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NGN HESI RN 2024 EXIT EXAM QUESTIONS WITH COMPLETE ANSWERS

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NGN HESI RN 2024 EXIT EXAM QUESTIONS WITH COMPLETE ANSWERS

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HESI PN EXIT2024 WITH NGN FORMAT
Grado
HESI PN EXIT2024 WITH NGN FORMAT

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NGN HESI RN 2024 EXIT EXAM
QUESTIONS WITH COMPLETE
ANSWERS
When ypreparing yto yadminister ya yprescribed ymedication yto ya yhomeless yclient yat ya
ycommunity ypsychiatric yclinic. yThe yclient ytells ythe ynurse ythat ythe yusual ydosage
ytaken yis ydifferent yfrom ythe ydose ythe ynurse yis ygiving. yWhich yaction yshould ythe
ynurse ytake? y


A) yInform ythe yclient ythat yhe ymay yrefuse ythe ymedication yand ydocument ywhether yor
ynot ythe yclient ytakes yit. y
B) yWithhold ythe ymedication yuntil ythe ydosage ycan ybe yconfirmed. y
C) yExplain yto ythe yclient ythat ythe ydosage yhas ybeen ychanged. y
D) yTell ythe yclient yto ytake ythe ymedication ythen yverify ythe ydosage yat ythe ynext
yhealthcare yteam ymeeting. y- yB) yWithhold ythe ymedication yuntil ythe ydosage ycan ybe
yconfirmed.


The ycharge ynurse yis ymaking yassignments yfor yone ypractical ynurse yand ythree
yregistered ynurses ywho yare ycaring yfor yneurologically ycompromised yclients. yWhich
yclient ywith ywhich ychange yin ystatus yis ybest yto yassign yto ythe yPN? y


A) ySubdural yhematoma ywhose yblood ypressure ychanged yfrom y150/80 yto y170/60.
B) yViral ymeningitis ywhose ytemperature ychange yfrom y101 yS yto y102F. y
C) yDiabetic yketo yacidosis ywho yis yGlasgow ycoma yscale yscore ychanged yfrom y10 yto
y7. y
D) yMyxedema, ywhose yblood ypressure ychange yfrom y80/50 yto y70/40. y- yB) yViral
ymeningitis ywhose ytemperature ychange yfrom y101 yS yto y102F.


The ynurse yis ycaring yfor ya yclient ywith ypneumonia ywho ynow ydevelops yinitial ysigns yof
yseptic yshock yand ymulti yorgan yfailure. yThe yhealthcare yprovider yprescribes ya ysepsis
yprotocol. yWhich yintervention yis ymost yimportant yfor ythe ynurse yto yinclude yin ythe
yplan yof ycare? y


A) yMaintain ystrict yintake yand youtput. y
B) yKeep yhead yof ybed yraised y45°. y
C) yExcess ywarmth yof yextremities. y
D) yMonitor yblood yglucose ylevel. y- yA) yMaintain ystrict yintake yand youtput.

And yadolescent yclient yis yadmitted yto ythe yhospital ybecause yof ywriting ya ysuicide
ynote yto ya yteacher yat yschool. yOn ythe ysecond yday yof yhospitalization, ythe ynurse
yasked ythe yclient yto ymeet ywith ythe ytreatment yteam. yAfter ythe yteam ymeeting, ythe
yclient yleaves yin ytears yand ygoes yto ytheir yroom. yWhich ynursing yintervention yis ybest?
y

,A) yLet ythe yclient yrest yquietly yin ytheir yroom yfor ya ywhile. y
B) yExplore ythe yclients ygoals yand ydesire yfor ytreatment. y
C) yAsk ythe ytreatment yteam yabout ythe yclients ybehavior. y
D) yGo yto ythe yclients yroom yand yask ywhat yhappened. y- yD) yGo yto ythe yclients yroom
yand yask ywhat yhappened.


The yhealthcare yprovider yprescribes ydalteparin y200 yunits yper ykilogram ysubcutaneous
yonce ya yday yfor ya yclient ywho yweighs y154 ypounds. yThe ymedication yis yavailable
yand y25,000 yunits yper ymilliliter yvial. yHow ymany ymilliliters yshould ythe ynurse
yadminister? y(Enter ynumerical yvalue yonly. yIf yrounding yis yrequired, yround yto ythe
ynearest y10th.) y- y0.6


