HESI 799 RN EXIT EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED 2025-2026!!
An older female client tells the nurse that her muscles have gradually been getting
weak...what is the best initial response by the nurse?
a- Explain that this is an expected occurrence with aging.
b- Observe the lower extremity for signs of muscle atrophy
c- Review the medical record for recent diagnosis test results.
d- Ask the client to describe the changes that have occurred
d. Ask the client to describe the changes that have occurred
The nurse is caring for a client following a myelogram. Which assessment finding should
the nurse report to the healthcare provider immediately?
a. Complaint of headaches and stiff neck
Complain of headaches and stiff neck
A client is admitted for type 2 diabetes mellitus (DM) and chronic Kidney disease
(CKD)... which breakfast selection by the client indicates effective learning?
a. Scrambled eggs, bacon, one slice of whole wheat toast with butter and jam.
b. Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces' coffee.
c. Banana pancake with maple syrup, sausage links, half grapefruit, and low -fat milk
d. Orange juice, yogurt with berries, cold cereal with milk, bran muffin with margarine.
,b. Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces coffee
A client with a postoperative wound that eviscerated yesterday has an elevated
temperature...most important for the nurse to implement?
a. Initiate contact isolation
b. Obtain a wound swab for culture and sensitivity
c. Assess temperature q4 hours
d. Use alcohol-based solutions for hand hygiene.
b. Obtain a wound swab for culture and sensitivity
The nurse is reinforcing home care instructions with a client who is being discharged
following...prostate (TURP). Which intervention is most important for the nurse to
include in the client...
a. Avoid strenuous activity for 6 weeks
b. Report fresh blood in the urine.
c. Take acetaminophen for fever 101
d. Consume 6 to 8 glasses of water daily.
b. Report fresh blood in the urine
We have an expert-written solution to this problem!
The nurse provides feeding tube instructions to the wife of a client with end stage
cancer. The client's wife performs a return demonstration correctly, but begins crying
and tells the nurse, "I just don't think I can do this every day." The nurse should direct
further teaching strategies toward which learning domain?
,a- Cognitive
b- Affective
c- Comprehension
d- Psychomotor
b. Affective
Rationale: The affective domain involves our feelings, emotions, and attitudes, and
includes the manner in which we deal with things emotionally (feelings, values,
appreciation, enthusiasm, motivations, and attitudes).
We have an expert-written solution to this problem!
A male client with rheumatoid arthritis is schedule for a procedure in the morning. The...
unable to complete the procedure because of early morning stiffness. Which
intervention... implement?
a. Assign a UAP to assist the client with a warm shower early in the morning
Assign a UAP to assist the client with a warm shower early in the morning
A woman who takes pyridostigmine for myasthenia gravis (MG) arrives at the
emergency department complaining of extreme muscle weakness. Her adult daughter
tells the nurse that since yesterday her mother has been unable to smile, which
assessment finding warrants immediate intervention by the nurse?
a- Uncontrollable drooling
b- Inability to raise voice
c- Tingling of extremities
, d- Eyelid drooling
a. Uncontrollable drooling
We have an expert-written solution to this problem!
Sublingual nitroglycerin is administered to a male client with unstable angina who
complains of crushing chest pain. Five minutes later the client becomes nauseated and
his blood pressure drops to 60/40. Which intervention should the nurse implement?
A. Administer second dose of nitroglycerin.
B. Infuse a rapid IV normal saline bolus.
C. Begin external chest compressions.
D. Give a PRN antiemetic medication.
B. Infuse a rapid IV normal saline bolus.
Rationale: When chest pain is treated with a vasodilator, such as nitroglycerin, and the
blood pressure falls to a critical level, a right ventricular infarction may have occurred
which requires immediate infusion of IV fluid (B). (A and D) may worsen the condition if
implemented prior to rapid infusion of fluids. Chest compressions (C) are not indicated
when the client has a pulse.
A client with multiple sclerosis (MS) is admitted to the medical unit. The client
reports...which action should the nurse implement to reduce the client's risk for falls?
Select all that apply. (SATA)
A.)Assign the client a wheel chair
B.)The utilization of crutches
C.)Schedule frequent rest periods
D.)Provide assistance to bedside commode
VERIFIED 2025-2026!!
