Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Hesi Exit Exam V6 with NGN Questions and Verified Rationalized Answers 100% Guarantee Pass, Exams of Nursing

Hesi Exit Exam V6 with NGN Questions and Verified Rationalized Answers 100% Guarantee Pass

Typology: Exams

2024/2025

Available from 07/10/2025

Dr.Will
Dr.Will 🇺🇸

33 documents

1 / 60

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2024-2025/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c

Partial preview of the text

Download Hesi Exit Exam V6 with NGN Questions and Verified Rationalized Answers 100% Guarantee Pass and more Exams Nursing in PDF only on Docsity!

HESI RN EXIT EXAM WITH NGN LATEST

VERSION B 2024-2025/HESI EXIT RN NEXT

GENERATION EXAM ALL 160 QUESTIONS AND

CORRECT DETAILED ANSWERS

A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned that the child has regressed in his toileting behaviors. Which information should the nurse provide to the parents? A. A retraining program will need to be initiated when the child returns home. B. Diapering will be provided since hospitalization is stressful to preschoolers C. A potty chair should be brought from home so he can maintain his toileting skills D. Children usually resume their toileting behaviors when they leave the hospital - CORRECT ANSWER D. Children usually resume their toileting behaviors when they leave the hospital A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? A. Shift intake of 640mL IV fluids plus 30mL PO ice chips B. Serum pH of 7. C. Gastric output of 100 mL in the last 8 hours D. Serum potassium of 3.0 mg/dL - CORRECT ANSWER D. Serum potassium of 3.0 mg/dL A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge? A. Instructions about how much fluid the child should drink daily. B. Signs of addiction to opioid pain medications C. Information about non-pharmaceutical pain relief measures

C. Furosemide D. Aspirin, low dose - CORRECT ANSWER B. Allopurinol A client fell in the bathroom when left unattended by the unlicensed assistive personnel (UAP). Which information should the nurse include in the client's health record? A. The UAP left the client to assist another client B. The last time client was assisted to the bathroom C. The unit was understaffed when the client fell D. The client fell sustaining a fracture to the left hip - CORRECT ANSWER D. The client fell sustaining a fracture to the left hip A client in the emergency center demonstrates rapid speech, flight of ideas, and reports sleeping only three hours during the past 48 hours. Based on these findings, it is most important for the nurse to review the laboratory value for which medication? A. Lorazepam B. Fluoxetine C. Divalproex D. Olanzapine - CORRECT ANSWER C. Divalproex A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in two weeks. What action should the nurse take? A. Tell the client to begin nipple stimulation to prepare for breast feeding. B. Reschedule the client's prenatal appointment for the following day

C. Explain that this normal secretion can be assessed at the next visit D. Recommend that the client start wearing a supportive brassiere - CORRECT ANSWER C. Explain that this normal secretion can be assessed at the next visit A client is admitted with a diagnosis of urolithiasis. Which finding is most important for the nurse to report to the healthcare provider? A. Volume of each voiding is more than 300mL B. Serum potassium that is elevated C. Relief of flank pain that radiated into the groin D. Hematuria that is beginning to turn pink - CORRECT ANSWER D. Hematuria that is beginning to turn pink A client is diagnosed with Meniere's disease. Which problem should the nurse identify as most important in the plan of care? A. Risk for ineffective self-health management related to deficient knowledge B. Ineffective coping related to personal vulnerability C. Risk for injury related to vertigo D. Anxiety related to disruption of lifestyle - CORRECT ANSWER C. Risk for injury related to vertigo. A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor? A. Glucose

A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID- 19 testing. Which action is most important for the nurse to take? A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag B. Move the client to a private room, keep the door closed, and initiate droplet precautions. C. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus D. Explain to the client to inform others that they may have been potentially exposed in the last 14 days. - CORRECT ANSWER A. Place the nasal swab specimen for COVID- 19 directly into a biohazard bag A client presents to the labor and delivery unit with a report of leaking fluid that is greenish- brown vaginal discharge. Which action should the nurse take first? A. Start an intravenous infusion B. Administer oxygen via facemask C. Perform a vaginal exam D. Begin continuous fetal monitoring - CORRECT ANSWER D. Begin continuous fetal monitoring A client presses the call bell and requests pain medication for a severe headache. To assess the quality of the client's pain, which approach should the nurse use? A. Ask the client to describe the pain B. Observe body language and movement C. Identify effective pain relief measures

