HESI EXIT NGN FORMAT EXAM | 800+ QUESTIONS AND 100% Correct VERIFIED ANSWERS (2023/ 2024 Latest Update)
QUESTION
The nurse enters a client's room to ad... [Show More] minister scheduled daily medications and observes the client leaning forward and using pursed lip breathing. Which action is most important for the nurse to implement first?
Answer:
Evaluate the oxygen saturation
QUESTION
During a clinic visit, a client with a kidney transplant ask, "What will happen if chronic rejection develops?" which response is best for the nurse to provide?
Answer:
Dialysis would need to be resumed if chronic rejection becomes a reality
QUESTION
The nurse enters a client's room and observe the unlicensed assistive personnel (UAP) making an occupied bed as seen in the picture. What action should the nurse take first?
Answer:
Place the side rails in an up position
QUESTION
A client is receiving continuous bladder irrigation via a triple-lumen suprapubic catheter that was placed during prostatectomy. Which report by the unlicensed assistive personnel (UAP) requires intervention by the nurse?
Answer:
Leakage around catheter insertion site
QUESTION
A client with bleeding esophageal varices receives vasopressin (Pitressin) IV. What should the nurse monitor for during the IV infusion of this medication?
Answer:
Chest pain and dysrhythmia
QUESTION
A male client with cancer who has lost 10 pounds during the last months tells the nurse that beef, chicken, and eggs, which used to be his favorite foods, now they taste "bitter". He complains that he simply has no appetite. What action should the nurse implement?
Answer:
Suggest the use of alternative sources of protein such as dairy products and nuts
QUESTION
A nurse plans to call the healthcare provider to report an 0600 serum potassium level of 2 mEq/L or mmol/L (SI), but the charge nurse tells the nurse that the healthcare provider does not like to receive early morning calls and will make rounds later in the morning. What action
should the nurse make?
Answer:
Contact the healthcare provider immediately to report the laboratory value regardless of the advice
QUESTION
Which actions should the nurse implement with auscultating anterior breath sounds? (Place the first action on top and last action on the bottom.)
Answer:
1. Place stethoscope in suprasternal area to auscultate from bronchial sounds
2. Auscultate bronchovesicular sounds from side to side of the first and second intercostal spaces
3. Displace female breast tissue and apply stethoscope directly on chest wall to hear vesicular sounds
4. Document normal breath sounds and location of adventitious breath sounds
QUESTION
The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in preventing bone loss and promoting bone formation?
Answer:
Recommend weigh bearing physical activity
QUESTION
The husband of an older woman, diagnosed with pernicious anemia, calls the clinic to report that his wife still has memory loss and some confusion since she received the first dose of nasal cyanocobalamin two days ago. He tells the nurse that he is worried that she might be getting Alzheimer's disease. What action should the nurse take?
Answer:
Explain that memory loss and confusion are common with vitamin B12 deficiency
QUESTION
A female client who is admitted to the mental health unit for opiate dependency is receiving clonidine 0.1 mg PO for withdrawal symptoms. The client begins to complain of feeling nervous and tells the nurse that her bones are itching. Which finding should the nurse identify as a contraindication for administering the medication?
Answer:
Blood pressure 90/76 mm Hg
QUESTION
During discharge teaching, an overweight client heart failure (HF) is asked to make a grocery list for the nurse to review. Which food choices included on the client's list should the nurse encourage? (Select all that apply)
Answer:
B. Plain, air-popped popcorn.
D. Natural whole almonds.
QUESTION
A client with Addison's disease becomes weak, confused, and dehydrated following the onset of an acute viral infection. The client's laboratory values include; sodium 129 mEq/l (129mmol/l SI), glucose 54 mg/dl (2.97mmol/l SI) and potassium 5.3 mmol/l SI). When reporting the findings to the HCP, the nurse anticipates a prescription for which intravenous medications?
Answer:
Hydrocortisone
QUESTION
An adolescent, whose mother recently died, comes to the school nurse complain headache. Which statement made by the students should warrant further explanation nurse?
Answer:
"I miss Mon and would like to go see her'".
QUESTION
When washing soiled hands, the nurse first wets the hands and applies soap. The nurse should complete additional actions in which sequence? (Arrange from first action on top last action on bottom.)
Answer:
1. Rub hands palm to palm.
2. Interlace the fingers,
3. Dry hands with paper towel.
4. Turn off the water faucet.
QUESTION
An Unna boot is applied to a client with a venous stasis ulcer. One week later, when the Unna boot is removed during a follow-up appointment, the nurse observes that the ulcer site contains bright red tissue. What action should the nurse take in response to this finding?
Answer:
Document the ongoing wound healing.
QUESTION
The nurse is caring for four clients who are on the rehabilitation unit, which client should the
nurse assess first?
Answer:
A client who is receiving a continuous tube feeding and is now vomiting.
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