NGN HESI RN 2024 EXIT EXAM WITH
FULL PACK SOLUTIONS
When jpreparing jto jadminister ja jprescribed jmedication jto ja jhomeless jclient jat ja
jcommunity jpsychiatric jclinic. jThe jclient jtells jthe jnurse jthat jthe jusual jdosage jtaken jis
jdifferent jfrom jthe jdose jthe jnurse jis jgiving. jWhich jaction jshould jthe jnurse jtake? j
A) jInform jthe jclient jthat jhe jmay jrefuse jthe jmedication jand jdocument jwhether jor jnot
jthe jclient jtakes jit. j
B) jWithhold jthe jmedication juntil jthe jdosage jcan jbe jconfirmed. j
C) jExplain jto jthe jclient jthat jthe jdosage jhas jbeen jchanged. j
D) jTell jthe jclient jto jtake jthe jmedication jthen jverify jthe jdosage jat jthe jnext jhealthcare
jteam jmeeting. j- jcorrect janswers j-B) jWithhold jthe jmedication juntil jthe jdosage jcan jbe
jconfirmed.
,The jcharge jnurse jis jmaking jassignments jfor jone jpractical jnurse jand jthree jregistered
jnurses jwho jare jcaring jfor jneurologically jcompromised jclients. jWhich jclient jwith
jwhich jchange jin jstatus jis jbest jto jassign jto jthe jPN? j
A) jSubdural jhematoma jwhose jblood jpressure jchanged jfrom j150/80 jto j170/60.
B) jViral jmeningitis jwhose jtemperature jchange jfrom j101 jS jto j102F. j
C) jDiabetic jketo jacidosis jwho jis jGlasgow jcoma jscale jscore jchanged jfrom j10 jto j7. j
D) jMyxedema, jwhose jblood jpressure jchange jfrom j80/50 jto j70/40. j- jcorrect janswers
j-B) jViral jmeningitis jwhose jtemperature jchange jfrom j101 jS jto j102F.
The jnurse jis jcaring jfor ja jclient jwith jpneumonia jwho jnow jdevelops jinitial jsigns jof
jseptic jshock jand jmulti jorgan jfailure. jThe jhealthcare jprovider jprescribes ja jsepsis
jprotocol. jWhich jintervention jis jmost jimportant jfor jthe jnurse jto jinclude jin jthe jplan jof
jcare? j
A) jMaintain jstrict jintake jand joutput. j
B) jKeep jhead jof jbed jraised j45°. j
C) jExcess jwarmth jof jextremities. j
D) jMonitor jblood jglucose jlevel. j- jcorrect janswers j-A) jMaintain jstrict jintake jand
joutput.
And jadolescent jclient jis jadmitted jto jthe jhospital jbecause jof jwriting ja jsuicide jnote jto
ja jteacher jat jschool. jOn jthe jsecond jday jof jhospitalization, jthe jnurse jasked jthe jclient
jto jmeet jwith jthe jtreatment jteam. jAfter jthe jteam jmeeting, jthe jclient jleaves jin jtears
jand jgoes jto jtheir jroom. jWhich jnursing jintervention jis jbest? j
A) jLet jthe jclient jrest jquietly jin jtheir jroom jfor ja jwhile. j
B) jExplore jthe jclients jgoals jand jdesire jfor jtreatment. j
C) jAsk jthe jtreatment jteam jabout jthe jclients jbehavior. j
D) jGo jto jthe jclients jroom jand jask jwhat jhappened. j- jcorrect janswers j-D) jGo jto jthe
jclients jroom jand jask jwhat jhappened.
