1
HESI 799
HESI 799 RN Exit Exam Questions with
Correct Verified Answers Latest Update
(2025/2026) Guaranteed Pass
1. An Unna boot is applied to a client with a venous stasis ulcer.
One week later, when the Unna boot is removed during a follow-
up appointment, the nurse observes that the ulcer site contains
bright red tissue. What action should the nurse take in response
to this finding?
a. Immediately apply a pressure dressing
b. Document the ongoing wound healing.
c. Irrigate the wound with sterile saline
d. Obtain a capillary INR, measurement: Document the ongoing
wound healing
Rationale: Appearance of granulation tissue is the best indicator of
increased venous retuns and ongoing wound healing
HESI 799
, 2
HESI 799
2. At the end of a preoperative teaching session on pain
management techniques, a client starts to cry and states, "I just
know I can't handle all the pain." What is the priority nursing
diagnosis for this client?
a. Knowledge deficit
b. Anxiety
c. Anticipatory grieving
d. Pain (acute): anxiety
Rationale: The client is demonstrating only anxiety. There is no
indication that the client is presenting signs of A, C or D
3. The nurse note a visible prolapse of the umbilical cord after a
client experiences spontaneous rupture of the membranes during
labor. What intervention should the nurse implement
immediately?
a. Administer oxygen by face mask at 6L/mint
b. Transport the client for a cesarean delivery
c. Elevate the presenting part off the cord.
HESI 799
, 3
HESI 799
d. Place the client to a knee-chest position.: Elevate the presenting
part off the cord
Rationale: The nurse should immediately elevate the presenting part
off the cord because when the cord prolapses, the presenting part
applies pressure to the cord, especially during each contraction, and
reduces perfusion to the fetus. A can be delayed until pressure is
removed from the cord. B and D are important but do not have priority.
4. A client who had a right hip replacement 3 day ago is pale has
diminished breath sound over the left lower lung fields, a
temperature of 100.2 F, and an oxygen saturation rate of 90%. The
client is scheduled to be transferred to a skilled nursing facility
(SNF) tomorrow for rehabilitative critical pathway. Based on the
client's symptoms, what recommendation should the nurse give
the healthcare provider?
a. Reassess readiness for SNF transfer.
b. Obtain specimens for culture analysis
c. Confer with family about home care plans
HESI 799
, 4
HESI 799
d. Arrange physical therapy for strengthening.: Reassess
readiness for SNF transfer.
Rationale: Based on the client's symptoms, reassessing the client's
readiness for rehabilitation in the SNF is critical
5. A client who is newly diagnosed with type 2 diabetes mellitus
(DM) receives a prescription for metformin (Glucophage) 500 mg
PO twice daily. What information should the nurse include in this
client's teaching plan? (Select all that apply.)
a. Take an additional dose for signs of hyperglycemia
b. Recognize signs and symptoms of hypoglycemia.
c. Report persistent polyuria to the healthcare provider.
d. Use sliding scale insulin for finger stick glucose elevation.
e. Take Glucophage with the morning and evening meal.: b.
Recognize signs and symptoms of hypoglycemia.
c. Report persistent polyuria to the healthcare provider.
e. Take Glucophage with the morning and evening meal.
HESI 799
HESI 799
HESI 799 RN Exit Exam Questions with
Correct Verified Answers Latest Update
(2025/2026) Guaranteed Pass
1. An Unna boot is applied to a client with a venous stasis ulcer.
One week later, when the Unna boot is removed during a follow-
up appointment, the nurse observes that the ulcer site contains
bright red tissue. What action should the nurse take in response
to this finding?
a. Immediately apply a pressure dressing
b. Document the ongoing wound healing.
c. Irrigate the wound with sterile saline
d. Obtain a capillary INR, measurement: Document the ongoing
wound healing
Rationale: Appearance of granulation tissue is the best indicator of
increased venous retuns and ongoing wound healing
HESI 799
, 2
HESI 799
2. At the end of a preoperative teaching session on pain
management techniques, a client starts to cry and states, "I just
know I can't handle all the pain." What is the priority nursing
diagnosis for this client?
a. Knowledge deficit
b. Anxiety
c. Anticipatory grieving
d. Pain (acute): anxiety
Rationale: The client is demonstrating only anxiety. There is no
indication that the client is presenting signs of A, C or D
3. The nurse note a visible prolapse of the umbilical cord after a
client experiences spontaneous rupture of the membranes during
labor. What intervention should the nurse implement
immediately?
a. Administer oxygen by face mask at 6L/mint
b. Transport the client for a cesarean delivery
c. Elevate the presenting part off the cord.
HESI 799
, 3
HESI 799
d. Place the client to a knee-chest position.: Elevate the presenting
part off the cord
Rationale: The nurse should immediately elevate the presenting part
off the cord because when the cord prolapses, the presenting part
applies pressure to the cord, especially during each contraction, and
reduces perfusion to the fetus. A can be delayed until pressure is
removed from the cord. B and D are important but do not have priority.
4. A client who had a right hip replacement 3 day ago is pale has
diminished breath sound over the left lower lung fields, a
temperature of 100.2 F, and an oxygen saturation rate of 90%. The
client is scheduled to be transferred to a skilled nursing facility
(SNF) tomorrow for rehabilitative critical pathway. Based on the
client's symptoms, what recommendation should the nurse give
the healthcare provider?
a. Reassess readiness for SNF transfer.
b. Obtain specimens for culture analysis
c. Confer with family about home care plans
HESI 799
, 4
HESI 799
d. Arrange physical therapy for strengthening.: Reassess
readiness for SNF transfer.
Rationale: Based on the client's symptoms, reassessing the client's
readiness for rehabilitation in the SNF is critical
5. A client who is newly diagnosed with type 2 diabetes mellitus
(DM) receives a prescription for metformin (Glucophage) 500 mg
PO twice daily. What information should the nurse include in this
client's teaching plan? (Select all that apply.)
a. Take an additional dose for signs of hyperglycemia
b. Recognize signs and symptoms of hypoglycemia.
c. Report persistent polyuria to the healthcare provider.
d. Use sliding scale insulin for finger stick glucose elevation.
e. Take Glucophage with the morning and evening meal.: b.
Recognize signs and symptoms of hypoglycemia.
c. Report persistent polyuria to the healthcare provider.
e. Take Glucophage with the morning and evening meal.
HESI 799
