NGN 2026-2027 HESI EXIT PASS 37pages

1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has notbeen doingwell since the grandmother died 2 months ago. Which statement most accurately describes thoughts ondeath and dying at this age? A) Death is personified as the bogeyman or devil B) Death is perceived as being irreversible C) The child feels guilty for the grandmother's death D) The child is worried that he, too, might die The correct answer is A: Death is personified as the bogeyman or devil 2. A 67 year-old client with non-insulin dependent diabetes should be instructed tocontact the out- patient clinic immediately if the following findings are present A) Temperature of 37.5 degrees Celsius with painful urination B) An open wound on their heel C) Insomnia and daytime fatigue D) Nausea with 2 episodes of vomiting The correct answer is B: An open wound on their heel 3. The nurse admits an elderly Mexican-American migrant worker after an accident thatoccurredduringwork. To facilitate communication the nurse should initially A) Request a Spanish interpreter B) Speak through the family or co-workers C) Use pictures, letter boards, or monitoring D) Assess the client's ability to speak English The correct answer is D: Assess the client''s ability to speak English 4. In assessing a post partum client, the nurse palpates a firm fundus and observes a constant trickleof bright red blood from the vagina. What is the most likely cause ofthese findings? A) Uterine atony B) Genital lacerations C) Retained placenta D) Clotting disorder The correct answer is B: Genital lacerations 5. The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently- ordered medications would most likely contribute to this change?