2024 NGN HESI RN EXIT EXAM: 130
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES – COMPREHENSIVE REVIEW
FOR NEXT GENERATION NCLEX .
Thehnursehdiscovershthathanholderhadulthclienthwithhnohhistoryhofhcardiachorhrenalhdiseasehhash
anhelevatedhserumhmagnesiumhlevel.hTohfurtherhinvestigatehthehcausehofhthishelectrolytehimba
lance,hwhichhinformationhishmosthimportanthforhthehnursehtohobtainhfromhthehclientshmedicalh
history?h
A) hlengthhandhfrequencyhofhthehclientshtobaccohuse.h
B) hGeneticallyhinheritedhdisordershofhfamilyhmembers.
C) hFrequencyhofhlaxativehusehforhchronichconstipation.h
D) hIngestionhofhshellfishhorhfishhoilhcapsuleshdaily.h-
answerD)hIngestionhofhshellfishhorhfishhoilhcapsuleshdaily.
h
Clienthwhohunderwenthanhuncomplicatedhgastrichbypasshsurgeryhishhavinghdifficultyhwithhdieth
,management.hWhichhdietaryhinstructionhishmosthimportanthforhthehnursehtohexplainhtohthehclie
nt?h
A) hTohfoodhslowlyhandhthoroughlyhbeforehattemptinghtohswallow.h
B) hPlanhvolumehcontrolled,hevenlyhspacehmealshthroughouththehday.h
C) hSiphfluidshChloehwithheachhmealhandhbetweenhmeals.h
D) hEliminatehorhreducehintakehahfattyhandhgashforminghfoods.h-
answerB)hPlanhvolumehcontrolled,hevenlyhspacehmealshthroughouththehday.
h
Ahclienthwithhanhacutehmyocardialhinfarctionhishgivenhahthrombolytichmedication,haspirin,handhI
Vhheparinhinhthehemergencyhdepartment.hWhichhfindinghindicateshthehclienthishhavinghahsatifa
ctoryhresponse?h
A) hActivatedhpartialhthromboplastinh(aPTT)htimehishtwohtimeshthehcontrolhvalue.
B) hCardiachtracinghshowsh1.2hMMhwidehQhwaveshhalfhthehheighthofhthehcomplex.
,C) hGuiachtesthofhthehstoolshishpositive.h
D) hS3hhearthsoundsharehpresenthwithhauscultationh-
answerA)hActivatedhpartialhthromboplastinh(aPTT)htimehishtwohtimeshthehcontrolhvalue.
h
Whenhpreparinghtohadministerhahprescribedhmedicationhtohahhomelesshclienthathahcommunityh
psychiatrichclinic.hThehclienthtellshthehnursehthaththehusualhdosagehtakenhishdifferenthfromhtheh
dosehthehnursehishgiving.hWhichhactionhshouldhthehnursehtake?h
A) hInformhthehclienththathhehmayhrefusehthehmedicationhandhdocumenthwhetherhorhnoththehcli
enthtakeshit.h
, B) hWithholdhthehmedicationhuntilhthehdosagehcanhbehconfirmed.h
C) hExplainhtohthehclienththaththehdosagehhashbeenhchanged.h
D) hTellhthehclienthtohtakehthehmedicationhthenhverifyhthehdosagehaththehnexthhealthcarehteamh
meeting.h-hanswerB)hWithholdhthehmedicationhuntilhthehdosagehcanhbehconfirmed.
Thehchargehnursehishmakinghassignmentshforhonehpracticalhnursehandhthreehregisteredhnursesh
whoharehcaringhforhneurologicallyhcompromisedhclients.hWhichhclienthwithhwhichhchangehinhst
atushishbesthtohassignhtohthehPN?h
A) hSubduralhhematomahwhosehbloodhpressurehchangedhfromh150/80htoh170/60.
B) hViralhmeningitishwhosehtemperaturehchangehfromh101hShtoh102F.h
C) hDiabetichketohacidosishwhohishGlasgowhcomahscalehscorehchangedhfromh10htoh7.h
D) hMyxedema,hwhosehbloodhpressurehchangehfromh80/50htoh70/40.h-
answerB)hViralhmeningitishwhosehtemperaturehchangehfromh101hShtoh102F.
h
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES – COMPREHENSIVE REVIEW
FOR NEXT GENERATION NCLEX .
