XAM
2023 NGN RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs
& As Included - Guaranteed Pass A+ (All Brand NewQ&APics
Included)
The48nurse48is48reviewing48medical48prescriptions48for48newly48admitted48clients.4 8
It48would48be48a48priority48for48the48nurse48to48follow48up48with48the48phy
sician48if48a48client48with
(a) a48potassium48level48of484.5mEq/L48has48Kayexalate48(sodium48polystyrene)48prescribed
(b) a48Dilantin48(phenytoin)48level48of48848mcg/ml48is48placed48on48seizure48precauti
ons(c)48sensitivity48to48Aspirin48(acetylsalicylic48acid)48is48prescribed48Tylenol48(a
cetaminophen)
(d)48sensitivity48to48Penicillin48is48prescribed48Zithromax48(azithromycin)
2. The48nurse48from48the48postpartum48unit48has48been48temporarily48assigned48to48t
he48medical48surgical48unit.4 8 It48would48be48most48appropriate48to48assign48this48
nurse48to48the48client48who*
(a) has48returned48from48right48total48hip48replacement48surgery48four48hours48ago
(b) is48being48observed48for48increased48intracranial48pressure
(c) had48surgery48two48hours48ago48to48remove48the48appendix
(d) is48two48weeks48post48partum48being48maintained48on48a48mechanical48ven
tilator48for48respiratory48failure
3. The48nurse48should48intervene48if48the48nurse48notes48a48staff48member
(a) obtaining48a48clients48consent48prior48to48their48operative48procedure48after48receivi
ng48Ativan48(lorazepam)
(b) placing48a48client48on48the48affected48side48following48surgical48repair48o
f48a48retinal48detachment
(c) handling48a48wet48cast48with48the48palms48of48the48hands
(d) using48a48broad48base48of48support48while48transferring48a48client
1
, 202348NGN48RN48HESI48EXIT48E
XAM
4. The48community48health48nurse48is48caring48for48the48following48clients.48It48would48be48a
priority48for48the48nurse48to48initiate48a48multidisciplinary48conference48for48the48client48who48is
2
, 202348NGN48RN48HESI48EXIT48E
XAM
(a) 1248years48old48with48Autism48who48is48starting48a48new48school48and48re
cently48had48a48URI48(upper48respiratory48tract48infection)
(b) 1648years48old,48has48type48148Diabetes48Mellitus,48is48unemployed48and48h
ad48a48recent48Hemoglobin48A1c48of4813%
(c) 5248years48old,48with48Myasthenia48Gravis,48recently48prescribed48M
estinon48(pyridostigmine)48and48employed48as48a48mail48carrier
(d) 7048years48old,48has48schizophrenia,48lives48alone48and48reports48hearing48non48t
hreatening48voices.
5. The48nurse48in48a48well48baby48clinic48has48assessed48several48children48today.48It
48would48be48a48priority48for48the48nurse48to48suggest48follow48up48for48the48child48wh
o48is48(a)48248months48old48with48a48positive48babinski48refl48ex
(b) 548months48old48and48does48not48hold48their48own48bottle
(c) 1048months48old48who48cries48around48strangers
(d) 1848months48old48who48needs48support48while48ambulating
6. The48nurse48is48caring48for48a48mechanically48ventilated48client48who48was48dec
lared48brain48dead.48An48Advance48Directive48is48not48documented48on48the48medi
cal48record.48It48would48be48most48appropriate48to48obtain48consent48for48organ48d
onation48from48the
(a) client‘s48primary48care48provider
(b) client‘s48nurse48manager
(c) closest48living48family48member
(d) hospital‘s48ethics48committee
7. The48nurse48has48received48report48on48four48clients.4 8 The48nurse48should48fi48r
st48assess48the48client48who48has*
(a) Chronic48Obstructive48Pulmonary48Disease48(COPD)48with48a48pulse48oximetry48re
ading48of4890%
(b) Parkinson‘s48Disease48and48is48demanding48to48leave48the48hospital48against48medic
al48advice48(AMA)
3
, 202348NGN48RN48HESI48EXIT48E
(c) been48admitted48withXAM
48suspected48Guillian-Barre´48Syndrome48and48has48begun
4