HESI 799 RN Exit Exam questions and
answers 2026\2027 A+ Grade
An adult client is exhibit the manic stage of bipolar disorder is admitted to the psychiatric unit. The client
has lost 10 pounds in the last two weeks and has no bathed in a week "I'm trying to start a new business
and "I'm too busy to eat". The client is oriented to time, place, person but not situation. Which nursing
problem has the greatest priority?
a. Hygiene-self-care deficit
b. Imbalance nutrition
c. Disturbed sleep pattern
d. Self-neglect
- correct answer Imbalance nutrition
Rationale: The client's nutritional status has the highest priority at this time, and finger foods are often
provided, so the client who is on the maniac phase of bipolar disease can receive adequate nutrition.
Other options are nursing problems that should also be addresses with the client's plan of care, but at
this stage in the client's treatment, adequate nutrition is a priority
A client who had a percutaneous transluminal coronary angioplasty (PTCA) two weeks ago returns to the
clinic for a follow up visit. The client has a postoperative ejection fraction ejection fraction of 30%. Today
the client has lungs which are clear, +1 pedal edema, and a 5pound weight gain. Which intervention the
nurse implement?
a. Arrange transport for admission to the hospital.
b. Insert saline lock for IV diuretic therapy.
c. Assess compliance with routine prescriptions.
d. Instruct the client to monitor daily caloric intake.
- correct answer Assess compliance with routine prescriptions.
,Rationale: Fluid retention may be a sign that the client is not taking the medication as prescribed or that
the prescriptions may need adjustment to manage cardiac function post-PTCA (normal ejection fraction
range is 50 to 75%)
The nurse is assessing a client's nailbeds. Witch appearance indicates further follow-up is needed for
problems associated with chronic hypoxia?
Clubbing FLIP for photo!!!
- correct answer clubbing
The RN is assigned to care for four surgical clients. After receiving report, which client should the nurse
see first? The client who is:
a. Two days postoperative bladder surgery with continuous bladder irrigation infusing.
b. One day postoperative laparoscopic cholecystectomy requesting pain medication.
c. Three days postoperative colon resection receiving transfusion of packed RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within the next 12 hours.
- correct answer Three days postoperative colon resection receiving transfusion of packed RBCs.
The nurse is preparing an older client for discharge following cataract extraction. Which instruction
should be include in the discharge teaching?
a. Do not read without direct lighting for 6 weeks.
b. Avoid straining at stool, bending, or lifting heavy objects.
c. Irrigate conjunctiva with ophthalmic saline prior to installing antibiotic ointment.
d. Limit exposure to sunlight during the first 2 weeks when the cornea is healing.
- correct answer Avoid straining at stool, bending, or lifting heavy objects
Rationale: after cataract surgery, the client should avoid activities which increase pressure and place
strain on the suture line.
,The healthcare provider prescribes potassium chloride 25 mEq in 500 ml D_5W to infuse over 6 hours.
The available 20 ml vial of potassium chloride is labeled, "10 mEq/5ml." how many ml of potassium
chloride should the nurse add the IV fluid? (Enter numeric value only. If is rounding is required, round to
the nearest tenth.)
12.5
- correct answer 12.5
Rationale: Using the formula D / H X Q: 25 mEq / 10 mEq x 5ml ꞊12.5ml
At 40 week gestation, a laboring client who is lying is a supine position tells the nurse that she has finally
found a comfortable position. What action should the nurse take?
a. Encourage the client to turn on her left side.
b. Place a pillow under the client's head and knees.
c. Explain to the client that her position is not safe.
d. Place a wedge under the client's right hip.
- correct answer Place a wedge under the client's right hip
Rationale: Hypotension from pressure on the vena cava is a risk for the full-term client. Placing a wedge
under the right hip will relieve pressure on the vena cava. Other options will either not relieve pressure
on the vena cava or would not allow the client the remaining her position of choice.
The nurse is preparing a 4-day-old I infant with a serum bilirubin level of 19 mg/dl (325 micromol/L) for
discharge from the hospital. When teaching the parents about home phototherapy, which instruction
should the nurse include in the discharge teaching plan?
a. Reposition the infant every 2 hours.
b. Perform diaper changes under the light.
c. Feed the infant every 4 hours.
d. Cover with a receiving blanket.
