Page 1 of 87
“HESI 799 RN EXIT EXAM 1 2025 “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE| ALREADY PASSED!!
An adult male who lives alone is brought to the Emergency Department by his
daughter who is unresponsive. Initial assessment indicated that the client has
minimal respiratory effort, and his pupils are fixed and dilated. At the
daughter's request, the client is intubated and... Which nursing intervention
has the highest priority?
a. Offer to notify the client's minister of his condition.
b. Determine if the client has an executed living will
c. Provide the family with information about palliative care
d. Explore the possibility of organ donation with the family.
b. Determine if the client has an executed living will
Rationale: Once the client is intubated and ventilated, emergency intervention should
continue until patient t be stable check if the client has an executed living will.
The nurse determines that a client's pupils constricts as they change focus
from a far object. What documentation should the nurse enter about this
finding?
a. Pupils reactive to accommodation
b. Nystagmus present with pupillary focus.
c. Peripheral vision intact
d. Consensual pupillary constriction present
a. Pupils reactive to accommodation
Which nursing intervention has the highest priority for a multigravida who
delivered?
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a. Maintain cold packs to the perineum for 24 hrs.
b. Assess the client pain level frequently
c. Observe for appropriate interaction with the infants.
d. Assess fundal tone and lochia flow
b. Assess fundal tone and lochia flow
Rationale D is the priority intervention because is a multigravida and this pregnancy
predisposes the client to uterine atony which could result in hemorrhage.
A client who had a gestational trophoblastic disease (GTD) evacuated 2 days
ago is being...18 months-old child and lives in a rural area. Her husband takes
the family car to work daily...transportation during the day. What intervention
is most important for the nurse to implement?
a. Teach a client amount the use of a home pregnancy test.
b. Schedule a weekly home visit to draw hCG values.
c. Make a 5 week follow- up with healthcare provider
d. Begin chemotherapy administration during the first home visit
b. Schedule a weekly home visit to draw hCG values
Rationale: To monitor for development of choriocarcinoma, a complication TD, level
of hCG should be monitor for negative results.
A newly graduated female staff nurse approaches the nurse manager and
request reassignment to another client because a male client is asking her for
a date and making suggestive comments. Which response is best for the
nurse manager to provide?
a. I have to call the supervisor to get someone else to transfer to this unit to
care for him.
b. I know you are good nurse and can handle this client in a professional
manner.
c. I'll talked to the client about his sexual harassment and I'll insist that he stop
it immediately.
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d. I'll change your assignment, but let's talk about how a nurse should respond
to this kind of client.
d. I'll change your assignment, but let's talk about how a nurse should respond to this
kind of client.
After removing a left femoral arterial sheath, which assessment findings
warrant immediate interventions by the nurse? (Select all that applied.)
a- Tenderness over insertion
b- Unrelieved back and flank pain.
c- Cool and pale left leg and foot.
d- Left groin egg-size hematoma.
e- Quarter size red drainage at site.
b- Unrelieved back and flank pain.
c- Cool and pale left leg and foot.
d- Left groin egg-size hematoma.
Which instruction is most important for the nurse to provide a client who
receives a new plan of care to treat osteoporosis?
a. Begin a weight-bearing exercise plan
b. Increase intake of foods rich in calcium
c. Schedule a bone density tests every year.
d. Remain upright after taking the medication.
d. Remain upright after taking the medication
Rationale: Risendronate, causes reflux and esophageal erosion.
A newly hired home health care nurse is planning the initial visit to an adult
client who has had multiple sclerosis (MS) for the past 20 years and is
currently bed-bound and is lifted by a hoist. An unlicensed caregiver provides
care 8 hours/ daily, 5 days/week. During the initial visit to this client, which
intervention is most important to the nurse to implement?
a. Determine how the client is cared for when caregiver is not present.
b. Develop a client needs assessment and review with the caregiver
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c. Evaluate the caregiver's ability to care for the client's needs.
d. Review with the care giver the interventions provided each day.
a. Determine how the client is cared for when caregiver is not present
A client with urticaria due to an environmental allergies is taking
diphenhydramine... Which complaint should the nurse identify to the client as
a side effect of the OTC medication?
a. Nausea and indigestion.
b. Hyper salivation
c. Eyelid and facial twitching
d. Increased appetite
a. Nausea and indigestion.
In caring for a client with a PCA infusion of morphine sulfate through the right
cephalic vein, The nurse assesses that the client is lethargic with a blood
pressure of 90/60, pulse rate of 118 beats per minute, and respiratory rate of 8
breaths per minutes. What assessment should the nurse perform next?
a. Note the appearance and patency of the client's peripheral IV site.
b. Palpate the volume of the client's right radial pulse
c. Auscultate the client's breath sounds bilaterally.
d. Observe the amount and dose of morphine in the PCA pump syringe.
d. Observe the amount and dose of morphine in the PCA pump syringe
A male client is having abdominal pain after a left femoral angioplasty and
stent, and is asking for additional pain medication for right lower quadrant
pain (9/10), two hours ago, he received hydrocodone / acetaminophen 7.5/7.50
mg his vital signs are elevated from reading of a previous hour: temperature
97.8 F, heart rate 102 beats / minute, respiration 20 breaths/minutes. His
abdomen is swollen, the groin access site is tender, peripheral pulses are
present, but left is greater than right. Preoperatively, clopidrogel was
prescribed for a history of previous peripheral stents. Another nurse is holding
manual pressure on the femoral arterial access site which may be leaking into
the abdomen. What data is needed to make this report complete?
a. Client's lungs are clear bilaterally and oxygen saturation is 97%
“HESI 799 RN EXIT EXAM 1 2025 “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE| ALREADY PASSED!!