The jhealthcare jprovider jprescribes jdalteparin j200 junits jper jkilogram jsubcutaneous
jonce ja jday jfor ja jclient jwho jweighs j154 jpounds. jThe jmedication jis javailable jand
j25,000 junits jper jmilliliter jvial. jHow jmany jmilliliters jshould jthe jnurse jadminister?
j(Enter jnumerical jvalue jonly. jIf jrounding jis jrequired, jround jto jthe jnearest j10th.) j-
jcorrect janswers j-0.6
NGN: jThe jclient jis ja j49-year-old jmale jwho jreports jflu jlike jsymptoms jincluding jfever
jand jchest jcongestion jfor jfour jdays. jHe jcame jto jthe jemergency jdepartment jlast jnight
jwhen jhe jwas jhaving jmore jdifficulty jbreathing jhe jhas ja jhistory jof j1/2 jpack ja jday
jcigarette jsmoking jfor j20 jyears. jHe jhas jno jsignificant jmedical jor jsurgical jhistory. j
Which jtwo jorders jshould jthe jnurse jcomplete jfirst? j
A) jSputum jculture. j
B) jStart joxygen j3 jL jper jminute jvia jnasal jcannula. j
,C) jPlace jthe jclient jon ja jcardio jrespiratory jmonitor. j
D) jChest jx-ray. j
E) jAcetominophen j350 jmg jPO jevery jsix jhours jfor jtemperature jcontrol. j
F) jRun j0.9% jsodium jchloride jIV jinfusion jat j150 jmL jper jhour. j
G) jStart jperipheral jIV. j
H) jNPO. j- jcorrect janswers j-B) jStart joxygen j3 jL jper jminute jvia jnasal jcannula. j
C) jPlace jthe jclient jon ja jcardio jrespiratory jmonitor.
NGN: j0330: jplace jthe jclient jon ja jcardio jrespiratory jmonitor, jNPO, jsputum jculture,
jstart ja jperipheral jIV jinfusion, jstart joxygen j3 jL jper jminute jvia jnasal jcannula, jbegin
j0.9% jsodium jchloride jIV jinfusion jat j150 jmL jper jhour, jacetaminophen j350 jmg jPO
jevery jsix jhours jfor jtemperature.
To jstart jthe jclient jon joxygen jas jordered jwhich jitems jshould jthe jnurse jcollects jfrom
jthe jsupply jroom? jSATA j
A) jhumidifier jbottle. j
B)Suction jcanister. j
C)Sterile jwater. j
D) jNasal jcannula. j
E) jFlow jmeter. j
F) jLambs jwool. j
G) jTape. j- jcorrect janswers j-D) jNasal jcannula. j
E) jFlow jmeter.
NGN: jstates, jI jam jfeeling jextremely janxious jright jnow. jThe jclient jhas jdecreased
jbreath jsounds jin jthe jleft jlower jlow. jHis jmucus jmembranes jare jdry. jHe jhas ja
jproductive jcough jwith jthick, jyellow jsecretions. jHis jcapillary jrefill jis jfour jseconds.
jVital jsigns, jtemperature j100.2. jHeart jrate j101 jbpm, jrespiratory jrate j28 jbreaths jper
jminute, jblood jpressure j145/89, joxygen jsaturation j90% jon jroom jair.
(for jeach jbody jsystem jclick jto jspecify jthe jassessment jfindings jthat jindicates jhypoxia)
Cardiovascular: jheart jrate j100 jbpm, jcapillary jrefill jfor jseconds, jblood jpressure
j145/89.
Neurological: janxious, jawake jand jalert, jrestless.
Respiratory: joxygen jsaturation j90% jon jroom jair, jrespiratory jrate j28 jbpm, jproductive
jcough. j- jcorrect janswers j-Cardiovascular: jcapillary jrefill jfor jseconds, jblood jpressure
j145/89.
Neurological: janxious, jrestless.
Respiratory: joxygen jsaturation j90% jon jroom jair, jrespiratory jrate j28 jbpm.
