HESI RN EXIT EXAM WITH NGN LATEST VERSION B 2024-2025/HESI EXIT RN NEXT GENERATION EXAM AL, Exams of Nursing

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Hesi Exit Exam V6 with NGN Questions and

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This Test Consists Of 160 Questions And Answers

1. 1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's refusal D) Ask the client if the preference would be to remove the dentures in the operating room receiving area : D : Ans>> Ask the client if the preference would be to remove the dentures in the operating room receiving area

B) Detaching or dissociating in this way postpones painful feelings C) This conversion or transferring of a mental conflict to a physical symptom can lead to marital conflict D) To isolate the feelings in this way reduces conflict within the client and with others : Ans>> Such fantasies can gratify unconscious wishes or prepare for anticipated future events

5. 5. An appropriate goal for a client with anxiety would be to A) Ventilate anxious feelings to the nurse B) Establish contact with reality C) Learn self-help techniques D) Become desensitized to past trauma : Ans>>

C

: Ans>> Learn self-help techniques

6. 6. While the nurse is administering medications to a client, the client states "I do not want to take that medicine today." Which of the following responses by the nurse would be best? A) "That's OK, its all right to skip your medication now and then." B) "I will have to call your doctor and report this." C) "Is there a reason why you don't want to take your medicine?" D) "Do you understand the consequences of refusing your prescribed treat- ment?"

: Ans>> C : Ans>> "Is there a reason why you don't want to take your medicine?"

7. 7. While caring for a client, the nurse notes a pulsating mass in the client's peri umbilical area. Which of the following assessments is appropriate for the nurse to perform? A) Measure the length of the mass B) Auscultate the mass C) Percuss the mass D) Palpate the mass : Ans>> B : Ans>> Auscultate the mass
8. 8. A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client? A) "Good morning. Do you remember where you are?" B) "Hello. My name is Elaine Jones and I am your nurse for today." C) "How are you today? Remember, you're in the hospital." D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." : Ans>> D : Ans>> "Good morning. You're in the hospital. I am your nurse Elaine Jones."
   9. 9. The nurse is teaching the parents of a 3 month-old infant about nutrition.

C) February 11 D) December 23 : Ans>> D : Ans>> December 23

12. 12. When screening children for scoliosis, at what time of development would the nurse expect early signs to appear? A) Prenatally on ultrasound B) In early infancy C) When the child begins to bear weight D) During the preadolescent growth spurt : Ans>> D : Ans>> During the preadolescent growth spurt
13. 13. A client with congestive heart failure is newly admitted to home health care.The nurse discovers that the client has not been following the prescribed diet. What would be the most appropriate nursing action? A) Discharge the client from home health care related to noncompliance B) Notify the health care provider of the client's failure to follow prescribed diet C) Discuss diet with the client to learn the reasons for not following the diet D) Make a referral to Meals-on-Wheels : Ans>> C : Ans>> Discuss diet with client to learn the reasons for not following the diet

14. 14. A client states, "People think I'm no good, you know what I mean?" Which of these responses would be most therapeutic? A) "Well people often take their own feelings of inadequacy out on others." B) "I think you're good. So you see, there's one person who likes you." C) "I'm not sure what you mean. Tell me a bit more about that." D) "Let's discuss this to see the reasons to create this impression on peo- ple?" : Ans>> C : Ans>> "I'm not sure what you mean. Tell me a bit more about that."
15. 15. A client being treated for hypertension returns to the community clinic for follow up. The client says, "I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the bathroom." Which of these is the best nursing diagnosis? A) Noncompliance related to medication side effects B) Knowledge deficit related to misunderstanding of disease state C) Defensive coping related to chronic illness D) Altered health maintenance related to occupation : Ans>> A : Ans>> Noncompliance related to medication side effects
16. 16. When teaching effective stress management techniques to a client 1 hour before surgery, which of the following should the nurse recommend? A) Biofeedback

A) Provide a verbal explanation just prior to the surgery B) Provide the child with a booklet to read about the surgery C) Introduce the child to another child who had heart surgery 3 days ago D) Explain the surgery using a model of the heart : Ans>> D : Ans>> Explain the surgery using a model of the heart

20. 20. The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments? A) Focus on the child's needs and recovery B) Explain the cause of the child's illness C) Acknowledge that early care would have been better D) Accept their feelings without judgment : Ans>> D : Ans>> Accept their feelings without judg- ment
    21. 21. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? A) Record the number of stools per day B) Maintain strict intake and output records C) Sterile technique for dressing change at IV site

D) Monitor for cardiac arrhythmias : Ans>> C : Ans>> Sterile technique for dressing change at IV site

22. 22. When caring for a client who is receiving a thrombolytic agent to open a clot occluded coronary artery after a myocardial infarction, which finding would be of greatest concern to the nurse? A) Sero sanginous drainage from gums B) Hematemesis C) Pink frothy sputum D) Slight red color at urine : Ans>> B : Ans>> Hematemesis
23. 23. A 52 year-old client is being transfused with one unit of packed cells. A half hour after the transfusion was initiated, the client complains of chills and headache. Which action should the nurse implement first? A) Notify the health care provider B) Check the client's temperature C) Stop the transfusion D) Obtain a urine specimen : Ans>> C : Ans>> Stop the transfusion
24. 24. An adolescent client is hospitalized with menarthrosis from a Hemo- philia A bleeding episode. Which order should be questioned by the nurse?

