HESI EXIT NGN FORMAT EXAM | 800+ QUESTIONS AND VERIFIED ANSWERS (2023/ 2024 Newly Updated)

HESI EXIT NGN FORMAT EXAM | 800+

QUESTIONS AND VERIFIED ANSWERS

(2023/ 2024 Newly Updated)

Q: A female client on the mental health unit frequently asks the nurse when she can be

discharged. Then, becoming more anxious, she begins to pace the hallway. What intervention

should the nurse implement first?

Answer:

Explore the client's reasons for wanting to be discharged.

Q: The nurse is assessing a primigravida a 39-weeks gestation during a weekly prenatal visit.

Which finding is most important for the nurse to report to the healthcare provider?

Answer:

Fetal heart rate of 200 beats/minute

Q: A female client receives a prescription for alendronate sodium (Fosamax) to treat her newly

diagnose osteoporosis. What instruction should the nurse include in the client's teaching plan?

Answer:

Take on an empty stomach with a full glass of water

Q: The nurse is assessing a female client's blood pressure because she reported feeling dizzy.

The blood pressure cuff is inflated to 140 mm hg and as soon as the cuff is deflated a korotkoff

sound is heard. Which intervention should the nurse implement next?

Answer:

Wait 1 minute and palpate the systolic pressure before auscultating again.

Q: After administering a proton pump inhibitor (PPI), which action should the nurse take to

evaluate the effectiveness of the medication?

Answer:

Ask the client about gastrointestinal pain

Q: To reduce staff nurse role ambiguity, which strategy should the nurse-manager implement?

Answer:

Review the staff nurse job description to ensure that it is clear, accurate, and current

Q: A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49 mm/hg;

HCO3 25 mEq/L; PaO2 95. What intervention should the nurse implement based on these

results?

Answer:

Institute coughing and deep breathing protocols

Q: The healthcare provider explains through an interpreter the risks and benefits of a scheduled

surgical procedure to a non-English speaking female client. The client gives verbal consent and

the healthcare provider leaves, instructing the nurse to witness the signature on the consent form.

The client and the interpreter then speak together in the foreign language for an additional 2

minutes until the interpreter concludes, "She says it is OK." What action should the nurse take

next?

Answer:

Ask for a full explanation from the interpreter of the witnessed discussion

Q: While assisting a male client who has muscular dystrophy (MD) to the bathroom, the nurse

observes that he is awkward and clumsy. When he expresses his frustration and complains of hip

discomfort, which intervention should the nurse implement?

Answer:

Place a portable toilet next to the bed

Q: A client with hyperthyroidism who has not been responsive to medications is admitted for

evaluation. What action should the nurse implement? (Click on each chart tab for additional

information. Please scroll to the bottom right corner of each tab to view all information contained

in the client's medical record.)

Answer:

Notify the healthcare provider

Q: While taking vital signs, a critically ill male client grabs the nurse's hand and ask the nurse

not to leave. What action is best for the nurse to take?

Answer:

Pull up a chair and sit beside the client's bed

Q: The practical nurse (PN) is assigned to work with three registered nurses (RN) who are

caring for neurologically compromised clients. The client with which change in status is best to

assign to the PN?

Answer:

Viral meningitis whose temperature changed from 101 F to 102 F.

Q: An IV antibiotic is prescribed for a client with a postoperative infection. The medication is

to be administered in 4 divided doses. What schedule is best for administering this prescription?

Answer:

1000, 1600, 2200, 0400

Q: A male client notifies the nurse the the feels short of breath and has chest pressure radiating

down his left arm. A STAT 12-lead electrocardiogram (ECG) is obtained and shows ST segment

elevation in leads II, II, aVF and V4R. The nurse collects blood samples and gives a normal

saline bolus. What action is most important for the nurse to implement?

Answer:

Asses for contraindications for thrombolytic therapy

Q: A client with Addison's crisis is admitted for treatment with adrenal cortical

supplementation. Based on the client's admitting diagnosis, which findings require immediate

action by the nurse? (Select all that apply)

Answer:

Headache and tremors

Postural hypotension

Pallor and diaphoresis

Irregular heart beat

Q: A client with rapid respirations and audible rhonchi is admitted to the intensive care unit

because of a pulmonary embolism (PE). Low-flow oxygen by nasal cannula and weight based

heparin protocol is initiated. Which intervention is most important for the nurse to include in this

client's plan of care?