HESI 799 RN EXIT PREP EXAM|ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
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 ANSWER
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
because the use of pillows could result in suffocation and would need to be removed at
the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
Question 2
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
1
,c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
CORRECT ANSWER
Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should
be evaluated carefully
Question 3
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 ANSWER
Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
critical.
Question 4
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
2
,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 ANSWER
Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's
respiratory rate is within normal limits.
Question 5
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 ANSWER
Check the client for lacerations or fractures
Rationale: After the client falls, the nurse should immediately assess for the possibility of
injuries and provide first aid as needed
Question 6
3
, 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
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
CORRECT ANSWER
Inform the anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day of
surgery to decrease the risk of aspiration should vomiting occur during anesthesia. While
it is possible the C-section will be done on schedule or rescheduled for later in the day,
the anesthesia provider should be notified first.
Question 7
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that
are in keeping with the child's dietary restrictions. Which foods are contraindicated for this
child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
CORRECT ANSWER
Foods sweetened with aspartame
4
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
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 ANSWER
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
because the use of pillows could result in suffocation and would need to be removed at
the onset of the seizure. The nurse can delegate paddling the side rails to the UAP
Question 2
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
1
,c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
CORRECT ANSWER
Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should
be evaluated carefully
Question 3
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 ANSWER
Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
critical.
Question 4
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
2
,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 ANSWER
Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's
respiratory rate is within normal limits.
Question 5
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 ANSWER
Check the client for lacerations or fractures
Rationale: After the client falls, the nurse should immediately assess for the possibility of
injuries and provide first aid as needed
Question 6
3
, 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
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
CORRECT ANSWER
Inform the anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day of
surgery to decrease the risk of aspiration should vomiting occur during anesthesia. While
it is possible the C-section will be done on schedule or rescheduled for later in the day,
the anesthesia provider should be notified first.
Question 7
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that
are in keeping with the child's dietary restrictions. Which foods are contraindicated for this
child?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
CORRECT ANSWER
Foods sweetened with aspartame
4