: Ans>> Continue medication use as prescribed

27. 27. The nurse is administering an intravenous piggyback infusion of peni- cillin. Which of the following client statements would require the nurse's immediate attention? A) "I have a burning sensation when I urinate." B) "I have soreness and aching in my muscles." C) "I am itching all over." D) "I have cramping in my stomach." : Ans>> C : Ans>> "I am itching all over."
28. 28. A woman diagnosed with bipolar disorder is to take lithium (Lithane) as part of the treatment. What should the nurse discuss with the client as part of the teaching plan? A) Risks of oral contraceptives B) Reduction in exercise program C) Avoidance of alcohol D) Cessation of smoking : Ans>> C : Ans>> Avoidance of alcohol
29. 29. The nurse prepares to administer eye drops to a 6 year-old child. Which of these demonstrates the correct method for instillation of eye drops? A) Directly on the anterior surface of the eyeball

B) In the corner where the lids meet C) Under the upper lid as it is pulled upward D) In the conjunctival sac as the lower lid is pulled down : Ans>> D : Ans>> In the conjunctival sac as the lower lid is pulled down

30. 30. A depressed client is experiencing severe insomnia. The health care provider orders trazadone (Desyrel). The nurse tells the client to expect A) Improvement of acne B) Relief of insomnia C) Reduced arthritic pain D) Less nasal stuffiness : Ans>> B : Ans>> Relief of insomnia
31. 31. A client with diabetes has a blood sugar is 306 this morning. After the nurse reports this lab result and the client's symptoms of excessive hunger and thirst, what would the nurse expect the health care provider to order? A) Orange juice B) Regular insulin C) NPH Insulin D) Repeat blood sugar level : Ans>> B

A) Notify the health care provider immediately B) Recognize that this is a therapeutic level C) Observe the client for hematoma development D) Assess for bleeding at gums or IV sites : Ans>> B : Ans>> Recognize that this is a therapeutic level

35. 35. The nurse administered intravenous gamma globulin to an 18 month-old child with AIDS.The parent asks why this medication is being given. What is the nurse's best response? A) "It will slow down the replication of the virus." B) "This medication will improve your child's overall health status." C) "This medication is used to prevent bacterial infections." D) "It will increase the effectiveness of the other medications your child receives." : Ans>> C : Ans>> "This medication is used to prevent bacterial infections."
36. 36. The nurse is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse's immediate atten- tion? A) Temperature of 37.5 degrees Celsius B) Urine output of 300 cc in 4 hours C) Poor skin turgor

D) Blood glucose of 350 mg/dl : Ans>> D : Ans>> Blood glucose of 350 mg/dl

37. 37. The nurse is teaching a client with asthma about the correct use of the Azmacort (triamcinolone) inhaler. Which of the following statements, if made by the client, would indicate that the teaching was effective? A) "The inhaler can be used whenever I feel short of breath." B) "I should rinse my mouth after using the inhaler." C) "If I forget a dose, I can double up on the next dose." D) I should not use a spacer with my Azmacort. : Ans>> B : Ans>> "I should rinse my mouth after using the inhaler."
38. 38. A client is admitted to the hospital because of heart failure and digoxin toxicity. At home, the client was taking digoxin (Lanoxin) and furosemide (Lasix). Which symptom would the nurse anticipate finding on the initial assessment? ***** A) Muscle weakness and cramping B) Confusion C) Blood in the urine D) Tinnitis : Ans>> A : Ans>> Muscle weakness and cramping

A) Give the dose after lunch B) Reduce the next dose by half C) Double the next dose ***** D) Hold the medication : Ans>> D : Ans>> Hold the medication

42. 42. A child is treated with edetate calcium disodium (Calcium EDTA) for lead poisoning. Which of these should the nurse assess first? A) Serum potassium level B) Blood calcium level C) Urinary output D) Deep tendon reflexes : Ans>> C : Ans>> Urinary output
43. 43. The nurse is assessing a client who has taken haldol (Haloperidol) for several months. Which of the following is a side effect of this medication and must be reported immediately to the health care provider? A) Muscle flaccidity B) Dystonic reaction C) Mood swings D) Dry, harsh cough : Ans>> B

: Ans>> Dystonic reaction

44. 44. The nurse is caring for a client with renal calculi. Which health care provider order would be a priority? A) Morphine sulfate as client controlled analgesia B) Push oral fluids and keep vein open C) Continuous warm compresses to the flank area D) Intravenous antibiotics : Ans>> A : Ans>> Morphine sulfate as client controlled analgesia
45. 45. A client with angina has been instructed about the use of sublingual nitroglycerin. Which of the following statements made to the nurse indicates a need for further teaching? A) "I will rest briefly right after taking 1 tablet." B) "I can take 2-3 tablets at once if I have severe pain." C) "I'll call the doctor if pain continues after 3 tablets 5 minutes apart." D) "I understand that the medication should be kept in the dark bottle." : Ans>> B : Ans>> "I can take 2-3 tablets at once if I have severe pain."
46. 46. The nurse is teaching administration of albuterol inhalation to an adult with asthma. Which of the following demonstrates proper teaching?