Page 1 of 101
“HESI 799 RN EXIT EXAM 2025 “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE| ALREADY PASSED!!
HESI 799 RN Exit Exam
A mother brings her 3-year-old son to the emergency room and tells the nurse
the he has had an upper respiratory infection for the past two days.
Assessment of the child reveals a rectal temperature of 102 F. he is drooling
and becoming increasingly more restless. What action should the nurse take
first?
a. Put a cold cloth on his head and administer acetaminophen.
b. Listen to lung sounds and place him in a mist tent.
c. Notify the healthcare provider and obtain a tracheostomy tray
d. Assist the child to lie down and examine his throat.
Notify the healthcare provider and obtain a tracheostomy tray
Rationale: This child exhibiting signs and symptoms of epiglottitis, a bacterial
infection causing acute airway obstruction, so is the immediate action to take.
After receiving the first dose of penicillin, the client begins wheezing and has
trouble breathing. The nurse notifies the healthcare provider immediately and
received several prescriptions. Which medication prescription should the
nurse administer first?
a. Epinephrine Injection, USP IV
b. Diphenhydramine IV
c. Albuterol (Ventolin) inhaler
d. Methylprednisolone IV
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Epinephrine Injection, USP IV
Rationale: Epinephrine should be administered immediately to open the airway and
raise the blood pressure by vasoconstricting the blood vessels. All other medications
should be administered after the epinephrine is given.
Two clients ring their call bells simultaneously requesting pain medication.
What action should the nurse implement first?
a. Prepared both client's medication and take to them at once
b. Determine when each client last received pain medication.
c. Evaluate both client's pain using a standardized pain scale
d. Provide non-pharmacologic pain management interventions.
Evaluate both client's pain using a standardized pain scale
Rationale: Before administering pain medication, each client' s level of pain should
be evaluated using a standardizing scale to determine what type and how much pain
medication the clients need.
A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at
bedtime. What action should the nurse take?
a. Provide a bedtime snack to be eaten before taking the medication.
b. Administer the medication as prescribed with a glass of water
c. Contact the prescriber about changing the time of administration.
d. Check the client's blood pressure prior to administering the med.
Administer the medication as prescribed with a glass of water
Rationale: Simvastatin (Zocor), a HMG co-enzyme A reductase inhibitor, interferes
with cholesterol synthesis pathway. Zocor can be taken at any time.
Which client should the nurse assess frequently because of the risk for
overflow incontinence? A client
a. Who is bedfast, with increased serum BUN and creatinine levels
b. Who is confused and frequently forgets to go to the bathroom
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c. With hematuria and decreasing hemoglobin and hematocrit levels
d. Who has a history of frequent urinary tract infections.
Who is confused and frequently forgets to go to the bathroom
Rationale: Overflow incontinence occurs when the bladder becomes overly
distended, which is common in the confused client (B) who does not remember to
empty his/her bladder.
While monitoring a client during a seizure, which interventions should the
nurse implement? (Select all that apply)
a. Move obstacle away from client
b. Monitor physical movements
c. Insert an oral padded tongue blade
d. Observe for a patent airway
e. Record the duration of the seizure
f. Restrain extremity to avoid seizures
a. Move obstacle away from client
b. Monitor physical movements
d. Observe for a patent airway
e. Record the duration of the seizure
Rationale: Moving this away from the client helps prevent to unnecessary injurie.
Observing for the pt airway alert the nurse to provide airway assistance as soon as
the seizure stop D and E provide the healthcare provider with an accurate
description of the seizure activities. C inserting something on the mouth can obstruct
may cause further airway obstruction and is contraindicated even if the client is biting
the tongue. F may cause further injury and is contraindicated.
A male client with a long history of alcoholism is admitted because of mild
confusion and fine motor tremors. He reports that he quit drinking alcohol and
stopped smoking cigarettes one month ago after his brother died of lung
cancer. Which intervention is most important for the nurses to include in the
client's plan of care?
a. Determine client's level current blood alcohol level.
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b. Observe for changes in level of consciousness.
c. Involve the client's family in healthcare decisions.
d. Provide grief counseling for client and his family.
b. Observe for changes in level of consciousness.
Rationale: Based on the client's history of drinking, he may be exhibiting sign of
hepatic involvement and encephalopathy. Changes in the client's level of
consciousness should be monitored to determine if he able to maintain
consciousness, so neurological assessment has the highest priority.
An older adult female admitted to the intensive care unit (ICU) with a possible
stroke is intubated with ventilator setting of tidal volume 600, PlO2 40%, and
respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after
intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To
normalize the client's ABG finding, which action is required?
a. Report the results to the healthcare provider.
b. Increase ventilator rate.
c. Administer a dose of sodium carbonate.
d. Decrease the flow rate of oxygen.
Increase ventilator rate.
Rationale: This client is experience respiratory acidosis. Increasing the ventilator rate
depletes CO2 a, which returns the PH toward normal. Report findings is important
but only after increasing ventilator rate
The mother of the 12- month-old with cystic fibrosis reports that her child is
experiencing increasing congestion despite the use of chest physical therapy
(CPT) twice a day, and has also experiences a loss of appetite. What
instruction should the nurse provide?
a. Perform CPT after meals to increase appetite and improve food intake.
b. CPT should be performed more frequently, but at least an hour before
meals.
c. Stop using CPT during the daytime until the child has regained an appetite.
