2023 NGN RN HESI EXIT EXAM
2023 NGN RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs
& As Included - Guaranteed Pass A+ (All Brand NewQ&APics
Included)
The nurse is reviewing medical prescriptions for newly admitted clients. It would
be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse from the postpartum unit has been temporarily assigned to the medical
surgical unit. It would be most appropriate to assign this nurse to the client who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure
3. The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving Ativan
(lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client
4. The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client who is
1
, 2023 NGN RN HESI EXIT EXAM
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non threatening
voices.
5. The nurse in a well baby clinic has assessed several children today. It would be a
priority for the nurse to suggest follow up for the child who is (a) 2 months old with a
positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It would be
most appropriate to obtain consent for organ donation from the
(a) client‘s primary care provider
(b) client‘s nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
7. The nurse has received report on four clients. The nurse should fi rst assess the
client who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of
90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical advice
(AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has begun
2
, 2023 NGN RN HESI EXIT EXAM
plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurse should intervene if a staff member is observed
(a) discussing a client‘s diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist
10. The nurse is preparing a staff presentation on legal and ethical issues in nursing.
The nurse would be correct to include which of the following examples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in the day
room to watch television is false imprisonment
(b) Telling a client that you will put in a feeding tube if the client does not eat is an
example of battery
(c) Telling a client with bipolar disorder who is suicidal that they have a right to refuse
to take their medications is an example of malpractice
(d) Placing hands on a client who says ―do not touch me‖ is an example of assault
11. The nurse from the pediatric unit has been temporarily assigned to the Emergency
Department. It would be most appropriate to assign that nurse to the client who*
(a) reports epigastric pain that ―feels like indigestion‖
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant
3
, 2023a1NGNa1RNa1HESIa1EXITa1E
XAM
12. Four clients recently returned to the unit following invasive diagnostic testing. The
nurse should immediately intervene if one of the clients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac catheterization
13. The nurse is made aware of the following situations. The nurse should fi rst check
the client who
had a transurethral prostate
(a) ctomya1(TURP)a1anda1isa1reportinga1urinarya1dribblinga1twoa1hoursa1aftera1thea1in
dwellinga1cathetera1isa1removed
(b) hasa1cervicala1tractiona1anda1isa1movinga1thea1legsa1bya1fla1exinga1anda1extendinga1thea1feet
(c) hasa1Alzheimer‘sa1diseasea1(stagea11)a1anda1wasa1returneda1toa1thea1rooma1aftera1b
einga1founda1wanderinga1ina1thea1hallway
(d) hasa1aa1historya1ofa1partiala1seizuresa1anda1isa1sittinga1ina1thea1beda1pickinga1ata1thea
1clothinga1anda1smackinga1thea1lips
14. Thea1nursea1ina1aa1communitya1healtha1clinica1isa1talkinga1witha1thea1parenta1ofa1
aa1childa1witha1Celiaca1Disease.a 1 Whicha1ofa1thea1followinga1statementsa1woulda1r
equirea1follow-upa1bya1the
nursea1fora1additionala1teaching?a1(a)a1―Thisa1weekenda1wea1area1goinga1toa1aa1seafood
a1restaurant.‖
(b) ―Ia1cana1feeda1mya1childa1oatmeala1anda1eggsa1fora1breakfast.‖
(c) ―Mya1childa1lovesa1toa1eata1ricea1anda1chickena1fora1dinner.‖
(d) ―Lasta1nighta1wea1atea1fia1sha1witha1corna1fora1dinner.‖
15. Thea1chargea1nursea1isa1observinga1aa1Licenseda1Practicala1Nursea1(LPN)a1performin
ga1carefora1assigneda1clients.a1Followa1upa1willa1bea1requireda1ifa1thea1LPN*:a1(a)a1
assessesa1aa1client‘sa1apicala1pulsea1beforea1administeringa1Digoxina1(lanoxin)
4
2023 NGN RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs
& As Included - Guaranteed Pass A+ (All Brand NewQ&APics
Included)
The nurse is reviewing medical prescriptions for newly admitted clients. It would
be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse from the postpartum unit has been temporarily assigned to the medical
surgical unit. It would be most appropriate to assign this nurse to the client who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure
3. The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving Ativan
(lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client
4. The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client who is
1
, 2023 NGN RN HESI EXIT EXAM
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non threatening
voices.
5. The nurse in a well baby clinic has assessed several children today. It would be a
priority for the nurse to suggest follow up for the child who is (a) 2 months old with a
positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It would be
most appropriate to obtain consent for organ donation from the
(a) client‘s primary care provider
(b) client‘s nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
7. The nurse has received report on four clients. The nurse should fi rst assess the
client who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of
90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical advice
(AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has begun
2
, 2023 NGN RN HESI EXIT EXAM
plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurse should intervene if a staff member is observed
(a) discussing a client‘s diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist
10. The nurse is preparing a staff presentation on legal and ethical issues in nursing.
The nurse would be correct to include which of the following examples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in the day
room to watch television is false imprisonment
(b) Telling a client that you will put in a feeding tube if the client does not eat is an
example of battery
(c) Telling a client with bipolar disorder who is suicidal that they have a right to refuse
to take their medications is an example of malpractice
(d) Placing hands on a client who says ―do not touch me‖ is an example of assault
11. The nurse from the pediatric unit has been temporarily assigned to the Emergency
Department. It would be most appropriate to assign that nurse to the client who*
(a) reports epigastric pain that ―feels like indigestion‖
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant
3
, 2023a1NGNa1RNa1HESIa1EXITa1E
XAM
12. Four clients recently returned to the unit following invasive diagnostic testing. The
nurse should immediately intervene if one of the clients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac catheterization
13. The nurse is made aware of the following situations. The nurse should fi rst check
the client who
had a transurethral prostate
(a) ctomya1(TURP)a1anda1isa1reportinga1urinarya1dribblinga1twoa1hoursa1aftera1thea1in
dwellinga1cathetera1isa1removed
(b) hasa1cervicala1tractiona1anda1isa1movinga1thea1legsa1bya1fla1exinga1anda1extendinga1thea1feet
(c) hasa1Alzheimer‘sa1diseasea1(stagea11)a1anda1wasa1returneda1toa1thea1rooma1aftera1b
einga1founda1wanderinga1ina1thea1hallway
(d) hasa1aa1historya1ofa1partiala1seizuresa1anda1isa1sittinga1ina1thea1beda1pickinga1ata1thea
1clothinga1anda1smackinga1thea1lips
14. Thea1nursea1ina1aa1communitya1healtha1clinica1isa1talkinga1witha1thea1parenta1ofa1
aa1childa1witha1Celiaca1Disease.a 1 Whicha1ofa1thea1followinga1statementsa1woulda1r
equirea1follow-upa1bya1the
nursea1fora1additionala1teaching?a1(a)a1―Thisa1weekenda1wea1area1goinga1toa1aa1seafood
a1restaurant.‖
(b) ―Ia1cana1feeda1mya1childa1oatmeala1anda1eggsa1fora1breakfast.‖
(c) ―Mya1childa1lovesa1toa1eata1ricea1anda1chickena1fora1dinner.‖
(d) ―Lasta1nighta1wea1atea1fia1sha1witha1corna1fora1dinner.‖
15. Thea1chargea1nursea1isa1observinga1aa1Licenseda1Practicala1Nursea1(LPN)a1performin
ga1carefora1assigneda1clients.a1Followa1upa1willa1bea1requireda1ifa1thea1LPN*:a1(a)a1
assessesa1aa1client‘sa1apicala1pulsea1beforea1administeringa1Digoxina1(lanoxin)
4
