HESI 799 RN Exit Exam Part 2 of 2 Comprehensive
EXAM 2026-2027 LATEST UPDATED VERSION 120
QUESTIONS AND ANSWERS JUST RELEASED
The nurse is caring for several clients on a telemetry unit. Which client should the nurse assess
first? The client who is demonstrating?
a. A paced rhythm with 100% capture after pacemaker replacement
b. Normal sinus rhythm and complaining of chest pain
c. Atrial fibrillation with congestive heart failure and complaining of fatigue
d. Sinus tachycardia 3 days after a myocardial infarction - answer>>b. Normal sinus rhythm and
complaining of chest pain
The nurse is evaluating the health teaching of a female client with condyloma acuminate. Which
statement by the client indicates that teaching has been effective?
a. These warts are caused by a fungus
b. Early treatment is very effective
c. I need to have regular pap smears
d. I will clean my hot tub better - answer>>c. I need to have regular pap smears
While the nurse is conducting a daily assessment of an older woman who resides in a long-term
facility, the client begins to cry and tells the nurse that her family has stopped calling and
visiting. What action should the nurse take first?
a. Ask the client when a family member last visited her.
b. Determine the client's orientation to time and space
c. Review the client's record regarding social interactions
d. Reassure the client of her family's love for her - answer>>a. Ask the client when a family
member last visited her.
,A female client with severe renal impairment is receiving enoxaparin (lovenox) 30 mg SUBQ BID.
Which laboratory value due to enoxaparin should the nurse report to the healthcare provider?
a. creatinine clearance 25 mL/ minute
b. calcium 9 mg/dl
c. hemoglobin 12 grams/dl
d. partial thromboplastin time (PTT) 30 seconds - answer>>a. creatinine clearance 25 mL/
minute
The nurse notes an increase in serosanguinous drainage from the abdominal surgical wound
from an obese client. What action should the nurse implement?
a. Observe the wound for dehiscence
b. Teach the client to splint the incision while coughing
c. Assess the skin surrounding the wound for maceration
d. Obtain a culture of the wound drainage. - answer>>a. Observe the wound for dehiscence
A nurse is conducting a physical assessment of a young adult. Which information provides the
best indication of the individual nutritional status?
a. A 24-hour diet history
b. History of a recent weight loss
c. Status of current petite
d. Condition of hair, nails, and skin - answer>>d. Condition of hair, nails, and skin
Rationale: The assessment of hair, nails and skin is most indicative of long-term nutritional
status, which is important in the healing process.
The nurse is assigned to care for clients on a medical unit. Based on the notes taken during the
shift report, which client situation warrants the nurse's immediate attention?
,a. A young adult with Crohn's disease who reports having diarrheal stools
b. An older adult with type 2 diabetes whose breakfast tray arrives 20 minutes late.
c. A 10-year-old who is receiving chemotherapy and the infusion pump is beeping.
d. A teenager who reports continued pain 30 minutes after receiving an oral analgesic. -
answer>>c. A 10-year-old who is receiving chemotherapy and the infusion pump is beeping
Rationale: The nurse should immediately assess the child whose infusion pump is alarming
during chemotherapy administration because infiltration of a caustic agent can cause tissue
damage and children are at greater risk for fluid volume imbalance. Diarrhea is a common
occurrence for Crohn's disease. Late consumption of food for a diabetic is of concern, but 20
minutes late is usually not life-threatening. Treatment of pain is most important but has been
only 30 mints since the client was medicated and this issue can be assessed in 10 mints or
delegated to another nurse.
