HESI EXAM ga ga
Exam Solution ga
HESI 799 RN Exit Exam 2026 A+ GRADE ASSURED COMP
ga ga ga ga ga ga ga ga ga
LETE SOLUTIONS AND VERIFIED ANSWERS (EB68F)
ga ga ga ga ga
QUESTION 1 ga
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) fo
ga ga ga ga ga ga ga ga ga ga ga
r the past 12 days. Which assessment finding requires immediate follow-up
ga ga ga ga ga ga ga ga ga ga
a. Describes life without purpose
ga ga ga ga
b. Complains of nausea and loss of appetite
ga ga ga ga ga ga ga
c. States is often fatigued and drowsy
ga ga ga ga ga ga
d. Exhibits an increase in sweating.
ga ga ga ga ga
ANSWER
Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
ga ga ga ga ga ga ga ga ga ga ga ga
e inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults with
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
major depressive disorder. B, C and D are side effects
ga ga ga ga ga ga ga ga ga
QUESTION 2 ga
A client who recently underwent a tracheostomy is being prepared for discharge to hom
ga ga ga ga ga ga ga ga ga ga ga ga ga
e. Which instructions is most important for the nurse to include in the discharge plan?
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
a. Explain how to use communication tools.
ga ga ga ga ga ga
b. Teach tracheal suctioning techniques
ga ga ga ga
c. Encourage self-care and independence.
ga ga ga ga
d. Demonstrate how to clean tracheostomy site.
ga ga ga ga ga ga
ANSWER
Teach tracheal suctioning techniques Rationale: Suctioning helps to clear secretions and maintain an op
ga ga ga ga ga ga ga ga ga ga ga ga ga
en airway, which is critical.
ga ga ga ga
QUESTION 3 ga
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
ga ga ga ga ga ga ga ga ga ga
ch client alarm should the nurse investigate first?
ga ga ga ga ga ga ga
a. Respiratory apnea of 30 seconds
ga ga ga ga ga
,b. Oxygen saturation rate of 88%
ga ga ga ga ga
c. Eight premature ventricular beats every minute
ga ga ga ga ga ga
d. Disconnected monitor signal for the last 6 minutes.
ga ga ga ga ga ga ga ga
ANSWER
Respiratory apnea of 30 seconds Rationale: The priority is the client whose alarm indicating respirator
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
y apnea that should be assessed first.
ga ga ga ga ga ga
QUESTION 4 ga
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wh
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
at action should the nurse take first?
ga ga ga ga ga ga
a. Give the client 4 ounces of orange juice
ga ga ga ga ga ga ga ga
b. Call 911 to summon emergency assistance
ga ga ga ga ga ga
c. Check the client for lacerations or fractures
ga ga ga ga ga ga ga
d. Asses clients blood sugar level
ga ga ga ga ga
ANSWER
Check the client for lacerations or fractures Rationale: After the client falls, the nurse should immediate
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ly assess for the possibility of injuries and provide first aid as needed
ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 5 ga
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
sounds. To determine if an S3 heart sound is present, what action should the nurse take
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
first
a. Side the stethoscope across the sternum.
ga ga ga ga ga ga
b. Move the stethoscope to the mitral site
ga ga ga ga ga ga ga
c. Listen with the bell at the same location
ga ga ga ga ga ga ga ga
d. Observe the cardiac telemetry monitor
ga ga ga ga ga
ANSWER
Listen with the bell at the same location Rationale: The nurse uses the bell of the stethoscope to hear l
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ow-
pitched sounds such as S3 and S4. The nurse listens at the same site using the diaphragm the diaphrag
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
m and bell before moving systematically to the next sites.
ga ga ga ga ga ga ga ga ga
QUESTION 6 ga
A 66-year-
ga
old woman is retiring and will no longer have a health insurance through her place of e
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
mployment. Which agency should the client be referred to by the employee health nurse
ga ga ga ga ga ga ga ga ga ga ga ga ga g
for health insurance needs?
a ga ga ga
a. Woman, Infant, and Children program
ga ga ga ga ga
b. Medicaid
ga
,c. Medicare
ga
d. Consolidated Omnibus Budget Reconciliation Act provision.
ga ga ga ga ga ga
ANSWER
Medicare Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provide
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
medical insurance for person more than 65 years or older, disable or with permeant kidney failure, WI
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
C provides supplemental nutrition to meet the needs of pregnant of breastfeeding woman, infants and c
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
hildren up to age of 6. Medicaid provides financial assistance to pay for medical services for poor older
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
adults, blind, disable and families with dependent children. COBRA(
ga ga ga ga ga ga ga ga
D) health benefit provisions is a limited insurance plan for those who has been laid off or become une
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
mployed.
