HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A male client notifies the nurse that he feels short of breath and has chest
pressure radiating down his left arm. A STAT 12-lead electrocardiogram (ECG)
is obtained and shows ST segment elevation in leads II, II, aVF and V4R. The
nurse collects blood samples and gives a normal saline bolus. What action is
most important for the nurse to implement?
a- Obtain the results for STAT serum cardiac biomarkers
b- Asses for contraindications for thrombolytic therapy
c- Measure ST-segment height and waveform changes.
d- Transfer for percutaneous coronary intervention (PCI) - CORRECT
ANSWERS b. Asses for contraindications for thrombolytic therapy.
Rationale: ST segment elevation myocardial infarction (STEMI) usually occurs
with complete occlusion of an epicardial coronary artery which requires early
reperfusion therapy. Screening the client for fibrinolytic therapy (B) is most
important to determine PCI option for rapid reperfusion. If the client is not a
candidate for fibrinolytic therapy, then transfer to a PCI unit or facility is
indicated. Reperfusion therapy should be delayed in STEMI (A). (C) is of
significant concern in ECG interpretation with ST-segment depression, not
STEMI
An IV antibiotic is prescribed for a client with a postoperative infection. The
medication is to be administered in 4 divided doses. What schedule is best for
administering this prescription?
a. 1000, 1600, 2200, 0400 - CORRECT ANSWERS 1000, 1600, 2200, 0400
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A client is receiving continuous bladder irrigation via a triple-lumen
suprapubic catheter that was placed during prostatectomy. Which report by
the unlicensed assistive personnel (UAP) requires intervention by the nurse?
a. Leakage around catheter insertion site - CORRECT ANSWERS Leakage
around catheter insertion site
A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings
require immediate action by the nurse? (Select all that apply.)
A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
D. Skin hyperpigmentation.
E. Irregular heart beat. - CORRECT ANSWERS A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
E. Irregular heart beat.
Rationale: (A, B, C, and E) are correct. Addison's crisis results from an acute
lack of adrenal cortical hormones. Headache and tremors (A), as well as pallor
and diaphoresis (C) may indicate significant hypoglycemia. Hypotension (B)
with pale, diaphoretic skin (C) are indicative of progressing signs of life-
threatening shock that also require immediate nursing intervention. An
irregular heart rate (E) may be the result of hyperkalemia and also requires
immediate intervention. (D) is consistent with chronic secondary adrenal
insufficiency and does not require immediate nursing intervention.
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A client with rapid respirations and audible rhonchi is admitted to the
intensive care unit because of a pulmonary embolism (PE). Low-flow oxygen
by nasal cannula and weight based heparin protocol is initiated. Which
intervention is most important for the nurse to include in this client's plan of
care?
a. Evaluate daily blood clotting factors. - CORRECT ANSWERS Evaluate daily
blood clotting factors.
The nurse enters a client's room to administer scheduled daily medications
and observes the client leaning forward and using pursed lip breathing. Which
action is most important for the nurse to implement first?
a. Evaluate the oxygen saturation - CORRECT ANSWERS Evaluate the oxygen
saturation
During a clinic visit, a client with a kidney transplant ask, "What will happen if
chronic rejection develops?" which response is best for the nurse to provide?
a. Dialysis would need to be resumed if chronic rejection becomes a reality -
CORRECT ANSWERS Dialysis would need to be resumed if chronic rejection
becomes a reality
The nurse enters a client's room and observe the unlicensed assistive
personnel (UAP) making an occupied bed as seen in the picture. What action
should the nurse take first?
, HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
a. Place the side rails in an up position - CORRECT ANSWERS Place the side
rails in an up position
A client with bleeding esophageal varices receives vasopressin (Pitressin) IV.
What should the nurse monitor for during the IV infusion of this medication?
a. Chest pain and dysrhythmia - CORRECT ANSWERS Chest pain and
dysrhythmia
A nurse plans to call the healthcare provider to report an 0600 serum
potassium level of 2 mEq/L or mmol/L (SI), but the charge nurse tells the
nurse that the healthcare provider does not like to receive early morning calls
and will make rounds later in the morning. What action should the nurse
make?
a. Contact the healthcare provider immediately to report the laboratory value
regardless of the advice - CORRECT ANSWERS Contact the healthcare provider
immediately to report the laboratory value regardless of the advice
A male client with cancer who has lost 10 pounds during the last months tells
the nurse that beef, chicken, and eggs, which used to be his favorite foods, now
they taste "bitter". He complains that he simply has no appetite. What action
should the nurse implement?
a. Suggest the use of alternative sources of protein such as dairy products and
nuts - CORRECT ANSWERS Suggest the use of alternative sources of protein
such as dairy products and nuts
and Answers 2024/2025 RANKED A+
A male client notifies the nurse that he feels short of breath and has chest
pressure radiating down his left arm. A STAT 12-lead electrocardiogram (ECG)
is obtained and shows ST segment elevation in leads II, II, aVF and V4R. The
nurse collects blood samples and gives a normal saline bolus. What action is
most important for the nurse to implement?
a- Obtain the results for STAT serum cardiac biomarkers
b- Asses for contraindications for thrombolytic therapy
c- Measure ST-segment height and waveform changes.
d- Transfer for percutaneous coronary intervention (PCI) - CORRECT
ANSWERS b. Asses for contraindications for thrombolytic therapy.
