(NGN) HESI RN EXIT EXAM FROM REAL EXAM SCREENSHOTS V1-V7 LATEST VERSIONS 2024 ALL QUESTIONS ANSWERED WITH RATIONALES guaranteed pass
1 view 0 purchase
Course
HESI RN EXIT
Institution
HESI RN EXIT
(NGN) HESI RN EXIT EXAM FROM REAL EXAM
SCREENSHOTS V1-V7 LATEST VERSIONS 2024 ALL
QUESTIONS ANSWERED WITH RATIONALES guaranteed
pass
1. Which of the following should the nurse monitor closely in a patient receiving
intravenous (IV) potassium chloride?
a) Serum sodium levels
b) Serum pota...
NGN) HESI RN EXIT
EXAM FROM REAL
EXAM SCREENSHOTS
V1-V7 LATEST
VERSIONS 2024 ALL
QUESTIONS
ANSWERED WITH
RATIONALES
,1|Page
(NGN) HESI RN EXIT EXAM FROM REAL EXAM
SCREENSHOTS V1-V7 LATEST VERSIONS 2024 ALL
QUESTIONS ANSWERED WITH RATIONALES guaranteed
pass
1. Which of the following should the nurse monitor closely in a patient receiving
intravenous (IV) potassium chloride?
a) Serum sodium levels
b) Serum potassium levels
c) Blood glucose levels
d) Serum calcium levels
Answer: b) Serum potassium levels
Rationale: Potassium chloride is used to correct hypokalemia, so monitoring serum potassium
levels is essential to avoid hyperkalemia, which can lead to life-threatening cardiac arrhythmias.
2. A patient is receiving warfarin therapy. Which of the following is the most important
nursing assessment?
a) Respiratory rate
b) Blood pressure
c) Presence of bleeding
d) Renal function
Answer: c) Presence of bleeding
Rationale: Warfarin is an anticoagulant that increases the risk of bleeding. The nurse must
monitor for signs of bleeding, such as bruising, hematoma, and occult blood in stool or urine.
3. The nurse is caring for a postoperative patient who has not voided 8 hours after surgery.
What is the most appropriate initial action?
a) Catheterize the patient immediately
b) Assess the patient’s bladder for distention
c) Encourage the patient to drink fluids
d) Administer a diuretic as prescribed
,2|Page
Answer: b) Assess the patient’s bladder for distention
Rationale: The first step is to assess for bladder distention to identify urinary retention.
Catheterization should only be performed if the bladder is distended and the patient cannot void.
4. A patient with a history of heart failure is being discharged with a prescription for
furosemide. What should the nurse teach the patient about this medication?
a) "Take the medication with food to avoid stomach upset."
b) "Monitor your blood pressure daily while on this medication."
c) "Expect to gain weight while taking this medication."
d) "You should restrict your fluid intake while on furosemide."
Answer: b) "Monitor your blood pressure daily while on this medication."
Rationale: Furosemide is a diuretic that can lower blood pressure. It’s essential for the patient to
monitor blood pressure regularly, as the medication may cause hypotension.
5. Which of the following is a priority nursing intervention for a patient who is
experiencing acute respiratory distress?
a) Administer prescribed pain medications
b) Administer oxygen to maintain oxygen saturation
c) Place the patient in a supine position for comfort
d) Encourage the patient to cough and deep breathe
Answer: b) Administer oxygen to maintain oxygen saturation
Rationale: In acute respiratory distress, the priority is to maintain oxygenation. Administering
oxygen will help prevent hypoxemia and stabilize the patient’s respiratory status.
6. Which of the following actions should the nurse take when caring for a patient with a
central venous catheter (CVC) who is receiving parenteral nutrition?
a) Flush the catheter with normal saline before and after medication administration
b) Change the dressing over the insertion site once a week
c) Administer all medications through the CVC without checking placement
d) Leave the catheter insertion site open to air for 24 hours after dressing change
, 3|Page
Answer: a) Flush the catheter with normal saline before and after medication
administration
Rationale: To maintain patency and prevent clotting, the nurse should flush the CVC with
normal saline before and after administering medications or parenteral nutrition.
7. A nurse is caring for a patient who is post-cardiac catheterization. Which of the
following should be the nurse's priority assessment?
a) Intake and output
b) Presence of chest pain
c) Site for signs of bleeding or hematoma
d) Neurovascular status of the affected limb
Answer: c) Site for signs of bleeding or hematoma
Rationale: After a cardiac catheterization, it’s critical to monitor the insertion site for bleeding
or hematoma. These complications can lead to significant blood loss and require immediate
intervention.
8. A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
Which of the following interventions is most important to improve gas exchange?
a) Encourage fluid intake to thin secretions
b) Administer bronchodilators as ordered
c) Instruct the patient to breathe deeply through the nose
d) Monitor vital signs every 2 hours
Answer: b) Administer bronchodilators as ordered
Rationale: Bronchodilators help open the airways, improving airflow and gas exchange in
patients with COPD. This is a priority intervention to relieve symptoms and improve
oxygenation.
9. The nurse is caring for a patient receiving an opioid for pain management. Which of the
following is a priority nursing action?
a) Monitor the patient's pain level regularly
b) Encourage the patient to use the call bell for assistance
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller joycewanjiku0036. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
