2024 NGN HESI PN EXIT V1 EXAM
with 75 Questions and Answers (Verified Revised Full Exam)
1. A 50-year-old man arrives at the clinic with complaints of pain on ejacula- tion.
Which action should the nurse implement?
A.Teach the client testicular self-examination (TSE). B.Assess
for the presence of blood in the urine.
C.Ask about scrotal pain or blood in the semen. D.Inquire
about a history of kidney stones.
ANS: C
Orchitis is an acute testicular inflammation resulting from recurrent urinary tract
infection, recurrent sexually transmitted disease (STD), or an indwelling urethral urinary
catheter causing pain on ejaculation, scrotal pain, blood in the semen, and penile
discharge, so the nurse should determine the presence of other symptoms (C). Although
all men should practice TSE, the client's symptoms are suggestive of an inflammatory
syndrome rather than testicular cancer (A). Although hematuria (B) is associated with
renal disease or calculi (D), the client's pain is associated with ejaculate, not urine.
2. Which assessment finding for a client with peritoneal dialysis requires
immediate intervention by the nurse?
,A.The color of the dialysate outflow is opaque yellow. B.The
dialysate outflow is greater than the inflow.
C.The inflow dialysate feels warm to the touch.
D.The inflow dialysate contains potassium chloride.
ANS: A
Opaque or cloudy dialysate outflow is an early sign of peritonitis. The nurse should obtain
a specimen for culture, assess the client, and notify the health care provider (A). (B and C)
are desired. (D) is commonly done to prevent hypokalemia.
3. The nurse is teaching a client newly diagnosed with diabetes mellitus about the
subcutaneous administration of Regular and NPH insulin. Which statement indicates
that the client needs further instruction?
A."I should balance my daily exercise with my dietary intake and insulin
dosages."
B."When I give myself an injection, I should aspirate to make sure that I am not in a
blood vessel."
C."I should inject my insulin into a different site to reduce the development of scar
tissue."
D."I should remove the dose of clear insulin first and then the dose of cloudy insulin
from the vials."
ANS: B
,Aspiration (B) is not necessary when giving insulin because it could increase tissue
trauma and affect the absorption rate. (C) helps minimize tissue atrophy, which can affect
the absorption of the insulin. (A and D) are correct procedures. The client should balance
an active physical lifestyle with diet, insulin, and blood glucose monitoring to ensure good
serum glucose control. When mixing insulins in the same syringe, the clear (Regular)
insulin is withdrawn first to avoid contamination of the clear vial with cloudy NPH insulin,
which will alter the absorption rate of the remaining Regular insulin.
4. The nurse meets resistance while flushing a central venous catheter (CVC) at the
subclavian site. Which action should the nurse perform?
A.Examine for clamp closures.
B.Irrigate with a larger syringe.
C.Assess for signs of infection.
D.Flush the line with heparin.
ANS: A
Thrombus formation, closed clamp, or crystallized medication can cause resistance while
flushing a central line, so the line should be assessed for closed clamps (A) first. Irrigation
with a larger syringe (B) will not alleviate the cause for the resistance and can rupture the
line. A central line infection (C) should not cause resistance while flushing the line. The CVC
should be flushed with normal saline (D) or a diluted solution of heparin (10-100 U/mL)
after (A) is completed, if necessary.
, 5. A client with acquired immunodeficiency syndrome (AIDS) is hospitalized after a
recent discharge. Which nursing intervention is most important in reducing the client's
stress associated with repeated hospitalization?
A.Allow the client to discuss the seriousness of the illness.
B.Ensure that the client is provided with information about medications. C.Encourage as
much independence in decision making as possible.
D.Include the client in planning the course of treatment.
ANS: C
Hospitalization compromises an individual's sense of control and independence, which
contributes to stress, so allowing the client as much independence in deci- sions as
possible (C) helps reduce stress experienced with repeated hospitalization. (A, B, and D) are
important components in stress reduction, but the isolation and dependence associated
with hospitalization alter the client's sense of control and affect the client's cognitive
ability to understand (B) and participate (D) in the hospitalized plan of care.
