HESI RN EXIT TEST BANK EXAM - EXAMINATION COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: 2023 H E S I 799 R N E xit Tes tB ank E X A M W ITH S A
TIS F IE D S O L U TIO N S 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:
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
Question 2: 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.
Answer:
, Rationale: An abdominal mass in a client with a family history for ovarian cancer should be
evaluated carefully
Question 3: An abdominal mass in a client with a family history for
ovarian cancer should be evaluated carefully A client who recently
underwent a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to
include in the discharge plan?
A. Explain how to use communication tools.
B. Teach tracheal suctioning techniques
C. Encourage self-care and independence.
D. Demonstrate how to clean tracheostomy site.
Answer:
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
critical.
Question 4: Rational: reservoir bag should not deflate completely
during inspiration and the client's respiratory rate is within normal
limits. During shift report, the central electrocardiogram (EKG)
monitoring system alarms. Which client alarm should the nurse
investigate first?
A. Respiratory apnea of 30 seconds
B. Oxygen saturation rate of 88%
C. Eight premature ventricular beats every minute
D. Disconnected monitor signal for the last 6 minutes.
Answer:
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be
assessed first.
Question 5: The priority is the client whose alarm indicating
respiratory apnea that should be assessed first. During a home
,visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
A. Give the client 4 ounces of orange juice
B. Call 911 to summon emergency assistance
C. Check the client for lacerations or fractures
D. Asses clients blood sugar level
Answer:
Rationale: After the client falls, the nurse should immediately assess for the possibility of
injuries and provide first aid as needed
Question 6: After the client falls, the nurse should immediately
assess for the possibility of injuries and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache.
Which action should the nurse take first?
A. Ensure preoperative lab results are available
B. Start prescribed IV with lactated Ringer's
C. Inform the anesthesia care provider
D. Contact the client's obstetrician.
Answer:
Rationale: Surgical preoperative instruction includes NPO after midnight the day of surgery
to decrease the risk of aspiration should vomiting occur during anesthesia. While it is
possible the C-section will be done on schedule or rescheduled for later in the day, the
anesthesia provider should be notified first.
Question 7: Surgical preoperative instruction includes NPO after
midnight the day of surgery to decrease the risk of aspiration
should vomiting occur during anesthesia. While it is possible the
C-section will be done on schedule or rescheduled for later in the
day, the anesthesia provider should be notified first. After placing a
stethoscope as seen in the picture, the nurse auscultates S1 and
, S2 heart sounds. To determine if an S3 heart sound is present,
what action should the nurse take first
A. Side the stethoscope across the sternum.
B. Move the stethoscope to the mitral site
C. Listen with the bell at the same location
D. Observe the cardiac telemetry monitor
Answer:
Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds such as
S3 and S4. The nurse listens at the same site using the diaphragm the diaphragm and bell
before moving systematically to the next sites.
Question 8: a. Woman, Infant, and Children program
B. Medicaid
C. Medicare
D. Consolidated Omnibus Budget Reconciliation Act provision.
Answer:
Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provide
medical insurance for person more than 65 years or older, disable or with permeant kidney
failure, WIC provides supplemental nutrition to meet the needs of pregnant of breastfeeding
woman, infants and children up to age of 6. Medicaid provides financial assistance to pay
for medical services for poor older adults, blind, disable and families with dependent
children. COBRA(D) health benefit provisions is a limited insurance plan for those who has
been laid off or become unemployed.
Question 9: Title XVII of the social security Act of 1965 created
Medicare Program to provide medical insurance for person more
than 65 years or older, disable or with permeant kidney failure, WIC
provides supplemental nutrition to meet the needs of pregnant of
breastfeeding woman, infants and children up to age of 6. Medicaid
provides financial assistance to pay for medical services for poor
older adults, blind, disable and families with dependent children.