NGN: jThe jclient jis ja j49-year-old jmale jwho jreports jflu jlike jsymptoms jincluding jfever
jand jchest jcongestion jfor jfour jdays. jHe jcame jto jthe jemergency jdepartment jlast jnight
jwhen jhe jwas jhaving jmore jdifficulty jbreathing jhe jhas ja jhistory jof j1/2 jpack ja jday
jcigarette jsmoking jfor j20 jyears. jHe jhas jno jsignificant jmedical jor jsurgical jhistory. j
, The jnurse jshould jplace jthe jclient jin ja j_______________ jposition jto jpromote
j_____________. j- jcorrect janswers j-Semi-Fowler j, jlung jexpansion.
NGN: jOrders: j0330: jplace jthe jclient jon ja jcardio jrespiratory jmonitor, jNPO, jsputum
jculture, jstart ja jPIV, jstart joxygen j3L jvia jnasal jcannula, jnormal jsaline j150 jML jper
jhour, jacetaminophen j350mg jPO jevery jsix jhours jfor jtemp jgreater jthan j101F, jchest
jx-ray.
0500: jOxygen j8Lvia jsimple jfacemask, jtitrate jto jkeep joxygen jsaturation jgreater jthan
j94%.
(mark jwhether jthe jstatements jby jthe jnew jgrad jnurse jindicate junderstanding jor jno
junderstanding jof jthe juse jof jfacemask jin jthe jcare jof jthis jclient)
-I jshould jclean jthe jfacemask jonce jper jshift.
-The jclient jshould jtake ja j1 jto j2 jminute jbreak jfrom jthe jfacemask jeach jhour.
-I jshould jput jgauze junder jthe jelastic jstraps jover jthe jears.
-I jcan jadjust jthe joxygen jlevel jon jthe jflow jmeter jto jkeep jthe jclients joxygen jsaturation
jgreater jthan j94%.
-The jmask jshould jcover jonly jthe jmouth jand jleave jthe jnose jopen jfor jexpiration.
-I jshould jplace jthe jmask jfirst jover jthe jnose jand jthen jcover jthe jmouth. j- jcorrect
janswers j--I jshould jclean jthe jfacemask jonce jper jshift. j(UNDERSTANDING)
-The jclient jshould jtake ja j1 jto j2 jminute jbreak jfrom jthe jfacemask jeach jhour. j(NOT
jUNDERSTANDING)
-I jshould jput jgauze junder jthe jelastic jstraps jover jthe jears. j(NOT jUNDERSTANDING
j????)
-I jcan jadjust jthe joxygen jlevel jon jthe jflow jmeter jto jkeep jthe jclients joxygen jsaturation
jgreater jthan j94%. j(UNDERSTANDING)
-The jmask jshould jcover jonly jthe jmouth jand jleave jthe jnose jopen jfor jexpiration.
j(NOT jUNDERSTANDING)
-I jshould jplace jthe jmask jfirst jover jthe jnose jand jthen jcover jthe jmouth.
j(UNDERSTANDING)
NGN: jNurses jNotes: j0400, jthe jclient jis jawake jand jalert jbut jrestless. jHe jstates jI jam
jfeeling jextremely janxious jright jnow. jThe jclient jhas jdecreased jbreath jsounds jin jthe
jleft jlower jlobe. jHis jmucus jmembranes jare jdry. jHe jhas ja jproductive jcough jwith
jthick, jyellow jsecretions. jHis jcapillary jrefill jis jfour jseconds. jHeart jrate j101 jBPM,
joxygen jsaturation j90%. jBlood jpressure j145/89, jtemperature j100.2 jF, jrespiratory jrate
j28 jBPM. j
0500: jPlacedthe jclient jin jsemi-Fowlers jposition. jNo jimprovement jin joxygen jsaturation
jon j3L jnasal jcannula...
(Which jare jthe jthree jmost jimportant jgoals?)
A) jThe jclient jwill jremain jfree jof jskin jbreakdown.
B) jThe jclient jwill jhave jquit jsmoking.
C) jThe jclient jwill jbe jafebrile jfor j24 jhours.
