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Examen

HESI RN Exit Exam with Next Generation NCLEX (NGN) – Comprehensive Practice Questions and Clinical Judgment Case Studies

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This document provides extensive practice material for the HESI RN Exit Exam, updated to reflect the Next Generation NCLEX (NGN) format. It includes a wide range of question types such as multiple response, matrix, and clinical judgment case studies, all designed to assess readiness for the NCLEX-RN. Detailed rationales for each answer help reinforce critical thinking and nursing knowledge. Ideal for final exam preparation and improving performance on NGN-style questions.

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Subido en
1 de mayo de 2025
Número de páginas
111
Escrito en
2024/2025
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Examen
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Answer and Explanation
Question 1: Report an Issue


Report Wrong Answer
Choice A:

Offering supplemental formula feedings is
A client who is one day postpartum not the first-line action for inverted nipples
reports to the nurse that her baby as it does not address the issue and may
cannot latch onto the breast. The lead to nipple confusion, potentially
nurse observes that the client's complicating future breastfeeding
nipples are inverted. Which action attempts.
should the nurse implement?

A. Offer supplemental formula Choice B:
feedings. 3%  Teaching about the use of a breast pump
B. Teach about the use of a breast is beneficial for milk expression but does
pump. 8%  not directly assist with the immediate
concern of latching issues due to inverted
C. Recommend using a breast
nipples.
shield. 81% Most selected 

D. Encourage the use of ice on the Choice C:
areola. 7% 
Using a breast shield can be helpful for
mothers with inverted nipples. It can
temporarily draw out the nipple, allowing
the baby to latch on more easily. This tool
acts as a bridge between the breast and
the baby's mouth, facilitating
breastfeeding while the mother works on
long-term solutions for her inverted
nipples.

, Choice D:

Encouraging the use of ice on the areola
may temporarily stiffen the nipple, but it is
not a recommended practice for
addressing inverted nipples as it can
cause discomfort and may not be effective
in promoting a successful latch.



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Answer and Explanation
Question 2: Report an Issue


Report Wrong Answer
Choice A:

Offering supplemental formula feedings
A client who is one day postpartum may not be the best initial approach for
reports that her baby cannot latch inverted nipples as it could lead to nipple
onto the breast. The nurse observes confusion and interfere with breastfeeding.
that the client's nipples are
inverted. Which action should the Choice B:
nurse implement?
While teaching about the use of a breast
A. Offer supplemental formula pump is helpful for expressing milk, it does
feedings. 2% 

,B. Teach about the use of a breast not directly address the issue of latching
pump. 2%  with inverted nipples.

C. Recommend using a breast
shield. 93% Most selected  Choice C:

D. Encourage the use of ice on the A breast shield can be beneficial for
areola. 1%  mothers with inverted nipples as it can
help draw out the nipple, allowing the baby
to latch on more effectively.


Choice D:

Using ice on the areola is not a
recommended practice for addressing
inverted nipples as it can cause discomfort
and is not a reliable method for improving
latch.



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Answer and Explanation
Question 3: Report an Issue


Report Wrong Answer Choice A:

Eating high-protein foods to achieve ideal
A nurse is caring for a client who body weight is generally a healthy
underwent an appendectomy 2 practice, but it is not directly related to the
days ago and now reports sudden, management of the client's current
unbearable pain in the left great condition involving pain in the toe.
toe. The client has a medical
history of type 2 diabetes mellitus, Choice B:
gouty arthritis, and
gastroesophageal reflux disease Patients with gouty arthritis should avoid
(GERD). Which instruction should acetylsalicylic acid (aspirin) as it can lead
the nurse include in the discharge to an increase in uric acid levels,
teaching? potentially exacerbating gout attacks.
Instead, medications that do not affect uric
A. Eat high-protein foods to achieve acid levels should be used for pain relief.
ideal body weight. 3% 

Choice C:

, B. Avoid acetylsalicylic acid- Wrapping joints with an elastic bandage
containing medications. 72% can provide support and reduce swelling,
Most selected  but it is not the primary intervention for
sudden pain in the toe following an
C. Wrap joints with an elastic
appendectomy, especially when the
bandage when swollen. 4% 
patient has a history of gouty arthritis.
D. Support joints in an extended
position while resting. 19%  Choice D:

Supporting joints in an extended position
while resting can provide comfort and may
prevent stiffness, but it does not address
the acute management of gouty arthritis
or diabetic complications that could be
causing toe pain.



Discussion Section


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Answer and Explanation
Question 4: Report an Issue


Report Wrong Answer
Choice A:

Decreased bowel sounds may indicate
A client with cirrhosis of the liver gastrointestinal issues but are not directly
reports a 5 lb (2.3 kg) weight gain related to weight gain associated with fluid
within the last week during a accumulation in cirrhosis.
physical assessment. Which
assessment finding correlates with Choice B:
the client's report?
An increased respiratory rate can be a sign
A. Decreased bowel sounds. 0%  of many conditions, including respiratory
B. Increased respiratory rate. 1%  distress, but it does not correlate
specifically with weight gain due to fluid
C. Increased abdominal girth. 92%
retention in cirrhosis.
Most selected 
D. Decreased level of Choice C:
consciousness. 5% 
Increased abdominal girth is a common
finding in cirrhosis due to ascites, which is
the accumulation of fluid in the peritoneal
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