Rationale: ST segment elevation myocardial infarction (STEMI) usually occurs
with complete occlusion of an epicardial coronary artery which requires early
reperfusion therapy. Screening the client for fibrinolytic therapy (B) is most
important to determine PCI option for rapid reperfusion. If the client is not a
candidate for fibrinolytic therapy, then transfer to a PCI unit or facility is
indicated. Reperfusion therapy should be delayed in STEMI (A). (C) is of
significant concern in ECG interpretation with ST-segment depression, not
STEMI
An IV antibiotic is prescribed for a client with a postoperative infection. The
medication is to be administered in 4 divided doses. What schedule is best for
administering this prescription?
a. 1000, 1600, 2200, 0400 - CORRECT ANSWERS 1000, 1600, 2200, 0400
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A client is receiving continuous bladder irrigation via a triple-lumen
suprapubic catheter that was placed during prostatectomy. Which report by
the unlicensed assistive personnel (UAP) requires intervention by the nurse?
a. Leakage around catheter insertion site - CORRECT ANSWERS Leakage
around catheter insertion site
A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings
require immediate action by the nurse? (Select all that apply.)
A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
D. Skin hyperpigmentation.
E. Irregular heart beat. - CORRECT ANSWERS A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
E. Irregular heart beat.
Rationale: (A, B, C, and E) are correct. Addison's crisis results from an acute
lack of adrenal cortical hormones. Headache and tremors (A), as well as pallor
and diaphoresis (C) may indicate significant hypoglycemia. Hypotension (B)
with pale, diaphoretic skin (C) are indicative of progressing signs of life-
threatening shock that also require immediate nursing intervention. An
irregular heart rate (E) may be the result of hyperkalemia and also requires
immediate intervention. (D) is consistent with chronic secondary adrenal
insufficiency and does not require immediate nursing intervention.
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A client with rapid respirations and audible rhonchi is admitted to the
intensive care unit because of a pulmonary embolism (PE). Low-flow oxygen
by nasal cannula and weight based heparin protocol is initiated. Which
intervention is most important for the nurse to include in this client's plan of
care?
a. Evaluate daily blood clotting factors. - CORRECT ANSWERS Evaluate daily
blood clotting factors.
The nurse enters a client's room to administer scheduled daily medications
and observes the client leaning forward and using pursed lip breathing. Which
action is most important for the nurse to implement first?
a. Evaluate the oxygen saturation - CORRECT ANSWERS Evaluate the oxygen
saturation
During a clinic visit, a client with a kidney transplant ask, "What will happen if
chronic rejection develops?" which response is best for the nurse to provide?
a. Dialysis would need to be resumed if chronic rejection becomes a reality -
CORRECT ANSWERS Dialysis would need to be resumed if chronic rejection
becomes a reality
The nurse enters a client's room and observe the unlicensed assistive
personnel (UAP) making an occupied bed as seen in the picture. What action
should the nurse take first?
, HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
a. Place the side rails in an up position - CORRECT ANSWERS Place the side
rails in an up position
A client with bleeding esophageal varices receives vasopressin (Pitressin) IV.
What should the nurse monitor for during the IV infusion of this medication?
a. Chest pain and dysrhythmia - CORRECT ANSWERS Chest pain and
dysrhythmia
A nurse plans to call the healthcare provider to report an 0600 serum
potassium level of 2 mEq/L or mmol/L (SI), but the charge nurse tells the
nurse that the healthcare provider does not like to receive early morning calls
and will make rounds later in the morning. What action should the nurse
make?
a. Contact the healthcare provider immediately to report the laboratory value
regardless of the advice - CORRECT ANSWERS Contact the healthcare provider
immediately to report the laboratory value regardless of the advice
A male client with cancer who has lost 10 pounds during the last months tells
the nurse that beef, chicken, and eggs, which used to be his favorite foods, now
they taste "bitter". He complains that he simply has no appetite. What action
should the nurse implement?
a. Suggest the use of alternative sources of protein such as dairy products and
nuts - CORRECT ANSWERS Suggest the use of alternative sources of protein
such as dairy products and nuts
