NGN Exit hesi exit exam latest update A+
graded
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? - answers Ask
the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first? - answers Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse provide first when reporting to
the healthcare provider using SBAR communication? - answers Increasing confusion of
the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times
a week in an effort to lose weight and sleep better. The pt states that it still is taking
hours to fall asleep at night. Which action should the nurse implement? - answers Ask
the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and spouse? SATA - answers -
review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - answers pt who
develop disease complications promptly received rehabilitation
, The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program? - answers participation of community leaders in
planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most important
for the nurse to implement? - answers use gown, mask, and gloves with dressing
changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions,
the pt complains of pain at the right groin insertion site. What action should the nurse
implement? - answers Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain? - answers upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take? - answers Continue to obtain pt data
needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt
is weak and begins coughing while attempting to drink through a straw. Which
intervention should the nurse implement? - answers Teach coughing and deep
breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education? - answers Empty the pouch when it is half
full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? - answers
initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - answers Picture
with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure,
which intervention has the highest priority? - answers Instruct pt to write down
questions
graded
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? - answers Ask
the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first? - answers Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse provide first when reporting to
the healthcare provider using SBAR communication? - answers Increasing confusion of
the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times
a week in an effort to lose weight and sleep better. The pt states that it still is taking
hours to fall asleep at night. Which action should the nurse implement? - answers Ask
the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and spouse? SATA - answers -
review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - answers pt who
develop disease complications promptly received rehabilitation
, The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program? - answers participation of community leaders in
planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most important
for the nurse to implement? - answers use gown, mask, and gloves with dressing
changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions,
the pt complains of pain at the right groin insertion site. What action should the nurse
implement? - answers Stimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain? - answers upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take? - answers Continue to obtain pt data
needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt
is weak and begins coughing while attempting to drink through a straw. Which
intervention should the nurse implement? - answers Teach coughing and deep
breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education? - answers Empty the pouch when it is half
full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? - answers
initiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - answers Picture
with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure,
which intervention has the highest priority? - answers Instruct pt to write down
questions
