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2024 NGN HESI PN EXIT V4 EXAM QUESTIONS AND ANSWERS LATEST UPDATE ||COMPLETE A+ GUIDE
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2024 NGN HESI PN EXIT V4 EXAM QUESTIONS AND ANSWERS LATEST UPDATE ||COMPLETE A+ GUIDE
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Page 1 of 382024 NGN HESI PN EXIT V4 EXAM QUESTIONS
AND ANSWERS LATEST UPDATE ||COMPLETE
A+ GUIDE
1. The fnurse f is f caring f for f a f pre-adolescent f client f in f skeletal f Dunlop f traction.
f Whichfnursing fintervention fis fappropriate ffor fthis f child?
A) Make fcertain f the f child f is f maintained f in f correct f body f alignment.
B) Be fsure f the ftraction f weights f touch f the fend f of fthe f bed.
C) Adjust fthe fhead f and f foot f of f the fbed ffor f the f child's f comfort
D) Release f the f traction f for f 15-20 f minutes f every f6 f hours f PRN.
The f correct f answer f is fA: f Make f certain f the f child f is f maintained f in f correct f body f alignment.
2. The fnurse fis f assessing f a f healthy f child f at f the f 2 f year f check fup. f Which f of f the
f followingfshould fthe fnurse freport fimmediately fto fthe fhealth fcare fprovider?
A) Height f and f weight f percentiles f vary f widely
B) Growth f pattern f appears f to fhave fslowed
C) Recumbent f and f standing f height f are f different
D) Short f term f weight f changes f are f uneven
The f correct f answer f is fA: f Height f and f weight f percentiles f vary f widely
3. The f parents f of f a f 2 f year-old f child f report f that f he f has f been f holding f his f breath
f wheneverfhe fhas ftemper ftantrums. fWhat fis fthe fbest faction f by fthe fnurse?
A) Teach f the f parents f how f to f perform f cardiopulmonary f resuscitation
B) Recommend f that f the f parents f give fin f when f he f holds f his f breath f to f prevent f anoxia
C) Advise f the f parents f to f ignore f breath f holding f because f breathing f will f begin f as f a freflex
D) Instruct f the fparents f on fhow f to freason f with f the fchild f about f possible f harmful
f effects fThe f correct f answer f is f C: fAdvise f the f parents f to f ignore f breath f holding f because
f breathingfwill fbegin fas fa freflex
4. The fnurse fis f assessing f a f client f in f the f emergency f room. fWhich f statement f suggests
f thatfthe fproblem fis f acute fangina?
A) "My fpain fis fdeep f in f my f chest f behind f my f sternum."
B) "When fI fsit f up f the fpain f gets fworse."
C) "As fI f take fa fdeep f breath f the f pain fgets fworse."
D) "The fpain f is fright f here fin f my fstomach f area."
The f correct f answer f is fA: f "My f pain fis fdeep f in fmy fchest f behind f my f sternum."
.
, Page 2 of 38
5. The fnurse f is f assessing f the f mental f status f of f a fclient f admitted f with f possible f organic f brain
fdisorder. fWhich f of f these f questions f will f best f assess f the ffunction f of fthe fclient's f recent
memory?
A) "Name fthe f year." f "What f season f is fthis?" f(pause f for f answer fafter f each fquestion)
B) "Subtract f7 f from f 100 f and fthen f subtract f 7 f from fthat." f(pause f for f answer)
f "Nowfcontinue fto fsubtract f7 f from fthe fnew fnumber."
C) "I f am fgoing f to fsay fthe fnames fof fthree fthings fand f I f want fyou f to frepeat f them fafter
f me:fblue, fball, fpen."
D) "What f is f this f on f my f wrist?" f(point fto f your f watch) fThen f ask, f "What f is fthe f purpose
f offit?"
The f correct f answer f is fC: f "I f am fgoing f to fsay fthe f names f of fthree fthings fand fI f want fyou f to
frepeat fthem fafter fme: fblue, fball, fpen."
,Page 3 of 38
6. In fplanning f care f for f a f 6 f month-old finfant, f what f must f the fnurse f provide f to fassist f in
f thefdevelopment fof ftrust?
A) Food
B) Warmth
C) Security
D) Comfort
The fcorrect f answer f is f C: fSecurity
7. A fnurse f has fjust f received f a f medication f order f which f is f not f legible. f Which fstatement
f bestfreflects fassertive fcommunication?
A) "I fcannot f give fthis f medication fas fit f is f written. fI f have fno f idea fof fwhat f you fmean."
B) "Would fyou f please f clarify fwhat fyou f have fwritten f so f I fam fsure fI f am freading
f itfcorrectly?"
C) "I f am f having f difficulty f reading f your f handwriting. f It f would f save f me f time fif f you
f wouldfbe fmore fcareful."
D) "Please fprint f in f the f future f so fI fdo f not f have fto fspend fextra ftime fattempting f to f read
f yourfwriting."
The fcorrect f answer fis fB) f "Would fyou f please f clarify fwhat fyou fhave fwritten f so fI f am fsure
f Ifam
reading fit f correctly?"
8. What fis fthe f most f important f consideration f when f teaching f parents f how f to f reduce f risks
f infthe fhome?
A) Age fand f knowledge f level f of f the f parents
B) Proximity f to f emergency f services
C) Number f of fchildren f in f the f home
D) Age fof fchildren fin f the fhome
The f correct f answer f is fD: fAge fof fchildren fin f the f home
, Page 4 of 38
9. A f35 f year-old f client f with f sickle f cell f crisis f is f talking f on fthe ftelephone fbut f stops f as
f thefnurse fenters f the froom fto f request fsomething f for fpain. fThe fnurse f should
A) Administer f a f placebo
B) Encourage f increased f fluid f intake
C) Administer f the f prescribed f analgesia
D) Recommend f relaxation f exercises f for f pain f control
The fcorrect f answer f is fC: fAdminister f the f prescribed f analgesia
10. While fcaring f for f a ftoddler f with f croup, f which f initial f sign f of f croup frequires f the
f nurse'sfimmediate fattention?
A) Respiratory frate f of f42
B) Lethargy ffor f the fpast f hour
C) Apical f pulse f of f54
D) Coughing f up f copious f secretions
The f correct f answer f is fA: f Respiratory frate fof f 30
11. A fclient f is f admitted f with f low fT3 f and fT4 f levels f and fan f elevated fTSH f level. fOn
f initialfassessment, f the f nurse f would f anticipate f which f of f the f following f assessment
f findings?
A) Lethargy
B) Heat fintolerance
C) Diarrhea
D) Skin feruptions
The f correct f answer f is fA: f Lethargy
12. The f emergency froom f nurse fadmits f a f child f who f experienced f a f seizure f at f school.
fTheffather fcomments f that f this f is f the ffirst f occurrence, f and f denies f any ffamily f history f of
fepilepsy. fWhat fis fthe fbest fresponse fby fthe fnurse?
A) "Do fnot f worry. f Epilepsy f can f be ftreated f with f medications."
B) "The fseizure f may for f may fnot f mean f your f child f has fepilepsy."
C) "Since fthis f was f the f first f convulsion, f it f may fnot f happen f again."
D) "Long f term f treatment f will f prevent f future f seizures."
The fcorrect f answer f is f B: f "The fseizure fmay for fmay fnot f mean f your f child f has fepilepsy."
13. Alcohol fand f drug f abuse f impairs f judgment f and f increases f risk f taking f behavior.
f Whatfnursing fdiagnosis fbest fapplies?
A) Risk ffor f injury
B) Risk f for f knowledge f deficit
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