The nurse is preparing to administer an infusion of amino acid-dextrose total parenteral
nutrition (TPN) through a central venous catheter (CVC) line. Which action should the nurse
implement first?
a. Attached de IV tubing to the central line.
b. Check the TPN solution for cloudiness
c. Set the infusion PUMP at the prescribed rate.
d. Prime the IV tubing with the TPN solution. - answer>>b. Check the TPN solution for cloudiness
On a busy day, one hour after the shift report is completed, the charge nurse learns that a
female staff nurse who lives one hour away from the hospital forgot her prescription eye glasses
at home. What action should the charge nurse take?
a. Encourage the nurse purchase the reading glasses in the hospital gift shop
b. Request another nurse to assist the staff nurse with her documentation
c. Ask the nurse to return home and get her prescription eyeglasses for work.
d. Tell the staff nurse to take a day off and change her weekly work schedule. - answer>>c. Ask
the nurse to return home and get her prescription eyeglasses for work
, A newly admitted client vomits into an emesis basin as seen in the picture. The nurse should
consult with the healthcare provider before administering which of the client's prescribed
medications?
a. Clopidogrel (Plavix), an antiplatelet agent, given orally
b. Methylprednisolone (solu-medrol), a corticosteroid, to be given IV
c. Nitroglycerin (Nitro-Dur) an antianginal, to be given transdermally.
d. Enoxaparin (lovenox), a low-molecular weight heparin to be given subcutaneous.
e. Furosemide (Lasix), a loop diuretic, to be given intravenously. - answer>>a. Clopidogrel
(Plavix), an antiplatelet agent, given orally
Rationale: Because of the emesis is coffee brown appearance, which is an indicator of bleeding
in GI tract, the nurse should consult the health care provider because increase the risk of
bleeding.
A client diagnosed with bipolar disorder is going home on a week-end pass. Which suggestions
should give the client's family to help them prepare for the visit?
1. Discuss the importance of continuing the usual at-home activities
2. Encourage the family to plan daily activities to keep the client busy
3. Have friends and family visit the client at a welcome party.
4. Instruct family to monitor the client's choice of television programs. - answer>>1. Discuss the
importance of continuing the usual at-home activities
Rationale: Week-end pass are schedules to help the client ease back into the family's routine, so
the client can back to normal activities.
When five family members arrive at the hospital, they all begin asking the nurse questions
regarding the prognosis of their critically ill mother. What intervention should the nurse
implement first?
a. Include the family in client's care
EXAM 2026-2027 LATEST UPDATED VERSION 120
QUESTIONS AND ANSWERS JUST RELEASED
The nurse is caring for several clients on a telemetry unit. Which client should the nurse assess
first? The client who is demonstrating?
a. A paced rhythm with 100% capture after pacemaker replacement
b. Normal sinus rhythm and complaining of chest pain
c. Atrial fibrillation with congestive heart failure and complaining of fatigue
d. Sinus tachycardia 3 days after a myocardial infarction - answer>>b. Normal sinus rhythm and
complaining of chest pain
The nurse is evaluating the health teaching of a female client with condyloma acuminate. Which
statement by the client indicates that teaching has been effective?
a. These warts are caused by a fungus
b. Early treatment is very effective
c. I need to have regular pap smears
d. I will clean my hot tub better - answer>>c. I need to have regular pap smears
While the nurse is conducting a daily assessment of an older woman who resides in a long-term
facility, the client begins to cry and tells the nurse that her family has stopped calling and
visiting. What action should the nurse take first?
a. Ask the client when a family member last visited her.
b. Determine the client's orientation to time and space
c. Review the client's record regarding social interactions
d. Reassure the client of her family's love for her - answer>>a. Ask the client when a family
member last visited her.
,A female client with severe renal impairment is receiving enoxaparin (lovenox) 30 mg SUBQ BID.
Which laboratory value due to enoxaparin should the nurse report to the healthcare provider?
a. creatinine clearance 25 mL/ minute
b. calcium 9 mg/dl
c. hemoglobin 12 grams/dl
d. partial thromboplastin time (PTT) 30 seconds - answer>>a. creatinine clearance 25 mL/
minute
The nurse notes an increase in serosanguinous drainage from the abdominal surgical wound
from an obese client. What action should the nurse implement?
a. Observe the wound for dehiscence
b. Teach the client to splint the incision while coughing
c. Assess the skin surrounding the wound for maceration
d. Obtain a culture of the wound drainage. - answer>>a. Observe the wound for dehiscence
A nurse is conducting a physical assessment of a young adult. Which information provides the
best indication of the individual nutritional status?
a. A 24-hour diet history
b. History of a recent weight loss
c. Status of current petite
d. Condition of hair, nails, and skin - answer>>d. Condition of hair, nails, and skin
Rationale: The assessment of hair, nails and skin is most indicative of long-term nutritional
status, which is important in the healing process.
