NGN HESI RN 2024 EXIT EXAM
QUESTIONS WITH COMPLETE
ANSWERS
When mpreparing mto madminister ma mprescribed mmedication mto ma mhomeless mclient
mat ma mcommunity mpsychiatric mclinic. mThe mclient mtells mthe mnurse mthat mthe musual
mdosage mtaken mis mdifferent mfrom mthe mdose mthe mnurse mis mgiving. mWhich maction
mshould mthe mnurse mtake? m
A) mInform mthe mclient mthat mhe mmay mrefuse mthe mmedication mand mdocument
mwhether mor mnot mthe mclient mtakes mit. m
B) mWithhold mthe mmedication muntil mthe mdosage mcan mbe mconfirmed. m
C) mExplain mto mthe mclient mthat mthe mdosage mhas mbeen mchanged. m
D) mTell mthe mclient mto mtake mthe mmedication mthen mverify mthe mdosage mat mthe mnext
mhealthcare mteam mmeeting. m- mB) mWithhold mthe mmedication muntil mthe mdosage
mcan mbe mconfirmed.
The mcharge mnurse mis mmaking massignments mfor mone mpractical mnurse mand mthree
mregistered mnurses mwho mare mcaring mfor mneurologically mcompromised mclients.
mWhich mclient mwith mwhich mchange min mstatus mis mbest mto massign mto mthe mPN? m
A) mSubdural mhematoma mwhose mblood mpressure mchanged mfrom m150/80 mto
m170/60.
B) mViral mmeningitis mwhose mtemperature mchange mfrom m101 mS mto m102F. m
C) mDiabetic mketo macidosis mwho mis mGlasgow mcoma mscale mscore mchanged mfrom
m10 mto m7. m
D) mMyxedema, mwhose mblood mpressure mchange mfrom m80/50 mto m70/40. m- mB)
mViral mmeningitis mwhose mtemperature mchange mfrom m101 mS mto m102F.
The mnurse mis mcaring mfor ma mclient mwith mpneumonia mwho mnow mdevelops minitial
msigns mof mseptic mshock mand mmulti morgan mfailure. mThe mhealthcare mprovider
mprescribes ma msepsis mprotocol. mWhich mintervention mis mmost mimportant mfor mthe
mnurse mto minclude min mthe mplan mof mcare? m
A) mMaintain mstrict mintake mand moutput. m
B) mKeep mhead mof mbed mraised m45°. m
C) mExcess mwarmth mof mextremities. m
D) mMonitor mblood mglucose mlevel. m- mA) mMaintain mstrict mintake mand moutput.
And madolescent mclient mis madmitted mto mthe mhospital mbecause mof mwriting ma
msuicide mnote mto ma mteacher mat mschool. mOn mthe msecond mday mof mhospitalization,
,mthe mnurse masked mthe mclient mto mmeet mwith mthe mtreatment mteam. mAfter mthe
mteam mmeeting, mthe mclient mleaves min mtears mand mgoes mto mtheir mroom. mWhich
mnursing mintervention mis mbest? m
A) mLet mthe mclient mrest mquietly min mtheir mroom mfor ma mwhile. m
B) mExplore mthe mclients mgoals mand mdesire mfor mtreatment. m
C) mAsk mthe mtreatment mteam mabout mthe mclients mbehavior. m
D) mGo mto mthe mclients mroom mand mask mwhat mhappened. m- mD) mGo mto mthe mclients
mroom mand mask mwhat mhappened.