QUESTION 7 ga
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
What snack should the nurse instruct the client to take with the tetracycline?
ga ga ga ga ga ga ga ga ga ga ga ga
a. Fruit-flavored yogurt.
ga ga
b. Cheese and crackers.
ga ga ga
c. Cold cereal with skim milk.
ga ga ga ga ga
d. Toasted wheat bread and jelly
ga ga ga ga ga
ANSWER
Toasted wheat bread and jelly Rationale: Dairy products decrease the effect of tetracycline, so the nurs
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e instructs the client to eat a snack such as toast, which contains no dairy products and may decrease G
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
I symptoms.
ga
QUESTION 8 ga
Following a lumbar puncture, a client voices several complaints. What complaint indicat
ga ga ga ga ga ga ga ga ga ga ga
ed to the nurse that the client is experiencing a complication?
ga ga ga ga ga ga ga ga ga ga
a. "I am having pain in my lower back when I move my legs"
ga ga ga ga ga ga ga ga ga ga ga ga ga
b. "My throat hurts when I swallow"
ga ga ga ga ga ga
c. "I feel sick to my stomach and am going to throw up"
ga ga ga ga ga ga ga ga ga ga ga ga
d. I have a headache that gets worse when I sit up"
ga ga ga ga ga ga ga ga ga ga ga
ANSWER
"I have a headache that gets worse when I sit up" Rationale: A post-
ga ga ga ga ga ga ga ga ga ga ga ga ga
lumbar puncture headache, ranging from mild to severe, may occur as a result of leakage of cerebrospi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
nal fluid at the puncture site. This complication is usually managed by bedrest, analgesic, and hydration
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
.
QUESTION 9 ga
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
with incontinence. Which action should the nurse implement
ga ga ga ga ga ga ga
, a. Auscultate for renal bruits
ga ga ga ga
b. Obtain a clean catch mid-stream specimen
ga ga ga ga ga ga
c. Use a dipstick to measure for urinary ketone
ga ga ga ga ga ga ga ga
d. Begin to strain the client's urine.
ga ga ga ga ga ga
ANSWER
Obtain a clean catch mid- ga ga ga ga
stream specimen Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
should obtain a clean catch mid-stream specimen to determine the causative agent so an anti-
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
infective agent can be prescribed. ga ga ga ga
QUESTION 10 ga
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
hat are in keeping with the child's dietary restrictions. Which foods are contraindicated
ga ga ga ga ga ga ga ga ga ga ga ga ga
for this child?ga ga
a. Wheat products
ga ga
b. Foods sweetened with aspartame.
ga ga ga ga
c. High fat foods
ga ga ga
d. High calories foods.
ga ga ga
ANSWER
Foods sweetened with aspartame Rationale: Aspartame should not be consumed by a child with PKU b
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ecause ut is converted to phenylalanine in the body. Additionally, milk and milk products are contraindi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
cated for children with PKU.
ga ga ga ga
QUESTION 11 ga
Which breakfast selection indicates that the client understands the nurse's instructions
ga ga ga ga ga ga ga ga ga ga ga
about the dietary management of osteoporosis?
ga ga ga ga ga
a. Egg whites, toast and coffee.
ga ga ga ga ga
b. Bran muffin, mixed fruits, and orange juice.
ga ga ga ga ga ga ga
c. Granola and grapefruit juice
ga ga ga ga
d. Bagel with jelly and skim milk.
ga ga ga ga ga ga
ANSWER
Bagel with jelly and skim milk Rationale: D includes dairy products which contain calcium and does not
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
include any foods that inhibit calcium absorption. The primary dietary implication of osteoporosis is th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e need for increased calcium and reduction in foods that decrease calcium absorption, such as caffeine
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
and excessive fiber.
