NGN) HESI RN EXIT EXAM LATEST VERS
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ION 2023 WITH QUESTIONS &ANSWE
g g g g
RS HIGHLIHTED
g
GUARATEED PASS g
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATEST UPD
g g g g g g g g g
ATE GRADED A
g g
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
g g g g g g g g g g g g g
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
g g g g g g g g g g g g g g g g g
What is the best follow-up action by the nurse?
g g g g g g g g
a. Remind the client that it is also important to switch to decaffeinated coffee and te
g g g g g g g g g g g g g g
a.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
g g g g g g g g g g g g g
c. Review with the client the need to avoid foods that are rich in milk and cream.
g g g g g g g g g g g g g g g
,d. Reinforce this teaching by asking the client to list a dairy food that he might se
g g g g g g g g g g g g g g g
lect.
(ANS- Review with the client the need to avoid foods that are rich in milk and cream
g g g g g g g g g g g g g g g g
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be
g g g g g g g g g g g g g
avoided.
g
A male client with hypertension, who received new antihypertensive prescriptions at
g g g g g g g g g g
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
g g g g g g g g g g g g g g g g
His BP is 158/106 and he admits that he has not been taking the prescribed medicati
g g g g g g g g g g g g g g g g
on because the drugs make him "feel bad". In explaining the need for hypertension c
g g g g g g g g g g g g g g
ontrol, the nurse should stress that an elevated BP places the client at risk for which p
g g g g g g g g g g g g g g g g
athophysiological condition? g
a. Blindness secondary to cataracts g g g
b. Acute kidney injury due to glomerular damage
g g g g g g
c. Stroke secondary to hemorrhage
g g g
d. Heart block due to myocardial damage
g g g g g g
(ANS- Stroke secondary to hemorrhage
g g g g
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hyper
g g g g g g g g g g g
tension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
g g g g g g g g g g g
mitted client who has a seizure disorder. The client is supine and the UAP is placing
g g g g g g g g g g g g g g g g
soft pillows along the side rails. What action should the nurse implement?
g g g g g g g g g g g
a. Ensure that the UAP has placed the pillows effectively to protect the client.
g g g g g g g g g g g g
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pi
g g g g g g g g g g g g g g g
llows.
c. Assume responsibility for placing the pillows while the UAP completes another t
g g g g g g g g g g g
ask.
d. Ask the UAP to use some of the pillows to prop the client in a side lying po
g g g g g g g g g g g g g g g g g
sition.
(ANS-
gInstruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
g g g g g g g g g g g g g g g
,Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
g g g g g g g g g g g g g g g
because the use of pillows could result in suffocation and would need to be removed
g g g g g g g g g g g g g g g
at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
g g g g g g g g g g g g g g g g
An adolescent with major depressive disorder has been taking duloxetine (Cymb
g g g g g g g g g g
alta) for the past 12 days. Which assessment finding requires immediate follow-
g g g g g g g g g g g
up
a. Describes life without purpose g g g
b. Complains of nausea and loss of appetite g g g g g g
c. States is often fatigued and drowsy
g g g g g
d. Exhibits an increase in sweating. (A g g g g g
NS- Describes life without purpose
g g g g
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor th
g g g g g g g g g g
at is known to increase the risk of suicidal thinking in adolescents and young adults
g g g g g g g g g g g g g g g
with major depressive disorder. B, C and D are side effects
g g g g g g g g g g
A 60-year-
g
old female client with a positive family history of ovarian cancer has developed an a
g g g g g g g g g g g g g g
bdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (
g g g g g g g g g g g g
Pap) smear results are negative. What information should the nurse include in the cli
g g g g g g g g g g g g g
ent's teaching plan
g g
a. Further evaluation involving surgery may be needed
g g g g g g
b. A pelvic exam is also needed before cancer is ruled out
g g g g g g g g g g
c. Pap smear evaluation should be continued every six month
g g g g g g g g
d. One additional negative pap smear in six months is needed. (
g g g g g g g g g g
ANS- Further evaluation involving surgery may be needed
g g g g g g g
Rationale: An abdominal mass in a client with a family history for ovarian cancer sh
g g g g g g g g g g g g g g
ould be evaluated carefully
g g g
A client who recently underwent a tracheostomy is being prepared for discharge to h
g g g g g g g g g g g g g
ome. Which instructions is most important for the nurse to include in the discharge p
g g g g g g g g g g g g g g
lan?
