EXIT HESI 700-799 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

EXIT HESI 700-799 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
DuringUtheUinfusionUofUaUsecondUunitUofUpackedUredUbloodUcells,UtheUclient'sUtemperature

increasesUfromU99UtoU101.6Uf.UwhichUinterventionUshouldUtheUnurseUimplement?U-
UANSWERUStopUtheUtransfusionUstartUaUsaline




AnUelderlyUfemaleUclientUwithUosteoarthritisUreportsUincreasingUpainUandUstiffnessUinUher

rightUkneeUandUasksUhowUtoUreduceUtheseUsymptoms.UInUrespondingUtoUtheUclient,UtheUnurse

recognizesUwhatUpathologyUasUtheUcauseUofUherUsymptoms?U-UANSWERUDestructionUofUjointUcartilage.



WhenUcaringUforUaUclientUwithUtraumaticUbrainUinjuryU(TBI)UwhoUhadUaUcraniotomyUfor

increasedUintracranialUpressureU(ICP),UtheUnurseUassessesUtheUclientUusingUtheUGlasgowUcoma

scaleU(GCS)UeveryUtwoUhours.UForUtheUpastU8UhoursUtheUclient'sUGCSUscoreUhasUbeenU14.UWhatUdoes

thisUGCSUfindingUindicate?U-UANSWERUNeurologicallyUstableUwithoutUindicationsUofUanUincreasedUICP



AU46-year-oldUmaleUclientUwhoUhadUaUmyocardialUinfarctionU24-hoursUagoUcomesUtoUthe

nurse'sUstationUfullyUdressedUandUwantingUtoUgoUhome.UHeUtellsUtheUnurseUthatUheUisUfeelingUmuch

betterUatUthisUtime.UBasedUonUthisUbehavior,UwhichUnursingUproblemUshouldUtheUnurseUformulate?U-
UANSWERUIneffectiveUcopingUrelatedUtoUdenial




InUassessingUaUclientU48UhoursUfollowingUaUfracture,UtheUnurseUobservesUecchymosisUatUthe

fractureUsite,UandUrecognizesUthatUhematomaUformationUatUtheUboneUfragmentUsiteUhasUoccurred.

WhatUactionUshouldUtheUnurseUimplement?U-
UANSWERU•UDocumentUtheUextendUofUtheUbruisingUinUtheUmedicalUrecord




AUclientUisUadmittedUforUcellulitisUsurroundingUanUinsectUbiteUonUtheUlower,UrightUarmUand

intravenousU(IV)UantibioticUtherapyUisUprescribed.UWhichUactionUshouldUtheUnurseUimplement

beforeUperformingUvenipuncture?U-UANSWERU•ULowerUtheUleftUarmUbelowUtheUlevelUofUtheUheart

,WhichUassessmentUfindingUofUaUpostmenopausalUwomanUnecessitatesUaUreferralUbyUthe

nurseUtoUtheUhealthcareUproviderUforUevaluationUofUthyroidUfunctioning?U-UANSWERU•UColdUsensitivity



AUclientUwithUhyperthyroidismUisUadmittedUtoUtheUpostoperativeUafterUsubtotal

thyroidectomy.UWhichUofUtheUclient'sUserumUlaboratoryUvaluesUrequiresUinterventionUby

theUnurse?U-UANSWERU•UTotalUcalciumU5.0Umg/dl



AUfemaleUclientUonUtheUmentalUhealthUunitUfrequentlyUasksUtheUnurseUwhenUsheUcan

beUdischarged.UThen,UbecomingUmoreUanxious,UsheUbeginsUtoUpaceUtheUhallway.UWhat

interventionUisUimplementedUfirst?U-
UANSWERU•UExploreUtheUclient'sUreasonsUforUwantingUtoUbeUdischarged.




TheUnurseUisUassessingUaUprimigravidaUaU39-weeksUgestationUduringUaUweeklyUprenatalUvisit.