The mhealthcare mprovider mprescribes mdalteparin m200 munits mper mkilogram
msubcutaneous monce ma mday mfor ma mclient mwho mweighs m154 mpounds. mThe
mmedication mis mavailable mand m25,000 munits mper mmilliliter mvial. mHow mmany
mmilliliters mshould mthe mnurse madminister? m(Enter mnumerical mvalue monly. mIf
mrounding mis mrequired, mround mto mthe mnearest m10th.) m- m0.6
NGN: mThe mclient mis ma m49-year-old mmale mwho mreports mflu mlike msymptoms
mincluding mfever mand mchest mcongestion mfor mfour mdays. mHe mcame mto mthe
memergency mdepartment mlast mnight mwhen mhe mwas mhaving mmore mdifficulty
mbreathing mhe mhas ma mhistory mof m1/2 mpack ma mday mcigarette msmoking mfor m20
myears. mHe mhas mno msignificant mmedical mor msurgical mhistory. m
Which mtwo morders mshould mthe mnurse mcomplete mfirst? m
A) mSputum mculture. m
B) mStart moxygen m3 mL mper mminute mvia mnasal mcannula. m
C) mPlace mthe mclient mon ma mcardio mrespiratory mmonitor. m
D) mChest mx-ray. m
E) mAcetominophen m350 mmg mPO mevery msix mhours mfor mtemperature mcontrol. m
F) mRun m0.9% msodium mchloride mIV minfusion mat m150 mmL mper mhour. m
G) mStart mperipheral mIV. m
H) mNPO. m- mB) mStart moxygen m3 mL mper mminute mvia mnasal mcannula. m
C) mPlace mthe mclient mon ma mcardio mrespiratory mmonitor.
NGN: m0330: mplace mthe mclient mon ma mcardio mrespiratory mmonitor, mNPO, msputum
mculture, mstart ma mperipheral mIV minfusion, mstart moxygen m3 mL mper mminute mvia
mnasal mcannula, mbegin m0.9% msodium mchloride mIV minfusion mat m150 mmL mper
mhour, macetaminophen m350 mmg mPO mevery msix mhours mfor mtemperature.
To mstart mthe mclient mon moxygen mas mordered mwhich mitems mshould mthe mnurse
mcollects mfrom mthe msupply mroom? mSATA m
A) mhumidifier mbottle. m
B)Suction mcanister. m
C)Sterile mwater. m
D) mNasal mcannula. m
E) mFlow mmeter. m
F) mLambs mwool. m
G) mTape. m- mD) mNasal mcannula. m
,E) mFlow mmeter.
NGN: mstates, mI mam mfeeling mextremely manxious mright mnow. mThe mclient mhas
mdecreased mbreath msounds min mthe mleft mlower mlow. mHis mmucus mmembranes mare
mdry. mHe mhas ma mproductive mcough mwith mthick, myellow msecretions. mHis mcapillary
mrefill mis mfour mseconds. mVital msigns, mtemperature m100.2. mHeart mrate m101 mbpm,
mrespiratory mrate m28 mbreaths mper mminute, mblood mpressure m145/89, moxygen
msaturation m90% mon mroom mair.
(for meach mbody msystem mclick mto mspecify mthe massessment mfindings mthat mindicates
mhypoxia)
Cardiovascular: mheart mrate m100 mbpm, mcapillary mrefill mfor mseconds, mblood
mpressure m145/89.
Neurological: manxious, mawake mand malert, mrestless.
Respiratory: moxygen msaturation m90% mon mroom mair, mrespiratory mrate m28 mbpm,
mproductive mcough. m- mCardiovascular: mcapillary mrefill mfor mseconds, mblood
mpressure m145/89.
Neurological: manxious, mrestless.
Respiratory: moxygen msaturation m90% mon mroom mair, mrespiratory mrate m28 mbpm.
NGN: mThe mclient mis ma m49-year-old mmale mwho mreports mflu mlike msymptoms
mincluding mfever mand mchest mcongestion mfor mfour mdays. mHe mcame mto mthe
memergency mdepartment mlast mnight mwhen mhe mwas mhaving mmore mdifficulty
mbreathing mhe mhas ma mhistory mof m1/2 mpack ma mday mcigarette msmoking mfor m20
myears. mHe mhas mno msignificant mmedical mor msurgical mhistory. m
The mnurse mshould mplace mthe mclient min ma m_______________ mposition mto
mpromote m_____________. m- mSemi-Fowler m, mlung mexpansion.
NGN: mOrders: m0330: mplace mthe mclient mon ma mcardio mrespiratory mmonitor, mNPO,
msputum mculture, mstart ma mPIV, mstart moxygen m3L mvia mnasal mcannula, mnormal
msaline m150 mML mper mhour, macetaminophen m350mg mPO mevery msix mhours mfor
mtemp mgreater mthan m101F, mchest mx-ray.
