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HESI 799 RN Exit Exam, RN EXIT HESI V5 Exam 2026
QUESTIONS AND DETAILED ANSWERS | 100% VERIFIED
CORRECT | GRADE 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.
Review with the client the need to avoid foods that are rich in milk and
cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion
and should be avoided.
,2|Page
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
Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
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?
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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.
Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with
soft blankest because the use of pillows could result in suffocation and
would need to be removed at the onset of the seizure. The nurse can
delegate paddling the side rails to the UAP
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.
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Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine
reuptake inhibitor that is known to increase the risk of suicidal thinking
in adolescents and young adults with major depressive disorder. B, C
and D are side effects
A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for
ovarian cancer should be evaluated carefully
HESI 799 RN Exit Exam, RN EXIT HESI V5 Exam 2026
QUESTIONS AND DETAILED ANSWERS | 100% VERIFIED
CORRECT | GRADE 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.
Review with the client the need to avoid foods that are rich in milk and
cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion
and should be avoided.
,2|Page
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
Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
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?
,3|Page
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.
Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with
soft blankest because the use of pillows could result in suffocation and
would need to be removed at the onset of the seizure. The nurse can
delegate paddling the side rails to the UAP
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.
, 4|Page
Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine
reuptake inhibitor that is known to increase the risk of suicidal thinking
in adolescents and young adults with major depressive disorder. B, C
and D are side effects
A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for
ovarian cancer should be evaluated carefully
