2023 HESI EXIT EXAM NEXT GENERATION (NGN) TEST
BANK LATEST 2023-2024 ACTUAL EXAM 500 QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse suspect may be hemorrhaging internally. Which findings of an
orthostatic test may indicate to the nurse of major bleed? – ANSWER- A
decrease in the systolic b/p of 10mm/hg with a corresponding increase of
heart rate of 20.
A male adult is admitted because of an acetaminophen overdose. After
transfer to the mental
health unit, the client is told he has liver damage. Which information is
most important for the
nurse to include in the client’s discharge plan? – ANSWER- Avoid
exposure to large crowds
A client arrives in the emergency center with a blood alcohol level of
500 mg/dl. When
transferred to the observation unit, the client becomes demanding,
aggressive, and shouts at the
staff. Which assessments finding is most important for the nurse to
identify in the first 24 hours? – ANSWER- Agitation and threats to
harms staff
A male client who had a small bowel resection acquired methicillinresistant Staphylococcus aureus (MRSA) while hospitalized. He was
treated and released, but is readmitted today because of diarrhea and
dehydration. It is most important for the nurse to implement which
intervention? – ANSWER- Maintain contact transmission precautions
The nurse applies a blood pressure cuff around a client’s left thigh. To
measure the client’s blood pressure, where should the diaphragm of the
stethoscope be placed? (Mark the loication on one of the images.) –
ANSWER- “On left thigh with arrow pointing to inner thigh”
To reduce the risk of symptoms exacerbation for a client with multiple
sclerosis (MS), which
instructions should the nurse include in the client’s discharge plan?
(Select all that apply). – ANSWER- Space activities to allow for rest
periods
Take warm baths before starting exercise
A preoperative client states he is not allergic to any medications. What is
the most important
nursing action for the nurse to implement next? – ANSWER- Assess
client’s knowledge of an allergy response
During a visit to the planned parenthood clinic, a young woman tells the
nurse that she is
going to discontinue taking the oral contraceptives she has taken for
three years because she
wants to get pregnant. History indicates that her grandfather has adult
onset diabetes and that she
was treated for chlamydia six months ago, which factor in this client’s
history poses the greatest
risk for this woman’s pregnancy? – ANSWER- Three year history of
taking oral contraceptives
When conducting diet teaching for a client who was diagnosed with a
myocardial infarction,
which snack foods should the nurse encourage the client to eat? (Select
all that apply). – ANSWER- Fresh turkey slices and berries
raw unsalted almonds and apples
A mother brings her 3-week-old son to the clinic because he is vomiting
“all the time.” In
performing a physical assessment, the nurse notes that the infant has
poor skin turgor, has lost
20% of his birth weight, and has a small palpable oval-shaped mass in
his abdomen. What
intervention should the nurse implement first? – ANSWER- Initiate a
prescribed IV for parental fluid
An older woman who was recently diagnosed with end stage metastatic
breast cancer is
admitted because she is experiencing shortness of breath and confusion.
The client refuses to eat
and continuously asks to go home. Arterial blood gases indicate
hypoxia. Which intervention is
most important for the nurse to implement? – ANSWER- Clarify end of
life desires
Which needle should the nurse use to administer intravenous fluids (IV)
via a client’s implanted port? – ANSWER- PIC: The second one, the one
with the clamp
The nurse is triaging several children as they present to the emergency
room after an
accident. Which child requires the most immediate intervention by the
nurse? – ANSWER- An 11-year-old with a headache, nausea, and
projectile vomiting
An unlicensed assistive personnel (UAP) reports that a client’s right
hand and fingers spasms when taking the blood pressure using the same
arm. After confirming the presence of spams what action should the
nurse take? – ANSWER- Review the client’s serum calcium level
The nurse is caring for a 17-year-old male who fell 20 feet 5 months ago
while climbing the
side of a cliff and has been in a sustained vegetative state since the
accident. Which intervention