HESI 799 RN EXIT EXAM PREMIUM PREP PACK
2026 FULLY SOLVED MATERIAL
◉ A native-American male client diagnosed with pneumonia, states
that in addition to his prescribed medical treatment of IV antibiotics
he wishes to have a spiritual cleaning performed. Which outcome
statement indicates that the best plan of care was followed?
a. Identifies his ethnocentric values and behaviors
b. States an understanding of the medical treatment
c. Participated actively in all treatments regimens
d. Expresses a desire for cultural assimilation Answer: Participated
actively in all treatments regimens
Rationale: indicates active participation by the client, which is
required for treatment to be successful. The best plan of care should
incorporate the valued and treatments of both cultures and in this
case there is no apparent cultural clash between the two forms of
treatment. The client has already identify he's cultural values (A).
(B) Only considers one of the two treatment modalities desired by
the client the client has already chosen how he wishes to assimilate
his cultural values with the prescribed medical treatment (D).
,◉ A male client with cancer is admitted to the oncology unit and
tells the nurse that he is in the hospital for palliative care measures.
The nurse notes that the client's admission prescription include
radiation therapy. What action should the nurse implement?
a. Ask the client about his expected goals for the hospitalization
b. Explain the palliative care measures can be provided at home
c. Notify do radiation department to withhold the treatment for now
d. Determine if the client wishes to cancel further radiation
treatment Answer: Ask the client about his expected goals for the
hospitalization
Rationale: Palliative care measures provide relief or control of
symptoms, so it is important for the nurse to determine the client's
goals for symptom control while receiving treatment in the hospital.
Although home care is available the client may not be legible for
palliative care at home. Radiation therapy is an effective positive
care measure used to manage symptoms and would be appropriate
unless the radiation conflicts with the client goals.
◉ A client with myasthenia Gravis (MG) is receiving
immunosuppressive therapy. Review recent laboratory test results
show that the client's serum magnesium level has decreased below
the normal range. In addition to contacting the healthcare provider,
what nursing action is most important?
,a. Check the visual difficulties
b. Note most recent hemoglobin level
c. Assessed for he and Hand joint pain
d. Observe rhythm on telemetry monitor Answer: Observe rhythm
on telemetry monitor
Rationale: If not treated a low little Serum magnesium level can
affect myocardial depolarization leading to a lethal arrhythmia, and
the nurse should assess for dysrhythmias before contacting the
healthcare provider. Other choices are common in MG but do not
contribute the Safety risk of low magnesium levels.
◉ A young adult female presents at the emergency center with acute
lower abdominal pain. Which assessment finding is most important
for the nurse to report to the healthcare provider?
a. Pain scale rating at 9 on a 0-10 scale
b. Last menstrual period was 7 weeks ago
c. Reports white curdy vaginal discharge
d. History of irritable bowel syndrome IBS Answer: Last menstrual
period was 7 weeks ago
Rationale: Acute lower abdominal pain in A young adult female can
be indicative of an ectopic pregnancy, which can be life threatening.
, Since the clients last menstrual period was seven weeks ago a
pregnancy test to be obtained to ruled out ectopic pregnancy, which
can result in intra-abdominal hemorrhage caused by a ruptured
Fallopian tube. Although the severity of pain requires treatment, the
most significant finding is the clients last menstrual period. Other
options are not the most important concerns.
◉ A 154 pound client with diabetic ketoacidosis is receiving an IV of
normal saline 100 ML with regular insulin 100 units. The healthcare
provider prescribes a rate of 0.1 units/kg/hour. To deliver the
correct dosage, the nurse should set the infusion pump to Infuse
how many ml/hour? enter numeric value only
7 Answer: 7
Rationale: Convert the client's weight to kg, 2.2 pound: 1 kg:: 154
pounds: x kg = 154/2.2 = 70kg. Calculate the client infusion rate, 0.1
x 70 kg = 7 units/hour. Using the formula, D/H x Q = 7 units/hour /
100 units x 100 ml = 7ml / hour
◉ The nurse is assessing a postpartum client who is 36 hours post-
delivery. Which finding should the nurse report to the healthcare
provider?
