RN EXIT V2/HESI MED SURG REAL EXIT EXAM
WITH NGN UPDATED 2025 QUESTIONS AND
ANSWERS(100% CORECT)ALREADY GRADED A+
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Culture for sensitive organisms
B. Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin
- correct answer -A. Culture for sensitive organisms
A client is admitted with acute pancreatitis. The client admits to
drinking a pint of bourbon daily. The nurse medicates the client for
pain and monitors vital signs every 2 hours. Which finding should the
nurse report immediately to the healthcare provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin
- correct answer -C. Confusion and tremors
A client with leukemia who is receiving a myleosuppressive
chemotherapy has a platelet count of 25,000/mm3. Which
intervention is most important for the nurse to include in this client's
plan of care?
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
pg. 1
,D. Obtain client's temperature q4 hours
- correct answer -A. Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines that the
anterior fontanel is bulging. In which situation would this findings be
most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool
- correct answer -B. Sitting upright
A client who is admitted to the intensive care unit with syndrome of
inappropriate antidiuretic hormone (SIADH) has developed osmotic
demyelination. Which intervention should the nurse implement first?
A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion
- correct answer -B. Evaluate swallow
The nurse is caring for a client with chronic obstructive disease
(COPD) who uses oxygen at 2L/minute per nasal cannula
continuously. The nurse observes that the client is having increased
shortness of breath with respirations at 23 breaths/minute. Which
action should the nurse implement first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen saturation
C. Notify the healthcare provider about the client's distress
pg. 2
,D. Assess the delivery mechanism of the oxygen tank, tubing, and
cannula
- correct answer -D. Assess the delivery mechanism of the oxygen
tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is admitted
with Kaposi's sarcoma. Which intervention should the nurse include
in this client's admission plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions
- correct answer -B. Monitor for secondary infections
An older woman who has difficulty hearing is being discharged from
day surgery following a cataract extraction and lens implantation.
Which intervention is most important for the nurse to implement to
help ensure the client's compliance with self care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration
- correct answer -A. Have the client vocalize the instructions
provided
An older woman with history of atrial fibrillation fell at home and
fractured her left hip. She is currently taking warfarin 5 mg daily and
has an international normalized ratio (INR) value of 5.0. Upon
admission, which prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
pg. 3
, C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells
- correct answer -A. Administer Vitamin K injection
A 12-year-old client who had an appendectomy two days ago is
receiving 0.9% normal saline at 50mL/hr. The client's urine specific
gravity is 1.035. Which action should the nurse implement?
A. Assess bowel sounds in all quadrants
B. Encourage popsicles and fluids of choice
C. Evaluate postural blood pressure measurements
D. Obtain a specimen for urinalysis
- correct answer -B. Encourage popsicles and fluids of choice
Which instruction should the nurse provide to a client who is
preparing to have a cystoscopy?
A. Report any allergies to shellfish or iodine
B. Report any painful urination, blood in urine, or fever
C. Lay prone for 24 hours after the procedure
D. Avoid strenuous activity and sports for at least 2 weeks
- correct answer -B. Report any painful urination, blood in urine, or
fever
What statement by a client who is 24 hours post-subtotal
thyroidectomy requires an immediate investigation by the nurse?
A. "When I get out of bed quickly, I feel a little dizzy."
B. "The dressing over my incision feels like it is too tight
C. "I'm most comfortable when the head of the bed is raised"
D. "This IV infusion makes me urinate more often than usual"
- correct answer -A. "When I get out of bed quickly, I feel a little
dizzy."
pg. 4
WITH NGN UPDATED 2025 QUESTIONS AND
ANSWERS(100% CORECT)ALREADY GRADED A+
While caring for a client's postoperative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to the
healthcare provider, the nurse should review which of the client's
laboratory values?
A. Culture for sensitive organisms
B. Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin
- correct answer -A. Culture for sensitive organisms
A client is admitted with acute pancreatitis. The client admits to
drinking a pint of bourbon daily. The nurse medicates the client for
pain and monitors vital signs every 2 hours. Which finding should the
nurse report immediately to the healthcare provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin
- correct answer -C. Confusion and tremors
A client with leukemia who is receiving a myleosuppressive
chemotherapy has a platelet count of 25,000/mm3. Which
intervention is most important for the nurse to include in this client's
plan of care?
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
pg. 1
,D. Obtain client's temperature q4 hours
- correct answer -A. Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines that the
anterior fontanel is bulging. In which situation would this findings be
most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool
- correct answer -B. Sitting upright
A client who is admitted to the intensive care unit with syndrome of
inappropriate antidiuretic hormone (SIADH) has developed osmotic
demyelination. Which intervention should the nurse implement first?
A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion
- correct answer -B. Evaluate swallow
The nurse is caring for a client with chronic obstructive disease
(COPD) who uses oxygen at 2L/minute per nasal cannula
continuously. The nurse observes that the client is having increased
shortness of breath with respirations at 23 breaths/minute. Which
action should the nurse implement first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen saturation
C. Notify the healthcare provider about the client's distress
pg. 2
,D. Assess the delivery mechanism of the oxygen tank, tubing, and
cannula
- correct answer -D. Assess the delivery mechanism of the oxygen
tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is admitted
with Kaposi's sarcoma. Which intervention should the nurse include
in this client's admission plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions
- correct answer -B. Monitor for secondary infections
An older woman who has difficulty hearing is being discharged from
day surgery following a cataract extraction and lens implantation.
Which intervention is most important for the nurse to implement to
help ensure the client's compliance with self care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration
- correct answer -A. Have the client vocalize the instructions
provided
An older woman with history of atrial fibrillation fell at home and
fractured her left hip. She is currently taking warfarin 5 mg daily and
has an international normalized ratio (INR) value of 5.0. Upon
admission, which prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
pg. 3
, C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells
- correct answer -A. Administer Vitamin K injection
A 12-year-old client who had an appendectomy two days ago is
receiving 0.9% normal saline at 50mL/hr. The client's urine specific
gravity is 1.035. Which action should the nurse implement?
A. Assess bowel sounds in all quadrants
B. Encourage popsicles and fluids of choice
C. Evaluate postural blood pressure measurements
D. Obtain a specimen for urinalysis
- correct answer -B. Encourage popsicles and fluids of choice
Which instruction should the nurse provide to a client who is
preparing to have a cystoscopy?
A. Report any allergies to shellfish or iodine
B. Report any painful urination, blood in urine, or fever
C. Lay prone for 24 hours after the procedure
D. Avoid strenuous activity and sports for at least 2 weeks
- correct answer -B. Report any painful urination, blood in urine, or
fever
What statement by a client who is 24 hours post-subtotal
thyroidectomy requires an immediate investigation by the nurse?
A. "When I get out of bed quickly, I feel a little dizzy."
B. "The dressing over my incision feels like it is too tight
C. "I'm most comfortable when the head of the bed is raised"
D. "This IV infusion makes me urinate more often than usual"
- correct answer -A. "When I get out of bed quickly, I feel a little
dizzy."
pg. 4
