NGN Exit hesi exam 2023 questions and answers 100%
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A pt. presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first?
Gloves
An older pt. is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication?
Increasing confusion of the pt.
A pt. tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The pt. states that
it still is taking hours to fall asleep at night. Which action should the nurse
implement?
Ask the pt. for a description of the exercise schedule that is being followed
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
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective?
pt. who develop disease complications promptly received rehabilitation
, The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is
most important in designing this program?
participation of community leaders in planning the program
A pt. with multiple injuries is being treated in the burn trauma unit just hours after
the injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement?
use gown, mask, and gloves with dressing changes
A pt. is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt. is sedated but responds to instructions. After
changing positions, the pt. complains of pain at the right groin insertion site.
What action should the nurse implement?
Stimulate the pt. to take deep breaths
Prior to obtaining a trapeze bar for a pt. with limited mobility, which pt.
assessment is most important for the nurse to obtain?
upper body muscle strength
While the nurse is assessing an older pt. fall risk, the pt. reports living at home
alone and never falling. Which action should the nurse take?
Continue to obtain pt. data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia.
The pt. is weak and begins coughing while attempting to drink through a straw.
Which intervention should the nurse implement?
Teach coughing and deep breathing exercises
The nurse is teaching the pt. about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education?
Empty the pouch when it is half full.
A 12-week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravid arum. Which action is most important for the nurse to implement?
initiate prescribed IV fluids
verified
A pt. presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use?
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first?
Gloves
An older pt. is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication?
Increasing confusion of the pt.
A pt. tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The pt. states that
it still is taking hours to fall asleep at night. Which action should the nurse
implement?
Ask the pt. for a description of the exercise schedule that is being followed
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
-review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective?
pt. who develop disease complications promptly received rehabilitation
, The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is
most important in designing this program?
participation of community leaders in planning the program
A pt. with multiple injuries is being treated in the burn trauma unit just hours after
the injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement?
use gown, mask, and gloves with dressing changes
A pt. is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt. is sedated but responds to instructions. After
changing positions, the pt. complains of pain at the right groin insertion site.
What action should the nurse implement?
Stimulate the pt. to take deep breaths
Prior to obtaining a trapeze bar for a pt. with limited mobility, which pt.
assessment is most important for the nurse to obtain?
upper body muscle strength
While the nurse is assessing an older pt. fall risk, the pt. reports living at home
alone and never falling. Which action should the nurse take?
Continue to obtain pt. data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia.
The pt. is weak and begins coughing while attempting to drink through a straw.
Which intervention should the nurse implement?
Teach coughing and deep breathing exercises
The nurse is teaching the pt. about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education?
Empty the pouch when it is half full.
A 12-week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravid arum. Which action is most important for the nurse to implement?
initiate prescribed IV fluids
