1. Ask the patient to A pt presses the call bell and requests pain medication for
describe the pain a severe headache. To assess the quality of the pt. Pain,
which approach should the nurse use?
2. Gloves The nurse is wearing personal protective equipment while
caring for a pt. When exiting the room, which PPE should
be removed first?
3. Increasing con- An older pt is brought to the ED with a sudden onset of
fusion of the pt. 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?
4. Ask the pt A pt tells the nurse about working out with a personal
for a description trainer and swimming three times a week in an effort to
of the exercise lose weight and sleep better. The pt states that it still is
schedule that is taking hours to fall asleep at night. Which action should
being followed the nurse implement?
5. -review safe 2 days prior to discharge from the rehab facility, the nurse
transfer strate- is teaching a pt who is recovering from Guillain-Barre
gies syndrome about home. Which actions should the nurse
-develop a nutri- include when providing discharge teaching to the pt and
tional plan spouse? SATA
-help identify
community sup-
port
6. pt who develop The nurse implements a tertiary prevention program for
disease compli- type 2 diabetes in a rural health clinic. Which outcome
cations promptly indicates that the program was effective?
received rehabili-
tation
7. participation of The nurse has received funding to design a health pro-
community lead- motion project for African American women who are at
, NGN EXIT HESI EXAM TEST QUESTIONS WITH VERIFIED ANSWERS
ers in planning risk for developing breast cancer. Which resource is most
the program important in designing this program?
8. use gown, mask, A pt with multiple injuries is being treated in the burn
and gloves trauma unit just hours after the injuries occurred. The
with dressing healthcare provider instructs the nurse to avoid auto con-
changes tamination when performing dressing changes. Which in-
tervention is most important for the nurse to implement?
9. Stimulate the pt A pt is recovering in the critical care unit following a cardiac
to take deep cath. IV nitro and heparin are infusing. The pt is sedated
breaths but responds to instructions. After changing positions, the
pt complains of pain at the right groin insertion site. What
action should the nurse implement?
10. upper body mus- Prior to obtaining a trapeze bar for a pt with limited mobility,
cle strength which pt assessment is most important for the nurse to
obtain?
11. Continue to ob- While the nurse is assessing an older pt fall risk, the
tain pt data need- pt reports living at home alone and never falling. Which
ed to complete action should the nurse take?
the fall risk sur-
vey
12. Teach coughing The nurse is feeding an older adult who was admitted
and deep breath- with aspiration pneumonia. The pt is weak and begins
ing exercises coughing while attempting to drink through a straw. Which
intervention should the nurse implement?
13. Empty the pouch The nurse is teaching the pt about home care after surgery
when it is half for an ileal conduit placement. When reviewing the infor-
full. mation, which statement should the nurse recognize as
needing additional education?
14. initiate pre- A 12 week gestation is admitted to the antepartum unit
scribed IV fluids with a dx of hyperemesis gravidarum. Which action is most
important for the nurse to implement?
15.