WhichUfindingUisUmostUimportantUforUtheUnurseUtoUreportUtoUtheUhealthcareUprovider?U-
UANSWERU•UFetalUheartUrateUofU200Ubeats/minute




AUfemaleUclientUreceivesUaUprescriptionUforUalendronateUsodiumU(Fosamax)UtoUtreatUher

newlyUdiagnoseUosteoporosis.UWhatUinstructionUshouldUtheUnurseUincludeUinUtheUclient's

teachingUplan?U-UANSWERU•UTakeUonUanUemptyUstomachUwithUaUfullUglassUofUwater



TheUnurseUisUassessingUaUfemaleUclient'sUBPUb/cUsheUreportedUfeelingUdizzy.UTheUblood

pressureUcuffUisUinflatedUtoU140UmmUhgUandUasUsoonUasUtheUcuffUisUdeflated,UaUknockoff

soundUisUheard.UBestUintervention?U-
UANSWERU•UWaitU1UminuteUandUpalpateUtheUsystolicUpressureUbeforeUauscultatingUagain.




AfterUadministeringUaUprotonUpumpUinhibitorU(PPI),UwhichUactionUshouldUtheUnurseUtakeUto

evaluateUtheUeffectivenessUofUtheUmedication?U-UANSWERU•UAskUtheUclientUaboutUgastrointestinalUpain



ToUreduceUstaffUnurseUroleUambiguity,UwhichUstrategyUshouldUtheUnurse-manager

, implement?U-
UANSWERU•UReviewUtheUstaffUnurseUjobUdescriptionUtoUensureUthatUitUisUclear,Uaccurate,UandUcurrent




AUclientUwithUpneumoniaUhasUarterialUbloodUgasesUlevelsUat:UPHU7.33;UPaCO2U49Umm/hg;

HCO3U25UmEq/L;UPaO2U95.UWhatUinterventionUshouldUtheUnurseUimplementUbasedUon

theseUresults?U-UANSWERU•UInstituteUcoughingUandUdeepUbreathingUprotocols



TheUhealthcareUproviderUexplainsUthroughUanUinterpreterUtheUrisksUandUbenefitsUofUa

scheduledUsurgicalUprocedureUtoUaUnon-EnglishUspeakingUfemaleUclient.UTheUclientUgivesUverbal

consentUandUtheUhealthcareUproviderUleaves,UinstructingUtheUnurseUtoUwitnessUtheUsignatureUon

theUconsentUform.UTheUclientUandUtheUinterpreterUthenUspeakUtogetherUinUtheUforeignUlanguage

forUanUadditionalU2UminutesUuntilUtheUinterpreterUconcludes,U"SheUsaysUitUisUOK."UWhatUaction

shouldUtheUnurseUtakeUnext?U-
UANSWERU•UAskUforUaUfullUexplanationUfromUtheUinterpreterUofUtheUwitnessedUdiscussion




WhileUassistingUaUmaleUclientUwhoUhasUmuscularUdystrophyU(MD)UtoUtheUbathroom,UtheUnurseUobservesUt
hatUheUisUawkwardUandUclumsy.UWhenUheUexpressesUhisUfrustrationUandUcomplainsUofUhipUdiscomfort,Uwh
ichUinterventionUshouldUtheUnurseUimplement?U-UANSWERU•UPlaceUaUportableUtoiletUnextUtoUtheUbed



AUclientUwithUhyperthyroidismUwhoUhasUnotUbeenUresponsiveUtoUmedicationsUisUadmitted

forUevaluation.UWhatUactionUshouldUtheUnurseUimplement?U-UANSWERU•NotifyUtheUhealthcareUprovider



WhileUtakingUvitalUsigns,UaUcriticallyUillUmaleUclientUgrabsUtheUnurse'sUhandUandUaskUtheUnurse

notUtoUleave.UWhatUactionUisUbestUforUtheUnurseUtoUtake?U-
UANSWERU•UPullUupUaUchairUandUsitUbesideUtheUclient'sUbed




TheUpracticalUnurseU(PN)UisUassignedUtoUworkUwithUthreeUregisteredUnursesU(RN)UwhoUare

caringUforUneurologicallyUcompromisedUclients.UTheUclientUwithUwhichUchangeUinUstatusUisUbest

toUassignUtoUtheUPN?U-UANSWERU•UViralUmeningitisUwhoseUtemperatureUchangedUfromU101UFUtoU102UF.