NGN PN HESI EXIT EXAM 2023 V1,2, AND 3 TEST BANK Q&A LATEST UPDATE
1. nt is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process?
A. Assist the client in developing alter...
NGN PN HESI EXIT EXAM 2023 V1,2, AND 3 TEST BANK Q&A LATEST
UPDATE
1. nt is extremely anxious and states that she is worried about the sun coming up the next day.
What intervention is most important for the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter-of-fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
2. A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless
and is exhibiting suspiciousness. The client’s plan of care should include what priority
problem?
A. Acute confusion.
B. Ineffective community coping C. Disturbed sensory
perception.
D. Self-care deficit.
3. The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, “I can’t
believe this. What should I do?” Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.
4. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports
that he is married to a female movie star and thinks that his brother wants a sexual
relationship with her. What is the priority nursing problem for admission to the psychiatric
unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
, BANK
5. The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on the abdomen. Which approach should the RN use when changing
this client’s dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.
6. While sitting in the day room of the mental health unit, a male adolescent avoids eye contact,
looks at the floor, and talks softly when interacting verbally with the RN. The two trade
places, and the RN demonstrates the client’s behaviors. What is the main goal of this
therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts. D. Discuss the client’s feelings when he
responds.
7. An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in
the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most
important to achieve within the first three days of treatment? A. Meet scheduled
appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.
E.
8. When preparing to administer to domestic violence screening tool to a female client, which
statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any domestic abuse.
D. All clients are screened for domestic abuse because it is common in our society.
9. A young adult female visits the mental health clinic complaining of diarrhea, headache, and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal
limits. During the physical assessment, the client tells the RN that her sister thinks she is
neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
, BANK
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it’s possible that you might be a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling you?
10. The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN
use during the working phase of group development? A. Establishing a rapport with group
members.
B. Clarifying the nurse’s role and clients’ responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.
11. A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to
other clients on the unit. What intervention is best for the RN to implement? A. Isolate the
client from the other clients.
B. Administer PRN sedative.
C. Avoid recognizing the behavior.
D. Escort the client to his room.
12. A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on
which assessment finding will the RN withhold the clonidine (Catapres) prescription? A.
Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
B. Pulse rate of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths per minute.
13. The RN on the evening shift receives report that a client is scheduled for electroconvulsive
treatment (ECT) in the morning. Which intervention should the Rn implement the evening
before the scheduled ECT?
A. Hold all bedtime medications.
B. Keep the client NPO after mid-night.
C. Implement elopement precautions.
D. Give the client an enema at bedtime.
14. A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted
to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN
instruct the client to avoid? A. Pan-seared catfish.
B. Peperoni pizza.
, BANK
C. Deep fried shrimp.
D. Beef trips with gravy.
15. A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the mental health worker warrants immediate intervention by the RN? A. Is
attempting the physically restrain the patient.
B. Remains at a distance of 4 feet from the client.
C. Tells the client to go to the quiet area of the unit.
D. Is using a load voice to talk to the client.
16. A client who recently experienced the death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be
with the decreased significant other, has been eating very little, and has not slept in several
days. Which client statement is most important for the RN to explore at this time?
A. Not sleeping for several days.
B. Wishing to be with spouse.
C. Lack of interest in usual activities. D. Eating very little.
17. A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning
this client to a normal level of functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily structured activities.
C. Suggest that the client develop a list of pleasurable activities. D. Encourage the client to
exercise.
18. When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has the
highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
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