1|Page
HESI 799 RN EXIT EXAM VERSION 1|| ACCURATE
AND FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES|| LATEST
AND COMPLETE UPDATE WITH EXPERT VERIFIED
SOLUTIONS|| SURE PASS!!
A female client has been taking a high dose of prednisone, a corticosteroid, for
several months. After stopping the medication abruptly, the client reports feeling
"very tired". Which nursing intervention is most important for the nurse to
implement?
a. Measure vital signs
b. Auscultate breath sounds
c. Palpate the abdomen
d. Observe the skin for bruising
Measure vital signs
Rationale: Abrupt withdrawal of an exogenous corticosteroids can precipitate
adrenal insufficiency and hypoglycemia, hypokalemia, and circulatory collapse can
occur. Is most important for the nurse to assess vital sign to impending shock.
A male client reports the onset of numbness and tingling in his fingers and around
his mouth. Which lab is important for the nurse to review before contacting the
health care provider?
a. capillary glucose
b. urine specific gravity
c. Serum calcium
,2|Page
d. white blood cell count
Serum calcium
Rationale: Numbness and tingling of the fingers and around the mouth, along with
muscle cramps are signs of hypocalcemia
What explanation is best for the nurse to provide a client who asks the purpose of
using the log-rolling technique for turning?
a. working together can decrease the risk for back injury
b. The technique is intended to maintain straight spinal alignment.
c. Using two or three people increases client safety.
d. turning instead of pulling reduces the likelihood of skin damage
The technique is intended to maintain straight spinal alignment.
Rationale: The main rationale for use of the long-rolling technique is to maintain
the client's spine straight alignment.
A client receiving chemotherapy has severe neutropenia. Which snack is best for
the nurse to recommend to the client?
a. Plain yogurt with sweetened with raw honey
b. Peanuts in the shell, roasted or un-roasted.
c. Aged farmer's cheese with celery sticks
d. Baked apples topped with dried raisins
,3|Page
Baked apples topped with dried raisins
Rationale: A patient with chemotherapy-induced severe neutropenia is at high risk
for infection. A low bacteria diet is required D is a healthy snack for a client
receiving chemotherapy. A, B and C have a high bacterial count and should be
avoided.
Which action should the school nurse take first when conducting a screening for
scoliosis?
a. Compare dorsal measurement of trunk
b. Extend arms over head for visualization
c. Inspect for symmetrical shoulder height.
d. Observe weight-bearing on each leg.
Inspect for symmetrical shoulder height.
Rationale: Children between 9 and 15 years old should be screening for scoliosis,
which is exhibited.... Vertebral column. Screening for scoliosis should begin with
inspection of shoulder height
An unlicensed assistive personnel (UAP) assigned to obtain client vital signs
reports to the charge nurse that a client has a weak pulse with a rate of 44 beat/
minutes. What action should the charge nurse implement?
a- Instruct the UAP to count the client apical pulse rate for sixty seconds
b- Determine if the UAP also measured the client's capillary refill time.
, 4|Page
c- Assign a practical nurse (LPN) to determine if an apical radial deficit is present.
d- Notify the health care provider of the abnormal pulse rate and pulse volume.
Assign a practical nurse (LPN) to determine if an apical radial deficit is present
After a sudden loss of consciousness, a female client is taken to the ED and initial
assessment indicate that her blood glucose level is critically low. Once her glucose
level is stabilized, the client reports that was recently diagnosed with anorexia
nervosa and is being treated at an outpatient clinic. Which intervention is more
important to include in this client's discharge plan?
a. Describe the signs and symptoms of hypoglycemia.
b. Encourage a low-carbohydrate and high-protein diet
c. Reinforce the need to continue outpatient treatment
d. Suggest wearing a medical alert bracelet at all time.
Encourage a low-carbohydrate and high-protein diet
Rationale: A client with anorexia nervosa with long term starvation or who self-
restrict intake can sign.... Reserves. Providing the client with dietary selections
such as low-carbohydrate, high protein.... Hypoglycemic episodes, which can
become life-threating.
A client with a peripherally inserted central catheter (PICC) line has a fever. What
client assessment is most important for the nurse to perform?
Observe the antecubital fossa for inflammation.
