CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
HESI 799 RN Exit Exam
Practice Question Bank
Comprehensive NCLEX-Style Practice Questions with Detailed Rationales
Comprehensive Review · 70 Practice Questions
Edition 1 · July 2026 · 70 Practice Questions
✓ Institution Verified: Chamberlain University — HESI 799 RN Exit Exam
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
,HESI 799 · Chamberlain University Page 1
,HESI 799 RN EXIT EXAM PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains 70 practice questions covering key content areas for the HESI
799 RN Exit Exam based on Chamberlain University curriculum.
Category: Comprehensive HESI 799 RN Exit Exam Review
1 An adult client is exhibiting the manic stage of bipolar disorder and is admitted to
the psychiatric unit. The client has lost 10 pounds in the last two weeks and has not
bathed in a week. The client states, "I'm trying to start a new business and I'm too
busy to eat." The client is oriented to time, place, and person but not situation.
Which nursing problem has the greatest priority?
A Hygiene-self-care deficit
B Imbalanced nutrition
C Disturbed sleep pattern
D Self-neglect
Why B is correct: The client's nutritional status has the highest priority at this time. Clients
in the manic phase of bipolar disorder often neglect basic needs, including eating, due to
increased activity levels and decreased attention to self-care. Finger foods are often
provided so the client can receive adequate nutrition while on the move. The other options
are nursing problems that should also be addressed in the client's plan of care, but at this
stage, adequate nutrition is the priority.
A — Hygiene is important but secondary to the life-threatening nutritional deficit.
C — Sleep disturbance is a concern but does not take priority over nutritional status.
D — Self-neglect is a broad category; the specific priority is the nutritional deficit.
, 2 A client who had a percutaneous transluminal coronary angioplasty (PTCA) two
weeks ago returns to the clinic for a follow-up visit. The client has a postoperative
ejection fraction of 30%. Today the client has clear lungs, +1 pedal edema, and a 5-
pound weight gain. Which intervention should the nurse implement?
A Arrange transport for admission to the hospital.
B Insert a saline lock for IV diuretic therapy.
C Assess compliance with routine prescriptions.
D Instruct the client to monitor daily caloric intake.
Why C is correct: Fluid retention may be a sign that the client is not taking medications as
prescribed or that the prescriptions may need adjustment to manage cardiac function post-
PTCA (normal ejection fraction range is 50-75%). Assessment of medication compliance
should be the first step before more invasive interventions are considered.
A — Hospital admission may be needed but is premature without assessing medication
compliance first.
B — IV diuretic therapy requires a prescription and is not the first intervention.
D — Caloric intake is not the primary concern; fluid retention and medication compliance
are.
HESI 799 RN Exit Exam
Practice Question Bank
Comprehensive NCLEX-Style Practice Questions with Detailed Rationales
Comprehensive Review · 70 Practice Questions
Edition 1 · July 2026 · 70 Practice Questions
✓ Institution Verified: Chamberlain University — HESI 799 RN Exit Exam
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales 2
,HESI 799 · Chamberlain University Page 1
,HESI 799 RN EXIT EXAM PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains 70 practice questions covering key content areas for the HESI
799 RN Exit Exam based on Chamberlain University curriculum.
Category: Comprehensive HESI 799 RN Exit Exam Review
1 An adult client is exhibiting the manic stage of bipolar disorder and is admitted to
the psychiatric unit. The client has lost 10 pounds in the last two weeks and has not
bathed in a week. The client states, "I'm trying to start a new business and I'm too
busy to eat." The client is oriented to time, place, and person but not situation.
Which nursing problem has the greatest priority?
A Hygiene-self-care deficit
B Imbalanced nutrition
C Disturbed sleep pattern
D Self-neglect
Why B is correct: The client's nutritional status has the highest priority at this time. Clients
in the manic phase of bipolar disorder often neglect basic needs, including eating, due to
increased activity levels and decreased attention to self-care. Finger foods are often
provided so the client can receive adequate nutrition while on the move. The other options
are nursing problems that should also be addressed in the client's plan of care, but at this
stage, adequate nutrition is the priority.
A — Hygiene is important but secondary to the life-threatening nutritional deficit.
C — Sleep disturbance is a concern but does not take priority over nutritional status.
D — Self-neglect is a broad category; the specific priority is the nutritional deficit.
, 2 A client who had a percutaneous transluminal coronary angioplasty (PTCA) two
weeks ago returns to the clinic for a follow-up visit. The client has a postoperative
ejection fraction of 30%. Today the client has clear lungs, +1 pedal edema, and a 5-
pound weight gain. Which intervention should the nurse implement?
A Arrange transport for admission to the hospital.
B Insert a saline lock for IV diuretic therapy.
C Assess compliance with routine prescriptions.
D Instruct the client to monitor daily caloric intake.
Why C is correct: Fluid retention may be a sign that the client is not taking medications as
prescribed or that the prescriptions may need adjustment to manage cardiac function post-
PTCA (normal ejection fraction range is 50-75%). Assessment of medication compliance
should be the first step before more invasive interventions are considered.
A — Hospital admission may be needed but is premature without assessing medication
compliance first.
B — IV diuretic therapy requires a prescription and is not the first intervention.
D — Caloric intake is not the primary concern; fluid retention and medication compliance
are.
