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HESI 799 RN Exit
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Practice Question
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120 Practice Questions with Rationales
EXAM FOCUS:
RN Exit Exam
— Comprehensive Review
Edition 1 · August 2026
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HESI 799 RN Exit Exam Page 1
,HESI 799 RN EXIT EXAM TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Practice Questions (Q1-120) 3
HESI 799 RN Exit Exam Page 2
,HESI 799 RN EXIT EXAM 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 120 questions covering HESI 799 RN Exit Exam content.
HESI 799 RN Exit Exam — Practice Questions
1 Following discharge teaching, a male client with duodenal ulcer tells the nurse that
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.
Why C is correct: Diets rich in milk and cream stimulate gastric acid secretion and should
be avoided.
A — Decaffeinated coffee and tea are not the primary concern.
B — Small frequent meals are helpful but do not address the milk and cream issue.
D — This does not address the client's misunderstanding about milk and cream.
, 2 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
Why C is correct: Stroke related to cerebral hemorrhage is a major risk for uncontrolled
hypertension.
A — Cataracts are not directly caused by hypertension.
B — Acute kidney injury is a risk but not the major risk.
D — Heart block is not a primary risk of hypertension.
3 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.
Why B is correct: The nurse should instruct the UAP to pad the side rails with soft blankets
because the use of pillows could result in suffocation and would need to be removed at the
onset of the seizure.
A — Pillows are not safe for seizure precautions.
C — The nurse can delegate padding side rails to the UAP.
D — Side-lying position is not the priority; padding the rails is.