool and initiated
resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what
happened. Which action should the nurse take?
A. Develop a water safety teaching plan for the
family
B. Ask the older brother how he felt during the
incident
C. Tell the older brother that he seems
depressed
D. Commend the older brother for his heroic
actions

, An adolescent who was diagnosed with C. Had a cold and ear infection for the past two days
diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic
ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before
gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past
two days
D. Skipped eating lunch

A client with a prescription for "do not C. The client's need for pain medication should be determined
resuscitate" (DNR) begins to manifest signs of
impending death. After notifying the family of
the client's status, what priority action should
the nurse implement?
A. The impending signs of death should be
documented
B. The client's status should be conveyed to the
chaplain
C. The client's need for pain medication should
be determined
D. The nurse manager should be updated on
the client's status

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Which self care measure is most important for B. Blood glucose monitoring
the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes
mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan

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