NGN HESI RN 2024 EXIT EXAM
Terms in this set (130)
An adolescent client who B) Observe the client carefully.
has been treated in the past
for a seizure disorder is
admitted to the hospital
immediately after admission
the client begins to have a
grand mal seizure. Which
action should the nurse
implement?
A) Place a padded tongue
blade between the clients
teeth.
B) Observe the client
carefully.
C) Obtain assistance in
holding the client to
prevent injury.
D) Call a rapid response
team.
,An adolescent who was C) Had a cold and ear infection for the past two days.
diagnosed with type one
diabetes Molite us at the
age of nine, is admitted to
the hospital in diabetic keto
acidosis. Which occurrence
is the most likely cause of
the keto acidosis?
A) Ate an extra peanut
butter sandwich before
gym class.
B) Incorrectly administered
too much insulin.
C) Had a cold and ear
infection for the past two
days.
D) Skipped eating lunch
while at school.
,The adult child of an older A) Instruct the adult child to check the clients
adult client who has temperature.
Parkinson's disease, calls C) Determine if the client has recently experienced a
the clinic and reports that fall.
the client has been E) Ask if the client is experiencing any pain with urination.
confused for the past week.
Which action should the
nurse take? SATA.
A) Instruct the adult child to
check the clients
temperature.
B) Encourage increased
intake of high protein foods.
C) Determine if the client
has recently experienced a
fall.
D) Reviewed the clients
current food and
medication allergies.
E) Ask if the client is
experiencing any pain with
urination.
, An adult client who is D) Serum lithium level of 1.6.
admitted to the mental
health unit for treatment of
bipolar disorder has a
slightly slurred speech
pattern and an unsteady
gait. Which assessment
finding is most important for
the nurse to report to the
healthcare provider?
A) Weight loss of 10 pounds
in the past month.
B) Six hours of sleep in the
past three days.
C) Blood alcohol level of
0.09%.
D) Serum lithium level of 1.6.
After a spider bite on the B) Swollen lymph nodes in the groin.
lower extremity, a client is D) White blood cell count.
admitted for treatment of E) Core body temperature.
an infection that is
spreading up the leg. Which
admission assessment
findings should the nurse
report to the healthcare
provider? SATA.
A) Location of the initial IV
site.
B) Swollen lymph nodes in
the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature.
Terms in this set (130)
An adolescent client who B) Observe the client carefully.
has been treated in the past
for a seizure disorder is
admitted to the hospital
immediately after admission
the client begins to have a
grand mal seizure. Which
action should the nurse
implement?
A) Place a padded tongue
blade between the clients
teeth.
B) Observe the client
carefully.
C) Obtain assistance in
holding the client to
prevent injury.
D) Call a rapid response
team.
,An adolescent who was C) Had a cold and ear infection for the past two days.
diagnosed with type one
diabetes Molite us at the
age of nine, is admitted to
the hospital in diabetic keto
acidosis. Which occurrence
is the most likely cause of
the keto acidosis?
A) Ate an extra peanut
butter sandwich before
gym class.
B) Incorrectly administered
too much insulin.
C) Had a cold and ear
infection for the past two
days.
D) Skipped eating lunch
while at school.
,The adult child of an older A) Instruct the adult child to check the clients
adult client who has temperature.
Parkinson's disease, calls C) Determine if the client has recently experienced a
the clinic and reports that fall.
the client has been E) Ask if the client is experiencing any pain with urination.
confused for the past week.
Which action should the
nurse take? SATA.
A) Instruct the adult child to
check the clients
temperature.
B) Encourage increased
intake of high protein foods.
C) Determine if the client
has recently experienced a
fall.
D) Reviewed the clients
current food and
medication allergies.
E) Ask if the client is
experiencing any pain with
urination.
, An adult client who is D) Serum lithium level of 1.6.
admitted to the mental
health unit for treatment of
bipolar disorder has a
slightly slurred speech
pattern and an unsteady
gait. Which assessment
finding is most important for
the nurse to report to the
healthcare provider?
A) Weight loss of 10 pounds
in the past month.
B) Six hours of sleep in the
past three days.
C) Blood alcohol level of
0.09%.
D) Serum lithium level of 1.6.
After a spider bite on the B) Swollen lymph nodes in the groin.
lower extremity, a client is D) White blood cell count.
admitted for treatment of E) Core body temperature.
an infection that is
spreading up the leg. Which
admission assessment
findings should the nurse
report to the healthcare
provider? SATA.
A) Location of the initial IV
site.
B) Swollen lymph nodes in
the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature.
