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NGN HESI exit EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Vista previa 4 fuera de 134 páginas

NGN HESI exit EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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HESI EXAM vc




Exam Solution vc




Access to this page has been denied 2026 A+ GRADE ASS vc vc vc vc vc vc vc vc vc vc




URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS vc vc vc vc vc vc




(D52B2)




QUESTION 1 vc




Following discharge teaching, a male client with duodenal ulcer tells the nurse the he wil
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l drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is t
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he best follow-up action by the nurse?
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ANSWER

Review with the client the need to avoid foods that are rich in milk and cream
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QUESTION 2 vc




The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitte
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d client who has a seizure disorder. The client is supine and the UAP is placing soft pillo
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ws along the side rails. What action should the nurse implement?
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ANSWER

Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
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QUESTION 3 vc




An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
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the past 12 days. Which assessment finding requires immediate follow-up?
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ANSWER

Describes life without purpose vc vc vc




QUESTION 4 vc

,A 60-year-
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old female client with a positive family history of ovarian cancer has developed an abdo
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minal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) s
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mear results are negative. What information should the nurse include in the client's teac
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hing plan? vc




ANSWER

Further evaluation involving surgery may be needed
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QUESTION 5 vc




A client who recently underwear a tracheostomy is being prepared for discharge to hom
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e. Which instructions is most important for the nurse to include in the discharge plan?
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ANSWER

Teach tracheal suctioning techniques
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QUESTION 6 vc




In assessing an adult client with a partial rebreather mask, the nurse notes that the oxyg
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en reservoir bag does not deflate completely during inspiration and the client's respirat
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ory rate is 14 breaths / minute. What action should the nurse implement?
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ANSWER

Document the assessment data Rational: reservoir bag should not deflate completely during inspiration
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and the client's respiratory rate is within normal limits.
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QUESTION 7 vc




During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
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ch client alarm should the nurse investigate firs?
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ANSWER

Respiratory apnea of 30 seconds vc vc vc vc




QUESTION 8 vc




During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wha
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t action should the nurse take first?
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ANSWER

Check the client for lacerations or fractures
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,QUESTION 9 vc




At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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Section), the client tells the nurse that she drank a cup a coffee at 0400 because she want
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ed to avoid getting a headache. Which action should the nurse take first?
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ANSWER

Inform the anesthesia care provider
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QUESTION 10 vc




After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart s
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ounds. To determine if an S3 heart sound is present, what action should the nurse take fi
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rst?
ANSWER

Listen with the bell at the same location
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QUESTION 11 vc




A 66-year-
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old woman is retiring and will no longer have a health insurance through her place of e
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mployment. Which agency should the client be referred to by the employee health nurse
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for health insurance needs?
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ANSWER

Medicare



QUESTION 12 vc




A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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What snack should the nurse instruct the client to take with the tetracycline?
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ANSWER

Toasted wheat bread and jelly vc vc vc vc




QUESTION 13 vc




Following a lumbar puncture, a client voices several complaints. What complaint indicat
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ed to the nurse that the client is experiencing a complication?
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ANSWER

"I have a headache that gets worse when I sit up" "I am having pain in my lower back when I move my l
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egs" "My throat hurts when I swallow" "I feel sick to my stomach and am going to throw up"
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, QUESTION 14 vc




An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
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with incontinence. Which action should the nurse implement?
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ANSWER

Obtain a clean catch mid-stream specimen
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QUESTION 15 vc




The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
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hat are in keeping with the child's dietary restrictions. Which foods are contraindicated f
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or this child?
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ANSWER

Foods sweetened with aspartame
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QUESTION 16 vc




Before preparing a client for the first surgical case of the day, a part-
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time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
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preparation for this client. Which response should the circulating nurse provide?
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ANSWER

Direct the nurse to continue the surgical hand scrub for a 5 minute duration
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QUESTION 17 vc




Which breakfast selection indicates that the client understands the nurse's instructions
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about the dietary management of osteoporosis?
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ANSWER

Bagel with jelly and skim milk
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QUESTION 18 vc




The charge nurse of a critical care unit is informed at the beginning of the shift that less t
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han the optimal number of registered nurses will be working that shift. In planning assig
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nments, which client should receive the most care hours by a registered nurse (RN)?
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ANSWER

Información del documento

Subido en
11 de mayo de 2026
Número de páginas
134
Escrito en
2025/2026
Tipo
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Preguntas y respuestas
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