D. Provide a numeric pain scale - CORRECT ANSWER A. Ask the client to describe the pain A client taking clopidogrel reports the onset of diarrhea. Which nursing action should the nurse implement first? A. Observe the appearance of the stool B. Assess the elasticity of the client's skin C. Review the client's laboratory values D. Auscultate the client's bowel sounds - CORRECT ANSWER A. Observe the appearance of the stool A client tells the nurse about working out with a personal trainer and swimming three times a week in an effort to lose weight and sleep better. The client states that it still is taking hours to fall asleep at night. Which action should the nurse implement? A. Advise the client that lifestyle changes often take several weeks to be effective B. Encourage the client to exercise everyday to eliminate bedtime wakefulness C. Ask the client for a description of the exercise schedule that is being followed D. Determine the amount of weight the client has lost since increasing activity - CORRECT ANSWER C. Ask the client for a description of the exercise schedule that is being followed A client who experienced a cerebrovascular accident (CVA) is aphasic and has left sided paralysis. Which nurse should be responsible for coordinating the progression of this client's care? A. Nurse case manager B. Adult nurse practitioner

A. Allow client to gargle with warm salt water B. Administer a sedative to alleviate anxiety C. Instruct client to write down the questions D. Deny client's request for a midnight snack - CORRECT ANSWER C. Instruct client to write down the questions A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider? A. A change in the sleep-wake cycle B. Mild sedation C. Dizziness reported after initial dose D. Somnambulism - CORRECT ANSWER D. Somnambulism A client with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every 12 hours. When the client requests an afternoon snack, which dietary choice should the nurse provide? A. Cinnamon applesauce B. Vanilla-flavored yogurt C. Calcium-fortified juice D. Low-fat chocolate milk - CORRECT ANSWER A. Cinnamon applesauce

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement? A. The impending signs of death should be documented B. The client's status should be conveyed to the chaplain C. The client's need for pain medication should be determined D. The nurse manager should be updated on the client's status - CORRECT ANSWER C. The client's need for pain medication should be determined A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional information is the client most likely to report to the nurse? A. Abdominal pain decreases when lying supine B. Pain lasts an hour and leaves the abdomen tender C. Right upper quadrant pain refers to right scapula D. Drinks alcohol until intoxicated at least twice weekly. - CORRECT ANSWER A. Abdominal pain decreases when lying supine A client with bacterial meningitis is receiving phenytoin. Which assessment finding indicates to the nurse that the client is experiencing a therapeutic response? - CORRECT ANSWER B. Normal electroencephalogram after drug administration A client with chronic kidney disease has an arteriovenous fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? A. Assessment of a bruit on the left forearm

B. Assign equipment to this one client C. Utilize reverse isolation protocol D. Use gown, mask, and gloves with dressing changes - CORRECT ANSWER D. Use gown, mask, and gloves with dressing changes A client with postpartum depression, who is admitted to the behavioral health unit, refuses to leave her room or eat meals. In addition to maintaining physical safety, which short-term goal should the nurse include in the plan of care? A. Sleeps at least 6 hours per night B. Consumes 3 meals and 1500 mL of fluid per day C. Engages in one client to client interaction daily D. Attends one group activity per day - CORRECT ANSWER D. Attends one group activity per day A client with rheumatoid arthritis (RA) starts a new prescription for etanercept subcutaneously once weekly. The nurse should emphasize the importance of reporting which problem to the healthcare provider? A. Joint stiffness B. Persistent fever C. Headache D. Increased hunger and thirst - CORRECT ANSWER A. Joint stiffness A client with Type 1 diabetes mellitus and a large draining ulcer of the right foot is admitted with a suspected Staphylococcus aureus infection. Which interventions should the nurse implement? (Select all that apply)

A. Monitor the client's white blood cell count B. Explain the purpose of a low bacteria diet C. Send wound drainage for culture and sensitivity D. Institute contact precautions for staff and visitors E. Use standard precautions and wear a mask - CORRECT ANSWER A. Monitor the client's white blood cell count C. Send wound drainage for culture and sensitivity D. Institute contact precautions for staff and visitors A client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness and palpitations. Which finding should the nurse identify may indicate an emerging situation? A. Potassium 3.5 mEq/L B. Fingertips feel numb C. Sodium 135 mEq/L D. Cervical spine stiffness - CORRECT ANSWER B. Fingertips feel numb A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6h are prescribed. What actions should the nurse include in this client's plan of care? (Select all that apply) A. Do not contaminate the insulin aspart so that it is available for IV use B. Review with the client proper foot care and prevention of injury C. Teach subcutaneous injection technique, site rotation, and insulin management

