NGN HESI EXIT Exam With 100
Questions AND ANSWERS
The nurse is providing discharge teaching to the parents of a 13 month old
child who underwent repair for an atrial septal defect. The healthcare
provider prescribes aspirin and an antibiotic for the first 6 months
postoperatively to prev...
The nurse is providing discharge teaching to the parents of a 13 month old
child who underwent repair for an atrial septal defect. The healthcare
provider prescribes aspirin and an antibiotic for the first 6 months
postoperatively to prevent infective endocarditis. What information is most
important for the nurse discuss with the parents about the child's recovery
and prevention of IE. - ANSWER-Brush the child's teeth everyday and
ensure the child receives regular dental follow up.
A pt who is admitted with complications related to hypopituitarism is
diaphoretic and hypotensive. Which assessment finding warrants
immediate intervention by the nurse? - ANSWER-Lethargy
The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs in 24
hours and an elevated central venous pressure for a pt with full thickness
burns. Which intervention should the nurse implement? - ANSWER-
Auscultate for irregular heart rate.
A nurse who is working in the emergency department triage area is
presented with four clients at the same time. The client presenting with
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which symptoms require the most immediate intervention by the nurse? -
ANSWER-Chest discomfort one hour after consuming a large spicy meal.
Which self care measure is most important to include in the plan of care of
a pt recently diagnosed with type 2 diabetes mellitus? - ANSWER-blood
glucose monitoring.
In assessing a pt with type 1 diabetes mellitus, the nurse notes that the
client's respirations have changed from 16 breaths/min with a normal depth
to 32 breaths/min and deep. And the pt has become lethargic. Which
assessment data should the nurse obtain next? - ANSWER-blood glucose
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age
of 9 is admitted to the hospital in diabetic ketoacidosis. Which occurrence is
the most likely cause of ketoacidosis? - ANSWER-had a cold and ear
infection for the past two days.
The nurse assesses a pt who had bilateral total knee replacements four
hours ago. The nurse notes that the dressing on the right knee is saturated
with serosanguineous drainage. What action should the nurse implement? -
ANSWER-Determine if the wound drainage device is functioning correctly.
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A pt with chronic kidney disease has an arteriovenous (AV) fistula in the left
forearm. Which observation by the nurse indicates that the fistula is
patient? - ANSWER-Auscultation of a thrill on the left forearm
A client with urge incontinence was treated with onabotulinumtoxinA
injections and is now experiencing urinary retention. Which action should
the nurse include in the client's plan of care? - ANSWER-Remind the pt to
practice pelvic floor exercises regularly.
A pt is admitted with a dx of urolithiasis. Which finding is most important for
the nurse to report to the healthcare provider? - ANSWER-Hematuria that
is beginning to turn pink
The nurse is evaluating the chest drainage system of a patient with a chest
tube inserted to treat a left hemothorax. Which finding requires intervention
by the nurse? - ANSWER-cont. bubbling in the water seal chamber
The nurse is caring for a pt who has chronic obstructive pulmonary disease
and chest pain related to a recent fall. What nursing intervention requires
the greatest caution when caring for a pt with COPD? - ANSWER-
administering narcotics for pain relief
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