NGN HESI RN EXIT ACTUAL EXAM QUESTIONS

NGN HESI RN EXIT ACTUAL EXAM QUESTIONS

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LATEST 2024 (BRAND NEW!!)

A client with heart failure become short of breath, anxious, and has audible reasoning with pink frothy sputum. The nurse sits the client upright and provides oxygen per nasal cannula. The nurse receives a prescription to administer a one time dose of morphine sulfate IV. Which action should the nurse take?

• Administer the dose of morphine sulfate as prescribed.
• Consult with the charge nurse regarding the morphine prescription.
• Review the need for the prescription with the healthcare provider.
• Withhold the morphine until the clients dyspnea resolves. - ANSWER✔✔A) Administer the dose of

morphine sulfate as prescribed.A client with acute asthma exacerbation is manifesting inspiratory and expiratory wheezes and a decreased forced expiratory volume. Which prescribed drug class should the nurse administer first to the client?

• Inhaled short acting beta two agonists.
• Inhaled corticosteroids.
• Anti-cholinergics.
• Leukotriene modifiers. - ANSWER✔✔B) Inhaled corticosteroids.

The nurse enters a clients room to administer oral medication's and find an unlicensed assistive personnel providing personal care to the client, whose condition has obviously deteriorated. The client is lying in a supine position and is weak, pale, and diaphoretic. Which is the priority nursing action?

• Determine why the UAP did not notify the nurse of the change in the clients condition.
• Advised the UAP to stop providing care so the nurse can assess the clients condition.
• Explain to the UAP that changes in a clients condition should be reported immediately.
• Ask for UAP to position the client so the oral medication's can be administered. - ANSWER✔✔B)

Advised the UAP to stop providing care so the nurse can assess the clients condition. 1 / 4

The client who was admitted yesterday with severe dehydration is reporting pain where a 24 gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150 mL per hour. Which intervention should the nurse implement first?

• Discontinue the 24 gauge IV.
• Establish a second IV site.
• Stop the 0.9% sodium chloride infusion.
• Assess the IV for blood return. - ANSWER✔✔C) Stop the 0.9% sodium chloride infusion.

Client should the nurse assess frequently because of the risk for overflow incontinence?

• a client with hematuria and decreasing hemoglobin and hematocrit levels.
• A client who has been fast, with increased serum creatinine levels.
• A client who is confused and frequently forgets to go to the bathroom.
• A client who has a history of frequent urinary tract infections. - ANSWER✔✔C) A client who is

confused and frequently forgets to go to the bathroom.After a spider bite on the lower extremity, a client is admitted for treatment of an infection that is spreading up the leg. Which admission assessment findings should the nurse report to the healthcare provider? SATA.

• Location of the initial IV site.
• Swollen lymph nodes in the groin.
• Red blood cell count.
• White blood cell count.
• Core body temperature. - ANSWER✔✔B) Swollen lymph nodes in the groin.
• White blood cell count.
• Core body temperature.

A client develops your to Caria on the trunk and neck shortly after a secondary infusion of pepper Sillen is initiated. In which order should the nurse implement these interventions?

Document reaction of the drug.Contact the healthcare provider. 2 / 4

Assess vital signs.Stop the infusion.Initiate an adverse event report. - ANSWER✔✔Stop the infusion.Assess vital signs.Contact the healthcare provider.Initiate an adverse event report.Document reaction to drug.What nursing intervention is particularly indicated for the second stage of labor?

• Assessing the fetal heart rate and patterns for signs of fetal distress.
• Monitoring effects of oxytocin administration to help achieve cervical dilation.
• Providing pain medication to increase the clients tolerance of labor pains.
• Assisting the client to push effectively so that expulsion of the fetus can be achieved. - ANSWER✔✔D)

Assisting the client to push effectively so that expulsion of the fetus can be achieved.A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN for pain. The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15 mL. How many tablespoons should the nurse administer with each dose? (Enter numerical value only.) - ANSWER✔✔2

15 mL per tablespoon The nurse is administering multiple prescribe vaccines to a toddler. Which strategy should the nurse prioritized to reduce the duration of pain?

• Supine positioning.
• Verbal reassurance.
• Simultaneous injections.
• Physical soothing. - ANSWER✔✔C) Simultaneous injections.

NGN: Dean 30, admit to the medical floor, vital signs every four hours, regular diet, out of bed with assist.

Complete diagram with one condition, two actions, and two parameters. - ANSWER✔✔Actions: the client for a nutrition history, encourage the client to drink 3 / 4

Condition: Malnutrition

Actions: ?????

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When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. Which action should the nurse implement first?

• Check for a distended bladder.
• Review the hemoglobin to determine hemorrhage.
• Increase IV infusion rate.
• Massage the uterus to decrease atony. - ANSWER✔✔A) Check for a distended bladder.

A client who is receiving zidovudine reports the appearance of pinpoint, red, brown spots on the skin.Which result should the nurse report to the healthcare provider?

• Skin biopsy.
• Complete blood count.
• Allergy test.
• Electromyography. - ANSWER✔✔B) Complete blood count.

Petechiae can occur due to low platelet counts. Zidovudine is used for HIV and can cause hematological toxicity, anemia neutropenia.A child newly diagnosed with sickle cell anemia 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 to drink daily.
• Referral for social services for the child and family.
• Signs of addiction to opioid pain medications.
• Information about nonpharmaceutical pain relief measures. - ANSWER✔✔A) Instructions about how

much fluid the child to drink daily.

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