HESI 799 RN Exit Exam questions with |\ |\ |\ |\ |\ |\ |\
answers
Following discharge teaching, a male client with duodenal ulcer
|\ |\ |\ |\ |\ |\ |\ |\ |\
tells the nurse the he will drink plenty of dairy products, such as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milk, to help coat and protect his ulcer. What is the best follow-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
up action by the nurse?
|\ |\ |\ |\
a. Remind the client that it is also important to switch to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decaffeinated coffee and tea. |\ |\ |\
b. Suggest that the client also plan to eat frequent small meals
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to reduce discomfort
|\ |\
c. Review with the client the need to avoid foods that are rich in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milk and cream. |\ |\
d. Reinforce this teaching by asking the client to list a dairy food
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that he might select. - CORRECT ANSWERS ✔✔c. Review with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client the need to avoid foods that are rich in milk and cream.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse observes an unlicensed assistive personnel (UAP)
|\ |\ |\ |\ |\ |\ |\ |\
positioning a newly admitted client who has a seizure disorder. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The client is supine and the UAP is placing soft pillows along the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side rails. What action should the nurse implement?
|\ |\ |\ |\ |\ |\ |\
a. Ensure that the UAP has placed the pillows effectively to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
protect the client. |\ |\
b. Instruct the UAP to obtain soft blankets to secure to the side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rails instead of pillows.
|\ |\ |\
c. Assume responsibility for placing the pillows while the UAP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completes another task. |\ |\
,d. Ask the UAP to use some of the pillows to prop the client in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side lying position. - CORRECT ANSWERS ✔✔b. Instruct the UAP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to obtain soft blankets to secure to the side rails instead of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pillows.
A male client with hypertension, who received new
|\ |\ |\ |\ |\ |\ |\ |\
antihypertensive prescriptions at his last visit returns to the clinic |\ |\ |\ |\ |\ |\ |\ |\ |\
two weeks later to evaluate his blood pressure (BP). His BP is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
158/106 and he admits that he has not been taking the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed medication because the drugs make him "feel bad". In
|\ |\ |\ |\ |\ |\ |\ |\ |\
explaining the need for hypertension control, the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
stress that an elevated BP places the client at risk for which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pathophysiological condition? |\
a. Blindness secondary to cataracts
|\ |\ |\ |\
b. Acute kidney injury due to glomerular damage
|\ |\ |\ |\ |\ |\ |\
c. Stroke secondary to hemorrhage
|\ |\ |\ |\
d. Heart block due to myocardial damage - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔c. Stroke secondary to hemorrhage
|\ |\ |\ |\
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. - CORRECT ANSWERS ✔✔a.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Describes life without purpose |\ |\ |\
,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. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Further evaluation involving surgery
|\ |\ |\ |\ |\ |\ |\
may be needed |\ |\
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔b. Teach tracheal suctioning techniques |\ |\ |\ |\ |\
In assessing an adult client with a partial rebreather mask, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse notes that the oxygen reservoir bag does not deflate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completely during inspiration and the client's respiratory rate is
|\ |\ |\ |\ |\ |\ |\ |\ |\
14 breaths / minute. What action should the nurse implement
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Encourage the client to take deep breaths
|\ |\ |\ |\ |\ |\ |\
b. Remove the mask to deflate the bag
|\ |\ |\ |\ |\ |\ |\
c. Increase the liter flow of oxygen
|\ |\ |\ |\ |\ |\
, d. Document the assessment data - CORRECT ANSWERS ✔✔d.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Document the assessment data |\ |\ |\
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Respiratory apnea of 30 seconds
|\ |\ |\ |\ |\ |\ |\
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 - CORRECT ANSWERS ✔✔c.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Check the client for lacerations or fractures
|\ |\ |\ |\ |\ |\
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
|\ |\ |\ |\ |\ |\
answers
Following discharge teaching, a male client with duodenal ulcer
|\ |\ |\ |\ |\ |\ |\ |\ |\
tells the nurse the he will drink plenty of dairy products, such as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milk, to help coat and protect his ulcer. What is the best follow-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
up action by the nurse?
|\ |\ |\ |\
a. Remind the client that it is also important to switch to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decaffeinated coffee and tea. |\ |\ |\
b. Suggest that the client also plan to eat frequent small meals
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to reduce discomfort
|\ |\
c. Review with the client the need to avoid foods that are rich in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milk and cream. |\ |\
d. Reinforce this teaching by asking the client to list a dairy food
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that he might select. - CORRECT ANSWERS ✔✔c. Review with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client the need to avoid foods that are rich in milk and cream.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse observes an unlicensed assistive personnel (UAP)
|\ |\ |\ |\ |\ |\ |\ |\
positioning a newly admitted client who has a seizure disorder. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The client is supine and the UAP is placing soft pillows along the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side rails. What action should the nurse implement?
|\ |\ |\ |\ |\ |\ |\
a. Ensure that the UAP has placed the pillows effectively to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
protect the client. |\ |\
b. Instruct the UAP to obtain soft blankets to secure to the side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rails instead of pillows.
|\ |\ |\
c. Assume responsibility for placing the pillows while the UAP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completes another task. |\ |\
,d. Ask the UAP to use some of the pillows to prop the client in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side lying position. - CORRECT ANSWERS ✔✔b. Instruct the UAP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to obtain soft blankets to secure to the side rails instead of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pillows.
A male client with hypertension, who received new
|\ |\ |\ |\ |\ |\ |\ |\
antihypertensive prescriptions at his last visit returns to the clinic |\ |\ |\ |\ |\ |\ |\ |\ |\
two weeks later to evaluate his blood pressure (BP). His BP is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
158/106 and he admits that he has not been taking the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed medication because the drugs make him "feel bad". In
|\ |\ |\ |\ |\ |\ |\ |\ |\
explaining the need for hypertension control, the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
stress that an elevated BP places the client at risk for which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pathophysiological condition? |\
a. Blindness secondary to cataracts
|\ |\ |\ |\
b. Acute kidney injury due to glomerular damage
|\ |\ |\ |\ |\ |\ |\
c. Stroke secondary to hemorrhage
|\ |\ |\ |\
d. Heart block due to myocardial damage - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔c. Stroke secondary to hemorrhage
|\ |\ |\ |\
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. - CORRECT ANSWERS ✔✔a.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Describes life without purpose |\ |\ |\
,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. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a. Further evaluation involving surgery
|\ |\ |\ |\ |\ |\ |\
may be needed |\ |\
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔b. Teach tracheal suctioning techniques |\ |\ |\ |\ |\
In assessing an adult client with a partial rebreather mask, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse notes that the oxygen reservoir bag does not deflate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completely during inspiration and the client's respiratory rate is
|\ |\ |\ |\ |\ |\ |\ |\ |\
14 breaths / minute. What action should the nurse implement
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Encourage the client to take deep breaths
|\ |\ |\ |\ |\ |\ |\
b. Remove the mask to deflate the bag
|\ |\ |\ |\ |\ |\ |\
c. Increase the liter flow of oxygen
|\ |\ |\ |\ |\ |\
, d. Document the assessment data - CORRECT ANSWERS ✔✔d.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Document the assessment data |\ |\ |\
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. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Respiratory apnea of 30 seconds
|\ |\ |\ |\ |\ |\ |\
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 - CORRECT ANSWERS ✔✔c.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Check the client for lacerations or fractures
|\ |\ |\ |\ |\ |\
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
|\ |\ |\ |\ |\ |\
