HESI RN Exit - V1 Exam with NGN 160 Questions and 100 Correct Answers

HESI RN Exit - V1 Exam with NGN 160 Questions and 100% Correct Answers 2024

• The nurse is completing the admission assessment of a 3-year-old who is

admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?

• Tachycardia and tachypnea
• Sluggish and unequal pupillary responses
• Increased head circumference and bulging fontanels
• Blood pressure fluctuations and syncope

Ans- B. Sluggish and unequal pupillary responses

• A client with acute pancreatitis is admitted with severe, piercing abdominal

pain and an elevated serum amylase. Which additional information is the client most likely to report to the nurse?

• Abdominal pain decreases when lying supine
• Pain lasts an hour and leaves the abdomen tender
• Right upper quadrant pain refers to right scapula
• Drinks alcohol until intoxicated at least twice weekly.

Ans- A. Abdominal pain decreases when lying supine

• A child newly diagnosed with sickle cell anemia (SCA) is being discharged

from the hospital. Which information is most important for the nurse to provide the parents prior to discharge?

• Instructions about how much fluid the child should drink daily.
• Signs of addiction to opioid pain medications
• Information about non-pharmaceutical pain relief measures
• Referral for social services for the child and

Ans- A. Instructions about how much fluid the child should drink daily

• To auscultate for a carotid bruit, the nurse places the stethoscope at what

location. (Select the location on the image with a red dot).Ans- I placed the red dot on the base of the neck on the right side 1 / 4

• After receiving report on an inpatient acute care unit, which client should the

nurse assess first?

• The client with an obstruction of the large intestine who is

experiencing abdominal distention

• The client who had surgery yesterday and is experiencing a paralytic

ileus with absent bowel sounds

• The client with a small bowel obstruction who has a nasogastric tube

that is draining greenish fluid

• The client with a bowel obstruction due to a volvulus who is

experiencing abdominal rigidity

• A teenager presents to the emergency department with palpitations after

vaping at a party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base imbalance?

• Respiratory acidosis
• Metabolic alkalosis
• Metabolic acidosis
• Respiratory alkalosis

Ans- D. Respiratory alkalosis

• A client with dyspnea is being admitted to the medical unit. To best prepare for

the client's arrival, the nurse should ensure that the client's bed is in which position?

• Supine
• supine; feet elevated higher than head
• supine; head elevated higher than feet
• Fowlers

Ans- Fowlers

• The nurse is taking the blood pressure measurement of a client with

Parkinson's disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all the apply)

• Frequent syncope
• Occasional nocturnal
• Flat affect
• Blurred vision
• Frequent drooling

• 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? 2 / 4

• Serum albumin
• Culture for sensitive organisms
• Serum blood glucose level
• Creatinine level

• A preschool-aged boy is admitted to the pediatric unit following successful

resuscitation from a near-drowning incident. While providing care to the child, the nurse begins talking with his preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what happened. Which action should the nurse take?

• Develop a water safety teaching plan for the family
• Ask the older brother how he felt during the incident
• Tell the older brother that he seems depressed
• Commend the older brother for his heroic actions

• A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he

has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse take?

• Encourage the client to use cooler water and apply calamine lotion

after soaking

• Obtain a PRN prescription for an analgesic that the client can use for

symptom relief

• Suggest that the client take brief showers and apply oil-based lotion

after showering

• Explain that the symptoms are caused by liver damage and cannot be

relieved

• An older client with a long history of coronary artery disease (CAD),

hypertension (HTN), and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expected in the client with acute HF?

• Increased cardiac contractility
• Reduced preload
• Relaxed vascular tone
• Decreased afterload

• Which intervention should the nurse include in the plan of care for a child

with tetanus?

• Encourage coughing and deep breathing 3 / 4

• Minimize the amount of stimuli in the room
• Reposition from side to side every hour
• Open window shades to provide natural light

• An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9,

is admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?

• Ate an extra peanut butter sandwich before gym class
• incorrectly administered too much insulin
• Had a cold and ear infection for the past two days
• Skipped eating lunch

• A client with a prescription for "do not resuscitate" (DNR) begins to manifest

signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement?

• The impending signs of death should be documented
• The client's status should be conveyed to the chaplain
• The client's need for pain medication should be determined
• The nurse manager should be updated on the client's status

• Which self-care measure is most important for the nurse to include in the

plan of care of a client recently diagnosed with type 2 diabetes mellitus?

• Self-injection techniques
• Blood glucose monitoring
• Diabetic diet meal planning
• A realistic exercise plan

• A client who gave birth 48 hours ago has decided to bottle feed the infant.

During the assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation. Which instruction should the nurse provide?

• Apply ice to the breasts for comfort
• Wear a loose-fitting bra during the day to prevent nipple irritation
• Run warm water over breasts
• Express small amounts of milk from the breasts to relieve pressure

• The nurse is preparing a client who had a below-the-knee (BKA) amputation for

discharge to home. Which recommendations should the nurse provide this client? (Select all that apply)

• Avoid range of motion exercises
• Use a residual limb shrinker
• / 4