HESI RN EXIT EXAM WITH NGN LATEST VERSION 2024 HESI EXIT RN NEXT GENERATION EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI RN EXIT EXAM WITH NGN LATEST VERSION 2024 HESI EXIT RN NEXT GENERATION EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (ALREADY GRADED A+)
A client diagnosed with chronic hepatitis C receiving ribavirin in combination with alfa- infection reports the onset of extreme fatigue and dyspriea on exertion. It is most important for the nurse to monitor which serum laboratory value?
A Sodium
B Glucose
C Hemoglobin
D Potassium - Answer-ANSWER: C- HEMOGLOBIN

A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa tow months ago . Which client finding best indicates that the medication is effective?
a) Reports of increased energy levels and decreased fatigue
B) Food diary shows increased consumption of iron-rich foods.
C) Takes concurrent iron therapy without adverse effects.
D) Hemoglobin level increased to 12 grams/dl (120mmol/L). - Answer-D) Hemoglobin level increased to 12 grams/dl (120mmol/L).

After receiving five doses of filgrastim the nurse notes that the client's white blood cell count has increased from 2500/mm (2.5 10/LSI) to 5,000/mm(5 10/LSI). What action should the nurse implement?
A. Assess the client's vital signs
B. Implement neutropenic precautions
C. Review the client's culture and sensitivity reports
D. Inform the client that the medication has been effective - Answer-B. Implement neutropenic precautions

Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL. Which action should the nurse implement?
a. Hold the calcitriol but administer the calcium carbonate as scheduled.
b. Hold the calcium carbonate but administer the calcitriol as scheduled.
c. Hold both medications until contacting the healthcare provider.
d. Administer both prescribed medications as scheduled. - Answer-c. Hold both medications until contacting the healthcare provider.

A client with bipolar disorder admitted with severe depression and suicidal ideation receives a prescription for lithium carbonate. Which instruction should the nurse provide to the client?
a) Notify healthcare provider prior to dental procedure
b) Avoid consuming all foods that contain iodine.
c) Monitor blood glucose levels daily.
d) Eliminate of nonsteriodal anti-inflammatory drugs (NSAIDSs). - Answer-ANSWER: d) Eliminate of nonsteriodal anti-inflammatory drugs (NSAIDSs).

A client with Encephalopathy is receiving lactulose. Which assessment provides the nurse best information to improve in drug.
a) stool color
b) Serum electrolytes and ammonia
c) Fingerstick glucose
d) Serum hepatic enzymes - Answer-b) Serum electrolytes and ammonia

An adolescent with major depressive disorder has been taking duloxetine for the past 12 days. Which assessment finding requires immediate follow-up?
A.) describes life without purpose
B.) states is often fatigued and drowsy
C.) complaint of nausea and loss of appetite
D.) exhibits an increase in sweating - Answer-A.) describes life without purpose

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
A. Liver function laboratory results
B. Family history of mental illness
C. Recent use of other antidepressants
D. Weight change in the last month - Answer-A. Liver function laboratory results