0500: mOxygen m8Lvia msimple mfacemask, mtitrate mto mkeep moxygen msaturation
mgreater mthan m94%.
(mark mwhether mthe mstatements mby mthe mnew mgrad mnurse mindicate munderstanding
mor mno munderstanding mof mthe muse mof mfacemask min mthe mcare mof mthis mclient)
-I mshould mclean mthe mfacemask monce mper mshift.
-The mclient mshould mtake ma m1 mto m2 mminute mbreak mfrom mthe mfacemask meach
mhour.
-I mshould mput mgauze munder mthe melastic mstraps mover mthe mears.
-I mcan madjust mthe moxygen mlevel mon mthe mflow mmeter mto mkeep mthe mclients
moxygen msaturation mgreater mthan m94%.
, -The mmask mshould mcover monly mthe mmouth mand mleave mthe mnose mopen mfor
mexpiration.
-I mshould mplace mthe mmask mfirst mover mthe mnose mand mthen mcover mthe mmouth. m-
m-I mshould mclean mthe mfacemask monce mper mshift. m(UNDERSTANDING)
-The mclient mshould mtake ma m1 mto m2 mminute mbreak mfrom mthe mfacemask meach
mhour. m(NOT mUNDERSTANDING)
-I mshould mput mgauze munder mthe melastic mstraps mover mthe mears. m(NOT
mUNDERSTANDING m????)
-I mcan madjust mthe moxygen mlevel mon mthe mflow mmeter mto mkeep mthe mclients
moxygen msaturation mgreater mthan m94%. m(UNDERSTANDING)
-The mmask mshould mcover monly mthe mmouth mand mleave mthe mnose mopen mfor
mexpiration. m(NOT mUNDERSTANDING)
-I mshould mplace mthe mmask mfirst mover mthe mnose mand mthen mcover mthe mmouth.
m(UNDERSTANDING)
NGN: mNurses mNotes: m0400, mthe mclient mis mawake mand malert mbut mrestless. mHe
mstates mI mam mfeeling mextremely manxious mright mnow. mThe mclient mhas mdecreased
mbreath msounds min mthe mleft mlower mlobe. mHis mmucus mmembranes mare mdry. mHe
mhas ma mproductive mcough mwith mthick, myellow msecretions. mHis mcapillary mrefill mis
mfour mseconds. mHeart mrate m101 mBPM, moxygen msaturation m90%. mBlood mpressure
m145/89, mtemperature m100.2 mF, mrespiratory mrate m28 mBPM. m
0500: mPlacedthe mclient min msemi-Fowlers mposition. mNo mimprovement min moxygen
msaturation mon m3L mnasal mcannula...
(Which mare mthe mthree mmost mimportant mgoals?)
A) mThe mclient mwill mremain mfree mof mskin mbreakdown.
B) mThe mclient mwill mhave mquit msmoking.
C) mThe mclient mwill mbe mafebrile mfor m24 mhours.
D) mThe mclient mwill mmaintain moxygen msaturation mof m96% mwithout msupplemental
moxygen.
E) mThe mclient mwill mreport mpain mless mthan m3/10. m- mB) mThe mclient mwill mhave mquit
msmoking.
C) mThe mclient mwill mbe mafebrile mfor m24 mhours.
E) mThe mclient mwill mreport mpain mless mthan m3/10.
The mnurse mhas mcompleted mthe mdiet mteaching mof ma mclient mwho mis mbeing
mdischarged mfollowing mtreatment mof ma mleg mwound. mA mhigh-protein mdiet mis
mencouraged mto mpromote mwound mhealing. mWhich mlunch mtoys mby mthe mclient
mindicates mthat mthe mteaching mwas meffective? m
A) mA mpeanut mbutter msandwich mwith msoda mand mcookies. m
B) mVegetable msoup, mcrackers, mand mmilk. m
C) mA mtuna mfish msandwich mwith mchips mand mice mcream. m
D) mA msalad mwith mthree mkinds mof mlettuce mand mfruit. m- mC) mA mtuna mfish msandwich
mwith mchips mand mice mcream.