Thehnursehdiscovershthathanholderhadulthclienthwithhnohhistoryhofhcardiachorhrenalhdiseasehhash
anhelevatedhserumhmagnesiumhlevel.hTohfurtherhinvestigatehthehcausehofhthishelectrolytehimba
lance,hwhichhinformationhishmosthimportanthforhthehnursehtohobtainhfromhthehclientshmedicalh
history?h
A) hlengthhandhfrequencyhofhthehclientshtobaccohuse.h
B) hGeneticallyhinheritedhdisordershofhfamilyhmembers.
C) hFrequencyhofhlaxativehusehforhchronichconstipation.h
D) hIngestionhofhshellfishhorhfishhoilhcapsuleshdaily.h-
answerD)hIngestionhofhshellfishhorhfishhoilhcapsuleshdaily.
h
Clienthwhohunderwenthanhuncomplicatedhgastrichbypasshsurgeryhishhavinghdifficultyhwithhdieth
,management.hWhichhdietaryhinstructionhishmosthimportanthforhthehnursehtohexplainhtohthehclie
nt?h
A) hTohfoodhslowlyhandhthoroughlyhbeforehattemptinghtohswallow.h
B) hPlanhvolumehcontrolled,hevenlyhspacehmealshthroughouththehday.h
C) hSiphfluidshChloehwithheachhmealhandhbetweenhmeals.h
D) hEliminatehorhreducehintakehahfattyhandhgashforminghfoods.h-
answerB)hPlanhvolumehcontrolled,hevenlyhspacehmealshthroughouththehday.
h
Ahclienthwithhanhacutehmyocardialhinfarctionhishgivenhahthrombolytichmedication,haspirin,handhI
Vhheparinhinhthehemergencyhdepartment.hWhichhfindinghindicateshthehclienthishhavinghahsatifa
ctoryhresponse?h
A) hActivatedhpartialhthromboplastinh(aPTT)htimehishtwohtimeshthehcontrolhvalue.
B) hCardiachtracinghshowsh1.2hMMhwidehQhwaveshhalfhthehheighthofhthehcomplex.
,C) hGuiachtesthofhthehstoolshishpositive.h
D) hS3hhearthsoundsharehpresenthwithhauscultationh-
answerA)hActivatedhpartialhthromboplastinh(aPTT)htimehishtwohtimeshthehcontrolhvalue.
h
Whenhpreparinghtohadministerhahprescribedhmedicationhtohahhomelesshclienthathahcommunityh
psychiatrichclinic.hThehclienthtellshthehnursehthaththehusualhdosagehtakenhishdifferenthfromhtheh
dosehthehnursehishgiving.hWhichhactionhshouldhthehnursehtake?h
A) hInformhthehclienththathhehmayhrefusehthehmedicationhandhdocumenthwhetherhorhnoththehcli
enthtakeshit.h
, B) hWithholdhthehmedicationhuntilhthehdosagehcanhbehconfirmed.h
C) hExplainhtohthehclienththaththehdosagehhashbeenhchanged.h
D) hTellhthehclienthtohtakehthehmedicationhthenhverifyhthehdosagehaththehnexthhealthcarehteamh
meeting.h-hanswerB)hWithholdhthehmedicationhuntilhthehdosagehcanhbehconfirmed.
Thehchargehnursehishmakinghassignmentshforhonehpracticalhnursehandhthreehregisteredhnursesh
whoharehcaringhforhneurologicallyhcompromisedhclients.hWhichhclienthwithhwhichhchangehinhst
atushishbesthtohassignhtohthehPN?h
A) hSubduralhhematomahwhosehbloodhpressurehchangedhfromh150/80htoh170/60.
B) hViralhmeningitishwhosehtemperaturehchangehfromh101hShtoh102F.h
C) hDiabetichketohacidosishwhohishGlasgowhcomahscalehscorehchangedhfromh10htoh7.h
D) hMyxedema,hwhosehbloodhpressurehchangehfromh80/50htoh70/40.h-
answerB)hViralhmeningitishwhosehtemperaturehchangehfromh101hShtoh102F.
h