a. White blood count of 19,000 mm3
b. Oral temperature of 100.6 F
2026 FULLY SOLVED MATERIAL
◉ A native-American male client diagnosed with pneumonia, states
that in addition to his prescribed medical treatment of IV antibiotics
he wishes to have a spiritual cleaning performed. Which outcome
statement indicates that the best plan of care was followed?
a. Identifies his ethnocentric values and behaviors
b. States an understanding of the medical treatment
c. Participated actively in all treatments regimens
d. Expresses a desire for cultural assimilation Answer: Participated
actively in all treatments regimens
Rationale: indicates active participation by the client, which is
required for treatment to be successful. The best plan of care should
incorporate the valued and treatments of both cultures and in this
case there is no apparent cultural clash between the two forms of
treatment. The client has already identify he's cultural values (A).
(B) Only considers one of the two treatment modalities desired by
the client the client has already chosen how he wishes to assimilate
his cultural values with the prescribed medical treatment (D).
,◉ A male client with cancer is admitted to the oncology unit and
tells the nurse that he is in the hospital for palliative care measures.
The nurse notes that the client's admission prescription include
radiation therapy. What action should the nurse implement?
a. Ask the client about his expected goals for the hospitalization
b. Explain the palliative care measures can be provided at home
c. Notify do radiation department to withhold the treatment for now
d. Determine if the client wishes to cancel further radiation
treatment Answer: Ask the client about his expected goals for the
hospitalization
Rationale: Palliative care measures provide relief or control of
symptoms, so it is important for the nurse to determine the client's
goals for symptom control while receiving treatment in the hospital.
Although home care is available the client may not be legible for
palliative care at home. Radiation therapy is an effective positive
care measure used to manage symptoms and would be appropriate
unless the radiation conflicts with the client goals.
◉ A client with myasthenia Gravis (MG) is receiving
immunosuppressive therapy. Review recent laboratory test results
show that the client's serum magnesium level has decreased below
the normal range. In addition to contacting the healthcare provider,
what nursing action is most important?
,a. Check the visual difficulties
b. Note most recent hemoglobin level
c. Assessed for he and Hand joint pain
d. Observe rhythm on telemetry monitor Answer: Observe rhythm
on telemetry monitor
Rationale: If not treated a low little Serum magnesium level can
affect myocardial depolarization leading to a lethal arrhythmia, and
the nurse should assess for dysrhythmias before contacting the
healthcare provider. Other choices are common in MG but do not
contribute the Safety risk of low magnesium levels.
◉ A young adult female presents at the emergency center with acute
lower abdominal pain. Which assessment finding is most important
for the nurse to report to the healthcare provider?
a. Pain scale rating at 9 on a 0-10 scale
b. Last menstrual period was 7 weeks ago
c. Reports white curdy vaginal discharge
d. History of irritable bowel syndrome IBS Answer: Last menstrual
period was 7 weeks ago
Rationale: Acute lower abdominal pain in A young adult female can
be indicative of an ectopic pregnancy, which can be life threatening.
, Since the clients last menstrual period was seven weeks ago a
pregnancy test to be obtained to ruled out ectopic pregnancy, which
can result in intra-abdominal hemorrhage caused by a ruptured
Fallopian tube. Although the severity of pain requires treatment, the
most significant finding is the clients last menstrual period. Other
options are not the most important concerns.
◉ A 154 pound client with diabetic ketoacidosis is receiving an IV of
normal saline 100 ML with regular insulin 100 units. The healthcare
provider prescribes a rate of 0.1 units/kg/hour. To deliver the
correct dosage, the nurse should set the infusion pump to Infuse
how many ml/hour? enter numeric value only
7 Answer: 7
Rationale: Convert the client's weight to kg, 2.2 pound: 1 kg:: 154
pounds: x kg = 154/2.2 = 70kg. Calculate the client infusion rate, 0.1
x 70 kg = 7 units/hour. Using the formula, D/H x Q = 7 units/hour /
100 units x 100 ml = 7ml / hour
◉ The nurse is assessing a postpartum client who is 36 hours post-
delivery. Which finding should the nurse report to the healthcare
provider?
a. White blood count of 19,000 mm3
b. Oral temperature of 100.6 F