QUESTIONS WITH COMPLETE
ANSWERS
When mpreparing mto madminister ma mprescribed mmedication mto ma mhomeless mclient
mat ma mcommunity mpsychiatric mclinic. mThe mclient mtells mthe mnurse mthat mthe musual
mdosage mtaken mis mdifferent mfrom mthe mdose mthe mnurse mis mgiving. mWhich maction
mshould mthe mnurse mtake? m
A) mInform mthe mclient mthat mhe mmay mrefuse mthe mmedication mand mdocument
mwhether mor mnot mthe mclient mtakes mit. m
B) mWithhold mthe mmedication muntil mthe mdosage mcan mbe mconfirmed. m
C) mExplain mto mthe mclient mthat mthe mdosage mhas mbeen mchanged. m
D) mTell mthe mclient mto mtake mthe mmedication mthen mverify mthe mdosage mat mthe mnext
mhealthcare mteam mmeeting. m- mB) mWithhold mthe mmedication muntil mthe mdosage
mcan mbe mconfirmed.
The mcharge mnurse mis mmaking massignments mfor mone mpractical mnurse mand mthree
mregistered mnurses mwho mare mcaring mfor mneurologically mcompromised mclients.
mWhich mclient mwith mwhich mchange min mstatus mis mbest mto massign mto mthe mPN? m
A) mSubdural mhematoma mwhose mblood mpressure mchanged mfrom m150/80 mto
m170/60.
B) mViral mmeningitis mwhose mtemperature mchange mfrom m101 mS mto m102F. m
C) mDiabetic mketo macidosis mwho mis mGlasgow mcoma mscale mscore mchanged mfrom
m10 mto m7. m
D) mMyxedema, mwhose mblood mpressure mchange mfrom m80/50 mto m70/40. m- mB)
mViral mmeningitis mwhose mtemperature mchange mfrom m101 mS mto m102F.
The mnurse mis mcaring mfor ma mclient mwith mpneumonia mwho mnow mdevelops minitial
msigns mof mseptic mshock mand mmulti morgan mfailure. mThe mhealthcare mprovider
mprescribes ma msepsis mprotocol. mWhich mintervention mis mmost mimportant mfor mthe
mnurse mto minclude min mthe mplan mof mcare? m
A) mMaintain mstrict mintake mand moutput. m
B) mKeep mhead mof mbed mraised m45°. m
C) mExcess mwarmth mof mextremities. m
D) mMonitor mblood mglucose mlevel. m- mA) mMaintain mstrict mintake mand moutput.
And madolescent mclient mis madmitted mto mthe mhospital mbecause mof mwriting ma
msuicide mnote mto ma mteacher mat mschool. mOn mthe msecond mday mof mhospitalization,
,mthe mnurse masked mthe mclient mto mmeet mwith mthe mtreatment mteam. mAfter mthe
mteam mmeeting, mthe mclient mleaves min mtears mand mgoes mto mtheir mroom. mWhich
mnursing mintervention mis mbest? m
A) mLet mthe mclient mrest mquietly min mtheir mroom mfor ma mwhile. m
B) mExplore mthe mclients mgoals mand mdesire mfor mtreatment. m
C) mAsk mthe mtreatment mteam mabout mthe mclients mbehavior. m
D) mGo mto mthe mclients mroom mand mask mwhat mhappened. m- mD) mGo mto mthe mclients
mroom mand mask mwhat mhappened.