a. Explain how to use communication tools. g g g g g
b. Teach tracheal suctioning techniques
g g g
c. Encourage self-care and independence. g g g
, d. Demonstrate how to clean tracheostomy site. ( g g g g g g
ANS- Teach tracheal suctioning techniques
g g g g
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
g g g g g g g g g g g g g
critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
g g g g g g g g g g g g g g g
gen reservoir bag does not deflate completely during inspiration and the client's respir
g g g g g g g g g g g g
atory rate is 14 breaths / minute. What action should the nurse implement
g g g g g g g g g g g g
a. Encourage the client to take deep breaths g g g g g g
b. Remove the mask to deflate the bag g g g g g g
c. Increase the liter flow of oxygen g g g g g
d. Document the assessment data (AN g g g g
S- Document the assessment data
g g g g
Rational: reservoir bag should not deflate completely during inspiration and the clien
g g g g g g g g g g g
t's respiratory rate is within normal limits.
g g g g g g
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
g g g g g g g g g g
Which client alarm should the nurse investigate first?
g g g g g g g
a. Respiratory apnea of 30 seconds g g g g
b. Oxygen saturation rate of 88% g g g g
c. Eight premature ventricular beats every minute
g g g g g
d. Disconnected monitor signal for the last 6 minutes. ( g g g g g g g g
ANS- Respiratory apnea of 30 seconds
g g g g g
Rationale: The priority is the client whose alarm indicating respiratory apnea that sh
g g g g g g g g g g g g
ould be assessed first.
g g g
During a home visit, the nurse observed an elderly client with diabetes slip and fa
g g g g g g g g g g g g g g
ll. What action should the nurse take first?
g g g g g g g
a. Give the client 4 ounces of orange juice
g g g g g g g
b. Call 911 to summon emergency assistance
g g g g g
c. Check the client for lacerations or fractures
g g g g g g
d. Asses clients blood sugar levelg g g g
(ANS- Check the client for lacerations or fractures
g g g g g g g
g g g g g g
ION 2023 WITH QUESTIONS &ANSWE
g g g g
RS HIGHLIHTED
g
GUARATEED PASS g
NGN HESI RN EXIT EXAM LATEST VERSION 2023 LATEST UPD
g g g g g g g g g
ATE GRADED A
g g
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
g g g g g g g g g g g g g
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
g g g g g g g g g g g g g g g g g
What is the best follow-up action by the nurse?
g g g g g g g g
a. Remind the client that it is also important to switch to decaffeinated coffee and te
g g g g g g g g g g g g g g
a.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
g g g g g g g g g g g g g
c. Review with the client the need to avoid foods that are rich in milk and cream.
g g g g g g g g g g g g g g g
,d. Reinforce this teaching by asking the client to list a dairy food that he might se
g g g g g g g g g g g g g g g
lect.
(ANS- Review with the client the need to avoid foods that are rich in milk and cream
g g g g g g g g g g g g g g g g
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be
g g g g g g g g g g g g g
avoided.
g
A male client with hypertension, who received new antihypertensive prescriptions at
g g g g g g g g g g
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
g g g g g g g g g g g g g g g g
His BP is 158/106 and he admits that he has not been taking the prescribed medicati
g g g g g g g g g g g g g g g g
on because the drugs make him "feel bad". In explaining the need for hypertension c
g g g g g g g g g g g g g g
ontrol, the nurse should stress that an elevated BP places the client at risk for which p
g g g g g g g g g g g g g g g g
athophysiological condition? g
a. Blindness secondary to cataracts g g g
b. Acute kidney injury due to glomerular damage
g g g g g g
c. Stroke secondary to hemorrhage
g g g
d. Heart block due to myocardial damage
g g g g g g
(ANS- Stroke secondary to hemorrhage
g g g g
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hyper
g g g g g g g g g g g
tension.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
g g g g g g g g g g g
mitted client who has a seizure disorder. The client is supine and the UAP is placing
g g g g g g g g g g g g g g g g
soft pillows along the side rails. What action should the nurse implement?
g g g g g g g g g g g
a. Ensure that the UAP has placed the pillows effectively to protect the client.
g g g g g g g g g g g g
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pi
g g g g g g g g g g g g g g g
llows.
c. Assume responsibility for placing the pillows while the UAP completes another t
g g g g g g g g g g g
ask.
d. Ask the UAP to use some of the pillows to prop the client in a side lying po
g g g g g g g g g g g g g g g g g
sition.
