1|Page
HESI 799 RN EXIT TEST EXAM VERSION 1, 2 &3||
ACCURATE AND FREQUENTLY TESTED
QUESTIONS AND 100% CORRECT ANSWERS
WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
The nurse is developing the plan of care for a client with pneumonia and includes
the nursing diagnosis of "Ineffective airway clearance related to thick pulmonary
secretions." Which intervention is most important for the nurse to include in the
client's plan of care?
a. Increase fluid intake to 3,000 ml/daily
b. Administer O2 at 5L/mint per nasal cannula
c. Maintain the client in a semi Fowler's position
d. Provide frequent rest period.
Increase fluid intake to 3,000 ml/daily
Rationale: The plan of care should include an increase in fluid intake (A) to liquefy
and thin secretions for easier removal of thick pulmonary secretion which
facilitates airway clearance. (B) should be implemented for signs of hypoxia (C)
implemented to facilitate lung expansion, and (D) implemented for activity
intolerance, but these interventions do not have the priority of (A)
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
,2|Page
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
B) Withhold the medication until the dosage can be confirmed.
The nurse plans to collect a 24- hour urine specimen for a creatinine clearance test.
Which instruction should the nurse provide to the adult male client?
a. Clearance around the meatus, discard first portion of voiding, and collect the rest
in a sterile bottle
b. Urinate at specific time, discard the urine, and collect all subsequent urine
during the next 24 hours.
c. For the next 24 hours, notify the nurse when the bladder is full, and the nurse
will collect catheterized specimens.
d. Urinate immediately into a urinal, and the lab will collect specimen every 6
hours, for the next 24 hours.
Urinate at specific time, discard the urine, and collect all subsequent urine during
the next 24 hours.
Rationale: Urinate at specific time, discard the urine, and collect all subsequent
urine during the next 24 hours is the correct procedure for collecting 24-hour urine
specimen. Discarding even one voided specimen invalidate the test.
,3|Page
The nurse is preparing to administer a histamine 2-receptor antagonist to a client
with peptic ulcer disease. What is the primary purpose of this drug classification?
a. Neutralize hydrochloric (HCI) acid in the stomach
b. Decreases the amount of HCL secretion by the parietal cells in the stomach
c. Inhibit action of acetylcholine by blocking parasympathetic nerve endings.
d. Destroys microorganisms causing stomach inflammation.
Decreases the amount of HCL secretion by the parietal cells in the stomach
Rationale: B correctly describe the action of histamine 2 receptor antagonist in
helping to prevent peptic ulcer disease.
The healthcare provider prescribes acarbose (Precose), an alpha-glucosidase
inhibitor, for a client with Type 2 diabetes mellitus. Which information provides
the best indicator of the drug's effectiveness?
a. Body max index (BMI) between 20 and 24
b. Blood pressure reading less than 120/80 mm Hg
c. Hemoglobin A1C (HbA1C) reading less than 7%
d. Self-reported glucose levels of 120-150 mg/dl.
Hemoglobin A1C (HbA1C) reading less than 7%
Rationale: Acarbose (Precose) delays carbohydrate absorption in the GI tract and
causes the blood glucose to rise slowly after a meal. The best indicator of acarbose
effectiveness is a serum hemoglobin A1 no greater than 7%, an indication of
glucose level over time. Acarbose has no effect on pain or blood pressure. Self-
, 4|Page
reported glucose levels of 120-150 reflect the blood sugar at the time taken and are
not the best indicator of drug effectiveness.
The nurse assesses a client with new onset diarrhea. It is most important for the
nurse to question the client about recent use of which type of medication?
a. Antibiotics
b. Anticoagulants
c. Antihypertensive
d. Anticholinergics
Antibiotics
Rationale: Antibiotic use may be altering the normal flora in the GI tract, resulting
in the onset of diarrhea, and several classes of antibiotics result in the overgrowth
of Clostridium difficile, resulting in severe diarrhea.
A neonate with a congenital heart defect (CHD) is demonstrating symptoms of
heart failure (HF). Which interventions should the nurse include in the infant's plan
of care?
a. Give O2 at 6 L/nasal canula for 3 repeated oximetry screens below 90%
b. Administer diuretics via secondary infusion in the morning only
c. Evaluate heart rate for effectiveness of cardio tonic medications
d. Use high energy formula 30 calories/ounce at Q3 hours feeding via soft nipples
e. Ensure uninterrupted and frequent rest periods between procedures.