FULL PACK SOLUTIONS
When jpreparing jto jadminister ja jprescribed jmedication jto ja jhomeless jclient jat ja
jcommunity jpsychiatric jclinic. jThe jclient jtells jthe jnurse jthat jthe jusual jdosage jtaken jis
jdifferent jfrom jthe jdose jthe jnurse jis jgiving. jWhich jaction jshould jthe jnurse jtake? j
A) jInform jthe jclient jthat jhe jmay jrefuse jthe jmedication jand jdocument jwhether jor jnot
jthe jclient jtakes jit. j
B) jWithhold jthe jmedication juntil jthe jdosage jcan jbe jconfirmed. j
C) jExplain jto jthe jclient jthat jthe jdosage jhas jbeen jchanged. j
D) jTell jthe jclient jto jtake jthe jmedication jthen jverify jthe jdosage jat jthe jnext jhealthcare
jteam jmeeting. j- jcorrect janswers j-B) jWithhold jthe jmedication juntil jthe jdosage jcan jbe
jconfirmed.
,The jcharge jnurse jis jmaking jassignments jfor jone jpractical jnurse jand jthree jregistered
jnurses jwho jare jcaring jfor jneurologically jcompromised jclients. jWhich jclient jwith
jwhich jchange jin jstatus jis jbest jto jassign jto jthe jPN? j
A) jSubdural jhematoma jwhose jblood jpressure jchanged jfrom j150/80 jto j170/60.
B) jViral jmeningitis jwhose jtemperature jchange jfrom j101 jS jto j102F. j
C) jDiabetic jketo jacidosis jwho jis jGlasgow jcoma jscale jscore jchanged jfrom j10 jto j7. j
D) jMyxedema, jwhose jblood jpressure jchange jfrom j80/50 jto j70/40. j- jcorrect janswers
j-B) jViral jmeningitis jwhose jtemperature jchange jfrom j101 jS jto j102F.
The jnurse jis jcaring jfor ja jclient jwith jpneumonia jwho jnow jdevelops jinitial jsigns jof
jseptic jshock jand jmulti jorgan jfailure. jThe jhealthcare jprovider jprescribes ja jsepsis
jprotocol. jWhich jintervention jis jmost jimportant jfor jthe jnurse jto jinclude jin jthe jplan jof
jcare? j
A) jMaintain jstrict jintake jand joutput. j
B) jKeep jhead jof jbed jraised j45°. j
C) jExcess jwarmth jof jextremities. j
D) jMonitor jblood jglucose jlevel. j- jcorrect janswers j-A) jMaintain jstrict jintake jand
joutput.
And jadolescent jclient jis jadmitted jto jthe jhospital jbecause jof jwriting ja jsuicide jnote jto
ja jteacher jat jschool. jOn jthe jsecond jday jof jhospitalization, jthe jnurse jasked jthe jclient
jto jmeet jwith jthe jtreatment jteam. jAfter jthe jteam jmeeting, jthe jclient jleaves jin jtears
jand jgoes jto jtheir jroom. jWhich jnursing jintervention jis jbest? j
A) jLet jthe jclient jrest jquietly jin jtheir jroom jfor ja jwhile. j
B) jExplore jthe jclients jgoals jand jdesire jfor jtreatment. j
C) jAsk jthe jtreatment jteam jabout jthe jclients jbehavior. j
D) jGo jto jthe jclients jroom jand jask jwhat jhappened. j- jcorrect janswers j-D) jGo jto jthe
jclients jroom jand jask jwhat jhappened.
