{"id":118988,"date":"2023-09-08T02:55:03","date_gmt":"2023-09-08T02:55:03","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118988"},"modified":"2023-09-08T02:55:05","modified_gmt":"2023-09-08T02:55:05","slug":"ngn-rn-hesi-exit-exam-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/08\/ngn-rn-hesi-exit-exam-2023\/","title":{"rendered":"NGN RN HESI EXIT EXAM 2023"},"content":{"rendered":"\n

The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq\/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg\/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)<\/p>\n\n\n\n

    \n
  1. The nurse from the postpartum unit has been temporarily assigned to the
    medical surgical unit. It would be most appropriate to assign this nurse to the
    client who*(a) has returned from right total hip replacement surgery four hours
    ago
    (b) is being observed for increased intracranial pressure
    (c) had surgery two hours ago to remove the appendix
    (d) is two weeks post partum being maintained on a mechanical
    ventilatorfor respiratory failure<\/li>\n\n\n\n
  2. The nurse should intervene if the nurse notes a staff member
    (a) obtaining a clients consent prior to their operative procedure after
    receivingAtivan (lorazepam)
    (b) placing a client on the affected side following surgical repair of a
    retinal detachment
    (c) handling a wet cast with the palms of the hands
    (d) using a broad base of support while transferring a client<\/li>\n\n\n\n
  3. The community health nurse is caring for the following clients. It would be
    a priority for the nurse to initiate a multidisciplinary conference for the client
    who is (a) 12 years old with Autism who is starting a new school and recently
    had a
    URI (upper respiratory tract infection)
    (b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had
    arecent Hemoglobin A1c of 13%
    (c) 52 years old, with Myasthenia Gravis, recently prescribed
    Mestinon (pyridostigmine) and employed as a mail
    carrier
    (d) 70 years old, has schizophrenia, lives alone and reports hearing
    nonthreatening voices.
    <\/li>\n\n\n\n
  4. The nurse in a well baby clinic has assessed several children today. It would be a
    priority for the nurse to suggest follow up for the child who is (a) 2 months old with
    apositive babinski refl ex
    (b) 5 months old and does not hold their own bottle
    (c) 10 months old who cries around strangers
    (d) 18 months old who needs support while ambulating<\/li>\n\n\n\n
  5. The nurse is caring for a mechanically ventilated client who was declared
    brain dead. An Advance Directive is not documented on the medical record. It
    would be most appropriate to obtain consent for organ donation from the
    (a) client\u2018s primary care provider
    (b) client\u2018s nurse manager
    (c) closest living family member
    (d) hospital\u2018s ethics committee<\/li>\n\n\n\n
  6. The nurse has received report on four clients. The nurse should fi rst
    assessthe client who has*
    (a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading
    of 90%
    (b) Parkinson\u2018s Disease and is demanding to leave the hospital against
    medicaladvice (AMA)
    (c) been admitted with suspected Guillian-Barre\u00b4 Syndrome and
    hasbegun plasmapheresis therapy
    (d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)<\/li>\n\n\n\n
  7. It would be appropriate to assign which of these tasks to the CNA?
    (a) Feeding a client who is experiencing dysphagia
    (b) One-on-one client observation for safety
    (c) Removal of an indwelling catheter
    (d) Performing a simple dressing change<\/li>\n\n\n\n
  8. The nurse should intervene if a staff member is observed
    (a) discussing a client\u2018s diagnosis with visiting family members
    (b) collaborating with another nurse to review a prescription for blood transfusion
    (c) interrupting other staff members discussing a client in the cafeteria
    (d) reviewing a clients lab values with the nutritionist<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    The nurse is reviewing medical prescriptions for newly admitted clients. Itwould be a priority for the nurse to follow up with the physician if a client with(a) a potassium level of 4.5mEq\/L has Kayexalate (sodium polystyrene) prescribed(b) a Dilantin (phenytoin) level of 8 mcg\/ml is placed on seizure precautions(c)sensitivity to Aspirin (acetylsalicylic acid) is prescribed […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118988","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118988","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118988"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118988\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118988"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}