NGN HESI RN 2024 EXIT EXAM STUDY QUESTIONS AND ANSWERS GRADED A
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Course
NGN HESI RN
Institution
NGN HESI RN
When preparing to administer a prescribed medication to a homeless client at a community psychiatric clinic. The client tells the nurse that the usual dosage taken is different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the med...
NGN HESI RN 2024 EXIT EXAM STUDY
QUESTIONS AND ANSWERS GRADED A
When preparing to administer a A) Subdural hematoma whose blood
prescribed medication to a homeless pressure changed from 150/80 to
client at a community psychiatric 170/60.
clinic. The client tells the nurse that
B) Viral meningitis whose temperature
the usual dosage taken is different
change from 101 S to 102F.
from the dose the nurse is giving.
Which action should the nurse take? C) Diabetic keto acidosis who is
Glasgow coma scale score changed
from 10 to 7.
A) Inform the client that he may refuse
D) Myxedema, whose blood pressure
the medication and document whether
change from 80/50 to 70/40. - B) Viral
or not the client takes it.
meningitis whose temperature change
B) Withhold the medication until the from 101 S to 102F.
dosage can be confirmed.
C) Explain to the client that the dosage
The nurse is caring for a client with
has been changed.
pneumonia who now develops initial
D) Tell the client to take the medication signs of septic shock and multi organ
then verify the dosage at the next failure. The healthcare provider
healthcare team meeting. - B) prescribes a sepsis protocol. Which
Withhold the medication until the intervention is most important for the
dosage can be confirmed. nurse to include in the plan of care?
The charge nurse is making A) Maintain strict intake and output.
assignments for one practical nurse
B) Keep head of bed raised 45°.
and three registered nurses who are
caring for neurologically compromised C) Excess warmth of extremities.
clients. Which client with which D) Monitor blood glucose level. - A)
change in status is best to assign to the Maintain strict intake and output.
PN?
,NGN HESI RN 2024 EXIT EXAM STUDY
QUESTIONS AND ANSWERS GRADED A
And adolescent client is admitted to
the hospital because of writing a
NGN: The client is a 49-year-old male
suicide note to a teacher at school. On
who reports flu like symptoms
the second day of hospitalization, the
including fever and chest congestion
nurse asked the client to meet with the
for four days. He came to the
treatment team. After the team
emergency department last night when
meeting, the client leaves in tears and
he was having more difficulty breathing
goes to their room. Which nursing
he has a history of 1/2 pack a day
intervention is best?
cigarette smoking for 20 years. He has
no significant medical or surgical
history.
A) Let the client rest quietly in their
room for a while. Which two orders should the nurse
complete first?
B) Explore the clients goals and desire
for treatment.
C) Ask the treatment team about the A) Sputum culture.
clients behavior.
B) Start oxygen 3 L per minute via nasal
D) Go to the clients room and ask what cannula.
happened. - D) Go to the clients room
C) Place the client on a cardio
and ask what happened.
respiratory monitor.
D) Chest x-ray.
The healthcare provider prescribes
E) Acetominophen 350 mg PO every six
dalteparin 200 units per kilogram
hours for temperature control.
subcutaneous once a day for a client
who weighs 154 pounds. The F) Run 0.9% sodium chloride IV
medication is available and 25,000 infusion at 150 mL per hour.
units per milliliter vial. How many G) Start peripheral IV.
milliliters should the nurse administer?
(Enter numerical value only. If rounding H) NPO. - B) Start oxygen 3 L per
is required, round to the nearest 10th.) minute via nasal cannula.
- 0.6
,NGN HESI RN 2024 EXIT EXAM STUDY
QUESTIONS AND ANSWERS GRADED A
C) Place the client on a cardio dry. He has a productive cough with
respiratory monitor. thick, yellow secretions. His capillary
refill is four seconds. Vital signs,
temperature 100.2. Heart rate 101
NGN: 0330: place the client on a bpm, respiratory rate 28 breaths per
cardio respiratory monitor, NPO, minute, blood pressure 145/89, oxygen
sputum culture, start a peripheral IV saturation 90% on room air.
infusion, start oxygen 3 L per minute
via nasal cannula, begin 0.9% sodium
chloride IV infusion at 150 mL per hour, (for each body system click to specify
acetaminophen 350 mg PO every six the assessment findings that indicates
hours for temperature. hypoxia)
To start the client on oxygen as ordered
which items should the nurse collects
Cardiovascular: heart rate 100 bpm,
from the supply room? SATA
capillary refill for seconds, blood
A) humidifier bottle. pressure 145/89.
B)Suction canister. Neurological: anxious, awake and
alert, restless.
C)Sterile water.
Respiratory: oxygen saturation 90% on
D) Nasal cannula.
room air, respiratory rate 28 bpm,
E) Flow meter. productive cough. - Cardiovascular:
F) Lambs wool. capillary refill for seconds, blood
pressure 145/89.
G) Tape. - D) Nasal cannula.
Neurological: anxious, restless.
E) Flow meter.
Respiratory: oxygen saturation 90% on
room air, respiratory rate 28 bpm.
NGN: states, I am feeling extremely
anxious right now. The client has
decreased breath sounds in the left NGN: The client is a 49-year-old male
lower low. His mucus membranes are who reports flu like symptoms
including fever and chest congestion
, NGN HESI RN 2024 EXIT EXAM STUDY
QUESTIONS AND ANSWERS GRADED A
for four days. He came to the
emergency department last night when
-I should clean the facemask once per
he was having more difficulty breathing
shift.
he has a history of 1/2 pack a day
cigarette smoking for 20 years. He has -The client should take a 1 to 2 minute
no significant medical or surgical break from the facemask each hour.
history. -I should put gauze under the elastic
straps over the ears.
The nurse should place the client in a -I can adjust the oxygen level on the
_______________ position to promote flow meter to keep the clients oxygen
_____________. - Semi-Fowler , lung saturation greater than 94%.
expansion. -The mask should cover only the mouth
and leave the nose open for expiration.
NGN: Orders: 0330: place the client on -I should place the mask first over the
a cardio respiratory monitor, NPO, nose and then cover the mouth. - -I
sputum culture, start a PIV, start should clean the facemask once per
oxygen 3L via nasal cannula, normal shift. (UNDERSTANDING)
saline 150 ML per hour, -The client should take a 1 to 2 minute
acetaminophen 350mg PO every six break from the facemask each hour.
hours for temp greater than 101F, (NOT UNDERSTANDING)
chest x-ray.
-I should put gauze under the elastic
0500: Oxygen 8Lvia simple facemask, straps over the ears. (NOT
titrate to keep oxygen saturation UNDERSTANDING ????)
greater than 94%.
-I can adjust the oxygen level on the
flow meter to keep the clients oxygen
(mark whether the statements by the saturation greater than 94%.
new grad nurse indicate understanding (UNDERSTANDING)
or no understanding of the use of -The mask should cover only the mouth
facemask in the care of this client) and leave the nose open for expiration.
(NOT UNDERSTANDING)
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