- correct answer Reposition the infant every 2 hours.
, Rational: An infant, who is receiving phototherapy for hyperbilirubinemia, should be repositioned every
two hours. The position changes ensure that the phototherapy lights reach all of the body surface areas.
Bathing, feedings, and diaper changes are ways for the parents to bond with the infant and can occur
away from the treatment. Feedings need to occur more frequently than every 4 hours to prevent
dehydration. The infant should wear only a diaper so that the skin is exposed to the phototherapy.
A client with a history of diabetes and coronary artery disease is admitted with shortness of breath,
anxiety, and confusion. The client's blood pressure is 80/60 mmHg, heart rate 120 beats/minute with
audible third and fourth heart sounds, and bibasilar crackles. The client's average urinary output is 5
ml/hour. Normal saline is infusing at 124 ml/hour with a secondary infusion of dopamine at
mcg/kg/minute per infusion pump. With intervention should the nurse implement?
a. Irrigate the indwelling urinary catheter.
b. Prepare the client for external pacing.
c. Obtain capillary blood glucose measurement.
d. Titrate the dopamine infusion to raise the BP.
- correct answer Titrate the dopamine infusion to raise the BP.
Rationale: the client is experiencing cardiogenic shock and requires titration per protocol of the
vasoactive secondary infusion, dopamine, to increase the blood pressure. Low hourly urine output is due
to shock and does not indicate a need for catheter irrigation. Pacing is not indicated based on the
client's capillary blood glucose should be monitored but is not directly indicated at this time.
The nurse ends the assessment of a client by performing a mental status exam. Which statement
correctly describes the purpose of the mental status exam?
a. Determine the client's level of emotional functioning'
b. Assess functional ability of the primary support system.
c. Evaluate the client's mood, cognition and orientation.
d. Review the client's pattern of adaptive coping skill
- correct answer Evaluate the client's mood, cognition and orientation.
answers 2026\2027 A+ Grade
An adult client is exhibit the manic stage of bipolar disorder is admitted to the psychiatric unit. The client
has lost 10 pounds in the last two weeks and has no bathed in a week "I'm trying to start a new business
and "I'm too busy to eat". The client is oriented to time, place, person but not situation. Which nursing
problem has the greatest priority?
a. Hygiene-self-care deficit
b. Imbalance nutrition
c. Disturbed sleep pattern
d. Self-neglect
- correct answer Imbalance nutrition
Rationale: The client's nutritional status has the highest priority at this time, and finger foods are often
provided, so the client who is on the maniac phase of bipolar disease can receive adequate nutrition.
Other options are nursing problems that should also be addresses with the client's plan of care, but at
this stage in the client's treatment, adequate nutrition is a priority
A client who had a percutaneous transluminal coronary angioplasty (PTCA) two weeks ago returns to the
clinic for a follow up visit. The client has a postoperative ejection fraction ejection fraction of 30%. Today
the client has lungs which are clear, +1 pedal edema, and a 5pound weight gain. Which intervention the
nurse implement?
a. Arrange transport for admission to the hospital.
b. Insert saline lock for IV diuretic therapy.
c. Assess compliance with routine prescriptions.
d. Instruct the client to monitor daily caloric intake.
- correct answer Assess compliance with routine prescriptions.
,Rationale: Fluid retention may be a sign that the client is not taking the medication as prescribed or that
the prescriptions may need adjustment to manage cardiac function post-PTCA (normal ejection fraction
range is 50 to 75%)
The nurse is assessing a client's nailbeds. Witch appearance indicates further follow-up is needed for
problems associated with chronic hypoxia?
Clubbing FLIP for photo!!!
- correct answer clubbing
The RN is assigned to care for four surgical clients. After receiving report, which client should the nurse
see first? The client who is:
a. Two days postoperative bladder surgery with continuous bladder irrigation infusing.
b. One day postoperative laparoscopic cholecystectomy requesting pain medication.
c. Three days postoperative colon resection receiving transfusion of packed RBCs.
d. Preoperative, in buck's traction, and scheduled for hip arthroplasty within the next 12 hours.