D. Restrict daily fluid intake to 1500mL - CORRECT ANSWER B. Administer prescribed diuretic A combination multi-drug cocktail is being considered for an asymptomatic HIV-infected client with a CD4 cell count of 500. Which nursing assessment of the client is most crucial in determining whether therapy should be initiated? A. Willing to comply with complex drug schedules B. Maintains an adequate social support system C. Qualifies for a prescription assistance program D. States various side effects of retroviral agents - CORRECT ANSWER A. Willing to comply with complex drug schedules A female client presents in the emergency department and tells the nurse that she was raped last night. Which question is most important for the nurse to ask? A. Has she taken a bath since the rape occurred? B. Is the place where she lives a safe place? C. Does she know the person who raped her? D. Did she report the rape to the police department? - CORRECT ANSWER A. Has she taken a bath since the rape occurred? A female client with a history of heart failure (HF) arrives at the clinic after what she describes as a very long trip. Following the initial physical assessment and chart review, which priority action should the nurse implement? A. Administer the prescribed diuretic B. Give a potassium supplement

C. Reteach medication regimen D. Auscultate lung and heart sounds - CORRECT ANSWER A. Administer the prescribed diuretic A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose of 80 units/kg, the nurse calculates the infusion rate for the heparin solution at 18 units/kg/hr. The available solution is Heparin Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should program the infusion pump to deliver how many mL/hour? - CORRECT ANSWER 18 A male client approaches the nurse with an angry expression on his face and raises his voice, saying "My roommate is the most selfish, self-centered, angry person I have ever met and if he loses his temper one more time with me, I am going to punch him out!" The nurse recognizes that the client is using which defense mechanism? A. Splitting B. Projection C. Rationalization D. Denial - CORRECT ANSWER B. Projection A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is experiencing heartburn and a dull gnawing pain that is relieved when he eats. Which is the best response by the nurse? A. Instruct the client that these mild symptoms can generally be controlled with changes in his diet

D. Provide a routine schedule of activities to facilitate trust - CORRECT ANSWER A. Encourage the client to reflect on personal goals and priorities A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle. Which action should the charge nurse implement? A. Suggest the nurse use a 20-gauge needle B. Instruct the nurse to remove the needle C. Direct the nurse to change the IV tubing D. Prompt the nurse to apply povidone to the site - CORRECT ANSWER A. Suggest the nurse use a 20-gauge needle A nurse receives report on a client who is four hours post-total abdominal hysterectomy. The previous nurse reports that it was necessary to change the client's perineal pad hourly and that it is again saturated. The previous nurse also reports that the client's urinary output has decreased. Which action should the nurse implement first? A. Evaluate the skin turgor B. Assess for weakness or dizziness C. Change the perineal pad D. Measure the urinary output - CORRECT ANSWER B. Assess for weakness or dizziness A nurse who is working in the emergency department triage area is presented with four clients at the same time. The client presenting with which symptoms requires the most immediate intervention by the nurse? A. One inch bleeding laceration on the chin of crying 5 year old B. Low grade fever, headache and malaise for the past 72 hours

C. Chest discomfort one hour after consuming a large, spicy meal D. Unable to bear weight on the left food, with swelling and bruising - CORRECT ANSWER C. Chest discomfort one hour after consuming a large, spicy meal A nurse working on an Endocrine Unit should see which client first? A. An older client with Addison's disease whose current blood sugar level is 62 mg/dL B. A client taking corticosteroids who has become disoriented in the last two hours C. An adolescent male with type 1 diabetes who is arguing about his insulin dose D. An adult with a blood sugar of 384 mg/dL and a urine output of 350mL in the last hour - CORRECT ANSWER B. A client taking corticosteroids who has become disoriented in the last two hours A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a teaching plan, the nurse should teach the parents to report which sign of overdose? A. Bradycardia B. Tachypnea C. Hypertension D. Coughing - CORRECT ANSWER A. Bradycardia A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near-drowning incident. While providing care to the child, the nurse begins talking with his preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what happened. Which action should the nurse take? A. Develop a water safety teaching plan for the family