The jhealthcare jprovider jprescribes jdalteparin j200 junits jper jkilogram jsubcutaneous
jonce ja jday jfor ja jclient jwho jweighs j154 jpounds. jThe jmedication jis javailable jand
j25,000 junits jper jmilliliter jvial. jHow jmany jmilliliters jshould jthe jnurse jadminister?
j(Enter jnumerical jvalue jonly. jIf jrounding jis jrequired, jround jto jthe jnearest j10th.) j-
jcorrect janswers j-0.6
NGN: jThe jclient jis ja j49-year-old jmale jwho jreports jflu jlike jsymptoms jincluding jfever
jand jchest jcongestion jfor jfour jdays. jHe jcame jto jthe jemergency jdepartment jlast jnight
jwhen jhe jwas jhaving jmore jdifficulty jbreathing jhe jhas ja jhistory jof j1/2 jpack ja jday
jcigarette jsmoking jfor j20 jyears. jHe jhas jno jsignificant jmedical jor jsurgical jhistory. j
Which jtwo jorders jshould jthe jnurse jcomplete jfirst? j
A) jSputum jculture. j
B) jStart joxygen j3 jL jper jminute jvia jnasal jcannula. j
,C) jPlace jthe jclient jon ja jcardio jrespiratory jmonitor. j
D) jChest jx-ray. j
E) jAcetominophen j350 jmg jPO jevery jsix jhours jfor jtemperature jcontrol. j
F) jRun j0.9% jsodium jchloride jIV jinfusion jat j150 jmL jper jhour. j
G) jStart jperipheral jIV. j
H) jNPO. j- jcorrect janswers j-B) jStart joxygen j3 jL jper jminute jvia jnasal jcannula. j
C) jPlace jthe jclient jon ja jcardio jrespiratory jmonitor.
NGN: j0330: jplace jthe jclient jon ja jcardio jrespiratory jmonitor, jNPO, jsputum jculture,
jstart ja jperipheral jIV jinfusion, jstart joxygen j3 jL jper jminute jvia jnasal jcannula, jbegin
j0.9% jsodium jchloride jIV jinfusion jat j150 jmL jper jhour, jacetaminophen j350 jmg jPO
jevery jsix jhours jfor jtemperature.
To jstart jthe jclient jon joxygen jas jordered jwhich jitems jshould jthe jnurse jcollects jfrom
jthe jsupply jroom? jSATA j
A) jhumidifier jbottle. j
B)Suction jcanister. j
C)Sterile jwater. j
D) jNasal jcannula. j
E) jFlow jmeter. j
F) jLambs jwool. j
G) jTape. j- jcorrect janswers j-D) jNasal jcannula. j
E) jFlow jmeter.
NGN: jstates, jI jam jfeeling jextremely janxious jright jnow. jThe jclient jhas jdecreased
jbreath jsounds jin jthe jleft jlower jlow. jHis jmucus jmembranes jare jdry. jHe jhas ja
jproductive jcough jwith jthick, jyellow jsecretions. jHis jcapillary jrefill jis jfour jseconds.
jVital jsigns, jtemperature j100.2. jHeart jrate j101 jbpm, jrespiratory jrate j28 jbreaths jper
jminute, jblood jpressure j145/89, joxygen jsaturation j90% jon jroom jair.
(for jeach jbody jsystem jclick jto jspecify jthe jassessment jfindings jthat jindicates jhypoxia)
Cardiovascular: jheart jrate j100 jbpm, jcapillary jrefill jfor jseconds, jblood jpressure
j145/89.
Neurological: janxious, jawake jand jalert, jrestless.
Respiratory: joxygen jsaturation j90% jon jroom jair, jrespiratory jrate j28 jbpm, jproductive
jcough. j- jcorrect janswers j-Cardiovascular: jcapillary jrefill jfor jseconds, jblood jpressure
j145/89.
Neurological: janxious, jrestless.
Respiratory: joxygen jsaturation j90% jon jroom jair, jrespiratory jrate j28 jbpm.
