NGN HESI RN 2024 EXIT EXAM
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When preparing to administer a prescribed B) Withhold the medication until the dosage can be confirmed.
medication to a homeless client at a
community psychiatric clinic. The client tells
the nurse that the usual dosage taken is
different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the
medication and document whether or not
the client takes it.
B) Withhold the medication until the
dosage can be confirmed.
C) Explain to the client that the dosage has
been changed.
D) Tell the client to take the medication
then verify the dosage at the next
healthcare team meeting.
The charge nurse is making assignments for B) Viral meningitis whose temperature change from 101 S to 102F.
one practical nurse and three registered
nurses who are caring for neurologically
compromised clients. Which client with
which change in status is best to assign to
the PN?
A) Subdural hematoma whose blood
pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature
change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow
coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure
change from 80/50 to 70/40.
,The nurse is caring for a client with A) Maintain strict intake and output.
pneumonia who now develops initial signs
of septic shock and multi organ failure. The
healthcare provider prescribes a sepsis
protocol. Which intervention is most
important for the nurse to include in the
plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
And adolescent client is admitted to the D) Go to the clients room and ask what happened.
hospital because of writing a suicide note
to a teacher at school. On the second day
of hospitalization, the nurse asked the
client to meet with the treatment team.
After the team meeting, the client leaves in
tears and goes to their room. Which nursing
intervention is best?
A) Let the client rest quietly in their room
for a while.
B) Explore the clients goals and desire for
treatment.
C) Ask the treatment team about the clients
behavior.
D) Go to the clients room and ask what
happened.
The healthcare provider prescribes 0.6
dalteparin 200 units per kilogram
subcutaneous once a day for a client who
weighs 154 pounds. The medication is
available and 25,000 units per milliliter vial.
How many milliliters should the nurse
administer? (Enter numerical value only. If
rounding is required, round to the nearest
10th.)
, NGN: The client is a 49-year-old male who B) Start oxygen 3 L per minute via nasal cannula.
reports flu like symptoms including fever C) Place the client on a cardio respiratory monitor.
and chest congestion for four days. He
came to the emergency department last
night when he was having more difficulty
breathing he has a history of 1/2 pack a day
cigarette smoking for 20 years. He has no
significant medical or surgical history.
Which two orders should the nurse
complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal
cannula.
C) Place the client on a cardio respiratory
monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six
hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at
150 mL per hour.
G) Start peripheral IV.
H) NPO.
NGN: 0330: place the client on a cardio D) Nasal cannula.
respiratory monitor, NPO, sputum culture, E) Flow meter.
start a peripheral IV infusion, start oxygen 3
L per minute via nasal cannula, begin 0.9%
sodium chloride IV infusion at 150 mL per
hour, acetaminophen 350 mg PO every six
hours for temperature.
To start the client on oxygen as ordered
which items should the nurse collects from
the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.