HESI 799 RN EXIT EXAM ACTUAL QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS)
1. 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?
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.
2. The charge nurse is making assignments for one practical nurse and three registered nurses
who are caring for neurologically compromised clients. Which client with which change in
status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
B) Viral meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
A) Maintain strict intake and output.
4. A child newly diagnosed with sickle cell anemia is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
,A) Instructions about how much fluid the child to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures.
A) Instructions about how much fluid the child to drink daily.
5. During discharge teaching, and overweight client with heart failure is asked to make a
grocery list for the nurse to review. Which food choices include it on the clients list should the
nurse encouraged? SATA.
A) Cheddar cheese cubes.
B) Canned fruit in heavy syrup.
C) Lightly salted potato chips.
D) Plain, air-popped popcorn.
E) Natural whole almonds.
D) Plain, air-popped popcorn.
E) Natural whole almonds.
6. The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for a client
with type two diabetes. Which information provides the best indicator of the drugs
effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
D) Hemoglobin A1c readings less than 7%.
7. NGN: Orders, diagnosis, depression and posttraumatic stress disorder. Diphenhydramine
12.5 mg PO every night at sleep. Buspirone Hydrochloride 7.5 mg PO twice a day.
(how can the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
,E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
B) the nurse can be open, honest and sincere.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
8. NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her
father is worried about her. The client says she only gets 2 to 3 hours of sleep due to
nightmares about the crash. She informed that exercising right after work helps her get better
sleep and to relax. She feels that she is "jumpy" after the accident, especially when she is in
the car. She also stated, "I feel so sad that I can't seem to feel anything at all". In addition to
her father, the client has a large family and friend support system. She denies alcohol or drug
use. The client states, "I don't want to kill myself, but sometimes I wish I had died in the
crash."
The statement by the client presents _______________ and should be followed up with
_____________.
Suicidal ideation, assessment of respecters for suicide.
9. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
(what would be some affective strategies that the nurse could use to decrease the client’s risk
of suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
, 10.. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.
-The client states she feels less jumpy and more relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash. (INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel sad. (EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus. (INEFFECTIVE)
11. After receiving report on an inpatient acute care unit which client should the nurse assess
first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus with absent
bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that is draining
greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing abdominal
distention.
D) The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity.
D) The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity.
12. Client presents at the emergency department reporting a raspy voice, cold intolerance,
and fatigue. Laboratory tests indicate an elevated thyroid stimulating hormone and a low T3
and T4 levels. After the client is admitted to the telemetry unit, which intervention is most
appropriate for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema.
ANSWERS)
1. 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?
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.
2. The charge nurse is making assignments for one practical nurse and three registered nurses
who are caring for neurologically compromised clients. Which client with which change in
status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.
B) Viral meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
A) Maintain strict intake and output.
4. A child newly diagnosed with sickle cell anemia is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to discharge?
,A) Instructions about how much fluid the child to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures.
A) Instructions about how much fluid the child to drink daily.
5. During discharge teaching, and overweight client with heart failure is asked to make a
grocery list for the nurse to review. Which food choices include it on the clients list should the
nurse encouraged? SATA.
A) Cheddar cheese cubes.
B) Canned fruit in heavy syrup.
C) Lightly salted potato chips.
D) Plain, air-popped popcorn.
E) Natural whole almonds.
D) Plain, air-popped popcorn.
E) Natural whole almonds.
6. The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for a client
with type two diabetes. Which information provides the best indicator of the drugs
effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
D) Hemoglobin A1c readings less than 7%.
7. NGN: Orders, diagnosis, depression and posttraumatic stress disorder. Diphenhydramine
12.5 mg PO every night at sleep. Buspirone Hydrochloride 7.5 mg PO twice a day.
(how can the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
,E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
B) the nurse can be open, honest and sincere.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
8. NGN: The client has returned to work at in accounting firm and has started going to a grief
support group. She reports she is seeking care from a healthcare professional because her
father is worried about her. The client says she only gets 2 to 3 hours of sleep due to
nightmares about the crash. She informed that exercising right after work helps her get better
sleep and to relax. She feels that she is "jumpy" after the accident, especially when she is in
the car. She also stated, "I feel so sad that I can't seem to feel anything at all". In addition to
her father, the client has a large family and friend support system. She denies alcohol or drug
use. The client states, "I don't want to kill myself, but sometimes I wish I had died in the
crash."
The statement by the client presents _______________ and should be followed up with
_____________.
Suicidal ideation, assessment of respecters for suicide.
9. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
(what would be some affective strategies that the nurse could use to decrease the client’s risk
of suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
, 10.. The client is a 26-year-old female who was in a car accident six months ago that killed her
mother, husband, and two-year-old son. She and her father were the only survivors of the
crash. She is seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.
-The client states she feels less jumpy and more relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash. (INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel sad. (EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus. (INEFFECTIVE)
11. After receiving report on an inpatient acute care unit which client should the nurse assess
first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus with absent
bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that is draining
greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing abdominal
distention.
D) The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity.
D) The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity.
12. Client presents at the emergency department reporting a raspy voice, cold intolerance,
and fatigue. Laboratory tests indicate an elevated thyroid stimulating hormone and a low T3
and T4 levels. After the client is admitted to the telemetry unit, which intervention is most
appropriate for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema.