ga ga
QUESTION 12 ga
Exam Solution ga
HESI 799 RN Exit Exam 2026 A+ GRADE ASSURED COMP
ga ga ga ga ga ga ga ga ga
LETE SOLUTIONS AND VERIFIED ANSWERS (EB68F)
ga ga ga ga ga
QUESTION 1 ga
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) fo
ga ga ga ga ga ga ga ga ga ga ga
r the past 12 days. Which assessment finding requires immediate follow-up
ga ga ga ga ga ga ga ga ga ga
a. Describes life without purpose
ga ga ga ga
b. Complains of nausea and loss of appetite
ga ga ga ga ga ga ga
c. States is often fatigued and drowsy
ga ga ga ga ga ga
d. Exhibits an increase in sweating.
ga ga ga ga ga
ANSWER
Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
ga ga ga ga ga ga ga ga ga ga ga ga
e inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults with
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
major depressive disorder. B, C and D are side effects
ga ga ga ga ga ga ga ga ga
QUESTION 2 ga
A client who recently underwent a tracheostomy is being prepared for discharge to hom
ga ga ga ga ga ga ga ga ga ga ga ga ga
e. Which instructions is most important for the nurse to include in the discharge plan?
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
a. Explain how to use communication tools.
ga ga ga ga ga ga
b. Teach tracheal suctioning techniques
ga ga ga ga
c. Encourage self-care and independence.
ga ga ga ga
d. Demonstrate how to clean tracheostomy site.
ga ga ga ga ga ga
ANSWER
Teach tracheal suctioning techniques Rationale: Suctioning helps to clear secretions and maintain an op
ga ga ga ga ga ga ga ga ga ga ga ga ga
en airway, which is critical.
ga ga ga ga
QUESTION 3 ga
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Whi
ga ga ga ga ga ga ga ga ga ga
ch client alarm should the nurse investigate first?
ga ga ga ga ga ga ga
a. Respiratory apnea of 30 seconds
ga ga ga ga ga
,b. Oxygen saturation rate of 88%
ga ga ga ga ga
c. Eight premature ventricular beats every minute
ga ga ga ga ga ga
d. Disconnected monitor signal for the last 6 minutes.
ga ga ga ga ga ga ga ga
ANSWER
Respiratory apnea of 30 seconds Rationale: The priority is the client whose alarm indicating respirator
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
y apnea that should be assessed first.
ga ga ga ga ga ga
QUESTION 4 ga
During a home visit, the nurse observed an elderly client with diabetes slip and fall. Wh
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
at action should the nurse take first?
ga ga ga ga ga ga
a. Give the client 4 ounces of orange juice
ga ga ga ga ga ga ga ga
b. Call 911 to summon emergency assistance
ga ga ga ga ga ga
c. Check the client for lacerations or fractures
ga ga ga ga ga ga ga
d. Asses clients blood sugar level
ga ga ga ga ga
ANSWER
Check the client for lacerations or fractures Rationale: After the client falls, the nurse should immediate
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ly assess for the possibility of injuries and provide first aid as needed
ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 5 ga
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
sounds. To determine if an S3 heart sound is present, what action should the nurse take
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
first
a. Side the stethoscope across the sternum.
ga ga ga ga ga ga
b. Move the stethoscope to the mitral site
ga ga ga ga ga ga ga
c. Listen with the bell at the same location
ga ga ga ga ga ga ga ga
d. Observe the cardiac telemetry monitor
ga ga ga ga ga
ANSWER
Listen with the bell at the same location Rationale: The nurse uses the bell of the stethoscope to hear l
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ow-
pitched sounds such as S3 and S4. The nurse listens at the same site using the diaphragm the diaphrag
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
m and bell before moving systematically to the next sites.
ga ga ga ga ga ga ga ga ga
QUESTION 6 ga
A 66-year-
ga
old woman is retiring and will no longer have a health insurance through her place of e
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
mployment. Which agency should the client be referred to by the employee health nurse
ga ga ga ga ga ga ga ga ga ga ga ga ga g
for health insurance needs?
a ga ga ga
a. Woman, Infant, and Children program
ga ga ga ga ga
b. Medicaid
ga
,c. Medicare
ga
d. Consolidated Omnibus Budget Reconciliation Act provision.
ga ga ga ga ga ga
ANSWER
Medicare Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provide
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
medical insurance for person more than 65 years or older, disable or with permeant kidney failure, WI
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
C provides supplemental nutrition to meet the needs of pregnant of breastfeeding woman, infants and c
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
hildren up to age of 6. Medicaid provides financial assistance to pay for medical services for poor older
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
adults, blind, disable and families with dependent children. COBRA(
ga ga ga ga ga ga ga ga
D) health benefit provisions is a limited insurance plan for those who has been laid off or become une
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
mployed.