NGN: yThe yclient yis ya y49-year-old ymale ywho yreports yflu ylike ysymptoms yincluding
yfever yand ychest ycongestion yfor yfour ydays. yHe ycame yto ythe yemergency ydepartment
ylast ynight ywhen yhe ywas yhaving ymore ydifficulty ybreathing yhe yhas ya yhistory yof y1/2
ypack ya yday ycigarette ysmoking yfor y20 yyears. yHe yhas yno ysignificant ymedical yor
ysurgical yhistory. y
Which ytwo yorders yshould ythe ynurse ycomplete yfirst? y

A) ySputum yculture. y
B) yStart yoxygen y3 yL yper yminute yvia ynasal ycannula. y
C) yPlace ythe yclient yon ya ycardio yrespiratory ymonitor. y
D) yChest yx-ray. y
E) yAcetominophen y350 ymg yPO yevery ysix yhours yfor ytemperature ycontrol. y
F) yRun y0.9% ysodium ychloride yIV yinfusion yat y150 ymL yper yhour. y
G) yStart yperipheral yIV. y
H) yNPO. y- yB) yStart yoxygen y3 yL yper yminute yvia ynasal ycannula. y
C) yPlace ythe yclient yon ya ycardio yrespiratory ymonitor.

NGN: y0330: yplace ythe yclient yon ya ycardio yrespiratory ymonitor, yNPO, ysputum
yculture, ystart ya yperipheral yIV yinfusion, ystart yoxygen y3 yL yper yminute yvia ynasal
ycannula, ybegin y0.9% ysodium ychloride yIV yinfusion yat y150 ymL yper yhour,
yacetaminophen y350 ymg yPO yevery ysix yhours yfor ytemperature.
To ystart ythe yclient yon yoxygen yas yordered ywhich yitems yshould ythe ynurse ycollects
yfrom ythe ysupply yroom? ySATA y
A) yhumidifier ybottle. y
B)Suction ycanister. y
C)Sterile ywater. y
D) yNasal ycannula. y
E) yFlow ymeter. y
F) yLambs ywool. y
G) yTape. y- yD) yNasal ycannula. y
E) yFlow ymeter.

,NGN: ystates, yI yam yfeeling yextremely yanxious yright ynow. yThe yclient yhas ydecreased
ybreath ysounds yin ythe yleft ylower ylow. yHis ymucus ymembranes yare ydry. yHe yhas ya
yproductive ycough ywith ythick, yyellow ysecretions. yHis ycapillary yrefill yis yfour yseconds.
yVital ysigns, ytemperature y100.2. yHeart yrate y101 ybpm, yrespiratory yrate y28 ybreaths
yper yminute, yblood ypressure y145/89, yoxygen ysaturation y90% yon yroom yair.


(for yeach ybody ysystem yclick yto yspecify ythe yassessment yfindings ythat yindicates
yhypoxia)


Cardiovascular: yheart yrate y100 ybpm, ycapillary yrefill yfor yseconds, yblood ypressure
y145/89.
Neurological: yanxious, yawake yand yalert, yrestless.
Respiratory: yoxygen ysaturation y90% yon yroom yair, yrespiratory yrate y28 ybpm,
yproductive ycough. y- yCardiovascular: ycapillary yrefill yfor yseconds, yblood ypressure
y145/89.
Neurological: yanxious, yrestless.
Respiratory: yoxygen ysaturation y90% yon yroom yair, yrespiratory yrate y28 ybpm.

NGN: yThe yclient yis ya y49-year-old ymale ywho yreports yflu ylike ysymptoms yincluding
yfever yand ychest ycongestion yfor yfour ydays. yHe ycame yto ythe yemergency ydepartment
ylast ynight ywhen yhe ywas yhaving ymore ydifficulty ybreathing yhe yhas ya yhistory yof y1/2
ypack ya yday ycigarette ysmoking yfor y20 yyears. yHe yhas yno ysignificant ymedical yor
ysurgical yhistory. y


The ynurse yshould yplace ythe yclient yin ya y_______________ yposition yto ypromote
y_____________. y- ySemi-Fowler y, ylung yexpansion.


NGN: yOrders: y0330: yplace ythe yclient yon ya ycardio yrespiratory ymonitor, yNPO,
ysputum yculture, ystart ya yPIV, ystart yoxygen y3L yvia ynasal ycannula, ynormal ysaline
y150 yML yper yhour, yacetaminophen y350mg yPO yevery ysix yhours yfor ytemp ygreater
ythan y101F, ychest yx-ray.
0500: yOxygen y8Lvia ysimple yfacemask, ytitrate yto ykeep yoxygen ysaturation ygreater
ythan y94%.