HESI 799 RN EXIT TEST EXAM VERSION 1, 2 &3||
ACCURATE AND FREQUENTLY TESTED
QUESTIONS AND 100% CORRECT ANSWERS
WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
The nurse is developing the plan of care for a client with pneumonia and includes
the nursing diagnosis of "Ineffective airway clearance related to thick pulmonary
secretions." Which intervention is most important for the nurse to include in the
client's plan of care?
a. Increase fluid intake to 3,000 ml/daily
b. Administer O2 at 5L/mint per nasal cannula
c. Maintain the client in a semi Fowler's position
d. Provide frequent rest period.
Increase fluid intake to 3,000 ml/daily
Rationale: The plan of care should include an increase in fluid intake (A) to liquefy
and thin secretions for easier removal of thick pulmonary secretion which
facilitates airway clearance. (B) should be implemented for signs of hypoxia (C)
implemented to facilitate lung expansion, and (D) implemented for activity
intolerance, but these interventions do not have the priority of (A)
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken
is different from the dose the nurse is giving. Which action should the nurse take?
,2|Page
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.
B) Withhold the medication until the dosage can be confirmed.
The nurse plans to collect a 24- hour urine specimen for a creatinine clearance test.
Which instruction should the nurse provide to the adult male client?
a. Clearance around the meatus, discard first portion of voiding, and collect the rest
in a sterile bottle
b. Urinate at specific time, discard the urine, and collect all subsequent urine
during the next 24 hours.
c. For the next 24 hours, notify the nurse when the bladder is full, and the nurse
will collect catheterized specimens.
d. Urinate immediately into a urinal, and the lab will collect specimen every 6
hours, for the next 24 hours.
Urinate at specific time, discard the urine, and collect all subsequent urine during
the next 24 hours.
Rationale: Urinate at specific time, discard the urine, and collect all subsequent
urine during the next 24 hours is the correct procedure for collecting 24-hour urine
specimen. Discarding even one voided specimen invalidate the test.
,3|Page
The nurse is preparing to administer a histamine 2-receptor antagonist to a client
with peptic ulcer disease. What is the primary purpose of this drug classification?
a. Neutralize hydrochloric (HCI) acid in the stomach
b. Decreases the amount of HCL secretion by the parietal cells in the stomach
c. Inhibit action of acetylcholine by blocking parasympathetic nerve endings.
d. Destroys microorganisms causing stomach inflammation.
Decreases the amount of HCL secretion by the parietal cells in the stomach
Rationale: B correctly describe the action of histamine 2 receptor antagonist in
helping to prevent peptic ulcer disease.
The healthcare provider prescribes acarbose (Precose), an alpha-glucosidase
inhibitor, for a client with Type 2 diabetes mellitus. Which information provides
the best indicator of the drug's effectiveness?
a. Body max index (BMI) between 20 and 24
b. Blood pressure reading less than 120/80 mm Hg
c. Hemoglobin A1C (HbA1C) reading less than 7%
d. Self-reported glucose levels of 120-150 mg/dl.
Hemoglobin A1C (HbA1C) reading less than 7%
Rationale: Acarbose (Precose) delays carbohydrate absorption in the GI tract and
causes the blood glucose to rise slowly after a meal. The best indicator of acarbose
effectiveness is a serum hemoglobin A1 no greater than 7%, an indication of
glucose level over time. Acarbose has no effect on pain or blood pressure. Self-
, 4|Page
reported glucose levels of 120-150 reflect the blood sugar at the time taken and are
not the best indicator of drug effectiveness.
The nurse assesses a client with new onset diarrhea. It is most important for the
nurse to question the client about recent use of which type of medication?
a. Antibiotics
b. Anticoagulants
c. Antihypertensive
d. Anticholinergics
Antibiotics
Rationale: Antibiotic use may be altering the normal flora in the GI tract, resulting
in the onset of diarrhea, and several classes of antibiotics result in the overgrowth
of Clostridium difficile, resulting in severe diarrhea.
A neonate with a congenital heart defect (CHD) is demonstrating symptoms of
heart failure (HF). Which interventions should the nurse include in the infant's plan
of care?
a. Give O2 at 6 L/nasal canula for 3 repeated oximetry screens below 90%
b. Administer diuretics via secondary infusion in the morning only
c. Evaluate heart rate for effectiveness of cardio tonic medications
d. Use high energy formula 30 calories/ounce at Q3 hours feeding via soft nipples
e. Ensure uninterrupted and frequent rest periods between procedures.
