HESI RN ExIt Exam 799 QuEStIoNS (LatESt
updatEd V1 2026/2027) – actuaL Q&a
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
he will drink plenty of dairy products, such as milk, to help coat and protect his
ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and
tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might
select. - Answer-c. Review with the client the need to avoid foods that are rich in
milk and cream.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
c. Assume responsibility for placing the pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying
position. - Answer-b. Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows.
,A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him "feel bad". In explaining the need for
hypertension control, the nurse should stress that an elevated BP places the client
at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage - Answer-c. Stroke secondary to
hemorrhage
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - Answer-a. Describes life without purpose
An older male comes to the clinic with a family member. When the nurse attempts
to take the client's health history, he does not respond to questions in a clear
manner. What action should the nurse implement first
a. Ask the family member to answer the questions.
b. Provide a printed health care assessment form
,c. Assess the surroundings for noise and distractions.
d. Defer the health history until the client is less anxious. - Answer-c. Assess the
surroundings for noise and distractions.
The nurse caring for a client with acute renal fluid (ARF) has noted that the client
has voided 800 ml of urine in 4 hours. Based on this assessment, what should the
nurse anticipate that client will need?
a. Treatment for acute uremic symptoms within 24 hours
b. Change to a regular diet
c. Large amounts of fluid and electrolyte replacement.
d. Unrestricted sodium intake - Answer-c. Large amounts of fluid and electrolyte
replacement.
Which intervention should the nurse include in the plan of care for a child with
tetanus?
a. Open window shades to provide natural light
b. Reposition side to side every hour.
c. Minimize the number of stimuli in the room.
d. Encourage coughing and deep breathing - Answer-c. Minimize the number of
stimuli in the room.
Suicide precautions are initiated for a child admitted to the mental health unit
following an intentional narcotic overdose. After a visitor leaves, the nurse finds a
package of cigarettes in the client's room. Which intervention is most important
for the nurse to implement?
a. Assign a sitter for constant observation
, b. Screen future visitors for contraband
c. Document suicide monitoring frequently
d. Remove cigarettes for the client's room. - Answer-d. Remove cigarettes for the
client's room.
A client with atrial fibrillation receives a new prescription for dabigatran. What
instruction should the nurse include in this client's teaching plan?
a. Keep an antidote available in the event of hemorrhage
b. Continue obtaining scheduled laboratory bleeding test
c. Eliminate spinach and other green vegetable in the diet.
d. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID). - Answer-d. Avoid
use of nonsteroidal ant-inflammatory drugs (NSAID).
A nurse with 10 years experience working in the emergency room is reassigned to
the perinatal unit to work an 8 hour shift. Which client is best to assign to this
nurse?
a. A client who is leaking clear fluid
b. A mother who just delivered a 9 pounds boy
c. A mother with an infected episiotomy.
d. A client at 28- weeks' gestation in pre-term labor. - Answer-c. A mother with an
infected episiotomy.
An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is
irritable and diaphoretic with jugular vein distention. Which prescription should
the nurse administer first?
a. Spironolactone
updatEd V1 2026/2027) – actuaL Q&a
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
he will drink plenty of dairy products, such as milk, to help coat and protect his
ulcer. What is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and
tea.
b. Suggest that the client also plan to eat frequent small meals to reduce
discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might
select. - Answer-c. Review with the client the need to avoid foods that are rich in
milk and cream.
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
c. Assume responsibility for placing the pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying
position. - Answer-b. Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows.
,A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him "feel bad". In explaining the need for
hypertension control, the nurse should stress that an elevated BP places the client
at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage - Answer-c. Stroke secondary to
hemorrhage
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating. - Answer-a. Describes life without purpose
An older male comes to the clinic with a family member. When the nurse attempts
to take the client's health history, he does not respond to questions in a clear
manner. What action should the nurse implement first
a. Ask the family member to answer the questions.
b. Provide a printed health care assessment form
,c. Assess the surroundings for noise and distractions.
d. Defer the health history until the client is less anxious. - Answer-c. Assess the
surroundings for noise and distractions.
The nurse caring for a client with acute renal fluid (ARF) has noted that the client
has voided 800 ml of urine in 4 hours. Based on this assessment, what should the
nurse anticipate that client will need?
a. Treatment for acute uremic symptoms within 24 hours
b. Change to a regular diet
c. Large amounts of fluid and electrolyte replacement.
d. Unrestricted sodium intake - Answer-c. Large amounts of fluid and electrolyte
replacement.
Which intervention should the nurse include in the plan of care for a child with
tetanus?
a. Open window shades to provide natural light
b. Reposition side to side every hour.
c. Minimize the number of stimuli in the room.
d. Encourage coughing and deep breathing - Answer-c. Minimize the number of
stimuli in the room.
Suicide precautions are initiated for a child admitted to the mental health unit
following an intentional narcotic overdose. After a visitor leaves, the nurse finds a
package of cigarettes in the client's room. Which intervention is most important
for the nurse to implement?
a. Assign a sitter for constant observation
, b. Screen future visitors for contraband
c. Document suicide monitoring frequently
d. Remove cigarettes for the client's room. - Answer-d. Remove cigarettes for the
client's room.
A client with atrial fibrillation receives a new prescription for dabigatran. What
instruction should the nurse include in this client's teaching plan?
a. Keep an antidote available in the event of hemorrhage
b. Continue obtaining scheduled laboratory bleeding test
c. Eliminate spinach and other green vegetable in the diet.
d. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID). - Answer-d. Avoid
use of nonsteroidal ant-inflammatory drugs (NSAID).
A nurse with 10 years experience working in the emergency room is reassigned to
the perinatal unit to work an 8 hour shift. Which client is best to assign to this
nurse?
a. A client who is leaking clear fluid
b. A mother who just delivered a 9 pounds boy
c. A mother with an infected episiotomy.
d. A client at 28- weeks' gestation in pre-term labor. - Answer-c. A mother with an
infected episiotomy.
An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is
irritable and diaphoretic with jugular vein distention. Which prescription should
the nurse administer first?
a. Spironolactone