QUESTION 7 ga
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
What snack should the nurse instruct the client to take with the tetracycline?
ga ga ga ga ga ga ga ga ga ga ga ga
a. Fruit-flavored yogurt.
ga ga
b. Cheese and crackers.
ga ga ga
c. Cold cereal with skim milk.
ga ga ga ga ga
d. Toasted wheat bread and jelly
ga ga ga ga ga
ANSWER
Toasted wheat bread and jelly Rationale: Dairy products decrease the effect of tetracycline, so the nurs
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e instructs the client to eat a snack such as toast, which contains no dairy products and may decrease G
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
I symptoms.
ga
QUESTION 8 ga
Following a lumbar puncture, a client voices several complaints. What complaint indicat
ga ga ga ga ga ga ga ga ga ga ga
ed to the nurse that the client is experiencing a complication?
ga ga ga ga ga ga ga ga ga ga
a. "I am having pain in my lower back when I move my legs"
ga ga ga ga ga ga ga ga ga ga ga ga ga
b. "My throat hurts when I swallow"
ga ga ga ga ga ga
c. "I feel sick to my stomach and am going to throw up"
ga ga ga ga ga ga ga ga ga ga ga ga
d. I have a headache that gets worse when I sit up"
ga ga ga ga ga ga ga ga ga ga ga
ANSWER
"I have a headache that gets worse when I sit up" Rationale: A post-
ga ga ga ga ga ga ga ga ga ga ga ga ga
lumbar puncture headache, ranging from mild to severe, may occur as a result of leakage of cerebrospi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
nal fluid at the puncture site. This complication is usually managed by bedrest, analgesic, and hydration
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
.
QUESTION 9 ga
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
with incontinence. Which action should the nurse implement
ga ga ga ga ga ga ga
, a. Auscultate for renal bruits
ga ga ga ga
b. Obtain a clean catch mid-stream specimen
ga ga ga ga ga ga
c. Use a dipstick to measure for urinary ketone
ga ga ga ga ga ga ga ga
d. Begin to strain the client's urine.
ga ga ga ga ga ga
ANSWER
Obtain a clean catch mid- ga ga ga ga
stream specimen Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
should obtain a clean catch mid-stream specimen to determine the causative agent so an anti-
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
infective agent can be prescribed. ga ga ga ga
QUESTION 10 ga
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
hat are in keeping with the child's dietary restrictions. Which foods are contraindicated
ga ga ga ga ga ga ga ga ga ga ga ga ga
for this child?ga ga
a. Wheat products
ga ga
b. Foods sweetened with aspartame.
ga ga ga ga
c. High fat foods
ga ga ga
d. High calories foods.
ga ga ga
ANSWER
Foods sweetened with aspartame Rationale: Aspartame should not be consumed by a child with PKU b
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ecause ut is converted to phenylalanine in the body. Additionally, milk and milk products are contraindi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
cated for children with PKU.
ga ga ga ga
QUESTION 11 ga
Which breakfast selection indicates that the client understands the nurse's instructions
ga ga ga ga ga ga ga ga ga ga ga
about the dietary management of osteoporosis?
ga ga ga ga ga
a. Egg whites, toast and coffee.
ga ga ga ga ga
b. Bran muffin, mixed fruits, and orange juice.
ga ga ga ga ga ga ga
c. Granola and grapefruit juice
ga ga ga ga
d. Bagel with jelly and skim milk.
ga ga ga ga ga ga
ANSWER
Bagel with jelly and skim milk Rationale: D includes dairy products which contain calcium and does not
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
include any foods that inhibit calcium absorption. The primary dietary implication of osteoporosis is th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e need for increased calcium and reduction in foods that decrease calcium absorption, such as caffeine
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
and excessive fiber.
ga ga
QUESTION 12 ga