An older female client tells the nurse that her muscles have gradually been getting
weak...what is the best initial response by the nurse?
a- Explain that this is an expected occurrence with aging.
b- Observe the lower extremity for signs of muscle atrophy
c- Review the medical record for recent diagnosis test results.
d- Ask the client to describe the changes that have occurred
d. Ask the client to describe the changes that have occurred
The nurse is caring for a client following a myelogram. Which assessment finding should
the nurse report to the healthcare provider immediately?
a. Complaint of headaches and stiff neck
Complain of headaches and stiff neck
A client is admitted for type 2 diabetes mellitus (DM) and chronic Kidney disease
(CKD)... which breakfast selection by the client indicates effective learning?
a. Scrambled eggs, bacon, one slice of whole wheat toast with butter and jam.
b. Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces' coffee.
c. Banana pancake with maple syrup, sausage links, half grapefruit, and low -fat milk
d. Orange juice, yogurt with berries, cold cereal with milk, bran muffin with margarine.
,b. Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces coffee
A client with a postoperative wound that eviscerated yesterday has an elevated
temperature...most important for the nurse to implement?
a. Initiate contact isolation
b. Obtain a wound swab for culture and sensitivity
c. Assess temperature q4 hours
d. Use alcohol-based solutions for hand hygiene.
b. Obtain a wound swab for culture and sensitivity
The nurse is reinforcing home care instructions with a client who is being discharged
following...prostate (TURP). Which intervention is most important for the nurse to
include in the client...
a. Avoid strenuous activity for 6 weeks
b. Report fresh blood in the urine.
c. Take acetaminophen for fever 101
d. Consume 6 to 8 glasses of water daily.
b. Report fresh blood in the urine
We have an expert-written solution to this problem!
The nurse provides feeding tube instructions to the wife of a client with end stage
cancer. The client's wife performs a return demonstration correctly, but begins crying
and tells the nurse, "I just don't think I can do this every day." The nurse should direct
further teaching strategies toward which learning domain?
,a- Cognitive
b- Affective
c- Comprehension
d- Psychomotor
b. Affective
Rationale: The affective domain involves our feelings, emotions, and attitudes, and
includes the manner in which we deal with things emotionally (feelings, values,
appreciation, enthusiasm, motivations, and attitudes).
We have an expert-written solution to this problem!
A male client with rheumatoid arthritis is schedule for a procedure in the morning. The...
unable to complete the procedure because of early morning stiffness. Which
intervention... implement?
a. Assign a UAP to assist the client with a warm shower early in the morning
Assign a UAP to assist the client with a warm shower early in the morning
A woman who takes pyridostigmine for myasthenia gravis (MG) arrives at the
emergency department complaining of extreme muscle weakness. Her adult daughter
tells the nurse that since yesterday her mother has been unable to smile, which
assessment finding warrants immediate intervention by the nurse?
a- Uncontrollable drooling
b- Inability to raise voice
c- Tingling of extremities
, d- Eyelid drooling
a. Uncontrollable drooling
We have an expert-written solution to this problem!
Sublingual nitroglycerin is administered to a male client with unstable angina who
complains of crushing chest pain. Five minutes later the client becomes nauseated and
his blood pressure drops to 60/40. Which intervention should the nurse implement?
A. Administer second dose of nitroglycerin.
B. Infuse a rapid IV normal saline bolus.
C. Begin external chest compressions.
D. Give a PRN antiemetic medication.
B. Infuse a rapid IV normal saline bolus.
Rationale: When chest pain is treated with a vasodilator, such as nitroglycerin, and the
blood pressure falls to a critical level, a right ventricular infarction may have occurred
which requires immediate infusion of IV fluid (B). (A and D) may worsen the condition if
implemented prior to rapid infusion of fluids. Chest compressions (C) are not indicated
when the client has a pulse.
A client with multiple sclerosis (MS) is admitted to the medical unit. The client
reports...which action should the nurse implement to reduce the client's risk for falls?
Select all that apply. (SATA)
A.)Assign the client a wheel chair
B.)The utilization of crutches
C.)Schedule frequent rest periods
D.)Provide assistance to bedside commode