NGN: jThe jclient jis ja j49-year-old jmale jwho jreports jflu jlike jsymptoms jincluding jfever
jand jchest jcongestion jfor jfour jdays. jHe jcame jto jthe jemergency jdepartment jlast jnight
jwhen jhe jwas jhaving jmore jdifficulty jbreathing jhe jhas ja jhistory jof j1/2 jpack ja jday
jcigarette jsmoking jfor j20 jyears. jHe jhas jno jsignificant jmedical jor jsurgical jhistory. j
, The jnurse jshould jplace jthe jclient jin ja j_______________ jposition jto jpromote
j_____________. j- jcorrect janswers j-Semi-Fowler j, jlung jexpansion.
NGN: jOrders: j0330: jplace jthe jclient jon ja jcardio jrespiratory jmonitor, jNPO, jsputum
jculture, jstart ja jPIV, jstart joxygen j3L jvia jnasal jcannula, jnormal jsaline j150 jML jper
jhour, jacetaminophen j350mg jPO jevery jsix jhours jfor jtemp jgreater jthan j101F, jchest
jx-ray.
0500: jOxygen j8Lvia jsimple jfacemask, jtitrate jto jkeep joxygen jsaturation jgreater jthan
j94%.
(mark jwhether jthe jstatements jby jthe jnew jgrad jnurse jindicate junderstanding jor jno
junderstanding jof jthe juse jof jfacemask jin jthe jcare jof jthis jclient)
-I jshould jclean jthe jfacemask jonce jper jshift.
-The jclient jshould jtake ja j1 jto j2 jminute jbreak jfrom jthe jfacemask jeach jhour.
-I jshould jput jgauze junder jthe jelastic jstraps jover jthe jears.
-I jcan jadjust jthe joxygen jlevel jon jthe jflow jmeter jto jkeep jthe jclients joxygen jsaturation
jgreater jthan j94%.
-The jmask jshould jcover jonly jthe jmouth jand jleave jthe jnose jopen jfor jexpiration.
-I jshould jplace jthe jmask jfirst jover jthe jnose jand jthen jcover jthe jmouth. j- jcorrect
janswers j--I jshould jclean jthe jfacemask jonce jper jshift. j(UNDERSTANDING)
-The jclient jshould jtake ja j1 jto j2 jminute jbreak jfrom jthe jfacemask jeach jhour. j(NOT
jUNDERSTANDING)
-I jshould jput jgauze junder jthe jelastic jstraps jover jthe jears. j(NOT jUNDERSTANDING
j????)
-I jcan jadjust jthe joxygen jlevel jon jthe jflow jmeter jto jkeep jthe jclients joxygen jsaturation
jgreater jthan j94%. j(UNDERSTANDING)
-The jmask jshould jcover jonly jthe jmouth jand jleave jthe jnose jopen jfor jexpiration.
j(NOT jUNDERSTANDING)
-I jshould jplace jthe jmask jfirst jover jthe jnose jand jthen jcover jthe jmouth.
j(UNDERSTANDING)
NGN: jNurses jNotes: j0400, jthe jclient jis jawake jand jalert jbut jrestless. jHe jstates jI jam
jfeeling jextremely janxious jright jnow. jThe jclient jhas jdecreased jbreath jsounds jin jthe
jleft jlower jlobe. jHis jmucus jmembranes jare jdry. jHe jhas ja jproductive jcough jwith
jthick, jyellow jsecretions. jHis jcapillary jrefill jis jfour jseconds. jHeart jrate j101 jBPM,
joxygen jsaturation j90%. jBlood jpressure j145/89, jtemperature j100.2 jF, jrespiratory jrate
j28 jBPM. j
0500: jPlacedthe jclient jin jsemi-Fowlers jposition. jNo jimprovement jin joxygen jsaturation
jon j3L jnasal jcannula...
(Which jare jthe jthree jmost jimportant jgoals?)
A) jThe jclient jwill jremain jfree jof jskin jbreakdown.
B) jThe jclient jwill jhave jquit jsmoking.
C) jThe jclient jwill jbe jafebrile jfor j24 jhours.
