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HESI EXIT NGN, HESI RN Exit Exam
A client diagnosed with calcium kidney stones has a history of
gout. A new prescription for aluminum hydroxide is scheduled to
begin at 0730. Which client medication should the nurse bring to
the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - . . ANSWER ✓✓ B. Allopurinol
A client fell in the bathroom when left unattended by the UAP.
Which information should the nurse include in the pt health
record? - . . ANSWER ✓✓ The pt fell sustaining a fracture to the
left hip
A client fell in the bathroom when left unattended by the
unlicensed assistive personnel (UAP). Which information should
the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
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D. The client fell sustaining a fracture to the left hip - . . ANSWER
✓✓ D. The client fell sustaining a fracture to the left hip
A client in the emergency center demonstrates rapid speech,
flight of ideas, and reports sleeping only three hours during the
past 48 hours. Based on these findings, it is most important for
the nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - . . ANSWER ✓✓ C. Divalproex
A client in the third trimester of pregnancy reports that she fells
some "lumpy places" in her breasts and that her nipples
sometimes leak a yellowish fluid. She has an appointment with
her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast
feeding.
B. Reschedule the client's prenatal appointment for the following
day
C. Explain that this normal secretion can be assessed at the next
visit
D. Recommend that the client start wearing a supportive
brassiere - . . ANSWER ✓✓ C. Explain that this normal secretion
can be assessed at the next visit
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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 - . .
ANSWER ✓✓ -review safe transfer strategies
-develop a nutritional plan
-help identify community support
A 12 week gestation is admitted to the antepartum unit with a dx
of hyperemesis gravidarum. Which action is most important for
the nurse to implement? - . . ANSWER ✓✓ initiate prescribed IV
fluids
A 3-year-old boy was successfully toilet trained prior to his
admission to the hospital for injuries sustained from a fall. His
parents are very concerned that the child has regressed in his
toileting behaviors. Which information should the nurse provide
to the parents?
A. A retraining program will need to be initiated when the child
returns home.
B. Diapering will be provided since hospitalization is stressful to
preschoolers
C. A potty chair should be brought from home so he can maintain
his toileting skills
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D. Children usually resume their toileting behaviors when they
leave the hospital - . . ANSWER ✓✓ D. Children usually resume
their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting,
and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report
to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - . . ANSWER ✓✓ D. Serum
potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (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 - . .
ANSWER ✓✓ A. Instructions about how much fluid the child
should drink daily
HESI EXIT NGN, HESI RN Exit Exam
A client diagnosed with calcium kidney stones has a history of
gout. A new prescription for aluminum hydroxide is scheduled to
begin at 0730. Which client medication should the nurse bring to
the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - . . ANSWER ✓✓ B. Allopurinol
A client fell in the bathroom when left unattended by the UAP.
Which information should the nurse include in the pt health
record? - . . ANSWER ✓✓ The pt fell sustaining a fracture to the
left hip
A client fell in the bathroom when left unattended by the
unlicensed assistive personnel (UAP). Which information should
the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
,2|Page
D. The client fell sustaining a fracture to the left hip - . . ANSWER
✓✓ D. The client fell sustaining a fracture to the left hip
A client in the emergency center demonstrates rapid speech,
flight of ideas, and reports sleeping only three hours during the
past 48 hours. Based on these findings, it is most important for
the nurse to review the laboratory value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - . . ANSWER ✓✓ C. Divalproex
A client in the third trimester of pregnancy reports that she fells
some "lumpy places" in her breasts and that her nipples
sometimes leak a yellowish fluid. She has an appointment with
her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast
feeding.
B. Reschedule the client's prenatal appointment for the following
day
C. Explain that this normal secretion can be assessed at the next
visit
D. Recommend that the client start wearing a supportive
brassiere - . . ANSWER ✓✓ C. Explain that this normal secretion
can be assessed at the next visit
,3|Page
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 - . .
ANSWER ✓✓ -review safe transfer strategies
-develop a nutritional plan
-help identify community support
A 12 week gestation is admitted to the antepartum unit with a dx
of hyperemesis gravidarum. Which action is most important for
the nurse to implement? - . . ANSWER ✓✓ initiate prescribed IV
fluids
A 3-year-old boy was successfully toilet trained prior to his
admission to the hospital for injuries sustained from a fall. His
parents are very concerned that the child has regressed in his
toileting behaviors. Which information should the nurse provide
to the parents?
A. A retraining program will need to be initiated when the child
returns home.
B. Diapering will be provided since hospitalization is stressful to
preschoolers
C. A potty chair should be brought from home so he can maintain
his toileting skills
, 4|Page
D. Children usually resume their toileting behaviors when they
leave the hospital - . . ANSWER ✓✓ D. Children usually resume
their toileting behaviors when they leave the hospital
A 7-year old is admitted to the hospital with persistent vomiting,
and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report
to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - . . ANSWER ✓✓ D. Serum
potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (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 - . .
ANSWER ✓✓ A. Instructions about how much fluid the child
should drink daily
