2024-2025 NGN RN HESI EXIT EXAM - Version 1 (V1)
WITH REAL EXAM QUESTIONS WITH 100% VERIFIED
CORRECT ANSWERS LATEST UPDATE
1. The practicing nurse is reviewing medical prescriptions for newly admitted
patients. It would be a priority for the practicing nurse to follow up with the
physician if a patient with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The practicing nurse from the postpartum unit has been temporarily assigned to
the medical surgical unit. It would be most appropriate to assign this practicing
nurse to the patient who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator
for respiratory failure
3. The practicing nurse should intervene if the practicing nurse notes a staff member
(a) obtaining a patients consent prior to their operative procedure after
receiving Ativan (lorazepam)
(b) placing a patient on the affected side following surgical repair of
a retinal detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a patient
4. The community health practicing nurse is caring for the following patients. It
would be a priority for the practicing nurse to initiate a multidisciplinary
conference for the patient who is (a) 12 years old with Autism who is starting a
new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a
recent Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
, (d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices.
5. The practicing nurse in a well baby clinic has assessed several children today. It
would be a priority for the practicing nurse to suggest follow up for the child who is
(a) 2 months old with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The practicing nurse is caring for a mechanically ventilated patient who was
declared brain dead. An Advance Directive is not documented on the medical
record. It would be most appropriate to obtain consent for organ donation from
the
(a) patient‘s primary care provider
(b) patient‘s practicing nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
7. The practicing nurse has received report on four patients. The practicing
nurse should fi rst assess the patient who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading
of 90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has
begun plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a patient who is experiencing dysphagia
(b) One-on-one patient observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The practicing nurse should intervene if a staff member is observed
(a) discussing a patient‘s diagnosis with visiting family members
(b) collaborating with another practicing nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a patient in the cafeteria
(d) reviewing a patients lab values with the nutritionist
,10. The practicing nurse is preparing a staff presentation on legal and ethical
issues in nursing. The practicing nurse would be correct to include which of the
following examples?
(a) Putting a patient in a geriatric chair with the lap tray in front of the patient in the
day room to watch television is false imprisonment
(b) Telling a patient that you will put in a feeding tube if the patient does not eat
is an example of battery
(c) Telling a patient with bipolar disorder who is suicidal that they have a right
to refuse to take their medications is an example of malpractice
(d) Placing hands on a patient who says ―do not touch me‖ is an example of assault
11. The practicing nurse from the pediatric unit has been temporarily assigned
to the Emergency Department. It would be most appropriate to assign that
practicing nurse to the patient who*
(a) reports epigastric pain that ―feels like indigestion‖
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant
12. Four patients recently returned to the unit following invasive diagnostic testing.
The practicing nurse should immediately intervene if one of the patients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac catheterization
13. The practicing nurse is made aware of the following situations. The practicing nurse
should fi rst
check the patient who
(a) had a transurethral prostatectomy (TURP) and is reporting urinary dribbling
two hours after the indwelling catheter is removed
(b) has cervical traction and is moving the legs by fl exing and extending the feet
(c) has Alzheimer‘s disease (stage 1) and was returned to the room after being
found wandering in the hallway
(d) has a history of partial seizures and is sitting in the bed picking at the clothing
and smacking the lips
3
, 14. The practicing nurse in a community health clinic is talking with the parent of
a child with Celiac Disease. Which of the following statements would require
follow-up
4
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