- correct answer Three days postoperative colon resection receiving transfusion of packed RBCs.
The nurse is preparing an older client for discharge following cataract extraction. Which instruction
should be include in the discharge teaching?
a. Do not read without direct lighting for 6 weeks.
b. Avoid straining at stool, bending, or lifting heavy objects.
c. Irrigate conjunctiva with ophthalmic saline prior to installing antibiotic ointment.
d. Limit exposure to sunlight during the first 2 weeks when the cornea is healing.
- correct answer Avoid straining at stool, bending, or lifting heavy objects
Rationale: after cataract surgery, the client should avoid activities which increase pressure and place
strain on the suture line.
,The healthcare provider prescribes potassium chloride 25 mEq in 500 ml D_5W to infuse over 6 hours.
The available 20 ml vial of potassium chloride is labeled, "10 mEq/5ml." how many ml of potassium
chloride should the nurse add the IV fluid? (Enter numeric value only. If is rounding is required, round to
the nearest tenth.)
12.5
- correct answer 12.5
Rationale: Using the formula D / H X Q: 25 mEq / 10 mEq x 5ml ꞊12.5ml
At 40 week gestation, a laboring client who is lying is a supine position tells the nurse that she has finally
found a comfortable position. What action should the nurse take?
a. Encourage the client to turn on her left side.
b. Place a pillow under the client's head and knees.
c. Explain to the client that her position is not safe.
d. Place a wedge under the client's right hip.
- correct answer Place a wedge under the client's right hip
Rationale: Hypotension from pressure on the vena cava is a risk for the full-term client. Placing a wedge
under the right hip will relieve pressure on the vena cava. Other options will either not relieve pressure
on the vena cava or would not allow the client the remaining her position of choice.
The nurse is preparing a 4-day-old I infant with a serum bilirubin level of 19 mg/dl (325 micromol/L) for
discharge from the hospital. When teaching the parents about home phototherapy, which instruction
should the nurse include in the discharge teaching plan?
a. Reposition the infant every 2 hours.
b. Perform diaper changes under the light.
c. Feed the infant every 4 hours.
d. Cover with a receiving blanket.
- correct answer Reposition the infant every 2 hours.
, Rational: An infant, who is receiving phototherapy for hyperbilirubinemia, should be repositioned every
two hours. The position changes ensure that the phototherapy lights reach all of the body surface areas.
Bathing, feedings, and diaper changes are ways for the parents to bond with the infant and can occur
away from the treatment. Feedings need to occur more frequently than every 4 hours to prevent
dehydration. The infant should wear only a diaper so that the skin is exposed to the phototherapy.
A client with a history of diabetes and coronary artery disease is admitted with shortness of breath,
anxiety, and confusion. The client's blood pressure is 80/60 mmHg, heart rate 120 beats/minute with
audible third and fourth heart sounds, and bibasilar crackles. The client's average urinary output is 5
ml/hour. Normal saline is infusing at 124 ml/hour with a secondary infusion of dopamine at
mcg/kg/minute per infusion pump. With intervention should the nurse implement?
a. Irrigate the indwelling urinary catheter.
b. Prepare the client for external pacing.
c. Obtain capillary blood glucose measurement.
d. Titrate the dopamine infusion to raise the BP.
- correct answer Titrate the dopamine infusion to raise the BP.
Rationale: the client is experiencing cardiogenic shock and requires titration per protocol of the
vasoactive secondary infusion, dopamine, to increase the blood pressure. Low hourly urine output is due
to shock and does not indicate a need for catheter irrigation. Pacing is not indicated based on the
client's capillary blood glucose should be monitored but is not directly indicated at this time.
The nurse ends the assessment of a client by performing a mental status exam. Which statement
correctly describes the purpose of the mental status exam?
a. Determine the client's level of emotional functioning'
b. Assess functional ability of the primary support system.
c. Evaluate the client's mood, cognition and orientation.
d. Review the client's pattern of adaptive coping skill
- correct answer Evaluate the client's mood, cognition and orientation.