COBRA(D) health benefit provisions is a limited insurance plan for
those who has been laid off or become unemployed. Following
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: 2023 H E S I 799 R N E xit Tes tB ank E X A M W ITH S A
TIS F IE D S O L U TIO N S 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:
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
Question 2: 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.
Answer:
, Rationale: An abdominal mass in a client with a family history for ovarian cancer should be
evaluated carefully
Question 3: An abdominal mass in a client with a family history for
ovarian cancer should be evaluated carefully A client who recently
underwent a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to
include in the discharge plan?
A. Explain how to use communication tools.
B. Teach tracheal suctioning techniques
C. Encourage self-care and independence.
D. Demonstrate how to clean tracheostomy site.
Answer:
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
critical.
Question 4: Rational: reservoir bag should not deflate completely
during inspiration and the client's respiratory rate is within normal
limits. During shift report, the central electrocardiogram (EKG)
monitoring system alarms. Which client alarm should the nurse
investigate first?
A. Respiratory apnea of 30 seconds
B. Oxygen saturation rate of 88%
C. Eight premature ventricular beats every minute
D. Disconnected monitor signal for the last 6 minutes.
Answer:
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be
assessed first.
Question 5: The priority is the client whose alarm indicating
respiratory apnea that should be assessed first. During a home
,visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
A. Give the client 4 ounces of orange juice
B. Call 911 to summon emergency assistance
C. Check the client for lacerations or fractures
D. Asses clients blood sugar level
Answer:
Rationale: After the client falls, the nurse should immediately assess for the possibility of
injuries and provide first aid as needed
Question 6: After the client falls, the nurse should immediately
assess for the possibility of injuries and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache.
Which action should the nurse take first?
A. Ensure preoperative lab results are available
B. Start prescribed IV with lactated Ringer's
C. Inform the anesthesia care provider
D. Contact the client's obstetrician.
Answer:
Rationale: Surgical preoperative instruction includes NPO after midnight the day of surgery
to decrease the risk of aspiration should vomiting occur during anesthesia. While it is
possible the C-section will be done on schedule or rescheduled for later in the day, the
anesthesia provider should be notified first.
Question 7: Surgical preoperative instruction includes NPO after
midnight the day of surgery to decrease the risk of aspiration
should vomiting occur during anesthesia. While it is possible the
C-section will be done on schedule or rescheduled for later in the
day, the anesthesia provider should be notified first. After placing a
stethoscope as seen in the picture, the nurse auscultates S1 and
, S2 heart sounds. To determine if an S3 heart sound is present,
what action should the nurse take first
A. Side the stethoscope across the sternum.
B. Move the stethoscope to the mitral site
C. Listen with the bell at the same location
D. Observe the cardiac telemetry monitor
Answer:
Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds such as
S3 and S4. The nurse listens at the same site using the diaphragm the diaphragm and bell
before moving systematically to the next sites.
Question 8: a. Woman, Infant, and Children program
B. Medicaid
C. Medicare
D. Consolidated Omnibus Budget Reconciliation Act provision.
Answer:
Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provide
medical insurance for person more than 65 years or older, disable or with permeant kidney
failure, WIC provides supplemental nutrition to meet the needs of pregnant of breastfeeding
woman, infants and children up to age of 6. Medicaid provides financial assistance to pay
for medical services for poor older adults, blind, disable and families with dependent
children. COBRA(D) health benefit provisions is a limited insurance plan for those who has
been laid off or become unemployed.
Question 9: Title XVII of the social security Act of 1965 created
Medicare Program to provide medical insurance for person more
than 65 years or older, disable or with permeant kidney failure, WIC
provides supplemental nutrition to meet the needs of pregnant of
breastfeeding woman, infants and children up to age of 6. Medicaid
provides financial assistance to pay for medical services for poor
older adults, blind, disable and families with dependent children.
COBRA(D) health benefit provisions is a limited insurance plan for
those who has been laid off or become unemployed. Following