The mhealthcare mprovider mprescribes mdalteparin m200 munits mper mkilogram
msubcutaneous monce ma mday mfor ma mclient mwho mweighs m154 mpounds. mThe
mmedication mis mavailable mand m25,000 munits mper mmilliliter mvial. mHow mmany
mmilliliters mshould mthe mnurse madminister? m(Enter mnumerical mvalue monly. mIf
mrounding mis mrequired, mround mto mthe mnearest m10th.) m- m0.6
NGN: mThe mclient mis ma m49-year-old mmale mwho mreports mflu mlike msymptoms
mincluding mfever mand mchest mcongestion mfor mfour mdays. mHe mcame mto mthe
memergency mdepartment mlast mnight mwhen mhe mwas mhaving mmore mdifficulty
mbreathing mhe mhas ma mhistory mof m1/2 mpack ma mday mcigarette msmoking mfor m20
myears. mHe mhas mno msignificant mmedical mor msurgical mhistory. m
Which mtwo morders mshould mthe mnurse mcomplete mfirst? m
A) mSputum mculture. m
B) mStart moxygen m3 mL mper mminute mvia mnasal mcannula. m
C) mPlace mthe mclient mon ma mcardio mrespiratory mmonitor. m
D) mChest mx-ray. m
E) mAcetominophen m350 mmg mPO mevery msix mhours mfor mtemperature mcontrol. m
F) mRun m0.9% msodium mchloride mIV minfusion mat m150 mmL mper mhour. m
G) mStart mperipheral mIV. m
H) mNPO. m- mB) mStart moxygen m3 mL mper mminute mvia mnasal mcannula. m
C) mPlace mthe mclient mon ma mcardio mrespiratory mmonitor.
NGN: m0330: mplace mthe mclient mon ma mcardio mrespiratory mmonitor, mNPO, msputum
mculture, mstart ma mperipheral mIV minfusion, mstart moxygen m3 mL mper mminute mvia
mnasal mcannula, mbegin m0.9% msodium mchloride mIV minfusion mat m150 mmL mper
mhour, macetaminophen m350 mmg mPO mevery msix mhours mfor mtemperature.
To mstart mthe mclient mon moxygen mas mordered mwhich mitems mshould mthe mnurse
mcollects mfrom mthe msupply mroom? mSATA m
A) mhumidifier mbottle. m
B)Suction mcanister. m
C)Sterile mwater. m
D) mNasal mcannula. m
E) mFlow mmeter. m
F) mLambs mwool. m
G) mTape. m- mD) mNasal mcannula. m
,E) mFlow mmeter.
NGN: mstates, mI mam mfeeling mextremely manxious mright mnow. mThe mclient mhas
mdecreased mbreath msounds min mthe mleft mlower mlow. mHis mmucus mmembranes mare
mdry. mHe mhas ma mproductive mcough mwith mthick, myellow msecretions. mHis mcapillary
mrefill mis mfour mseconds. mVital msigns, mtemperature m100.2. mHeart mrate m101 mbpm,
mrespiratory mrate m28 mbreaths mper mminute, mblood mpressure m145/89, moxygen
msaturation m90% mon mroom mair.
(for meach mbody msystem mclick mto mspecify mthe massessment mfindings mthat mindicates
mhypoxia)
Cardiovascular: mheart mrate m100 mbpm, mcapillary mrefill mfor mseconds, mblood
mpressure m145/89.
Neurological: manxious, mawake mand malert, mrestless.
Respiratory: moxygen msaturation m90% mon mroom mair, mrespiratory mrate m28 mbpm,
mproductive mcough. m- mCardiovascular: mcapillary mrefill mfor mseconds, mblood
mpressure m145/89.
Neurological: manxious, mrestless.
Respiratory: moxygen msaturation m90% mon mroom mair, mrespiratory mrate m28 mbpm.
NGN: mThe mclient mis ma m49-year-old mmale mwho mreports mflu mlike msymptoms
mincluding mfever mand mchest mcongestion mfor mfour mdays. mHe mcame mto mthe
memergency mdepartment mlast mnight mwhen mhe mwas mhaving mmore mdifficulty
mbreathing mhe mhas ma mhistory mof m1/2 mpack ma mday mcigarette msmoking mfor m20
myears. mHe mhas mno msignificant mmedical mor msurgical mhistory. m
The mnurse mshould mplace mthe mclient min ma m_______________ mposition mto
mpromote m_____________. m- mSemi-Fowler m, mlung mexpansion.
NGN: mOrders: m0330: mplace mthe mclient mon ma mcardio mrespiratory mmonitor, mNPO,
msputum mculture, mstart ma mPIV, mstart moxygen m3L mvia mnasal mcannula, mnormal
msaline m150 mML mper mhour, macetaminophen m350mg mPO mevery msix mhours mfor
mtemp mgreater mthan m101F, mchest mx-ray.
