NGN HESI EXIT EXAM 2 VERSIONS 2024
AND 2023 EACH VERSION WITH 160
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT) / A+ GRADE
ASSURED
HESI
... [Show More] EXIT 2024
An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator
of hydration that the nurse should report to the healthcare
provider?
A. Urine specific gravity is 1.040
B. Systolic blood pressure decreases 10 points when
standing
C. The client denies being thirsty
D. Skin tenting occurs when the client's forearm is pinched -
....ANSWER...D. Skin tenting occurs when the client's
forearm is pinched
The healthcare provider prescribes methylergonovine
maleate for a postpartum client with uterine atony. What
finding should indicate to the nurse to withhold the next
dose of the medication?
A. Difficulty locating the uterine fundus
B. Excessive lochia
C. Saturation of more than one pad per hour
D. Hypertension - ....ANSWER...D. Hypertension
After an inservice about electronic health record (EHR)
security and safeguarding client information, the nurse
observes a colleague going home with printed copies of
client information in a uniform pocket. Which action should
the nurse take?
A. File a detailed incident report with the specific hiring
facility
B. Warn the colleague that their actions are unprofessional
C. Comment anonymously about the action on a staff
discussion board
D. Communicate the colleague's actions to the unit charge
nurse - ....ANSWER...A. File a detailed incident report with
the specific hiring facility
The nurse is evaluating a tertiary prevention program for
clients with cardiovascular disease implemented in a rural
health clinic. Which outcome indicates the program is
effective?
A. At-risk clients received an increased number of routine
health screenings
B. Clients reported having new confidence in making
healthy food choices
C. Clients who incurred disease complications promptly
received rehabilitation
D. Client relapse of 30% in a 5-year community-wide antismoking campaign - ....ANSWER...C. Clients who incurred
disease complications promptly received rehabilitation
While caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting
this finding to the healthcare provider, the nurse should
review which of the client's laboratory values?
A. Culture for sensitive organisms
B. Serum blood glucose (BG) level
C. Creatinine level
D. Serum albumin - ....ANSWER...A. Culture for sensitive
organisms
A client is admitted with acute pancreatitis. The client
admits to drinking a pint of bourbon daily. The nurse
medicates the client for pain and monitors vital signs every 2
hours. Which finding should the nurse report immediately to
the healthcare provider?
A. Anorexia and abdominal distention
B. Abdominal pain and vomiting
C. Confusion and tremors
D. Yellowing and itching of skin - ....ANSWER...C.
Confusion and tremors
A client with leukemia who is receiving a myleosuppressive
chemotherapy has a platelet count of 25,000/mm3. Which
intervention is most important for the nurse to include in this
client's plan of care?
A. Assess urine and stool for occult blood
B. Monitor for signs of activity intolerance
C. Require visitors to wear respiratory masks
D. Obtain client's temperature q4 hours - ....ANSWER...A.
Assess urine and stool for occult blood
When assessing a 6-month-old infant, the nurse determines
that the anterior fontanel is bulging. In which situation
would this findings be most significant?
A. Crying
B. Sitting upright
C. Vomiting
D. Straining on stool - ....ANSWER...B. Sitting upright
A client who is admitted to the intensive care unit with
syndrome of inappropriate antidiuretic hormone (SIADH)
has developed osmotic demyelination. Which intervention
should the nurse implement first?
A. Patch one eye
B. Evaluate swallow
C. Reorient often
D. Range of motion - ....ANSWER...B. Evaluate swallow
The nurse is caring for a client with chronic obstructive
disease (COPD) who uses oxygen at 2L/minute per nasal
cannula continuously. The nurse observes that the client is
having increased shortness of breath with respirations at 23
breaths/minute. Which action should the nurse implement
first?
A. Determine if the client is experiencing any anxiety
B. Auscultate the client's bilateral lung sounds and oxygen
saturation
C. Notify the healthcare provider about the client's distress
D. Assess the delivery mechanism of the oxygen tank,
tubing, and cannula - ....ANSWER...D. Assess the delivery
mechanism of the oxygen tank, tubing, and cannula
A client with a history of using illicit drugs intravenously is
admitted with Kaposi's sarcoma. Which intervention should
the nurse include in this client's admission plan of care?
A. Assess for symptoms of AIDS dementia
B. Monitor for secondary infections
C. Identify local HIV support groups
D. Observe for adverse drug reactions - ....ANSWER...B.
Monitor for secondary infections
An older woman who has difficulty hearing is being
discharged from day surgery following a cataract extraction
and lens implantation. Which intervention is most important
for the nurse to implement to help ensure the client's
compliance with self care?
A. Have the client vocalize the instructions provided
B. Ensure that someone will stay with the client for 24 hours
C. Speak clearly and face the client for lip reading
D. Provide written instructions for eye drop administration -
....ANSWER...A. Have the client vocalize the instructions
provided
An older woman with history of atrial fibrillation fell at
home and fractured her left hip. She is currently taking
warfarin 5 mg daily and has an international normalized
ratio (INR) value of 5.0. Upon admission, which
prescription should the nurse expect to implement?
A. Administer Vitamin K injection
B. Start continuous heparin infusion
C. Continue warfarin at same dose
D. Transfuse unit of packed red blood cells -
....ANSWER...A. Administer Vitamin K injection [Show Less]