2024-2025 NGN HESI RN Exit Exam
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Questions and Answers Updated (Verified Revised
Full Exam)
The nurse
... [Show More] is caring for a client 2 hours after a right lower lobectomy.
During the evaluation of the water-seal chest drainage system, it is
noted that the fluid level bubbles constantly in the water seal
chamber. On inspection of the chest dressing and tubing, the nurse
does not find any air leaks in the system. The next best action for the
nurse is to
A) Check for subcutaneous emphysema in the upper torso
B) Reposition the client to a position of comfort
C) Call the health care provider as soon as possible
D) Check for any increase in the amount of thoracic drainage - ANSA) Check for subcutaneous emphysema in the upper torso
The nurse is teaching a client with dysrhythmia about the electrical
pathway of an impulse as it travels through the heart. Which of these
demonstrates the normal pathway?
A) AV node, SA node, Bundle of His, Purkinje fibers
B) Purkinje fibers, SA node, AV node, Bundle of His
C) Bundle of His, Purkinje fibers, SA node , AV node
D) SA node, AV node, Bundle of His, Purkinje fibers - ANS-D) SA
node, AV node, Bundle of His, Purkinje fibers
When assessing a client who has just undergone a cardioversion, the
nurse finds the respirations are 12. Which action should the nurse
take first?
A) Try to vigorously stimulate normal breathing
B) Ask the RN to assess the vital signs
C) Measure the pulse oximetry
D) Continue to monitor respirations - ANS-D) Continue to monitor
respirations
When assessing a client, it is important for the nurse to be informed
about cultural issues related to the client's background because
A) Normal patterns of behavior may be labeled as deviant, immoral,
or insane
B) The meaning of the client's behavior can be derived from
conventional wisdom
C) Personal values will guide the interaction between persons from 2
cultures
D) The nurse should rely on her knowledge of different
developmental mental stages - ANS-A) Normal patterns of behavior
may be labeled as deviant, immoral, or insane
In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - ANS-C) Security
A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of
what you mean."
B) "Would you please clarify what you have written so I am sure I am
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me
time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing." - ANS-B) "Would you please clarify
what you have written so I am sure I am reading it
correctly?"
What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - ANS-D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone
but stops as the nurse enters the room to request something for
pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia [Show Less]