An adult male who lives alone is brought to the Emergency Department by his
daughter who is unresponsive. Initial assessment indicated that the client has
minimal respiratory effort, and his pupils are fixed and dilated. At the
daughter's request, the client is intubated and... Which nursing intervention
has the highest priority?
a. Offer to notify the client's minister of his condition.
b. Determine if the client has an executed living will
c. Provide the family with information about palliative care
d. Explore the possibility of organ donation with the family.
b. Determine if the client has an executed living will
Rationale: Once the client is intubated and ventilated, emergency intervention should
continue until patient t be stable check if the client has an executed living will.
The nurse determines that a client's pupils constricts as they change focus
from a far object. What documentation should the nurse enter about this
finding?
a. Pupils reactive to accommodation
b. Nystagmus present with pupillary focus.
c. Peripheral vision intact
d. Consensual pupillary constriction present
a. Pupils reactive to accommodation
Which nursing intervention has the highest priority for a multigravida who
delivered?
, Page 2 of 87
a. Maintain cold packs to the perineum for 24 hrs.
b. Assess the client pain level frequently
c. Observe for appropriate interaction with the infants.
d. Assess fundal tone and lochia flow
b. Assess fundal tone and lochia flow
Rationale D is the priority intervention because is a multigravida and this pregnancy
predisposes the client to uterine atony which could result in hemorrhage.
A client who had a gestational trophoblastic disease (GTD) evacuated 2 days
ago is being...18 months-old child and lives in a rural area. Her husband takes
the family car to work daily...transportation during the day. What intervention
is most important for the nurse to implement?
a. Teach a client amount the use of a home pregnancy test.
b. Schedule a weekly home visit to draw hCG values.
c. Make a 5 week follow- up with healthcare provider
d. Begin chemotherapy administration during the first home visit
b. Schedule a weekly home visit to draw hCG values
Rationale: To monitor for development of choriocarcinoma, a complication TD, level
of hCG should be monitor for negative results.
A newly graduated female staff nurse approaches the nurse manager and
request reassignment to another client because a male client is asking her for
a date and making suggestive comments. Which response is best for the
nurse manager to provide?
a. I have to call the supervisor to get someone else to transfer to this unit to
care for him.
b. I know you are good nurse and can handle this client in a professional
manner.
c. I'll talked to the client about his sexual harassment and I'll insist that he stop
it immediately.
, Page 3 of 87
d. I'll change your assignment, but let's talk about how a nurse should respond
to this kind of client.
d. I'll change your assignment, but let's talk about how a nurse should respond to this
kind of client.
After removing a left femoral arterial sheath, which assessment findings
warrant immediate interventions by the nurse? (Select all that applied.)
a- Tenderness over insertion
b- Unrelieved back and flank pain.
c- Cool and pale left leg and foot.
d- Left groin egg-size hematoma.
e- Quarter size red drainage at site.
b- Unrelieved back and flank pain.
c- Cool and pale left leg and foot.
d- Left groin egg-size hematoma.
Which instruction is most important for the nurse to provide a client who
receives a new plan of care to treat osteoporosis?
a. Begin a weight-bearing exercise plan
b. Increase intake of foods rich in calcium
c. Schedule a bone density tests every year.
d. Remain upright after taking the medication.
d. Remain upright after taking the medication
Rationale: Risendronate, causes reflux and esophageal erosion.
A newly hired home health care nurse is planning the initial visit to an adult
client who has had multiple sclerosis (MS) for the past 20 years and is
currently bed-bound and is lifted by a hoist. An unlicensed caregiver provides
care 8 hours/ daily, 5 days/week. During the initial visit to this client, which
intervention is most important to the nurse to implement?
a. Determine how the client is cared for when caregiver is not present.
b. Develop a client needs assessment and review with the caregiver
, Page 4 of 87
c. Evaluate the caregiver's ability to care for the client's needs.
d. Review with the care giver the interventions provided each day.
a. Determine how the client is cared for when caregiver is not present
A client with urticaria due to an environmental allergies is taking
diphenhydramine... Which complaint should the nurse identify to the client as
a side effect of the OTC medication?
a. Nausea and indigestion.
b. Hyper salivation
c. Eyelid and facial twitching
d. Increased appetite
a. Nausea and indigestion.
In caring for a client with a PCA infusion of morphine sulfate through the right
cephalic vein, The nurse assesses that the client is lethargic with a blood
pressure of 90/60, pulse rate of 118 beats per minute, and respiratory rate of 8
breaths per minutes. What assessment should the nurse perform next?
a. Note the appearance and patency of the client's peripheral IV site.
b. Palpate the volume of the client's right radial pulse
c. Auscultate the client's breath sounds bilaterally.
d. Observe the amount and dose of morphine in the PCA pump syringe.
d. Observe the amount and dose of morphine in the PCA pump syringe
A male client is having abdominal pain after a left femoral angioplasty and
stent, and is asking for additional pain medication for right lower quadrant
pain (9/10), two hours ago, he received hydrocodone / acetaminophen 7.5/7.50
mg his vital signs are elevated from reading of a previous hour: temperature
97.8 F, heart rate 102 beats / minute, respiration 20 breaths/minutes. His
abdomen is swollen, the groin access site is tender, peripheral pulses are
present, but left is greater than right. Preoperatively, clopidrogel was
prescribed for a history of previous peripheral stents. Another nurse is holding
manual pressure on the femoral arterial access site which may be leaking into
the abdomen. What data is needed to make this report complete?
a. Client's lungs are clear bilaterally and oxygen saturation is 97%
