Nightingale College BSN 266
HESI 799 RN Exit Exam Questions Verified and Provided with
A+ Graded Answers Latest Updated 2026
Following discharge teaching, a male client with Review with the client the need to avoid foods that are rich in milk
and duodenal ulcer tells the nurse the he will drink cream
plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up Rationale: Diets rich in milk and cream stimulate gastric acid secretion
action by the nurse? and should be avoided.
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.
,A male client with hypertension, who received new Stroke secondary to hemorrhage
antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate Rationale: Stroke related to cerebral hemorrhage is major risk for
his blood pressure (BP). His BP is 158/106 and he uncontrolled hypertension.
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
The nurse observes an unlicensed assistive
Instruct the UAP to obtain soft blankets to secure to the side rails
personnel (UAP) positioning a newly admitted
instead of pillows
client who has a seizure disorder. The client is
supine and the UAP is placing soft pillows along
Rationale: The nurse should instruct the UAP to pad the side rails with
the side rails. What action should the nurse
soft blankest because the use of pillows could result in suffocation and
implement?
would need to be removed at the onset of the seizure. The nurse
can
delegate paddling the side rails to the UAP
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.
An adolescent with major depressive disorder has
Describes life without purpose
been taking duloxetine (Cymbalta) for the past 12
days. Which assessment finding requires
Rationale: Cymbalta is a selective serotonin and norepinephrine
immediate follow-up
reuptake inhibitor that is known to increase the risk of suicidal thinking in
adolescents and young adults with major depressive disorder. B, C and
a.Describes life without purpose
D are side effects
b.Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family
Further evaluation involving surgery may be needed
history of ovarian cancer has developed an
abdominal mass and is being evaluated for
Rationale: An abdominal mass in a client with a family history for ovarian
possible ovarian cancer. Her Papanicolau (Pap)
cancer should be evaluated carefully
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.
, A client who recently underwent a tracheostomy is Teach tracheal suctioning techniques
being prepared for discharge to home. Which
instructions is most important for the nurse to Rationale: Suctioning helps to clear secretions and maintain an open
include in the discharge plan? airway, which is critical.
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.
In assessing an adult client with a partial rebreather Document the assessment data
mask, the nurse notes that the oxygen reservoir
bag does not deflate completely during inspiration Rational: reservoir bag should not deflate completely during inspiration
and the client's respiratory rate is 14 breaths / and the client's respiratory rate is within normal limits.
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
During shift report, the central electrocardiogram Respiratory apnea of 30 seconds
(EKG) monitoring system alarms. Which client
alarm should the nurse investigate first? Rationale: The priority is the client whose alarm indicating respiratory
apnea that should be assessed 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.
During a home visit, the nurse observed an elderly Check the client for lacerations or fractures
client with diabetes slip and fall. What action
should the nurse take first? Rationale: After the client falls, the nurse should immediately assess for
the possibility of injuries and provide first aid as needed
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
At 0600 while admitting a woman for a schedule Inform the anesthesia care provider
repeat cesarean section (C-Section), the client
tells the nurse that she drank a cup a coffee at Rationale: Surgical preoperative instruction includes NPO after midnight
0400 because she wanted to avoid getting a the day of surgery to decrease the risk of aspiration should vomiting
headache. Which action should the nurse take occur during anesthesia. While it is possible the C-section will be done
first? on schedule or rescheduled for later in the day, the anesthesia provider
should be notified 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.
After placing a stethoscope as seen in the picture, Listen with the bell at the same location
the nurse auscultates S1 and S2 heart sounds. To
determine if an S3 heart sound is present, what Rationale: The nurse uses the bell of the stethoscope to hear
action should the nurse take first low-pitched sounds such as S3 and S4. The nurse listens at the same
site using the diaphragm the diaphragm and bell before moving
a.Side the stethoscope across the sternum. systematically to the next sites.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
HESI 799 RN Exit Exam Questions Verified and Provided with
A+ Graded Answers Latest Updated 2026
Following discharge teaching, a male client with Review with the client the need to avoid foods that are rich in milk
and duodenal ulcer tells the nurse the he will drink cream
plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up Rationale: Diets rich in milk and cream stimulate gastric acid secretion
action by the nurse? and should be avoided.
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.
,A male client with hypertension, who received new Stroke secondary to hemorrhage
antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate Rationale: Stroke related to cerebral hemorrhage is major risk for
his blood pressure (BP). His BP is 158/106 and he uncontrolled hypertension.
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
The nurse observes an unlicensed assistive
Instruct the UAP to obtain soft blankets to secure to the side rails
personnel (UAP) positioning a newly admitted
instead of pillows
client who has a seizure disorder. The client is
supine and the UAP is placing soft pillows along
Rationale: The nurse should instruct the UAP to pad the side rails with
the side rails. What action should the nurse
soft blankest because the use of pillows could result in suffocation and
implement?
would need to be removed at the onset of the seizure. The nurse
can
delegate paddling the side rails to the UAP
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.
An adolescent with major depressive disorder has
Describes life without purpose
been taking duloxetine (Cymbalta) for the past 12
days. Which assessment finding requires
Rationale: Cymbalta is a selective serotonin and norepinephrine
immediate follow-up
reuptake inhibitor that is known to increase the risk of suicidal thinking in
adolescents and young adults with major depressive disorder. B, C and
a.Describes life without purpose
D are side effects
b.Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family
Further evaluation involving surgery may be needed
history of ovarian cancer has developed an
abdominal mass and is being evaluated for
Rationale: An abdominal mass in a client with a family history for ovarian
possible ovarian cancer. Her Papanicolau (Pap)
cancer should be evaluated carefully
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.
, A client who recently underwent a tracheostomy is Teach tracheal suctioning techniques
being prepared for discharge to home. Which
instructions is most important for the nurse to Rationale: Suctioning helps to clear secretions and maintain an open
include in the discharge plan? airway, which is critical.
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.
In assessing an adult client with a partial rebreather Document the assessment data
mask, the nurse notes that the oxygen reservoir
bag does not deflate completely during inspiration Rational: reservoir bag should not deflate completely during inspiration
and the client's respiratory rate is 14 breaths / and the client's respiratory rate is within normal limits.
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
During shift report, the central electrocardiogram Respiratory apnea of 30 seconds
(EKG) monitoring system alarms. Which client
alarm should the nurse investigate first? Rationale: The priority is the client whose alarm indicating respiratory
apnea that should be assessed 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.
During a home visit, the nurse observed an elderly Check the client for lacerations or fractures
client with diabetes slip and fall. What action
should the nurse take first? Rationale: After the client falls, the nurse should immediately assess for
the possibility of injuries and provide first aid as needed
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
At 0600 while admitting a woman for a schedule Inform the anesthesia care provider
repeat cesarean section (C-Section), the client
tells the nurse that she drank a cup a coffee at Rationale: Surgical preoperative instruction includes NPO after midnight
0400 because she wanted to avoid getting a the day of surgery to decrease the risk of aspiration should vomiting
headache. Which action should the nurse take occur during anesthesia. While it is possible the C-section will be done
first? on schedule or rescheduled for later in the day, the anesthesia provider
should be notified 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.
After placing a stethoscope as seen in the picture, Listen with the bell at the same location
the nurse auscultates S1 and S2 heart sounds. To
determine if an S3 heart sound is present, what Rationale: The nurse uses the bell of the stethoscope to hear
action should the nurse take first low-pitched sounds such as S3 and S4. The nurse listens at the same
site using the diaphragm the diaphragm and bell before moving
a.Side the stethoscope across the sternum. systematically to the next sites.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