(mark ywhether ythe ystatements yby ythe ynew ygrad ynurse yindicate yunderstanding yor
yno yunderstanding yof ythe yuse yof yfacemask yin ythe ycare yof ythis yclient)


-I yshould yclean ythe yfacemask yonce yper yshift.
-The yclient yshould ytake ya y1 yto y2 yminute ybreak yfrom ythe yfacemask yeach yhour.
-I yshould yput ygauze yunder ythe yelastic ystraps yover ythe years.
-I ycan yadjust ythe yoxygen ylevel yon ythe yflow ymeter yto ykeep ythe yclients yoxygen
ysaturation ygreater ythan y94%.
-The ymask yshould ycover yonly ythe ymouth yand yleave ythe ynose yopen yfor yexpiration.
-I yshould yplace ythe ymask yfirst yover ythe ynose yand ythen ycover ythe ymouth. y- y-I
yshould yclean ythe yfacemask yonce yper yshift. y(UNDERSTANDING)

, -The yclient yshould ytake ya y1 yto y2 yminute ybreak yfrom ythe yfacemask yeach yhour.
y(NOT yUNDERSTANDING)
-I yshould yput ygauze yunder ythe yelastic ystraps yover ythe years. y(NOT
yUNDERSTANDING y????)
-I ycan yadjust ythe yoxygen ylevel yon ythe yflow ymeter yto ykeep ythe yclients yoxygen
ysaturation ygreater ythan y94%. y(UNDERSTANDING)
-The ymask yshould ycover yonly ythe ymouth yand yleave ythe ynose yopen yfor yexpiration.
y(NOT yUNDERSTANDING)
-I yshould yplace ythe ymask yfirst yover ythe ynose yand ythen ycover ythe ymouth.
y(UNDERSTANDING)


NGN: yNurses yNotes: y0400, ythe yclient yis yawake yand yalert ybut yrestless. yHe ystates yI
yam yfeeling yextremely yanxious yright ynow. yThe yclient yhas ydecreased ybreath ysounds
yin ythe yleft ylower ylobe. yHis ymucus ymembranes yare ydry. yHe yhas ya yproductive
ycough ywith ythick, yyellow ysecretions. yHis ycapillary yrefill yis yfour yseconds. yHeart yrate
y101 yBPM, yoxygen ysaturation y90%. yBlood ypressure y145/89, ytemperature y100.2 yF,
yrespiratory yrate y28 yBPM. y
0500: yPlacedthe yclient yin ysemi-Fowlers yposition. yNo yimprovement yin yoxygen
ysaturation yon y3L ynasal ycannula...


(Which yare ythe ythree ymost yimportant ygoals?)

A) yThe yclient ywill yremain yfree yof yskin ybreakdown.
B) yThe yclient ywill yhave yquit ysmoking.
C) yThe yclient ywill ybe yafebrile yfor y24 yhours.
D) yThe yclient ywill ymaintain yoxygen ysaturation yof y96% ywithout ysupplemental
yoxygen.
E) yThe yclient ywill yreport ypain yless ythan y3/10. y- yB) yThe yclient ywill yhave yquit
ysmoking.
C) yThe yclient ywill ybe yafebrile yfor y24 yhours.
E) yThe yclient ywill yreport ypain yless ythan y3/10.

The ynurse yhas ycompleted ythe ydiet yteaching yof ya yclient ywho yis ybeing ydischarged
yfollowing ytreatment yof ya yleg ywound. yA yhigh-protein ydiet yis yencouraged yto ypromote
ywound yhealing. yWhich ylunch ytoys yby ythe yclient yindicates ythat ythe yteaching ywas
yeffective? y


A) yA ypeanut ybutter ysandwich ywith ysoda yand ycookies. y
B) yVegetable ysoup, ycrackers, yand ymilk. y
C) yA ytuna yfish ysandwich ywith ychips yand yice ycream. y
D) yA ysalad ywith ythree ykinds yof ylettuce yand yfruit. y- yC) yA ytuna yfish ysandwich ywith
ychips yand yice ycream.


A yclient ywith yfoul-smelling ydrainage yfrom yan yincision yon ythe yupper yleft yarm yis
yadmitted ywith ya ysuspected yMRSA. yWhich ynursing yintervention yshould ythe ynurse
yinclude yin ythe yplan yof ycare? ySATA. y

Escuela, estudio y materia

Institución
HESI PN EXIT2024 WITH NGN FORMAT
Grado
HESI PN EXIT2024 WITH NGN FORMAT

Información del documento

Subido en
14 de enero de 2025
Número de páginas
33
Escrito en
2024/2025
Tipo
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