NGN Exit hesi
1. A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain,
which approach should the nurse use?
ANSW Ask the patient to describe the pain
2. The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should
be removed first?
ANSW Gloves
3. An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The
daughter, who has power of attorney, has brought the client's prescriptions. Which information should the nurse provide first
when reporting to the healthcare provider using SBAR communication?
ANSW Increasing confusion of the pt.
4. A pt tells the nurse about working out with a personal trainer and swimming three times a week in an effort to lose weight
and sleep better. The pt states that it still is taking hours to fall asleep at night.Which action should the nurse implement?
ANSW Ask the pt for a description of the exercise schedule that is being followed
5. 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from Guillain-Barre
syndrome about home. Which actions should the nurse include when providing discharge teaching to the pt and spouse?
SATA
ANSW -review safe transfer strategies
-develop a nutritional plan
-help identify community support
6. The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which outcome indicates
that the program was effective?-
ANSW pt who develop disease complications promptly received rehabilitation
7. The nurse has received funding to design a health promotion project for African American women who are at risk for
developing breast cancer. Which resource is most important in designing this program?
ANSW participation of com- munity leaders in planning the program
8. A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries occurred.The healthcare
provider instructs the nurse to avoid auto contamination when performing dressing changes.Which intervention is most
important for the nurse to implement?
ANSW use gown, mask, and gloves with dressing changes
9. A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are infusing.The pt is sedated but
responds to instructions. After changing positions, the pt complains of pain at the right groin insertion site. What action
should the nurse implement?
ANSW Stimulate the pt to take deep breaths
, NGN Exit hesi
10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most important for the
nurse to obtain?
ANSW upper body muscle strength
11. While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never falling. Which action
should the nurse take?
ANSW Continue to obtain pt data needed to complete the fall risk survey
12. The nurse is feeding an older adult who was admitted with aspiration pneu- monia. The pt is weak and begins coughing
while attempting to drink through a straw. Which intervention should the nurse implement?
ANSW Teach coughing and deep breathing exercises
13. The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When reviewing the
information, which statement should the nurse recognize as needing additional education?
ANSW Empty the pouch when it is half full.
14. A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which action is
most important for the nurse to implement?
ANSW initiate prescribed IV fluids
15. A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse should ensure that
the pt bed is in which position?
ANSW - Picture with the bed sitting up
16. A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about
the procedure. In preparing the pt for the procedure, which intervention has the highest priority?
ANSW Instruct pt to write down questions
17. While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound. Before reporting this
finding to the provider, the nurse should review which of the pt lab values?
ANSW culture for sensitive organisms
18. A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every 12hrs. When
the client requests an afternoon snack, which dietary choice should the nurse provide?
ANSW Cinnamon apple sauce
19. An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and his abd is
distended, and he just vomited
150ml of dark brown emesis. In what order should the nurse implement these interventions?
ANSW Send emesis to lab
Elevate HOB
complete focused assessment offers PRN pain meds
20. A patient who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side
effects since taking the med.
1. A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain,
which approach should the nurse use?
ANSW Ask the patient to describe the pain
2. The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should
be removed first?
ANSW Gloves
3. An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The
daughter, who has power of attorney, has brought the client's prescriptions. Which information should the nurse provide first
when reporting to the healthcare provider using SBAR communication?
ANSW Increasing confusion of the pt.
4. A pt tells the nurse about working out with a personal trainer and swimming three times a week in an effort to lose weight
and sleep better. The pt states that it still is taking hours to fall asleep at night.Which action should the nurse implement?
ANSW Ask the pt for a description of the exercise schedule that is being followed
5. 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from Guillain-Barre
syndrome about home. Which actions should the nurse include when providing discharge teaching to the pt and spouse?
SATA
ANSW -review safe transfer strategies
-develop a nutritional plan
-help identify community support
6. The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which outcome indicates
that the program was effective?-
ANSW pt who develop disease complications promptly received rehabilitation
7. The nurse has received funding to design a health promotion project for African American women who are at risk for
developing breast cancer. Which resource is most important in designing this program?
ANSW participation of com- munity leaders in planning the program
8. A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries occurred.The healthcare
provider instructs the nurse to avoid auto contamination when performing dressing changes.Which intervention is most
important for the nurse to implement?
ANSW use gown, mask, and gloves with dressing changes
9. A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are infusing.The pt is sedated but
responds to instructions. After changing positions, the pt complains of pain at the right groin insertion site. What action
should the nurse implement?
ANSW Stimulate the pt to take deep breaths
, NGN Exit hesi
10. Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most important for the
nurse to obtain?
ANSW upper body muscle strength
11. While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never falling. Which action
should the nurse take?
ANSW Continue to obtain pt data needed to complete the fall risk survey
12. The nurse is feeding an older adult who was admitted with aspiration pneu- monia. The pt is weak and begins coughing
while attempting to drink through a straw. Which intervention should the nurse implement?
ANSW Teach coughing and deep breathing exercises
13. The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When reviewing the
information, which statement should the nurse recognize as needing additional education?
ANSW Empty the pouch when it is half full.
14. A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which action is
most important for the nurse to implement?
ANSW initiate prescribed IV fluids
15. A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse should ensure that
the pt bed is in which position?
ANSW - Picture with the bed sitting up
16. A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about
the procedure. In preparing the pt for the procedure, which intervention has the highest priority?
ANSW Instruct pt to write down questions
17. While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound. Before reporting this
finding to the provider, the nurse should review which of the pt lab values?
ANSW culture for sensitive organisms
18. A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every 12hrs. When
the client requests an afternoon snack, which dietary choice should the nurse provide?
ANSW Cinnamon apple sauce
19. An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and his abd is
distended, and he just vomited
150ml of dark brown emesis. In what order should the nurse implement these interventions?
ANSW Send emesis to lab
Elevate HOB
complete focused assessment offers PRN pain meds
20. A patient who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side
effects since taking the med.
