Prepare for the NGN HESI RN 2024 Exit Exam with this comprehensive study guide, featuring practice questions and expert answers to help you succeed. Designed for nursing students aiming to pass the Next Generation NCLEX-aligned HESI RN Exit Exam, this resource covers key topics such as patient care, pharmacology, nursing processes, and clinical judgment, all updated for 2024 standards. It includes a wide range of practice questions that reflect the NGN format, with detailed expert answers to reinforce your understanding and improve critical thinking skills. Perfect for final-year RN students, this guide offers strategies for mastering the exam, building confidence, and transitioning into professional nursing practice with ease.
Preview
Question 1
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic, the client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or not the
client takes it.
B) Withhold the medication until the dosage can be confirmed. (Correct Answer)
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication and then verify the dosage at the next healthcare
team meeting.
Rationale:
It is critical to verify the prescribed dosage before administration, especially when a client
reports a discrepancy. Withholding the medication ensures patient safety and prevents
potential medication errors. Simply assuming the dosage has changed without
confirmation could lead to adverse effects.
Question 2
The charge nurse is making assignments for one practical nurse (PN) and three registered
nurses (RNs) who are caring for neurologically compromised clients. Which client with a
change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature changed from 101°F to 102°F. (Correct Answer)
C) Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7.
D) Myxedema, whose blood pressure changed from 80/50 to 70/40.
Rationale:
The PN should be assigned stable clients or those with predictable changes in condition. A
slight increase in temperature in a client with viral meningitis is not a critical concern,
whereas the other clients have conditions that require complex assessment and
intervention by an RN.
Question 3
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi-organ failure. The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output. (Correct Answer)
B) Keep the head of the bed raised 45°.
C) Assess warmth of extremities.
D) Monitor blood glucose level.
Rationale:
Strict monitoring of intake and output is crucial in sepsis management to assess fluid
balance and kidney function, as organ perfusion is a major concern. While the other
options are important, they are not the primary intervention in this scenario.
Question 4
An adolescent client is admitted to the hospital after writing a suicide note to a teacher at
school. On the second day of hospitalization, the nurse asks the client to meet with the
treatment team. After the team meeting, the client leaves in tears and goes to their room.
Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the client’s goals and desire for treatment.
C) Ask the treatment team about the client’s behavior.
D) Go to the client’s room and ask what happened. (Correct Answer)
Rationale:
Approaching the client and offering support allows the nurse to assess emotional well
being and prevent potential self-harm. Ignoring or delaying intervention may increase
feelings of isolation.NGN HESI RN 2024 Exit Exam
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic, the client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or not the
client takes it.
B) Withhold the medication until the dosage can be confirmed. (Correct Answer)
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication and then verify the dosage at the next healthcare
team meeting.
Rationale:
It is critical to verify the prescribed dosage before administration, especially when a client
reports a discrepancy. Withholding the medication ensures patient safety and prevents
potential medication errors. Simply assuming the dosage has changed without
confirmation could lead to adverse effects.
Question 2
The charge nurse is making assignments for one practical nurse (PN) and three registered
nurses (RNs) who are caring for neurologically compromised clients. Which client with a
change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature changed from 101°F to 102°F. (Correct Answer)
C) Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7.
D) Myxedema, whose blood pressure changed from 80/50 to 70/40.
Rationale:
The PN should be assigned stable clients or those with predictable changes in condition. A
slight increase in temperature in a client with viral meningitis is not a critical concern,
whereas the other clients have conditions that require complex assessment and
intervention by an RN.
Question 3
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi-organ failure. The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output. (Correct Answer)
B) Keep the head of the bed raised 45°.
C) Assess warmth of extremities.
D) Monitor blood glucose level.
Rationale:
Strict monitoring of intake and output is crucial in sepsis management to assess fluid
balance and kidney function, as organ perfusion is a major concern. While the other
options are important, they are not the primary intervention in this scenario.
Question 4
An adolescent client is admitted to the hospital after writing a suicide note to a teacher at
school. On the second day of hospitalization, the nurse asks the client to meet with the
treatment team. After the team meeting, the client leaves in tears and goes to their room.
Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the client’s goals and desire for treatment.
C) Ask the treatment team about the client’s behavior.
D) Go to the client’s room and ask what happened. (Correct Answer)
Rationale:
Approaching the client and offering support allows the nurse to assess emotional well
being and prevent potential self-harm. Ignoring or delaying intervention may increase
feelings of isolation.NGN HESI RN 2024 Exit Exam
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