HESI 799 RN EXIT EXAM VERSION 1|| ACCURATE
AND FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES|| LATEST
AND COMPLETE UPDATE WITH EXPERT VERIFIED
SOLUTIONS|| SURE PASS!!
A female client has been taking a high dose of prednisone, a corticosteroid, for
several months. After stopping the medication abruptly, the client reports feeling
"very tired". Which nursing intervention is most important for the nurse to
implement?
a. Measure vital signs
b. Auscultate breath sounds
c. Palpate the abdomen
d. Observe the skin for bruising
Measure vital signs
Rationale: Abrupt withdrawal of an exogenous corticosteroids can precipitate
adrenal insufficiency and hypoglycemia, hypokalemia, and circulatory collapse can
occur. Is most important for the nurse to assess vital sign to impending shock.
A male client reports the onset of numbness and tingling in his fingers and around
his mouth. Which lab is important for the nurse to review before contacting the
health care provider?
a. capillary glucose
b. urine specific gravity
c. Serum calcium
,2|Page
d. white blood cell count
Serum calcium
Rationale: Numbness and tingling of the fingers and around the mouth, along with
muscle cramps are signs of hypocalcemia
What explanation is best for the nurse to provide a client who asks the purpose of
using the log-rolling technique for turning?
a. working together can decrease the risk for back injury
b. The technique is intended to maintain straight spinal alignment.
c. Using two or three people increases client safety.
d. turning instead of pulling reduces the likelihood of skin damage
The technique is intended to maintain straight spinal alignment.
Rationale: The main rationale for use of the long-rolling technique is to maintain
the client's spine straight alignment.
A client receiving chemotherapy has severe neutropenia. Which snack is best for
the nurse to recommend to the client?
a. Plain yogurt with sweetened with raw honey
b. Peanuts in the shell, roasted or un-roasted.
c. Aged farmer's cheese with celery sticks
d. Baked apples topped with dried raisins
,3|Page
Baked apples topped with dried raisins
Rationale: A patient with chemotherapy-induced severe neutropenia is at high risk
for infection. A low bacteria diet is required D is a healthy snack for a client
receiving chemotherapy. A, B and C have a high bacterial count and should be
avoided.
Which action should the school nurse take first when conducting a screening for
scoliosis?
a. Compare dorsal measurement of trunk
b. Extend arms over head for visualization
c. Inspect for symmetrical shoulder height.
d. Observe weight-bearing on each leg.
Inspect for symmetrical shoulder height.
Rationale: Children between 9 and 15 years old should be screening for scoliosis,
which is exhibited.... Vertebral column. Screening for scoliosis should begin with
inspection of shoulder height
An unlicensed assistive personnel (UAP) assigned to obtain client vital signs
reports to the charge nurse that a client has a weak pulse with a rate of 44 beat/
minutes. What action should the charge nurse implement?
a- Instruct the UAP to count the client apical pulse rate for sixty seconds
b- Determine if the UAP also measured the client's capillary refill time.
, 4|Page
c- Assign a practical nurse (LPN) to determine if an apical radial deficit is present.
d- Notify the health care provider of the abnormal pulse rate and pulse volume.
Assign a practical nurse (LPN) to determine if an apical radial deficit is present
After a sudden loss of consciousness, a female client is taken to the ED and initial
assessment indicate that her blood glucose level is critically low. Once her glucose
level is stabilized, the client reports that was recently diagnosed with anorexia
nervosa and is being treated at an outpatient clinic. Which intervention is more
important to include in this client's discharge plan?
a. Describe the signs and symptoms of hypoglycemia.
b. Encourage a low-carbohydrate and high-protein diet
c. Reinforce the need to continue outpatient treatment
d. Suggest wearing a medical alert bracelet at all time.
Encourage a low-carbohydrate and high-protein diet
Rationale: A client with anorexia nervosa with long term starvation or who self-
restrict intake can sign.... Reserves. Providing the client with dietary selections
such as low-carbohydrate, high protein.... Hypoglycemic episodes, which can
become life-threating.
A client with a peripherally inserted central catheter (PICC) line has a fever. What
client assessment is most important for the nurse to perform?
Observe the antecubital fossa for inflammation.
