NGN HESI Exit Exam 1 Questions and Correct
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A+ TEST BANK 1
, NGN HESI Exit Exam
The nurse is evaluating the chart of a client scheduled for surgery in 1 hour. When viewing the consent
form, the nurse notes the surgeon's signature, but not the client's signature. What steps must the
nurse take? (Select all that apply.)
A.
Call the surgeon.
B.
Ask the client, "Did your surgeon explain the procedure to you?"
C.
Have the client's spouse sign the form.
D.
Ask the client, "Do you have any questions?"
E.
Witness the signature.
F.
Obtain the consent. –
Correct Answer :B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client until the client has
no further questions. The nurse can verify the review by the surgeon and ask if the client has any
further questions. If the client has questions, the nurse must call in the surgeon. When the nurse signs
the consent form, the nurse is witnessing the signature only.
In assisting an older adult client prepare to take a tub bath, which nursing action is most important?
A.
Check the bath water temperature.
B.
Shut the bathroom door.
C.
A+ TEST BANK 2
, NGN HESI Exit Exam
Ensure that the client has voided.
D.
Provide extra towels. –
Correct Answer :A
Rationale: To prevent burns or excessive chilling, the nurse must check the bath water temperature.
Options B, C, and D promote comfort and privacy and are important interventions but are of less
priority than promoting safety
The nurse is preparing an IV solution containing 10 mEq of potassium in 100 mL of normal saline. Which
findings would concern the nurse? (Select all that apply.)
A.
A red and swollen peripheral IV site
B.
An order to infuse the solution at 50 mL/hr
C.
Starting the infusion without an infusion devise
D.
Inverting the potassium solution every 30 minutes while infusing
E.
The solution is a lemon-yellow color –
Correct Answer :A, C, E
Rationale: Potassium can cause phlebitis. The red swollen IV site is showing signs infection. The IV site
would need to be changed before starting the solution. Potassium solutions must infuse with an
infusion devise to avoid an accidental bolus infusion. Potassium solution should be clear, and not
lemon yellow. The remaining selections are not concerning to the nurse.
The nurse plans to administer diazepam, 4 mg IV push, to a client with severe anxiety. How many
milliliters should the nurse administer? _____ mL (Round to the nearest tenth.)
A+ TEST BANK 3
, NGN HESI Exit Exam
** 10mg/2mL - Correct Answer :0.8
Rationale: (1 mL × 4 mg)/5 mg = 0.8 mL
In taking a client's history, the nurse asks about the stool characteristics. Which description should the
nurse report to the health care provider as soon as possible?
A.
Daily black, sticky stool
B.
Daily dark brown stool
C.
Firm brown stool every other day
D.
Soft light brown stool twice a day –
Correct Answer :A
Rationale: Black sticky stool (melena) is a sign of gastrointestinal bleeding and should be reported to
the health care provider promptly. Option C indicates constipation, which is a lesser priority. Options B
and D are variations of normal.
The nurse is preparing to administer a new medication through an existing IV line containing a
vasopressor. What action must the nurse take first?
A.
Flush the line with normal saline at the same rate as the vasopressor.
B.
Administer the medication at the prescribed IV rate.
C.
Start a second IV line to administer the new medication.
D.
Call the health care provider to change the order for the new medication to po. –
A+ TEST BANK 4