“HESI 799 RN EXIT EXAM 2025 “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE| ALREADY PASSED!!
HESI 799 RN Exit Exam
A mother brings her 3-year-old son to the emergency room and tells the nurse
the he has had an upper respiratory infection for the past two days.
Assessment of the child reveals a rectal temperature of 102 F. he is drooling
and becoming increasingly more restless. What action should the nurse take
first?
a. Put a cold cloth on his head and administer acetaminophen.
b. Listen to lung sounds and place him in a mist tent.
c. Notify the healthcare provider and obtain a tracheostomy tray
d. Assist the child to lie down and examine his throat.
Notify the healthcare provider and obtain a tracheostomy tray
Rationale: This child exhibiting signs and symptoms of epiglottitis, a bacterial
infection causing acute airway obstruction, so is the immediate action to take.
After receiving the first dose of penicillin, the client begins wheezing and has
trouble breathing. The nurse notifies the healthcare provider immediately and
received several prescriptions. Which medication prescription should the
nurse administer first?
a. Epinephrine Injection, USP IV
b. Diphenhydramine IV
c. Albuterol (Ventolin) inhaler
d. Methylprednisolone IV
, Page 2 of 101
Epinephrine Injection, USP IV
Rationale: Epinephrine should be administered immediately to open the airway and
raise the blood pressure by vasoconstricting the blood vessels. All other medications
should be administered after the epinephrine is given.
Two clients ring their call bells simultaneously requesting pain medication.
What action should the nurse implement first?
a. Prepared both client's medication and take to them at once
b. Determine when each client last received pain medication.
c. Evaluate both client's pain using a standardized pain scale
d. Provide non-pharmacologic pain management interventions.
Evaluate both client's pain using a standardized pain scale
Rationale: Before administering pain medication, each client' s level of pain should
be evaluated using a standardizing scale to determine what type and how much pain
medication the clients need.
A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at
bedtime. What action should the nurse take?
a. Provide a bedtime snack to be eaten before taking the medication.
b. Administer the medication as prescribed with a glass of water
c. Contact the prescriber about changing the time of administration.
d. Check the client's blood pressure prior to administering the med.
Administer the medication as prescribed with a glass of water
Rationale: Simvastatin (Zocor), a HMG co-enzyme A reductase inhibitor, interferes
with cholesterol synthesis pathway. Zocor can be taken at any time.
Which client should the nurse assess frequently because of the risk for
overflow incontinence? A client
a. Who is bedfast, with increased serum BUN and creatinine levels
b. Who is confused and frequently forgets to go to the bathroom
, Page 3 of 101
c. With hematuria and decreasing hemoglobin and hematocrit levels
d. Who has a history of frequent urinary tract infections.
Who is confused and frequently forgets to go to the bathroom
Rationale: Overflow incontinence occurs when the bladder becomes overly
distended, which is common in the confused client (B) who does not remember to
empty his/her bladder.
While monitoring a client during a seizure, which interventions should the
nurse implement? (Select all that apply)
a. Move obstacle away from client
b. Monitor physical movements
c. Insert an oral padded tongue blade
d. Observe for a patent airway
e. Record the duration of the seizure
f. Restrain extremity to avoid seizures
a. Move obstacle away from client
b. Monitor physical movements
d. Observe for a patent airway
e. Record the duration of the seizure
Rationale: Moving this away from the client helps prevent to unnecessary injurie.
Observing for the pt airway alert the nurse to provide airway assistance as soon as
the seizure stop D and E provide the healthcare provider with an accurate
description of the seizure activities. C inserting something on the mouth can obstruct
may cause further airway obstruction and is contraindicated even if the client is biting
the tongue. F may cause further injury and is contraindicated.
A male client with a long history of alcoholism is admitted because of mild
confusion and fine motor tremors. He reports that he quit drinking alcohol and
stopped smoking cigarettes one month ago after his brother died of lung
cancer. Which intervention is most important for the nurses to include in the
client's plan of care?
a. Determine client's level current blood alcohol level.
, Page 4 of 101
b. Observe for changes in level of consciousness.
c. Involve the client's family in healthcare decisions.
d. Provide grief counseling for client and his family.
b. Observe for changes in level of consciousness.
Rationale: Based on the client's history of drinking, he may be exhibiting sign of
hepatic involvement and encephalopathy. Changes in the client's level of
consciousness should be monitored to determine if he able to maintain
consciousness, so neurological assessment has the highest priority.
An older adult female admitted to the intensive care unit (ICU) with a possible
stroke is intubated with ventilator setting of tidal volume 600, PlO2 40%, and
respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after
intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To
normalize the client's ABG finding, which action is required?
a. Report the results to the healthcare provider.
b. Increase ventilator rate.
c. Administer a dose of sodium carbonate.
d. Decrease the flow rate of oxygen.
Increase ventilator rate.
Rationale: This client is experience respiratory acidosis. Increasing the ventilator rate
depletes CO2 a, which returns the PH toward normal. Report findings is important
but only after increasing ventilator rate
The mother of the 12- month-old with cystic fibrosis reports that her child is
experiencing increasing congestion despite the use of chest physical therapy
(CPT) twice a day, and has also experiences a loss of appetite. What
instruction should the nurse provide?
a. Perform CPT after meals to increase appetite and improve food intake.
b. CPT should be performed more frequently, but at least an hour before
meals.
c. Stop using CPT during the daytime until the child has regained an appetite.
