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2024 NGN NURSING HESI EXIT TEST BANK PR EXAM 150 QUESTIONS AND ANSWERS
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2024 NGN NURSING HESI EXIT TEST BANK PR EXAM 150 QUESTIONS AND ANSWERS
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2024 NGN NURSING HESI EXIT TEST BANK PR EXAM150 QUESTIONS AND ANSWERS
The nurse is caring for a client who requires a mechanical ventilator for breathing.The
high pressure alarm goes off on the ventilator. What is the first action the nurse should
perform?
A) Disconnect the client from the ventilator and use a manual resuscitation bag
B) Perform a quick assessment of the client's condition
C) Call the respiratory therapist for help
D) Press the alarm re-set button on the ventilator - B) Perform a quick assessment of
the client's condition
The nurse is preparing a client who will undergo a myelogram. Which of the following
statements by the client indicates a contraindication for this test?
A) "I can't lie in 1 position for more than thirty minutes.
"B) "I am allergic to shrimp."
C) "I suffer from claustrophobia.
"D) "I developed a severe headache after a spinal tap." - "B) "I am allergic to shrimp."
The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4
hours and check pH of aspirate." The pH of the aspirate is 10. Which action should the
nurse take?
A) Hold the tube feeding and notify the provider
B) Administer the tube feeding as scheduled
C) Irrigate the tube with diet cola soda
D) Apply intermittent suction to the feeding tube - A) Hold the tube feeding and notify
the provider
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion - A) Apply suction for no more than 10
seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the
injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
,D) Check with pharmacy for a liquid form of the medication skip - A) Administer the
medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse know that
the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip - D) Prevent the drug from tissue irritation
Skip
A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse expect to
find when evaluating for the therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output D) Decreased chest pain
and decreased blood pressure - C) Improved respiratory status and increased urinary
output
While providing home care to a client with congestive heart failure, the nurse is asked
how long diuretics must be taken. What is the nurse's best response?
A) "As you urinate more, you will need less medication to control fluid.
"B) "You will have to take this medication for about a year."
C) "The medication must be continued so the fluid problem is controlled.
"D) "Please talk to your health care provider about medications and treatments." - C)
"The medication must be continued so the fluid problem is controlled.
A client is being discharged with a prescription for chlorpromazine (Thorazine).Before
leaving for home, which of these findings should the nurse teach the client to report? A)
Change in libido, breast enlargement
B) Sore throat, fever
C) Abdominal pain, nausea, diarrhea
D) Dsypnea, nasal congestion - B) Sore throat, fever
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72 hours.
C. have the mother check the child's temperature q4h for the next 24 hours
D. transfer the child to the emergency department to receive a gamma globulin
injection - A. Cleanse the foot with soap and water and apply an antibiotic ointment
, A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the
nurse that the prescribed dosage is too high for this client? The client experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - D. Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to assess to
the client? - Obtain a list of medications taken for cardiac history
The pathophysiological mechanism are responsible for ascites related to liver failure?
(Select all that apply) - A. Fluid shifts from intravascular to interstitial area due to
decreased serum
protein
B. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
C. Increased circulating aldosterone levels that increase sodium and water
retention
The nurse is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio first to select the option that
applies) - Murmur
A client is admitted with a pressure ulcer in the sacral area. The partial thickness wound
is 4cm by 7cm, the wound base is red and moist with no exudate and the surrounding
skin is intact. Which of the following coverings is most appropriate for this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - D) Occlusive moist dressing
A 30 month-old child is admitted to the hospital unit. Which of the following toys would
be appropriate for the nurse to select from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - B) Large wooden puzzle
A nurse is to present information about Chinese folk medicine to a group of student
nurses. Based on this cultural belief, the nurse would explain that illness is attributed to
the
A) Yang, the positive force that represents light, warmth, and fullness
B) Yin, the negative force that represents darkness, cold, and emptiness
C) Use of improper hot foods, herbs and plants
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