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HESI RN EXIT EXAM WITH NGN LATEST VERSION /HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

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HESI RN EXIT EXAM WITH NGN LATEST VERSION /HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+ HESI RN EXIT EXAM WITH NGN LATEST VERSION /HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS WIT...

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  • 9 août 2024
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HESI RN EXIT EXAM WITH NGN LATEST VERSION
2024-2025 /HESI EXIT RN NEXT GENERATION EXAM
ALL 160 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
The nurse is planning care for a client with chronic kidney disease he was a resident of a long-term
nursing facility. The client is anuric and has hemodialysis three times a week. Which intervention should
the nurse include in the clients plan of care?

A) Initiate toileting schedule.

B) Provide her nails skin barrier cream.

C) Encourage intake of high potassium foods.

D) Monitor for signs of anemia - ANSWER-A) Initiate toileting schedule.



????



Client who is having G.I. difficulties is undergoing diagnostic procedures. The client asked the nurse
about the difference between ulcerative colitis and Crohn's disease. Which information should the nurse
offer?

A) Anal abscess and fistula rarely occur in Crohn's disease.

B) Constipation is more common in Crohn's disease.

C) Rectal bleeding is a predominant symptom and ulcerative colitis.

D) Both disorders are distributed along the entire G.I. tract. - ANSWER-C) Rectal bleeding is a
predominant symptom and ulcerative colitis.



The nurse assesses a child in 90-90s skeletal traction. Where should the nurse assess for signs of
compartment syndrome? Click on correct location. - ANSWER-Click the lower calf area above the ankle,
for the leg in traction.



The nurse receives shift report about a client with obsessive-compulsive disorder. The nurse completes
morning rounds and approaches the client who is repeatedly washing the top of the same table. Which
intervention should the nurse implement?

A) Teach the client thought stopping techniques and ways to refocus behaviors.

B) Assist the client to identify stimuli that precipitate the activity.

,C) Encourage the client to be calm and relax for a little while.

D) Allow time for the behavior and then redirect the client to other activities. - ANSWER-D) Allow time
for the behavior and then redirect the client to other activities.



Following morning care, a client with a C5 spinal cord injury who is sitting in a wheelchair becomes
flushed and complains of a headache. Which intervention should the nurse implement first?

A) Assess the clients blood pressures every 15 minutes.

B) Relieve any kinks or obstruction in the clients Foley tubing.

C) Teach the client to recognize symptoms of dysreflexia.

D) Administer a prescribed PRN dose of hydralazine. - ANSWER-A) Assess the clients blood pressures
every 15 minutes.

This likely dysreflexia but the BP needs to be monitored first. Dysreflexia is an abnormal overreaction of
the involuntary her nervous system. EXP, change in heart rate, blood pressure, diaphoretic, skin flushing,
throbbing HA, confusion/anxiety



In evaluating the effectiveness of a postoperative client intermittent pneumatic compression devices,
which assessment is most important for the nurse to complete?

A) Observe both lower extremities for redness and swelling.

B) Monitor the amount of drainage from the clients incision.

C) Palpate all peripheral pulse points for volume and strength.

D) Evaluate the clients ability to use an incentive spirometer. - ANSWER-C) Palpate all peripheral pulse
points for volume and strength.

Puzzler absent all week I can enter key compromise circulation, due to clock formation.



A client with a history of hypertension and diabetes mellitus is admitted with uncontrolled a fib. The
healthcare provider prefers synchronized cardioversion and prescribed a stat dose of dronedarone 400
mg PO. Which assessment finding warrants immediate intervention by the nurse?

A) Proximal a fib.

B) Third-degree heart block.

C) Elevated mean arterial pressure.

D) Premature ventricular beats. - ANSWER-B) Third-degree heart block.

,A home health nurse makes a home visit to a client with Amy trophic lateral sclerosis. The client is sitting
upright while feeding themselves and coughs frequently during the meal. Which action should the nurse
implement?



A) Assess the client to lay down and turn to the side.

B) Demonstrate use of a tucked chin position while eating.

C) Recommend the use of supplemental liquid feedings.

D) Encourage the use of assistive feeding devices. - ANSWER-B) Demonstrate use of a tucked chin
position while eating.



Which assessment showed the home health nurse include during a routine home visit for a client who
was discharged home with a super pubic catheter?

A) Palpate flank area.

B) Measure abdominal girth.

C) Assessed perineal area.

D) Observe insertion site. - ANSWER-D) Observe insertion site.



Which is the best approach for the nurse to use when interviewing a client about sexual abuse?

A) Ask questions in a way, nonspecific format.

B) Get the most difficult questions over with first.

C) Begin with questions that are less sensitive in nature.

D) Share personal values to put the client at ease. - ANSWER-C) Begin with questions that are less
sensitive in nature.



*** Photo of quiet injecting insulin into outter thigh.

A) Demonstrate correct selection of the injection site.

B) Advise the client to change the angle of the needle.

C) Observe the injection site for signs of lipodystrophy.

D) Provide a pair of exam gloves for the client to wear. - ANSWER-A) Demonstrate correct selection of
the injection site.

, The nurse is assessing a one day postpartum client. Which finding is most indicative of a postpartum
infection?



A) Moderate amount of foul smelling lochia.

B) Blood pressure of 122/74.

C) White blood count of 19,000.

D) Oral temperature of 100.2. - ANSWER-A) Moderate amount of foul smelling lochia.



When the parents of a six year old boy with a brain tumor are told that his condition is terminal, the
mother shouts at the father, "this is your fault! It never would have happened if we had sought
treatment sooner!" Which intervention is best for the Nursing information?

A) Refer the parents to the chaplain to provide grief counseling.

B) I'm sure the parents that a terminal diagnosis was inevitable.

C) Explain to the parents that anger is a common response to grief.

D) Tell the parents that blaming each other will not change the situation. - ANSWER-C) Explain to the
parents that anger is a common response to grief.



What time is recovering from pneumonia who has a history of severe COPD and peripheral PVD is being
discharged from the skilled nursing facility. Which action is most important for the nurse to implement?

A) Demonstrate specific strengthening exercises.

B) Reinforce need for adequate hydration.

C) Explain exercise daily regimen.

D) Provide typed instructions for healthy diet selections. - ANSWER-B) Reinforce need for adequate
hydration.



A client with a history of type one diabetes mellitus and asthma is readmitted to the unit for the third
time in two months with a current fasting blood sugar of 325. The client describes to the nurse of not
understanding why the blood glucose level continues to be out of control. Which intervention should
the nurse implement? SATA.

A) Ask the client if they want a different manufacturers glucose monitoring device.

B) Determine if the client is using a new insulin needle each administration.

C) Evaluate the clients asthma medication's that can elevate the blood glucose.

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