0500: mOxygen m8Lvia msimple mfacemask, mtitrate mto mkeep moxygen msaturation
mgreater mthan m94%.
(mark mwhether mthe mstatements mby mthe mnew mgrad mnurse mindicate munderstanding
mor mno munderstanding mof mthe muse mof mfacemask min mthe mcare mof mthis mclient)
-I mshould mclean mthe mfacemask monce mper mshift.
-The mclient mshould mtake ma m1 mto m2 mminute mbreak mfrom mthe mfacemask meach
mhour.
-I mshould mput mgauze munder mthe melastic mstraps mover mthe mears.
-I mcan madjust mthe moxygen mlevel mon mthe mflow mmeter mto mkeep mthe mclients
moxygen msaturation mgreater mthan m94%.
, -The mmask mshould mcover monly mthe mmouth mand mleave mthe mnose mopen mfor
mexpiration.
-I mshould mplace mthe mmask mfirst mover mthe mnose mand mthen mcover mthe mmouth. m-
m-I mshould mclean mthe mfacemask monce mper mshift. m(UNDERSTANDING)
-The mclient mshould mtake ma m1 mto m2 mminute mbreak mfrom mthe mfacemask meach
mhour. m(NOT mUNDERSTANDING)
-I mshould mput mgauze munder mthe melastic mstraps mover mthe mears. m(NOT
mUNDERSTANDING m????)
-I mcan madjust mthe moxygen mlevel mon mthe mflow mmeter mto mkeep mthe mclients
moxygen msaturation mgreater mthan m94%. m(UNDERSTANDING)
-The mmask mshould mcover monly mthe mmouth mand mleave mthe mnose mopen mfor
mexpiration. m(NOT mUNDERSTANDING)
-I mshould mplace mthe mmask mfirst mover mthe mnose mand mthen mcover mthe mmouth.
m(UNDERSTANDING)
NGN: mNurses mNotes: m0400, mthe mclient mis mawake mand malert mbut mrestless. mHe
mstates mI mam mfeeling mextremely manxious mright mnow. mThe mclient mhas mdecreased
mbreath msounds min mthe mleft mlower mlobe. mHis mmucus mmembranes mare mdry. mHe
mhas ma mproductive mcough mwith mthick, myellow msecretions. mHis mcapillary mrefill mis
mfour mseconds. mHeart mrate m101 mBPM, moxygen msaturation m90%. mBlood mpressure
m145/89, mtemperature m100.2 mF, mrespiratory mrate m28 mBPM. m
0500: mPlacedthe mclient min msemi-Fowlers mposition. mNo mimprovement min moxygen
msaturation mon m3L mnasal mcannula...
(Which mare mthe mthree mmost mimportant mgoals?)
A) mThe mclient mwill mremain mfree mof mskin mbreakdown.
B) mThe mclient mwill mhave mquit msmoking.
C) mThe mclient mwill mbe mafebrile mfor m24 mhours.
D) mThe mclient mwill mmaintain moxygen msaturation mof m96% mwithout msupplemental
moxygen.
E) mThe mclient mwill mreport mpain mless mthan m3/10. m- mB) mThe mclient mwill mhave mquit
msmoking.
C) mThe mclient mwill mbe mafebrile mfor m24 mhours.
E) mThe mclient mwill mreport mpain mless mthan m3/10.
The mnurse mhas mcompleted mthe mdiet mteaching mof ma mclient mwho mis mbeing
mdischarged mfollowing mtreatment mof ma mleg mwound. mA mhigh-protein mdiet mis
mencouraged mto mpromote mwound mhealing. mWhich mlunch mtoys mby mthe mclient
mindicates mthat mthe mteaching mwas meffective? m
A) mA mpeanut mbutter msandwich mwith msoda mand mcookies. m
B) mVegetable msoup, mcrackers, mand mmilk. m
C) mA mtuna mfish msandwich mwith mchips mand mice mcream. m
D) mA msalad mwith mthree mkinds mof mlettuce mand mfruit. m- mC) mA mtuna mfish msandwich
mwith mchips mand mice mcream.