The nurse is assigned to care for clients on a medical unit. Based on the notes taken during the
shift report, which client situation warrants the nurse's immediate attention?
,a. A young adult with Crohn's disease who reports having diarrheal stools
b. An older adult with type 2 diabetes whose breakfast tray arrives 20 minutes late.
c. A 10-year-old who is receiving chemotherapy and the infusion pump is beeping.
d. A teenager who reports continued pain 30 minutes after receiving an oral analgesic. -
answer>>c. A 10-year-old who is receiving chemotherapy and the infusion pump is beeping
Rationale: The nurse should immediately assess the child whose infusion pump is alarming
during chemotherapy administration because infiltration of a caustic agent can cause tissue
damage and children are at greater risk for fluid volume imbalance. Diarrhea is a common
occurrence for Crohn's disease. Late consumption of food for a diabetic is of concern, but 20
minutes late is usually not life-threatening. Treatment of pain is most important but has been
only 30 mints since the client was medicated and this issue can be assessed in 10 mints or
delegated to another nurse.
The nurse is preparing to administer an infusion of amino acid-dextrose total parenteral
nutrition (TPN) through a central venous catheter (CVC) line. Which action should the nurse
implement first?
a. Attached de IV tubing to the central line.
b. Check the TPN solution for cloudiness
c. Set the infusion PUMP at the prescribed rate.
d. Prime the IV tubing with the TPN solution. - answer>>b. Check the TPN solution for cloudiness
On a busy day, one hour after the shift report is completed, the charge nurse learns that a
female staff nurse who lives one hour away from the hospital forgot her prescription eye glasses
at home. What action should the charge nurse take?
a. Encourage the nurse purchase the reading glasses in the hospital gift shop
b. Request another nurse to assist the staff nurse with her documentation
c. Ask the nurse to return home and get her prescription eyeglasses for work.
d. Tell the staff nurse to take a day off and change her weekly work schedule. - answer>>c. Ask
the nurse to return home and get her prescription eyeglasses for work
, A newly admitted client vomits into an emesis basin as seen in the picture. The nurse should
consult with the healthcare provider before administering which of the client's prescribed
medications?
a. Clopidogrel (Plavix), an antiplatelet agent, given orally
b. Methylprednisolone (solu-medrol), a corticosteroid, to be given IV
c. Nitroglycerin (Nitro-Dur) an antianginal, to be given transdermally.
d. Enoxaparin (lovenox), a low-molecular weight heparin to be given subcutaneous.
e. Furosemide (Lasix), a loop diuretic, to be given intravenously. - answer>>a. Clopidogrel
(Plavix), an antiplatelet agent, given orally
Rationale: Because of the emesis is coffee brown appearance, which is an indicator of bleeding
in GI tract, the nurse should consult the health care provider because increase the risk of
bleeding.
A client diagnosed with bipolar disorder is going home on a week-end pass. Which suggestions
should give the client's family to help them prepare for the visit?
1. Discuss the importance of continuing the usual at-home activities
2. Encourage the family to plan daily activities to keep the client busy
3. Have friends and family visit the client at a welcome party.
4. Instruct family to monitor the client's choice of television programs. - answer>>1. Discuss the
importance of continuing the usual at-home activities
Rationale: Week-end pass are schedules to help the client ease back into the family's routine, so
the client can back to normal activities.
When five family members arrive at the hospital, they all begin asking the nurse questions
regarding the prognosis of their critically ill mother. What intervention should the nurse
implement first?
a. Include the family in client's care