6. According to Erikson, which client should the nurse identify as having difficulty
completing the developmental stage of older adults?
with 75 Questions and Answers (Verified Revised Full Exam)
1. A 50-year-old man arrives at the clinic with complaints of pain on ejacula- tion.
Which action should the nurse implement?
A.Teach the client testicular self-examination (TSE). B.Assess
for the presence of blood in the urine.
C.Ask about scrotal pain or blood in the semen. D.Inquire
about a history of kidney stones.
ANS: C
Orchitis is an acute testicular inflammation resulting from recurrent urinary tract
infection, recurrent sexually transmitted disease (STD), or an indwelling urethral urinary
catheter causing pain on ejaculation, scrotal pain, blood in the semen, and penile
discharge, so the nurse should determine the presence of other symptoms (C). Although
all men should practice TSE, the client's symptoms are suggestive of an inflammatory
syndrome rather than testicular cancer (A). Although hematuria (B) is associated with
renal disease or calculi (D), the client's pain is associated with ejaculate, not urine.
2. Which assessment finding for a client with peritoneal dialysis requires
immediate intervention by the nurse?
,A.The color of the dialysate outflow is opaque yellow. B.The
dialysate outflow is greater than the inflow.
C.The inflow dialysate feels warm to the touch.
D.The inflow dialysate contains potassium chloride.
ANS: A
Opaque or cloudy dialysate outflow is an early sign of peritonitis. The nurse should obtain
a specimen for culture, assess the client, and notify the health care provider (A). (B and C)
are desired. (D) is commonly done to prevent hypokalemia.
3. The nurse is teaching a client newly diagnosed with diabetes mellitus about the
subcutaneous administration of Regular and NPH insulin. Which statement indicates
that the client needs further instruction?
A."I should balance my daily exercise with my dietary intake and insulin
dosages."
B."When I give myself an injection, I should aspirate to make sure that I am not in a
blood vessel."
C."I should inject my insulin into a different site to reduce the development of scar
tissue."
D."I should remove the dose of clear insulin first and then the dose of cloudy insulin
from the vials."
ANS: B
,Aspiration (B) is not necessary when giving insulin because it could increase tissue
trauma and affect the absorption rate. (C) helps minimize tissue atrophy, which can affect
the absorption of the insulin. (A and D) are correct procedures. The client should balance
an active physical lifestyle with diet, insulin, and blood glucose monitoring to ensure good
serum glucose control. When mixing insulins in the same syringe, the clear (Regular)
insulin is withdrawn first to avoid contamination of the clear vial with cloudy NPH insulin,
which will alter the absorption rate of the remaining Regular insulin.
4. The nurse meets resistance while flushing a central venous catheter (CVC) at the
subclavian site. Which action should the nurse perform?
A.Examine for clamp closures.
B.Irrigate with a larger syringe.
C.Assess for signs of infection.
D.Flush the line with heparin.
ANS: A
Thrombus formation, closed clamp, or crystallized medication can cause resistance while
flushing a central line, so the line should be assessed for closed clamps (A) first. Irrigation
with a larger syringe (B) will not alleviate the cause for the resistance and can rupture the
line. A central line infection (C) should not cause resistance while flushing the line. The CVC
should be flushed with normal saline (D) or a diluted solution of heparin (10-100 U/mL)
after (A) is completed, if necessary.
, 5. A client with acquired immunodeficiency syndrome (AIDS) is hospitalized after a
recent discharge. Which nursing intervention is most important in reducing the client's
stress associated with repeated hospitalization?
A.Allow the client to discuss the seriousness of the illness.
B.Ensure that the client is provided with information about medications. C.Encourage as
much independence in decision making as possible.
D.Include the client in planning the course of treatment.
ANS: C
Hospitalization compromises an individual's sense of control and independence, which
contributes to stress, so allowing the client as much independence in deci- sions as
possible (C) helps reduce stress experienced with repeated hospitalization. (A, B, and D) are
important components in stress reduction, but the isolation and dependence associated
with hospitalization alter the client's sense of control and affect the client's cognitive
ability to understand (B) and participate (D) in the hospitalized plan of care.
6. According to Erikson, which client should the nurse identify as having difficulty
completing the developmental stage of older adults?
