NGN RN HESI EXIT EXAM 2025 LATEST
UPDATED VERSION. OVER 180+
QUESTIONS WITH CORRECT
ANSWERS. A+ GRADED
31. The nurse is reviewing laboratory results on a client with acute
renal failure.
Which
one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L
(ANS- The correct answer is D: Serum potassium 6 mEq/L
32. The nurse is caring for a client undergoing the placement of a
central venous catheter
line. Which of the following would require the nurse's immediate
attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
(ANS- The correct answer is C: Dyspnea
,33. The nurse is performing a physical assessment on a client who
just had an endotracheal tube inserted. Which finding would call for
immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak
(ANS- The correct answer is C: Pulse oximetry of 88
34. A nurse checks a client who is on a volume-cycled ventilator.
Which finding indicates that the client may need suctioning?
A) drowsiness
B) complaint of nausea
C) pulse rate of 92
D) restlessness
(ANS- The correct answer is D: restlessness
35. The most effective nursing intervention to prevent atelectasis
from developing in a post operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
,D) Splint incision
(ANS- The correct answer is B: Assist client to turn, deep
breathe, and cough
36. When caring for a client with a post right thoracotomy who has
undergone an upper
lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises
(ANS- The correct answer is B: Deep breathing and
coughing
37. A nurse is to collect a sputum specimen for acid-fast bacillus
(AFB) from a client. Which action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen container
D) Assist with oral hygiene
(ANS- The correct answer is D: Assist with oral hygiene
, 38. The nurse is caring for a child immediately after surgical
correction of a ventricular septal defect. Which of the following
nursing assessments should be a priority?
A) Blanch nail beds for color and refill
B) Assess for post operative arrhythmias
C) Auscultate for pulmonary congestion
D) Monitor equality of peripheral pulses
(ANS- The correct answer is B: Assess for post operative
arrhythmias
39. A client has a history of chronic obstructive pulmonary disease
(COPD). As the nurse enters the client's room, his oxygen is running
at 6 liters per minute, his color is flushed and his respirations are 8
per minute. What should the nurse do first?
A) Obtain a 12-lead EKG
B) Place client in high Fowler's position
C) Lower the oxygen rate
D) Take baseline vital signs
(ANS- The correct answer is C: Lower the oxygen rate
40. A 4 year-old has been hospitalized for 24 hours with skeletal
traction for treatment of a fracture of the right femur. The nurse finds
that the child is now crying and the right foot is pale with the
absence of a pulse. What should the nurse do first?
A) Notify the health care provider
UPDATED VERSION. OVER 180+
QUESTIONS WITH CORRECT
ANSWERS. A+ GRADED
31. The nurse is reviewing laboratory results on a client with acute
renal failure.
Which
one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L
(ANS- The correct answer is D: Serum potassium 6 mEq/L
32. The nurse is caring for a client undergoing the placement of a
central venous catheter
line. Which of the following would require the nurse's immediate
attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
(ANS- The correct answer is C: Dyspnea
,33. The nurse is performing a physical assessment on a client who
just had an endotracheal tube inserted. Which finding would call for
immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak
(ANS- The correct answer is C: Pulse oximetry of 88
34. A nurse checks a client who is on a volume-cycled ventilator.
Which finding indicates that the client may need suctioning?
A) drowsiness
B) complaint of nausea
C) pulse rate of 92
D) restlessness
(ANS- The correct answer is D: restlessness
35. The most effective nursing intervention to prevent atelectasis
from developing in a post operative client is to
A) Maintain adequate hydration
B) Assist client to turn, deep breathe, and cough
C) Ambulate client within 12 hours
,D) Splint incision
(ANS- The correct answer is B: Assist client to turn, deep
breathe, and cough
36. When caring for a client with a post right thoracotomy who has
undergone an upper
lobectomy, the nurse focuses on pain management to promote
A) Relaxation and sleep
B) Deep breathing and coughing
C) Incisional healing
D) Range of motion exercises
(ANS- The correct answer is B: Deep breathing and
coughing
37. A nurse is to collect a sputum specimen for acid-fast bacillus
(AFB) from a client. Which action should the nurse take first?
A) Ask client to cough sputum into container
B) Have the client take several deep breaths
C) Provide a appropriate specimen container
D) Assist with oral hygiene
(ANS- The correct answer is D: Assist with oral hygiene
, 38. The nurse is caring for a child immediately after surgical
correction of a ventricular septal defect. Which of the following
nursing assessments should be a priority?
A) Blanch nail beds for color and refill
B) Assess for post operative arrhythmias
C) Auscultate for pulmonary congestion
D) Monitor equality of peripheral pulses
(ANS- The correct answer is B: Assess for post operative
arrhythmias
39. A client has a history of chronic obstructive pulmonary disease
(COPD). As the nurse enters the client's room, his oxygen is running
at 6 liters per minute, his color is flushed and his respirations are 8
per minute. What should the nurse do first?
A) Obtain a 12-lead EKG
B) Place client in high Fowler's position
C) Lower the oxygen rate
D) Take baseline vital signs
(ANS- The correct answer is C: Lower the oxygen rate
40. A 4 year-old has been hospitalized for 24 hours with skeletal
traction for treatment of a fracture of the right femur. The nurse finds
that the child is now crying and the right foot is pale with the
absence of a pulse. What should the nurse do first?
A) Notify the health care provider