(ANS-
gInstruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
g g g g g g g g g g g g g g g
,Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
g g g g g g g g g g g g g g g
because the use of pillows could result in suffocation and would need to be removed
g g g g g g g g g g g g g g g
at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
g g g g g g g g g g g g g g g g
An adolescent with major depressive disorder has been taking duloxetine (Cymb
g g g g g g g g g g
alta) for the past 12 days. Which assessment finding requires immediate follow-
g g g g g g g g g g g
up
a. Describes life without purpose g g g
b. Complains of nausea and loss of appetite g g g g g g
c. States is often fatigued and drowsy
g g g g g
d. Exhibits an increase in sweating. (A g g g g g
NS- Describes life without purpose
g g g g
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor th
g g g g g g g g g g
at is known to increase the risk of suicidal thinking in adolescents and young adults
g g g g g g g g g g g g g g g
with major depressive disorder. B, C and D are side effects
g g g g g g g g g g
A 60-year-
g
old female client with a positive family history of ovarian cancer has developed an a
g g g g g g g g g g g g g g
bdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (
g g g g g g g g g g g g
Pap) smear results are negative. What information should the nurse include in the cli
g g g g g g g g g g g g g
ent's teaching plan
g g
a. Further evaluation involving surgery may be needed
g g g g g g
b. A pelvic exam is also needed before cancer is ruled out
g g g g g g g g g g
c. Pap smear evaluation should be continued every six month
g g g g g g g g
d. One additional negative pap smear in six months is needed. (
g g g g g g g g g g
ANS- Further evaluation involving surgery may be needed
g g g g g g g
Rationale: An abdominal mass in a client with a family history for ovarian cancer sh
g g g g g g g g g g g g g g
ould be evaluated carefully
g g g
A client who recently underwent a tracheostomy is being prepared for discharge to h
g g g g g g g g g g g g g
ome. Which instructions is most important for the nurse to include in the discharge p
g g g g g g g g g g g g g g
lan?
a. Explain how to use communication tools. g g g g g
b. Teach tracheal suctioning techniques
g g g
c. Encourage self-care and independence. g g g
, d. Demonstrate how to clean tracheostomy site. ( g g g g g g
ANS- Teach tracheal suctioning techniques
g g g g
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
g g g g g g g g g g g g g
critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
g g g g g g g g g g g g g g g
gen reservoir bag does not deflate completely during inspiration and the client's respir
g g g g g g g g g g g g
atory rate is 14 breaths / minute. What action should the nurse implement
g g g g g g g g g g g g
a. Encourage the client to take deep breaths g g g g g g
b. Remove the mask to deflate the bag g g g g g g
c. Increase the liter flow of oxygen g g g g g
d. Document the assessment data (AN g g g g
S- Document the assessment data
g g g g
Rational: reservoir bag should not deflate completely during inspiration and the clien
g g g g g g g g g g g
t's respiratory rate is within normal limits.
g g g g g g
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
g g g g g g g g g g
Which client alarm should the nurse investigate first?
g g g g g g g
a. Respiratory apnea of 30 seconds g g g g
b. Oxygen saturation rate of 88% g g g g
c. Eight premature ventricular beats every minute
g g g g g
d. Disconnected monitor signal for the last 6 minutes. ( g g g g g g g g
ANS- Respiratory apnea of 30 seconds
g g g g g
Rationale: The priority is the client whose alarm indicating respiratory apnea that sh
g g g g g g g g g g g g
ould be assessed first.
g g g
During a home visit, the nurse observed an elderly client with diabetes slip and fa
g g g g g g g g g g g g g g
ll. What action should the nurse take first?
g g g g g g g
a. Give the client 4 ounces of orange juice
g g g g g g g
b. Call 911 to summon emergency assistance
g g g g g
c. Check the client for lacerations or fractures
g g g g g g
d. Asses clients blood sugar levelg g g g
(ANS- Check the client for lacerations or fractures
g g g g g g g
