2024 NGN HESI RN Exit V4 Exam with 160 Questions and
Correct Answers (Verified by Expert)
1.1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.: A: Make
certain the child is maintained in correct body alignment.
2.2. The nurse is assessing a healthy child at the 2 year check up. Which of
the following should the nurse report immediately to the health care
provider?
1/
112
,A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven: A: Height and weight
percentiles vary widely
3.3. The parents of a 2 year-old child report that he has been holding his
breath whenever he has temper tantrums. What is the best action by the
nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to
prevent anoxia
C) Advise the parents to ignore breath holding because breathing will
begin as a reflex
2/
112
,D) Instruct the parents on how to reason with the child about possible
harmful effects: C: Advise the parents to ignore breath holding because
breathing will begin as a reflex
4.4. The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area.": A: "My pain is deep in my
chest behind my sternum."
5.5. The nurse is assessing the mental status of a client admitted with
possible organic brain disorder. Which of these questions will best assess
the function of the client's recent memory?
3/
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, A) "Name the year." "What season is this?" (pause for answer after each
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