HESI 799 RN Exit Exam UPDATED ACTUAL Questions and
CORRECT Answers
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in
with duodenal ulcer tells the nurse the he milk and cream
will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. What Rationale: Diets rich in milk and cream stimulate gastric acid
is the best follow-up action by the nurse? secretion and should be avoided.
a. Remind the client that it is also important
to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat
frequent small meals to reduce discomfort
c. Review with the client the need to avoid
foods that are rich in milk and cream.
d. Reinforce this teaching by asking the
client to list a dairy food that he might
select.
,A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks Rationale: Stroke related to cerebral hemorrhage is major risk
later to evaluate his blood pressure (BP). His for uncontrolled hypertension.
BP is 158/106 and he admits that he has not
been taking the prescribed medication
because the drugs make him "feel bad". In
explaining the need for hypertension
control, the nurse should stress that an
elevated BP places the client at risk for
which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side
personnel (UAP) positioning a newly rails instead of pillows
admitted client who has a seizure disorder.
The client is supine and the UAP is placing Rationale: The nurse should instruct the UAP to pad the side
soft pillows along the side rails. What action rails with soft blankest because the use of pillows could result
should the nurse implement? in suffocation and would need to be removed at the onset of
the seizure. The nurse can delegate paddling the side rails to
the UAP
a. Ensure that the UAP has placed the
pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to
secure to the side rails instead of pillows.
c. Assume responsibility for placing the
pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows to
prop the client in a side lying position.
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and
assessment finding requires immediate norepinephrine reuptake inhibitor that is known to increase
follow-up the risk of suicidal thinking in adolescents and young adults
with major depressive disorder. B, C and D are side effects
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
, A 60-year-old female client with a positive Further evaluation involving surgery may be needed
family history of ovarian cancer has
developed an abdominal mass and is being Rationale: An abdominal mass in a client with a family history
evaluated for possible ovarian cancer. Her for ovarian cancer should be evaluated carefully
Papanicolau (Pap) smear results are
negative. What information should the nurse
include in the client's teaching plan
a. Further evaluation involving surgery may
be needed
b. A pelvic exam is also needed before
cancer is ruled out
c. Pap smear evaluation should be
continued every six month
d. One additional negative pap smear in six
months is needed.
A client who recently underwent a Teach tracheal suctioning techniques
tracheostomy is being prepared for
discharge to home. Which instructions is Rationale: Suctioning helps to clear secretions and maintain an
most important for the nurse to include in open airway, which is critical.
the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy
site.
In assessing an adult client with a partial Document the assessment data
rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate Rational: reservoir bag should not deflate completely during
completely during inspiration and the inspiration and the client's respiratory rate is within normal
client's respiratory rate is 14 breaths / minute. limits.
What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central Respiratory apnea of 30 seconds
electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse Rationale: The priority is the client whose alarm indicating
investigate first? respiratory apnea that should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every
minute
d. Disconnected monitor signal for the last 6
minutes.
CORRECT Answers
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in
with duodenal ulcer tells the nurse the he milk and cream
will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. What Rationale: Diets rich in milk and cream stimulate gastric acid
is the best follow-up action by the nurse? secretion and should be avoided.
a. Remind the client that it is also important
to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat
frequent small meals to reduce discomfort
c. Review with the client the need to avoid
foods that are rich in milk and cream.
d. Reinforce this teaching by asking the
client to list a dairy food that he might
select.
,A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks Rationale: Stroke related to cerebral hemorrhage is major risk
later to evaluate his blood pressure (BP). His for uncontrolled hypertension.
BP is 158/106 and he admits that he has not
been taking the prescribed medication
because the drugs make him "feel bad". In
explaining the need for hypertension
control, the nurse should stress that an
elevated BP places the client at risk for
which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side
personnel (UAP) positioning a newly rails instead of pillows
admitted client who has a seizure disorder.
The client is supine and the UAP is placing Rationale: The nurse should instruct the UAP to pad the side
soft pillows along the side rails. What action rails with soft blankest because the use of pillows could result
should the nurse implement? in suffocation and would need to be removed at the onset of
the seizure. The nurse can delegate paddling the side rails to
the UAP
a. Ensure that the UAP has placed the
pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to
secure to the side rails instead of pillows.
c. Assume responsibility for placing the
pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows to
prop the client in a side lying position.
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and
assessment finding requires immediate norepinephrine reuptake inhibitor that is known to increase
follow-up the risk of suicidal thinking in adolescents and young adults
with major depressive disorder. B, C and D are side effects
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
, A 60-year-old female client with a positive Further evaluation involving surgery may be needed
family history of ovarian cancer has
developed an abdominal mass and is being Rationale: An abdominal mass in a client with a family history
evaluated for possible ovarian cancer. Her for ovarian cancer should be evaluated carefully
Papanicolau (Pap) smear results are
negative. What information should the nurse
include in the client's teaching plan
a. Further evaluation involving surgery may
be needed
b. A pelvic exam is also needed before
cancer is ruled out
c. Pap smear evaluation should be
continued every six month
d. One additional negative pap smear in six
months is needed.
A client who recently underwent a Teach tracheal suctioning techniques
tracheostomy is being prepared for
discharge to home. Which instructions is Rationale: Suctioning helps to clear secretions and maintain an
most important for the nurse to include in open airway, which is critical.
the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy
site.
In assessing an adult client with a partial Document the assessment data
rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate Rational: reservoir bag should not deflate completely during
completely during inspiration and the inspiration and the client's respiratory rate is within normal
client's respiratory rate is 14 breaths / minute. limits.
What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central Respiratory apnea of 30 seconds
electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse Rationale: The priority is the client whose alarm indicating
investigate first? respiratory apnea that should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every
minute
d. Disconnected monitor signal for the last 6
minutes.
